NURS FPX 9901 Quality Performance Improvement (QIPI) Assessment 2

NURS FPX 9901 Quality Performance Improvement (QIPI) Assessment 2

Quality Execution Improvement

Quality/Execution Improvement (QI/PI) is a methodical methodology utilized in different fields to upgrade the quality, productivity, and viability of cycles, items, or administrations. QI/PI includes distinguishing regions for development. The project’s quality performance in enhancing staff education on nutritional modification and telehealth interventions for effective COPD diagnosis will be evaluated. QI/PI approaches mean to drive ceaseless improvement and accomplish better execution levels (AHRQ, 2020).

Depict the Ongoing Work on Requiring Improvement

The issue being addressed is the consideration furnished to in-patients determined to have Constant Obstructive Aspiratory Illness (COPD). COPD is an ongoing respiratory condition that can essentially impede lung capability and personal satisfaction (Konstantinidis et al., 2022). In order to manage their symptoms, improve lung function, and avoid readmission, COPD patients frequently require specialized care. The underlying driver of hole by and by incorporate deficient information relating to wholesome practices, opportune subsequent meet-ups, and knowing essential consideration portrays the ebb and flow way to deal with COPD the board at the practicum site. Unfortunately, the emergency clinic’s activities to illuminate patients about the pivotal meaning of smoking discontinuance and executing way of life changes for compelling infection the board stay lacking. Also, the absence of proper crisis administrations available to patients further worsens the issue, bringing about delayed times of stalling. ( Konstantinedis and others, 2022). The root cause suggests that standard care for COPD patients and current practices are not optimal for achieving desired outcomes.

The underlying driver examination proposes a hole between the flow practices or standard consideration furnished to in-patients determined to have COPD and the ideal results. An underlying driver investigation infers that the current consideration may not really address lung capability values and readmission rates. Counting nourishing mediations recommends a hole in the ongoing way to deal with tending to the dietary necessities of COPD patients (Calvillo-Arbizu et al., 2021). The hole suggests that the ongoing practices may not adequately center around upgrading the eating routine and wholesome admission to further develop lung capability and decrease readmissions. Lacking home administration due to expanded COPD patients and readmissions caused a huge execution hole (Press et al., 2019).

According to the undertaking sanction, deficient nourishing information, delay in convenient subsequent meet-ups, and inability to recognize care needs additionally alluded to critical execution holes. Patients face longer wait times and insufficient access to emergency services. The shortfall of any infection the executives program or concentrated care administrations accessible for COPD patients causes an absence of familiarity with COPD the board procedures, including dietary contemplations and different treatments, prompting readmissions (Press et al., 2019). Wong et al. ( 2022) demonstrated that the hole in the proposed project lies in the need to address the limits or weaknesses of current practices in focusing on in-patients determined to have COPD. The task means to investigate and contrast dietary and telehealth mediations with overcome this issue, further develop lung capability esteems, and lessen readmission rates in COPD patients.

 A QI/QP System that Will Support and Guide the Undertaking

To help and guide the undertaking pointed toward working on the consideration for in-patients determined to have COPD, a QI/QP system can be used. Such a system like PDSA (Plan-Do-Study-Act) model gives an organized way to deal with distinguishing, executing, and estimating the viability of intercessions. A few key achievements would be important to meet the task goals and results. Burkes et al. ( 2018) talked about the effect of value enhancement for COPD patients and utilized the PDSA model to direct COPD patients in right pneumococcal vaccination. The pre-intercession COPD patients were contrasted and post-mediation, which demonstrated sufficient mindfulness and worked on understanding clinical visits for aspiratory capability testing.

Leading a writing survey, creating concentrate on plan and convention improvement, and executing the wholesome and telehealth intercessions can assist with meeting project targets through the PDSA model. Gathering applicable information on COPD patients on lung capability values and readmission rates when the execution of the mediation can likewise help essentially (White, 2020). The information include using normalized appraisal apparatuses, clinical records, patient reviews, and other fitting information sources. Examine the effects of nutritional and telehealth interventions on readmission rates and values of lung function (White, 2020). Compare the outcomes that were achieved to the outcomes that were envisioned in the project goals.

