NURS FPX 9901 Assessment 3 Doctoral Project Implementation Plan
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Name: Name
Organization: Baycare Behavioral Health’s Integrated Stabilization Unit (ISU).
Date:
Project Title: Enhancing Mental Health Crisis Intervention to Reduce 30-Day Readmission Rates
PICO or PICO(T) Question:
Those confronted with mental health problems during their acute episodes. Development of a broad-based crisis intervention strategy, which would allow the Columbia Suicide Severity Rating Scale (SSRS) to be incorporated as well. A standard care that does not include an intervention during the treatment of a disease. The rate of 30-day readmission decreases. The commitment to achieve this amidst the time constraints. It implements the project within a constrained time frame.
Project Description:
The initiative’s objective is primarily to improve crisis intervention protocols to reduce 30-day re-admission rates among individuals in a mental health crisis. Actual norms in crisis management have yet to be smoothed, and due to this, most outcomes are low, and patients get repeated readmissions in a short timeframe (Marafino et al., 2021). This project aimed to fill the gaps identified by implementing systematic intervention approaches consistent with this patient group’s personality.
Intervention Details:
The intervention comprises two key components: a complete package of services in the intervention program, which also involves the C-SSRS scale integrated into the medical care practice (Husain et al., 2023). The intervention crisis training will involve instructor and staff education and training on suicide and crisis de-escalation techniques, the principles of suicide risk assessment, and post-discharge follow-up strategies. The present pillar is supposed to arm healthcare specialists with the applicable abilities and resources to avoid crises and render immediate intervention to patients in time.
NURS FPX 9901 Assessment 3 Doctoral Project Implementation Plan
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Integration of C-SSRS:
The underlying C-SSRS framework aims to expedite the process of assessing risk for suicide and alleviate the care providers’ burden of documentation. It is a tool that validates the principal causes of creative and suicidal behavior. It is convenient for healthcare providers since it can be used to identify individuals with an increased risk of self-harm or suicide (O’Rourke et al., 2019). Employing structured risk assessments and patient encounters will help upgrade risk stratification and provide interventions more suitable for the patient’s needs.
Expected Outcomes:
There is a plan that will define the primary outcome – lowering 30-day readmission rates of patients with mental health disorders. Through our development of a fully-fledged crisis intervention program incorporating the C-SSRS into regular activities, the project foresees a lower frequency of crisis and their severity leading to hospital readmissions (Brown et al., 2020). Also included in this project is that patient outcomes have improved the quality of care and continuity of care has been promoted for this patient population, which is of great importance.
| Component | Implementation Goals/Objectives | Key Action Steps | Responsible Parties | Data Analysis and Evaluation Methods/Metrics |
| Crisis Intervention Program | Decrease 30-day admission rates to a hospital due to mental health apprehension among those who have experienced crisis by 40%. | 1. Establish crisis intervention happening across approval by making a standard protocol. e.g | Residential service leadership, mental health providers, medical officers, nurses, psychiatric social workers, psychologists, and speech therapists will be employed. | Quantitative: Compare the lengths of time between admissions before and after the intervention. Qualitative: Use patient and staff surveys to rate the intervention’s impact. |
| 2. Ensure that all employees, including cleaners and anonymous attendees, such as security guards, are given adequate training in suicidal risk assessment and crisis de-escalation techniques. | Training Coordinators and informed people are the focal points of our intervention, which targets mental health education. | Quantitative: Monitor employee progress with onboarding training modules. | ||
| 3. Ensure the continued after-discharge follow-up and patient support system. | For example, CST social workers and other professionals formed a solid team to achieve a common goal. | Quantitative: Refer to and monitor the involvement of the patients in the post-discharge services. | ||
