The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

1. Use a library database such as CINAHL Complete for your search.
2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The e-business’s board of trustees wants Will Learner to provide assurances that the e-business’s health
institute’s traditional customer constituents are served well by its e-marketing process.
Mr. Learner has turned to your team to provide current information on the ability of online portals, such
as the e-business health institute Web site, to facilitate more adaptable links among the e-business
customer types.
You will draw on your e-marketing expertise to compose a team, a presentation analyzing the following
4 key strategic connections availed by the e-business’s health institute Web site portal:
Business-to-business customer exchanges among the e-business’s business/organizational customers
Business-to-customer exchanges between the e-business’s business/organizational customers and its
individual consumer network of online users and visitors
Customer-to-business exchanges between the e-business’s individual consumer students/users and
business/organizational customers
Customer-to-customer exchanges among the e-business’s constituents
In addition, President Learner has made you aware of the extreme concern among powerful members
on the Med Ed board of trustees regarding ethical and cross-cultural considerations associated with an
online learning platform. Your team’s presentation should also propose policies for ethical safeguards
related to online privacy and guidelines for embracing cross-cultural ethnic health care education
diversity considerations.
Research and complete the e-business presentation slides for
B2B-pattern e-marketing processes that entail exchanges among business/organization customers (e.g.,
financial donors supporting suppliers/vendors, or advertisers promoting educational involvement of
health care organizations): 2 slides
B2C-pattern e-marketing processes that entail exchanges between business/organization customers and
individual consumer students/users (e.g., health care organizations and practical student learning, or
government agencies and student financial aid): 2 slides
C2B-pattern e-marketing processes that entail exchanges between individual consumer students/users
and business/organizational customers (e.g., administrative records management for health care
organizations, or online advertising graphics for advertising sponsors): 2 slides
C2C-pattern e-marketing processes that entail exchanges among individual consumers (e.g., providing
health care education webzine/blog subscriptions, or selling health care education merchandise such as
electronic textbooks and virtual lab programs): 2 slides
Ethical and cross-cultural considerations related to the e-business’s online safeguards for health care
education and student ethnic diversity: 2 slides.
The final product should include an overview and introduction to the e-business customer exchange
patterns as target markets in the e-marketing process strategy at the beginning (1–2 slides) and a
summary of the e-business e-marketing process implementation strategy for the 4 key customer
exchange patterns at the end (1–2 slides).
This is a two part assignment. Do you understand it and can you do it? Remember it is POWERPOINT!View less »

Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:

· What is the overall purpose, or aim, of doing this work?

· What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?

· What value would this work add to the organization?

· How would this work improve practice and create outcomes with impact?

Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.

With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.

To complete:

Write a 3- to 5-page paper that includes:

· An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization

· An overview of the current situation with regard to this quality improvement issue in the organization

· A description of measures and indicators

· A presentation on data related to this issue, including:

· Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data

· Methods for collecting and analyzing data in the future, including when you would do this

· A description of realistic, evidence-based targets

Be sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. 

Section 4: Quality Improvement Strategies

Through your work on Section 3 of the Course Project, you have examined the gap between current performance and evidence-based targets and considered how addressing this gap relates to organizational priorities and large-scale aims for quality improvement.

In this section of the Course Project, you begin to think about quality improvement strategies that could help to bridge this gap. As noted in the Sadeghi, Barzi, Mikhail, and Shabot text, this is referred to as performance-driven planning.

Since the publication of the Institute of Medicine’s report “Crossing the Quality Chasm,” a good deal of attention has been paid to the need to examine processes that contribute to outcomes (Ernst, Wooldridge, Conway, Dressman, Weiland, Tucker, and Seid). As the USAID has noted, interventions “will not create the desired outcome to improve the quality of care unless the overall process of care delivery is also improved.” Therefore, attention to process redesign is a central aspect of cultivating strategies for improvement.

To prepare:

· Refer to the modified Donabedian model (access, structure, process, outcome, and patient experience) presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text.

· Recall the performance targets that you identified for Section 3 (in Week 6). What does the recommendation that performance-driven planning should “begin with the end in mind” suggest given your established goals?