Developmental evaluations are fundamental for observing the advancement of a task and guaranteeing that it keeps on track. These evaluations provide helpful feedback and insights that assist in determining areas for improvement and making the necessary adjustments (Ko et al., 2019). Gathering criticism from partners engaged with the task, including medical services experts, scientists, project colleagues, and COPD patients, can prompt better instruction on proposed mediations (Ko et al., 2019). The criticism can be gathered through overviews, center gatherings, meetings, or normal gatherings. Survey partners’ impression of the undertaking’s advancement, their fulfillment with the intercessions, and any worries or ideas they might have.

Consistently observing and investigating the gathered information connected with lung capability values and readmission rates and looking at the information against the pattern measures can assist with surveying the advancement (Konstantinidis et al., 2022). Directing reviews to the in-patients determined to have COPD can decide their fulfillment with the consideration got, including the nourishing and telehealth mediations (Sculley et al., 2021). Gathering input on their encounters, saw benefits, and any worries or ideas for development can assist with checking the adequacy and worthiness of the intercessions according to the patient’s viewpoint (Sculley et al., 2021).

A few QI/PI systems can help with directing the whole undertaking, and among them, one normally utilized structure is the Arrangement Do-Study-Act (PDSA) cycle. The PDSA cycle is a consistent improvement system that includes iterative patterns of arranging, carrying out, considering, and following up on changes to accomplish wanted results (AHRQ, 2020). The PDSA cycle elevates an organized way to deal with quality improvement and execution estimation, helping guide the whole venture toward accomplishing its goals and wanted results. This is the way the PDSA cycle can be applied to direct the task:

Plan: Foster a point by point plan for executing the wholesome and telehealth intercessions, including the particular activities, assets, required courses of events, and capable people (AHRQ, 2020). Decide the vital measures and information assortment techniques to evaluate the adequacy of the mediations.

Do: Carry out the arranged mediations as indicated by the laid out conventions and timetable. This stage includes executing the wholesome and telehealth intercessions and guaranteeing legitimate coordination among medical services experts, nutritionists, and innovation trained professionals (AHRQ, 2020). Gather information during the execution stage to screen the advancement and catch any surprising issues or difficulties.

Study: Break down the information gathered during the execution stage to assess the viability of the intercessions. Think about the gathered information against the foreordained measures and gauge benchmarks to evaluate the effect on lung capability values and readmission rates (AHRQ, 2020). Recognize any examples, patterns, or varieties that might give experiences into the viability of the mediations.

Act: Make the necessary adjustments or enhancements based on the findings of the study phase. In the event that the mediations are powerful, think about increasing them or extending their execution. If there are areas that need to be improved, you should determine whether the project plan, implementation procedures, or interventions need to be modified. Execute the progressions and rehash the PDSA cycle to proceed with the improvement interaction (AHRQ, 2020).

How QI/PI data will be collected and analyzed The collection and analysis of QI/PI data is essential for assessing the efficacy of interventions and determining areas for improvement. According to Backhouse & Ogunlayi (2020), the data are required to evaluate the nutritional and telehealth intervention’s effect on COPD patients’ values of lung function and readmission rates. Gathering information on lung capability estimations, for example, spirometry results or other pertinent tests, can give objective signs of lung capability improvement. Hospital records or other relevant sources can be used to gather data on readmission rates for COPD inpatients diagnosed within ten weeks. Record the segment data of the partaking COPD patients, like age, orientation, comorbidities, and important clinical attributes as proposed information can assist with investigating the effect of intercessions on unambiguous patient subgroups (Backhouse and Ogunlayi, 2020).

Lay out a framework to record and coordinate the gathered information in an organized way. The framework can be electronic data sets like Electronic Wellbeing Records (EHRs) and accounting sheets for information the executives. It is important to guarantee that information passage is exact, predictable, and safely put away. Thusly, relegate novel identifiers to every patient to keep up with secrecy (Wang et al., 2022). Likewise, break down the gathered information to evaluate the effect of the mediations on the ideal results. For this reason, contingent upon the idea of the information and examination questions, different investigation strategies can be utilized, like relative examination (Wang et al., 2022).

