BHA4004 Capella University Analyzing and Applying Dashboard Data Paper

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BHA4004 Capella University Analyzing and Applying Dashboard Data Paper

Analyzing and Applying Dashboard Data


“Being in a position of leadership is the most important job of any health professional anywhere along the continuum of care” (Ledlow & Coppola, 2013, p. 3). Leaders and ultimately the boards of directors of health care organizations are accountable for the safety of those they serve.” National quality organizations and regulatory bodies . . . are growing in their emphasis on leadership accountabilities for safe, reliable care as well as excellence in the experience of care” (Youngberg, 2013, p. 39).

With this emphasis on leadership accountability for the delivery of safe, high-quality health care services, health care leaders need to be able to drill down on what exactly safety and quality mean in the health care environment. Likewise, they also need to be able to design measures that help to ensure their organizations are able to deliver those kinds of outcomes. Read the short document Measurement Perspectives (given in the resources) to examine key elements related to this issue.

In this final course assignment, you will have a unique opportunity to examine a health care organization’s safety and quality dashboard from the perspective of four organizational leaders. You will explore each leader’s specific interests regarding patient safety and quality. In particular, you will have the opportunity to perform a more in-depth analysis of the dashboard, the type of analysis a quality director might perform to further the organization’s safety and quality objectives.


By successfully completing this assignment, you will demonstrate proficiency in the following course competencies. Refer to the scoring guide for further details.

  • Competency 1: Analyze the quality and performance improvement activities within the health care organization.
  • Competency 2: Explain the risk management function in the health care organization.
  • Competency 3: Analyze the importance of patient safety in health care.
  • Competency 4: Apply leadership strategies to quality improvement in a health care organization.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with the expectations for health care professionals.


Create a presentation (a maximum of 20 slides with detailed speaker notes) for senior leadership in which four organizational leaders analyze the impact of a health care organization’s new safety and quality dashboard. Include an analysis of what the new metrics mean and how they will inform departmental activities for the next quarter.


To successfully complete this assignment:

  • Review the Assignment 4 Template (given in the resources). You will use this as a starting point or guide as you develop your presentation.
  • Consult the readings listed in the assignment preparation study in Unit 8.


Your organization has just updated its safety and quality dashboard. Please review the Vila Health Mercy Hospital Safety and Quality Dashboard (given in the resources). Note:You do not need to create a dashboard for this assignment. You are simply being asked to work with the one provided.

The CEO has asked each of the organizational leaders below to prepare a joint PowerPoint presentation. In the presentation, they are to prepare a set of slides outlining their analysis of how the new numbers will inform their particular activities for the next quarter. The organizational leaders include:

  • The quality director.
  • The patient safety officer.
  • The risk manager.
  • Senior leadership.

Because of the quality director’s critical role in implementing the organization’s safety and quality strategic objectives, this individual will open the presentation and provide additional background about how the new dashboard was developed. This individual will also close the presentation. Use the following outline to organize your presentation. Be sure to include the introduction and conclusion and address all the questions listed under these headings. Also be sure to address each role and the corresponding questions.

Introduction (1–2 slides)

Address the following:

  • What is a safety and quality dashboard?
  • What role do safety and quality dashboards play in helping health care organizations drive their strategic safety and quality objectives?
Evidence-Based Actions to Improve (2–3 slides)

Address the following:

  • What measure on the health care organization’s safety and quality dashboard was selected?
  • What evidence-based actions to improve the selected measure are being recommended?
Metrics Selection (3–4 slides)

Address the following:

  • How do health care organizations determine what they want to measure? Be sure to consider:
    • Pressures from regulators, payors, and the industry.
    • Self-identified improvement areas. For example, one organization’s safety and quality dashboard may highlight patient falls because its rate of falls is higher than the national average. This may also have resulted in increased costs to the organization.
  • What CQI tools did the organization use to obtain, measure, and report data?
  • What was the quality improvement team’s role in addressing the reported measures?
Quality Director (2–3 slides)

Address the following:

  • Which metric on the dashboard would draw the quality director’s attention the most?
  • What does this dashboard metric mean and why is it important?
  • What three recommendations to leadership would help to address this metric?
  • What (if any) quality models could be used to increase the quality of patient care and outcomes for this metric? Consider PDCA, Six Sigma, Lean, Hoshin Kanri planning, et cetera.
Patient Safety Officer (2–3 slides)

Address the following:

  • Which metric on the dashboard would draw the patient safety officer’s attention the most?
  • What does this dashboard metric mean and why is it important?
  • What role does the patient safety officer play in improving this metric?