· Review the information presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text, and think about how you would assess the organization’s strengths and weaknesses related to the performance gaps you identified in Section 3 (Week 6).

· Based on the above, start to think of specific evidence-based strategies that could be implemented to close/minimize the performance gaps you have identified. Consider both interventions (what) and processes (how). Focus on strategies that are supported by the latest research and could create systems-level change. These may be tentative for now, but be sure to identify at least one that specifically lends itself to a change in process (i.e., practice, protocol, pathway, activity).

Throughout this course you have been considering the relationship between structure, process, and outcomes as it relates to health care quality. Looking at outcomes, alone, may not tell the “whole story.” For instance, if you are concerned with improving fall rates, evaluating the process—related activities or practices—can help you identify factors that contribute to outcomes and develop strategies for improving them.

For this section of your Course Project, you create a process map to examine a current process related to your quality improvement issue. You will use the results of the process mapping to redesign a process to help minimize or close the performance gap(s). As you proceed, keep in mind the importance of maintaining a patient-centered focus so the patient experience is not negatively affected by any changes in process.

To prepare:

· Review the instructions provided in the Learning Resources for creating a process map.

· With your quality improvement issue in mind, as well as the other work you have completed on your Course Project thus far, think about how creating a process map could help you to better understand your quality improvement issue and redesign an associated process.

· Create a process map using Microsoft Word or PowerPoint.

· Refine the strategies for promoting systems-level change to minimize or close the performance gap(s) that you began to think about in Week 7. As part of this, identify a way to redesign at least one process based on your analysis of the process map that you have created.

To complete:

· Write a 2- to 3-page paper in which you describe quality improvement strategies that you selected related to your quality improvement issue.

· Finalize your process map, which will be submitted along with the paper.

Process map help

https://www.isixsigma.com/tools-templates/process-mapping/practical-guide-creating-better-looking-process-maps/

Provides detailed description of how to create a process map

http://www.miltonkeynesccg.nhs.uk/resources/uploads/files/NHS%20III%20Handbook%20serviceimprove.pdf

From the National Health Information Infrastructure (NHII) legislation of the 1990s to current day Health Information Technology for Economic and Clinical Health (HITECH) legislation and the health information technology, the NHII continues to evolve, but at a more rapid pace. Part of that evolution has included not only the public and private health infrastructure development between the health providers, CDC, and the states but also many nongovernment partners, such as the commercial MEDLINE Plus, the Agency for Healthcare Quality and Research (AHQR), and many more.

• Consider the NHII’s evolution and its achievements over the last two decades and share your understanding of its many components and how they work together to provide greater access to health information.
• How is that information used to build healthier communities
• What are the key drivers in the evolution of the NHII?
• How do you envision the NHII will evolve and function in the coming years?

You may review the following resources:

• Cusack, C. M., Hripcsak, G., Bloomrosen, M., Rosenbloom, S. T., Weaver, C. A., Wright, A., . . . Mamykina, L. (2013). The future state of clinical data capture and documentation: A report from AMIA’s 2011 policy meeting. Journal of the American Medical Informatics Association, 20, 134–140. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555335/pdf/amiajnl-2012-001093.pdf
• Agency for Healthcare Research and Quality. (n.d.). National guideline clearinghouse. Retrieved from http://www.guideline.gov/
• CDC. (2013). National notifiable diseases surveillance system (NNDSS): Data collection and reporting. Retrieved from http://wwwn.cdc.gov/nndss/script/DataCollection.aspx
• U.S. Department of Health and Human Services. (n.d.). The national health information infrastructure (NHII): Site index. Retrieved from http://aspe.hhs.gov/sp/nhii/siteindex.html
• U.S. Department of Health and Human Services. (n.d.). Health information privacy: HITECH act enforcement interim final rule. Retrieved from  http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html
• HealthIT.gov (n.d.). Retrieved from http://www.healthit.gov/

Submission Details:

• Write your response in a minimum of 300–400 words, providing relevant references. Apply APA standards to citation of sources. Respond to at least two students’ postings.
• By the due date assigned, respond to the assigned discussion question and submit your responses to the appropriate topic in the Discussion Area.
• By the end of the week , review and respond to at least two of your classmates’ postings. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.