Look at the results between the different mediation gatherings (e.g., dietary intercession, telehealth mediation, standard consideration) and utilize the fitting information examination strategy. This can be the spellbinding rundown, to compute synopsis measurements, like means, medians, standard deviations, or rates, to depict the attributes of the review populace, lung capability values, and readmission rates when the intercession. Decipher the aftereffects of the information investigation and make significant inferences (Wang et al., 2022). Analyze the significance of the findings from a statistical, clinical, and practical standpoint. Consider any limits or perplexing elements that might have impacted the outcomes.

To gauge progress toward QI/PI targets successfully, it is crucial for utilize a mix of systems that line up with the task’s particular goals and wanted results. It incorporates investigation information, the COPD Information Poll (CKQ), and nonstop improvement (Robertson et al., 2021). Stakeholders can evaluate any changes or advancements in staff knowledge over time by administering the CKQ prior to and following the implementation of QI/PI interventions. For this evaluation, pattern appraisal, designated intercessions, progress observing, and recognizing information holes can be used. In the end, the CKQ provides a standardized and validated method for evaluating staff knowledge, which can be important in determining progress toward QI/PI goals related to improving COPD management practices (Robertson et al., 2021).

Depict proposed QI/PI Changes and Anticipated Results

The proposed changes incorporate nourishing and telehealth mediations. The proposed changes include working with enrolled dietitians to foster customized dietary plans, giving schooling on COPD-explicit sustenance, and observing adherence to the endorsed dietary proposals (Furulund et al., 2021). Presenting telehealth administrations can upgrade COPD the executives for in-patients. The proposed change incorporates remote checking of imperative signs, video interviews with medical care suppliers, patient instruction by means of computerized stages, and working with self-administration through telecom advances (Furulund et al., 2021).

The normal results incorporate superior lung capabilities, decreased readmission rates, and improved healthful information. For further developed lung capability esteems, the dietary and telehealth mediations mean to affect lung capability values among in-patients with COPD decidedly. According to Hayes (2018), the anticipated outcome is improved spirometry results or other relevant measurements of lung function. In addition, by giving designated mediations and further developed help, the ideal result will be a reduction in clinic readmissions inside a predefined time period. Nourishing intercessions will further develop staff individuals’ information and comprehension of COPD-explicit sustenance. Changes in staff CKQ scores for nutrition-specific questions can be used to measure the expected outcome (Haynes, 2018).

Spirometry results, readmission rates, staff CKQ scores, and patient fulfillment reviews can be utilized for proper measures for deciding genuine improvement. Measure and look at spirometry results when the execution of intercessions, and screen and record the quantity of COPD-related readmissions inside a predetermined time span when the mediations to decide the staff information (Haynes, 2018). It is possible to evaluate improvements in staff knowledge and understanding of managing COPD by administering the CKQ to employees before and after the interventions and comparing the scores obtained before and after the interventions (Robertson et al., 2021). Nutritional and telehealth intervention feedback can be gathered by conducting patient satisfaction surveys. The perceptions and feedback of patients can assist in determining the staff’s quality of care, the effectiveness of interventions, and overall patient satisfaction (Robertson et al., 2021).

The plausibility of the proposed changes relies upon different variables, including accessible assets, hierarchical help, staff commitment, and mechanical foundation. The accessibility of assets incorporates approaching qualified dietitians, media transmission advances, essential hardware, and financing to help the intercessions (Berry et al., 2020). Authoritative help incorporates assessing the degree of help from hierarchical administration and basic partners. Essentially, surveying the eagerness and status of staff individuals to embrace and execute the proposed changes can assist with deciding the plausibility of the changes. Furthermore, assess the current mechanical framework to help telehealth mediations. For this reason, factors like web network, accessibility of appropriate gadgets, and similarity with electronic clinical record frameworks can be thought of (Berry et al., 2020).

A few logical variables can impact the normal results of the proposed changes. It incorporates authoritative culture, staff joint effort and correspondence, patient populace and qualities, and outside variables like medical services arrangements, guidelines, repayment components, and local medical services foundation (Li et al., 2018). For articulating changes and results plainly, ten weeks time period will be required. Additionally, the work of quantifiable markers that will really follow progress, assess the outcome of the intercessions, and settle on information driven choices all through the QI/PI task will be required (Li et al., 2018).

