Executive Summary
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.
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.
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A Project to Reduce Central Line-Associated Bloodstream Infections (CLABSI)
Introduction
A CLABSI occurs when pathogens (normally viruses or bacteria) get in the bloodstream via the central line (Pammi et al., 2020). Healthcare providers should thus adhere to the correct infection control practices protocols when inserting a central line to ensure the sterility of the line and prevent CLABSI. CLABSI. CLABSIs are a common cause of healthcare-acquired infections (HAIs) and lead to health complications, financial burden, prolonged hospitalization, and more importantly, increased mortality. CLABSIs are attributed to about 100,000 deaths annually and about $40 billion in additional costs every year within the American healthcare system. CLABSIs are also the 8th leading cause of death within the US (Cohen et al., 2019). CLABSIs are preventable using multifaceted approaches. Therefore, this summary provides a proposal for a project aiming to lower the rate of CLABSIs in an intensive care unit (ICU).
The Purpose of the Quality Improvement
The planned project supports the implementation of a care bundle to lower the rate of CLABSI in an ICU, in the healthcare organization. The project also aims to educate healthcare providers in the organization about the prevention of CLABSI and motivate them to develop a safety culture in the ICU, and at large, in the organization. The proposed project covers a CLABSI prevention care bundle and education aspect that consists of;
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- Hand hygiene
- Chlorhexidine skin antisepsis
- Maximal barrier precautions
- Ideal selection of the catheter site
- Daily review of the central line
- Sterile dressing of the catheter site
- Monitoring of hand hygiene by an infection control nurse
- Educating nurses about the care bundle and effective infection control measures when handling patients with the central line.
The Target Population
The target population includes the healthcare providers working in the ICU, patients admitted in the ICU, and the infection control department in the hospital. ICU is the target setting because central lines are utilized extensively in ICU to administer medication, and at times may lead to CLABSIs. According to Bell & O’Grady (2017), 30,100 CLABSIs are reported every year within ICUs in the US. The CLABSIs not only increase the mortality rate but also impose a major economic burden. Patients who are critically ill and admitted in the ICU and acquire bloodstream infections are admitted for 6.5-22 days longer when compared to patients who do not get bloodstream infections (Bell & O’Grady, 2017). The high incidence of CLABSIs in the ICU and the consequent poor health outcomes and financial burden, justify the implementation of a project to lower the rate of CLABSIs within the ICU.
Benefits of the Proposed Project
The project will lead to a reduced rate of CLABSIs in the ICU, and the associated adverse events. The project will also reduce the financial burden associated with the treatment of CLABSIs and the associated complications. Finally, the project will increase knowledge among the organizational healthcare providers, about effective infection control measures. Assignment Executive Summary Essay Sample
The Cost/Budget Justification
The financial burden associated with the treatment and management of CLABSIs is significant. Evidence indicates that each episode of CLABSI leads to an additional cost of about $ $48,108 (Bysshe et al., 2017). Going by the high rate of CLABSIs in ICUs, this shows that CLABSIs impose a significant financial burden on the healthcare organization. According to the projections, the proposed care bundle to prevent CLABSIs is likely to cost approximately $100, 000. The cost of implementing the proposed project is extremely low when compared to the costs associated with the treatment of CLABSIs. Significant costs savings will be achieved following the implementation of the proposed project. Therefore, this justifies supporting the implementation of a project to prevent CLABSIs in the ICU.
Project Evaluation
The proposed project aims to prevent CLABSIs in the ICU. Evaluation of the project’s efficacy will be done by first collecting the baseline data about the rate of CLABSIs in the ICU before the implementation of the project. After the project implementation, the rate of CLABSIs in the ICU post-care bundle will be collected. The baseline data about CLABSIs will then be compared with the rate of CLABSIs in the ICU post-care bundle. A reduction in the rate of CLABSIs in the ICU will indicate the efficacy of the implemented care bundle in preventing and reducing the rate of CLABSIs in the ICU (Bell & O’Grady, 2017).
Summary
CLABSIs are associated with increased mortality rate, prolonged hospitalization, and increased financial burden to the healthcare system. The proposed project will be implemented in the ICU. The care bundle entails ensuring sterility and adherence to infection control measures during the insertion and maintenance of the central line. It is projected that the successful implementation of the project will lead to a significant reduction of CLABSIs in the ICU. The project is feasible because it will not only prevent CLABSIs, but it will also significantly reduce the financial burden associated with the treatment of CLABSIs.
References
Bell, T., & O’Grady, N. P. (2017). Prevention of Central Line-Associated Bloodstream Infections. Infectious disease clinics of North America, 31(3), 551–559. https://doi.org/10.1016/j.idc.2017.05.007.
Bysshe, T., Gao, Y., Heaney‐Huls, K., Hockenberry, J., Hovey, L., & Laffan, A. M. (2017). Estimating the additional hospital inpatient cost and mortality associated with selected hospital‐acquired conditions. Agency for Healthcare Research and Quality, Rockville, MD.
Cohen R, Gesser-Edelsburg A, Singhal A, Benenson S & Moses AE. (2019). Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research. PLoS ONE, 14(9): e0222608. https://doi.org/10.1371/journal.pone.0222608.
Pammi, M., Thapa, S., Balderas, M., Runge, J. K., Venkatachalam, A., & Luna, R. A. (2020). Microbiome signatures in neonatal central line-associated bloodstream infections. PloS one, 15(1), e0227967.
Assignment Executive Summary Essay Sample