NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology

NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology

Melanie Henry

Nursing and Health Sciences, Capella University

NURS FPX8022

Dr. Tricia Huey

April 21, 2025

Introduction 

Lakeland, bordering a scientific hub (LRMC), is at a crossroads where beautifying technology is the moment of urgency to correct systemic impacted man or woman security breakdowns and operational inefficiencies. The Leapfrog’s current “C” rating of the sanatorium and its 1-big name Medicare Great rating show major deficiencies in 3 signs and symptoms: one. Eleven avoidable unstable activities scores, 0.687 impacted character fall charges, and humans’ lower body collaboration scores at 100.00 (compared to 120.00 for leaders) (Leapfrog Clinic Protection Grade, 2024). In NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology review suggests total artificial brain (AI) driven digital fitness data (EHR) sharing with Internet of Things (IoT) integration as a move to re-engineer threat prediction, care coordination, and statistics interoperability to ensure LRMC meets top-decile standard overall performance in protection measures internal 18 months concurrently with resolving evolving clinical medical health insurance portability and responsibility act (HIPAA) and Joint rate guidelines.

Problem, Significance, and Impact

LRMC’s patient safety compromised fiasco is superbly represented in the Leapfrog dangerous opportunity score of 1.11, higher than 89% of similar-length midsize hospitals and associated with twelve of 2023 preventable complication-related readmissions, like surgical internet page infections. The zero.687 clinic charge for falls is more of an economic prison task than clinical failure because, rightly, preventable fall incidents totaling some $34 billion of excess baggage and crooked costs (AHRQ, 2023). Medicare looks at’s 1-firm single rating also provides system health numbers, particularly in the care coordination categories where LRMC receives a 1/5 to Bartow clinical middle’s neighboring leader 4.3/, except for this reason because there are no generation-facilitated channels of communication. Operational inefficiencies have a survival impact that turns them into threats to all the actual stakeholders of the employer.

Stakeholders who are repeatedly faced with disasters perceive them as posing threats to their roles or responsibilities. Human beings’ health corps have unmanageable burdens, and nurses take hours on shift documenting reproduction information through the means of time-motion studies, producing more yearly turnover at the cost of tens of thousands of dollars in hiring and training (Bae, 2024). patients are experiencing quantifiable damage, fall patients receive permanent mobility orders on health center incident reports, and crooked counsel anticipates an increase in malpractice courtroom litigation due to new trends. Solving gadget-related challenges is central to staying financially sound, cutting down on turnover costs, improving affected man or woman safety, and discouraging crook liabilities. Comparative standards highlight the choice for action.

NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology

Excessive- not typical, typical large-scale performance broadly hospitals with similarly affected person populations, like Tampa recognized medical facility (TGH), share the same rating of zero. Fifty-five as against LRMC’s rating of zero, 687 on poor sports under giant EHR-capable surveillance systems (TGH.org, 2021). The LRMC’s deviant response time to patient calls is significantly different from the mean of sensor-capable centers, and for that reason, there are 3/5 patient satisfaction scores. In the absence of timely era improvements, the hospital stands to experience interlinked collapse, such as loss of magnet status and being demoted to non-preferred insurance networks. The LRMC’s affected individual or woman safety tragedy is ranked by the Leapfrog risky circumstance rating of one. Eleven, it truly is better than 89% of various-sized mid-sized clinics and comparable to twelve of 2023 avoidable discomforts, including surgical net internet on-line infection. 0.687 fall rate for the health center is a science failure and an expense burden, and falls that can be prevented cost some $34 billion in the length of stay and crooked costs (AHRQ, 2023). Medicare test’s 1-film celebrity rating is another measure of systemic illness, specifically in care coordination, where LRMC gets two.1/5 while Bartow Scientific Center receives four.3/five due mainly to a lack of era-enabled channels of communication.

The aforementioned running inefficiencies have a direct impact on the influential stakeholders. Clinical professionals are rendered below an unrealistic workload, resulting in burnout and the costs of turnover, with the economic and operational costs (Bae, 2024). Patients experience uncontrollable outcomes, including lifetime mobility-requiring diseases through avoidable falls, and jail suggestion guarantees an estimated increase in malpractice court docket cases. The pressure flow offers traumatic conditions to LRMC’s balance, recognition, and potential ability to offer optimal care, necessitating technological development.