| Integration of C-SSRS | Enhance the performance of suicide risk prediction and support the early intervention treatment for at-risk individuals. | 1. Combining C-SSRS into routine health care units of providing. | IT department, clinical leadership | Quantitative: Make sure that usage of C-SSRS is recorded after patient encounters. |
| 2. Deliver training to the personnel on how to use and understand the C-SSRS | Psychosocial Support Workers, Anxiety Educational Officers, | Quantitative: Evaluate the staff regarding their comprehension of the C-SSRS administration. | ||
| Data Analysis and Evaluation | Assess results that were achieved after the implementation of some interventions to reach goals that were set. | 1. Collect and analyze the pre-intervention and post-intervention data to establish a basis for the readmission rate, crisis intervention, and administering of the C-SSRS. | The data analysis team and research coordinator roles differ, but each contributes uniquely to the study’s success. | Quantitative: Using data analysis methods, investigate the differences between outcomes prevailing before and after the intervention. Qualitative: Undertake a thematic (thematic) analysis of the patient and staff feedback. |
| 2. Supervise strict following of procedures prescribed for an intervention and observe compliance with C-SSRS guidelines. | A group of quality assistance team and a chief clinician. | Quantitative: Track the staff adherence to the protocols. | ||
| 3. Seek feedback of patients and staff on how they significantly benefitted from the interventions. | Service coordinator, improvement team, quality | Quantitative: Administer satisfaction surveys. Qualitative: Conduct focused group discussions and interviews to reach the deepest level of feedback. | ||
| Logic Model | Inputs: Resource, training materials, and expertise, all of which contribute to the betterment of that community. | Develop crisis intervention by-laws. | Managing the emergency mental health specialists. | Outputs: Staff who have been trained, everyday practice, and cases of C-SSRS integrated. |
| Outputs: Trained employees, standard procedures, networked interlocking C-SSRS C-SSRS easy noun | Establish C-SSRS in care processes because it has the predictive power to end potentially unimaginable suffering. | IT department, clinical leadership | Short-term outcomes: There will be a higher level of staff ability in psychiatric emergencies and grave situation assessment, including a suicidal warning. | |
| Short-term outcomes: Boosted skillset among employees to deal with crisis management or suicide risk determination. | – Conduct thorough staff onboarding and training on the Blueprint for Caregiver Self-Care and its toolkit. | Psychological training coordinator, psychotherapist, or other mental health educator. | Medium-term outcomes: The tool will improve the accuracy of suicide risk assessment and the timely intervention for critical groups. | |
| Medium-term outcomes: The quality of suicide risk assessment and early intervention for patients who require extra attention will be enhanced by the innovation. | Financial statistics of the rate of readmissions, crisis intervention acceptance, and C-SSRS measurement method are collected before and after the intervention. | Analyzing data team and research posts. | Long-term outcomes: 30-day readmission rates after a second event of mental health crisis have a zodiac influence. |
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NURS FPX9901 QualityPerformance Improvement (QIPI) Assessment 2
References
Brown, L. A., Boudreaux, E. D., Arias, S. A., Miller, I. W., May, A. M., Camargo, C. A., Bryan, C. J., & Armey, M. F. (2020). C‐SSRS performance in emergency department patients at high risk for suicide. Suicide and Life-Threatening Behavior, 50(6), 1097–1104.
https://doi.org/10.1111/sltb.12657
Husain, N., Kiran, T., Chaudhry, I. B., Williams, C., Emsley, R., Arshad, U., Ansari, M. A., Bassett, P., Bee, P., Bhatia, M. R., Chew-Graham, C., Husain, M. O., Irfan, M., Khaliq, A., Minhas, F. A., Naeem, F., Naqvi, H., Nizami, A. T., Noureen, A., & Panagioti, M. (2023). A culturally adapted manual-assisted problem-solving intervention (CMAP) for adults with a history of self-harm: A multi-center randomized controlled trial. BMC Medicine, 21(1), 282.
https://doi.org/10.1186/s12916-023-02983-8
Marafino, B. J., Escobar, G. J., Baiocchi, M. T., Liu, V. X., Plimier, C. C., & Schuler, A. (2021). Evaluation of an intervention targeted with predictive analytics to prevent readmissions in an integrated health system: Observational study. BMJ, 3(5).
https://doi.org/10.1136/bmj.n1747
O’Rourke, M. C., Jamil, R. T., & Waqar Siddiqui. (2019, June 30). Suicide screening and prevention. Nih.gov; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK531453/
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