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I’m trying to study for my Health & Medical course and I need some help to understand this question.
Competency
Apply statistics to different quality methods in healthcare.
Course Scenario
Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:
Emergency room services
Intensive care
Surgical care
Obstetrics
Diagnostic services
Some rehabilitation therapies
Inpatient pharmacy services
Geriatric services and
Consumer physician referral services
Recently, the CEO has been hearing complaints from both patients
and staff. You have been hired to design and implement a Quality
Improvement Plan to help uncover quality problems and satisfactorily
resolve them.
Scenario Continued
Your CEO has requested that you provide employee training on
Quality Improvement. You have done an initial survey of patient
satisfaction, and the CEO has asked you to explain how the data will be
analyzed, using this initial data.
Given the variety of complaints coming from both employees and
patients, it is critical for everyone to understand the importance of
conducting the survey and obtaining solid data.
Question
Great 5
Good 4
OK 3
Fair 2
Poor 1
No Response
Total
Facility and Convenience
Hours of Operations
10
17
3
0
10
0
40
Convenience of location
10
15
5
3
3
4
40
Cleanliness
11
14
8
4
3
0
40
Waiting time in reception area
9
16
0
4
11
0
40
Comfort while waiting
20
10
5
5
0
0
40
Staff
Explained procedure
17
9
8
0
6
0
40
Questions answered
11
15
7
2
3
2
40
Friendly and helpful
21
5
5
7
2
0
40
Knowledgeable and professional
6
21
4
3
3
0
40
Modesty respected
12
14
8
0
6
0
40
Confidentiality respected (HIPAA)
10
10
14
5
1
0
40
Overall Satisfaction
Overall impression of visit
30
0
5
3
2
0
40
Willingness to return
31
0
9
0
0
0
40
Likelihood of referring to others
32
0
4
3
1
0
40
Respondents were also asked about their wait times. Here is the data on wait times:
Number responding
Wait time before being checked in at Reception
4
10 minutes
16
15 minutes
8
20 minutes
12
25 minutes
Number responding
Wait time before being seen by a healthcare professional
2
10 minutes
6
15 minutes
10
20 minutes
22
25 minutes
Instructions
You are to create an agenda for the training and a memo with bullet
points to present the statistical analysis of the initial data. The
memo should include an explanation of each of the statistical results.
In particular, you should be able to explain what the results mean to
the facility.
Determine the percentages of the following:
Percent who responded with a 5 (Great) on “Overall impression of the visit”
Percent who responded with a 2 (Fair) or 1 (Poor) on “Overall impression of the visit”
Percent who responded with a 5 (Great) on “Willingness to return”
Percent who responded with less than 5 on “Willingness to return”
In
the area of “Facility and Convenience,” which indicator had the highest
percentage of 5 (Great) responses? Which had the lowest?
In the area of “Staff,” which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?
What is the mean waiting time in the reception area?
What is the mean waiting time to see a healthcare professional?
Microsoft Word has many memo templates. In your memo, be sure to
address each statistical analysis and what it means to the facility. Why
ask these questions? How could the data be used for quality
improvement?
NOTE – APA formatting, and proper grammar, punctuation, and form required.
An agenda can set the tone for a meeting. It is an important tool
to ensure meetings are staying on track and meeting all of the
objectives. Create a detailed meeting agenda for a meeting you will hold
with your supervisor and fellow department heads discussing your
findings (Hint: Microsoft Word has many agenda templates).
Make sure to include the following in the agenda:
Explain each statistical example
How that data would be used
The majority of the agenda should be focused on data analysis and its use in QI plans
Requirements: how ever the rubric says

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