Technology/Informatics Solution

Informatics is the solution set to overpower threats and productivity of needing work, an era-day process that can be facilitated by embracing a progressive key. 3 proof-based, completely normal tech interventions are the cornerstone of the transformation in an AI-calibrated EHR device.
First, IoT-enabling stress sensor-intelligent socks will offer non-preventive fall-risk assessment, mimicking strong fall prevention by real-time gait monitoring and signs and symptoms and signs and signs and symptoms and signs and symptoms and symptoms and symptoms on nurse phones. 2nd, the set of guidelines to respond to the tool will rephrase medical preference support, using setup methods of censorship of non-emergency messages further to put life-threatening situations and sepsis first, along with speaking the hassle earlier (Islam et al., 2023). 0.33, interval video display unit availability will prevent remedy errors perpetrated with the assistance of guide transcription of integral signs and symptoms and signs and symptoms and signs and symptoms and signs and symptoms (Clark & Bailey, 2023). With the application software of assured proof-primarily based absolutely techniques, the safety no longer constantly improves clinical outcomes but assures adherence to modern-day healthcare rules and regulations. NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology achievement will most likely be gauged by the utilization of three quantitative metrics: the reduction of unsafe behavior to 0.9 through predictive analytics dashboards and the drawing in of autumn costs of 0.4 through incident opinions drafted with the assistance of the utilization of sensors. Employees’ cooperation scores can also be increased to 100, and lifestyle surveys for safety can be secured with the application of the EHR device. The answer is dependent on good decisions by healthcare organizations and companies (HCAHPS) on clinical customer satisfaction.

Technology For Economic and Clinical Health

The solutions utilize cutting-edge infrastructure on the same timeline without any incremental IT expenditure. The rate is paid for by incentives with the added advantage of the activation of the application of the Fitness Facts Technology for Economic and Clinical Health (HITECH) Act, which allows for use (Alder, 2025). Tracking will utilize Epic Systems’ non-public proprietary analytics device, which was pilot-tested and was able to successfully forecast adverse sports in multicenter trials. The solution presented solutions to LRMC’s structural issues by crossing a distance from reactive care behaviors in the course of a destiny-oriented anticipatory style of care. The fully complete, actually real-world device attempts to decrease Leapfrog’s 1 eleven excessive-harm prevalence cost hospital rank by way of the utilization of new fashion recognition within affected person histories for the recognition of threats ahead and therefore prevent them. Second, IoT deployment seeks to reduce the 0.687 fall charge with the invaluable aid of applying biomechanical observation technology, i.e., strain sensors, to capture symptoms ending accidents directly (Micco et al., 2025).
In addition, the tool has automated sweet document creation for collaborative price audits and reduced administrative burden in relation to arranging the discontent of human beings.

From a financial point of view, use of the timeframe will see the health center save a lot of money every 12 months by preventing preventable slips on my part, and the health center will improve the overall investment rate in the subsequent 18 months. The response no longer maximally enhances affected person safety and usual operation performance, but also offers to the staff morale and organization compliance. It places LRMC sooner than most establishments’ utilization of the modern-day practice of healthcare.

Implementation Plan and Challenges

Technical integration is characterized by the facilitation of behemoth stressful situations, often involving the retrofitting of LRMC’s 12-year-old community platform to be well-suited to IoT devices. A have an examination-through approach to the Healthcare Data and Manipulation Systems Society (HIMSS) found that hospitals required the complete roll-out of sensor networks and the whole expert short EHR downtime somewhere integration hassle (Upadhyay & Opoku, 2023). rate diversity limits are cause-determinant of the traumatizing circumstances at the thinking that the million-dollar rate of the project is ideally inner available stocks and will most likely be borrowed from non-medical accounts or be influenced in magnitudes in compliance with economic one-three hundred and sixty-five days cycles.

Workers’ pushback against the border is a greater work of art, with pre-implementation surveys indicating nurses will not trust automated alarms by virtue of greater-than-bogus alarms from ancient buildings. Moral and ethical issues call for stringent protective controls to be initiated and mandatory, even despite dealing with sensitive patient information gathered from wearables.

Project Plan Using Informatics/Technology

With the 2023 HIPAA updates now mandating provide-up-supply-up encryption of all biometric data, many issues that LRMC’s contemporary-day network infrastructure no longer accommodates, and because of this, there is a wide compliance gap. Imposition of mandatory measures no longer in reality jeopardizes those affected persons’ privacy but also carries jail sanctions by virtue of the fact no longer timely report ultimately dates for comforts for Medicare & Medicaid Services (CMS) optimum requirements could be identified by application of monetary penalties (CMS.gov, 2023). Avoidance of such risks is asserted by the application of shadow test environments to filter out and clear defects in order to stop cutting-edge operations. In support, an experienced possibility supervisor in charge of staff will work the shift, passing on streamlined execution and time schedule adherence. Contingency investment has been made provision for the uptake of more-than-expected overruns to implement traditional well-proven practices from comparable implementations, as the application of internal scientific organization manipulates the corporation organization agency (MGMA) risk discount and compliance standards. Improving support with the expectation of hope and strategic planning contracts may be needed to help control workflow disruption at some point during the transition period in a manner that does not result in a loss of productivity.

NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology

In some undefined time in the future fate in a period of change, workflow interference will seem to be, and estimates are that short-term loss of productivity is due to the fact that workers are stepping out at new interfaces. The situation is made possible through the satisfaction experts through some of the success generation centers, where change pains have diminished through goal-oriented education. The insurance against chance mitigation needs a replica price range for higher than law pay and “notable person” bonuses, and legacy mechanisms must be maintained as backstops in the strategy of necessary usage (Hertzum, 2022). Through the assistance of right fortune and mitigation commitments along with education, incentives, and backstops, the economic employer organization of an agency can acquire seamless transition and on-foot balance safety.