Risk Manager (2–3 slides)

  • Which metric on the dashboard would draw the risk manager’s attention the most?
  • What does this dashboard metric mean and why is it important?
  • What role does the risk manager play in improving this metric?
Senior Leadership (1 slide)

Address the following:

  • What is the role of senior leadership (for example, CEO, COO, president, or senior VP) in driving safety and quality improvement initiatives?
  • What next steps might senior leadership take, given the dashboard findings and the quality director’s three improvement recommendations?
Conclusion (2–3 slides)

Address the following:

  • Which regulatory agencies may be concerned about the findings in this dashboard?
  • Why would regulators be concerned about these findings?
  • Why are safety and quality dashboards important for monitoring key metrics in health care organizations?

Your slides need to be concise and offer main ideas in bulleted format. Use the speaker notes to expand upon your findings as if they were the transcript of your presentation for the leadership team.

In the health care environment, it is unlikely for a presentation and speaker notes to be in APA style. Do make sure your presentation is concise, organized, clear, and free of errors in grammar, punctuation, and spelling. Do make sure the presentation addresses all the required headings and all of the questions under each heading.

Your senior leaders will want to know the sources of your information. Be sure to cite your sources in APA style in your speaker notes.

Please review the Analyzing and Applying Dashboard Data Scoring Guide to ensure you understand the grading requirements for this assignment.


Your assignment should also meet the following requirements:

  • Template: Use the Assignment 4 template (provided in the resources) to complete this assignment.
  • Length: A maximum of 20 slides, including title and reference slides. Format your title and reference slides according to current APA format.
  • Speaker notes: Be sure to include these with your slides. They provide an opportunity for you to expand on the information you are highlighting in your slides.
  • Number of references: A minimum of two references.

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Measurement Perspectives “As CQI philosophies and processes have evolved within health care, a series of broad-based approaches have evolved and proven to be successful across a range of health care settings” (Sollecito & Johnson, 2013, p. 36). In 1988, the U.S. Office of Technology Assessment (OTA) defined quality of care as “the degree to which the process of care increases the probability of outcomes desired by the patient, and reduces the probability of undesired outcomes, given the state of medical knowledge” (OTA, 1988). To measure outcome improvement, organizations identify and select measures. Focusing on high-risk, high-volume, problem-prone areas is one way to maximize returns on organizational investment in performance improvement. These improvements generally focus on positively affecting large groups of patients, eliminating or reducing variability in processes, reducing risk, and avoiding serious problems within the organization (Sollecito & Johnson, 2013). Once the health care organization selects the indicators it wants to measure, such as proper hand washing, hospital acquired infection rates, readmissions, et cetera, it then collects data to measure the indicator and compare the organization’s current performance to the desired performance level. Critical elements when selecting a performance measure include: • Relevance – Does the measure relate to the organization’s improvement goals? • Reliability – Does the measure accurately and consistently measure what it was intended to? • Validity – Does the measure identify opportunities for improvement? Tied with outcome measures are CQI methods and tools used for decision making, variation measuring, and process improvement. Walter Shewhart was the first to introduce the plan-docheck-act cycle. Later this was modified into the plan-do-study-act, or PDSA cycle. Health care organizations use this cycle to facilitate rapid change, putting improvement in the hands of those most directly responsible for the outcomes and processes in need of improvement: front line staff and managers. Lean and Six Sigma, two additional tools used by quality professionals, focus on reducing waste and eliminating defects. This in turn results in added value for the customer. References Office of Technology Assessment. (1988). The quality of medical care: Information for consumers (OTA-H 386). Retrieved from Sollecito, W. A., & Johnson, J. K. (2013). Mclaughlin and Kaluzny’s continuous quality improvement in health care (4th ed.). Burlington, MA: Jones & Bartlett Learning. 1 Vila Health: Mercy Hospital Safety and Quality Dashboard Legend M = Meets target C = Close to target D = Does not meet target Physical Therapy Measure Metric Purpose Operational Early Intervention. PT response to consult within 24 hours. Quality Endoscopy Measure Purpose Satisfaction Percentage (%) of patients that meet 75% of their goals upon discharge. Metric Patient satisfaction with Endoscopy wait time (95% or greater rated good/excellent). Infection Control Measure Purpose Quality CAUTI Rate. Safety Metric % of clinicians who wash hands and use sanitizer appropriately. Target Jan Feb March 100% 91% C 100% M 79.5% D 100% M 96% C 100% M Target Jan Feb March 95% 95% M 92% C 88% D Target Jan Feb March
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Tags: APA quality and performance continuum of care Leadership Strategies Health Professional Dashboard Data



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