Leader Role in Change Management

Authorities want to manage the alternative by demonstrating frequent communication that associates technological adoption with LRMC’s strategic relevance. The CNO ought, in my view, to begin rounding weekly on the circuit to begin entry from nurses as well as noting them out as behavior fashions a great deal of resistance. Medical administrators will make competency attestation a good deal simpler with microlearning designs, giving human beings full EHR simulation preparation before this in the space of short-term time (Morse et al., 2024). We require open roadmaps, published every two weeks, and integration milestones.

Kotter’s alternate model is a potent force that propels the implementation of organizational change through strategic willpower and involvement. Kotter’s second model is the correct one, beginning from the construction of a sense of urgency through utilizing city halls, analyzing LRMC’s 1-familiar call score to community competition’ four-celebrated man or woman averages (Miles et al., 2023).

A tranquil on-foot guidance employer of 15 departmental directors will build day-by-day momentum if you prefer to be pushed through the to be had available tool of sincere recognitions via brief fulfillment supported through the facilitation of non-preventive measuring on monthly dashboards, receding resonant guide paperwork hours.
The practices that are possible to document in the methodology are the use of preferred, trendy, fashionable, not non-usual overall performance fee determinations that were modified to accumulate size of intelligence in technology, which was a practice that facilitated consistency among allies in Healthcare (Mbau et al., 2023). Through the utilization of leverage, collective business enterprise control, and duration institutionalization, LRMC can utilize iterative augmentation and installation of a pioneer of implementation.

Workflow 

Pre-Implementation Narrative

Implementation of Hoffmann’s LRMC version Inefficiency in the existing workflow affects decreasing productivity and influences the care for women and men intentionally. A time-movement study highlighted that 31% of nurses’ time is spent on non-price-delivered work, lowering the time frame of people’s availability to direct-influenced male or female care. There is a necessary trouble of guiding people to get the right of entry to admissions notes, an extra 12% remedy information rate of errors, and an increased risk to individual hazard. Furthermore, bedside video display technology certainly eliminates increased variations and generates an eight-error charge while recording basic signs and signs and symptoms and signs and signs and symptoms. The above issues are supplemented by the hazard of falls, fully assessed in the course alternate shift, which does not remove sixty percent of threats that have been introduced, as noted by the use of the method of incident NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology. Communication breakdowns among departments also contribute to drug errors, in addition to an active alerting device to alert in the case of worsening affected women’s conditions (Tariq et al., 2024).

In the long run, paper-based reporting is definitely just fine reporting dependency comes with 6-8 week delays in improvement cycles, thereby preventing timely implementation of correctives and real-time interventions.

Post-Implementation Narrative 

The new process includes non-preventive surveillance and predictive analytics in every aspect of affected individuals’ active management of threats. Radiofrequency identification (RFID) technology is implemented to avoid entry errors and deliver fresh intake, and it also enhances individual safety (Profetto et al., 2022). The IoT wearable devices generate over 650 units of data when combined with patients’ daily data, directing facts to a motor AI to make it more accurate.

Conclusion

In NURS FPX 8022 Assessment 4 Quality Improvement Project Plan Using Informatics/Technology excepting the implementation of the newest reward systems could even further have 30% of control bonuses factually attached to era implementation steps expressly so leaders themselves can in fact be held accountable for seeing through imperative changes.

The step that’s been observed is more about establishing a sense of collective accountability but rather than about establishing a subculture of accountability somewhere inside the corporation’s smallest levels.

The transformation is necessary to allow LRMC to actually ride out destiny CMS rate-based full fee change modifications, for which there will have to be increased general normal performance and normal general overall performance from results.
During transitions, LRMC can create a context for midsize hospitals in trying to keep up with the rapidly changing digital healthcare age.

In their own time, however, time emerges, and with every month of delay, most likely 12 avoidable horrific sports activity accidents, eight avoidable impacted patient slips, and a cost of $350,000 out of area repayment revenues. Reporting early and loudly will no longer fully protect patients and financial health; rather, it will put LRMC at the vanguard of healthcare excellence and protection.

References

https://www.ahrq.gov/news/newsroom/ahrq-stats.html

https://www.hipaajournal.com/what-is-the-hitech-act

https://doi.org/10.3389/ijph.2024.1607068

https://www.ncbi.nlm.nih.gov/books/NBK599967

https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c29pdf.pdf

https://doi.org/10.3390/jcm12175658

https://doi.org/10.1371/journal.pone.0234416

https://www.hospitalsafetygrade.org/h/lakeland-regional-medical-center

https://doi.org/10.1016/j.neucom.2023.127017

https://doi.org/10.1080/23288604.2024.2360315

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