Changes in Quality or Execution will be Assessed

Different assessment apparatuses and techniques can be used to assess the viability of the proposed QI/PI changes and measure the results. Changes in knowledge levels, lung function values, or other relevant outcomes can be measured by conducting pre- and post-assessments using standardized tools like COPD-related CKQ or spirometry tests (Robertson et al., 2021). Contrasting pre-and post-mediation information considers the assessment of progress over the long haul. Also, examining quantitative information gathered all through the venture utilizing suitable measurable strategies can assist with assessing the adequacy of the changes. The information include investigating readmission rates, spirometry results, patient fulfillment scores, or other important result measures to decide the effect of the mediations (Robertson et al., 2021).

To assess the results of the QI/PI project, the accompanying standards can be considered including adequacy, effectiveness, partner commitment, and partner criticism. The rules for assessing results ought to line up with the undertaking targets, be quantifiable, and consider correlation with gauge information or significant benchmarks (Robertson et al., 2021). Normal checking and assessment utilizing these models will give experiences into the viability and effect of the QI/PI changes and guide further upgrades.

Staff knowledge, improved practice guidelines, increased clinical competence, and improved quality of care for COPD patients will be the foundation for the evaluation results. The knowledge and comprehension of COPD management will be evaluated in light of staff education interventions like workshops or training sessions. It will survey changes in staff CKQ scores connected with COPD-explicit information and recognize areas of progress (Robertson et al., 2021). The CKQ instrument will gauge the degree with which staff individuals comply to confirm put together practice rules with respect to dietary and telehealth mediations for COPD the executives. Surveying whether training drives have brought about changes by and by and expanded consistence with laid out rules can assist with deciding the situation with the result (Robertson et al., 2021).

Determine whether the project has improved COPD patients’ overall quality of care. The information can incorporate markers, for example, expanded staff information on COPD the board, diminished readmission rate, upgraded patient security, expanded patient fulfillment, and worked on tolerant results. By surveying these results, the undertaking can decide the adequacy of staff training mediations in working on the quality and execution of COPD the executives (Backhouse and Ogunlayi, 2020).


The venture exhibited the viability of the proposed QI/PI changes in working on the quality and execution of care for in-patients determined to have COPD. The discoveries of this undertaking give important bits of knowledge and can act as an establishment for future drives to upgrade COPD the board practices and patient results. Kept observing, assessment, and progressing quality improvement endeavors will guarantee the supported outcome of the undertaking and the proceeded with conveyance of great consideration to COPD patients.


AHRQ. (2020). Plan-Do-Study-Act (PDSA) directions and examples. 

AHRQ . (2020, January). Section 4: Ways to approach the quality improvement process (page 1 of 2) | Agency for healthcare research & quality. (Agency for Healthcare Research and Quality). 

Backhouse, A., & Ogunlayi, F. (2020). Quality improvement into practice. BMJ, 368(1). 

Berry, G., M. Shabana, K., & New England Journal of Entrepreneurship. (2020). Adding a strategic lens to feasibility analysis. New England Journal of Entrepreneurship, 23(2), 67–78. 

Burkes, R. M., Mkorombindo, T., Chaddha, U., Bhatt, A., El-Kersh, K., Cavallazzi, R., & Kubiak, N. (2018). Impact of quality improvement on care of Chronic Obstructive Pulmonary Disease Patients in an Internal Medicine Resident Clinic. Healthcare, 6(3), 88. 

Calvillo-Arbizu, J., Román-Martínez, I., & Reina-Tosina, J. (2021). Internet of Things in Health: Requirements, issues, and Gaps. Computer Methods and Programs in Biomedicine, 208. 

Furulund, E., Bemanian, M., Berggren, N., Madebo, T., Rivedal, S. H., Lid, T. G., & Fadnes, L. T. (2021). Effects of nutritional interventions in individuals with Chronic Obstructive Lung Disease: A Systematic review of randomized controlled trials. International Journal of Chronic Obstructive Pulmonary Disease, 16, 3145–3156. 

Haynes, J. (2018). Basic spirometry testing and interpretation for the primary care provider. Canadian Journal of Respiratory Therapy, 54(4), 92–98. 

Ko, F. W. S., Chan, K. P., & Hui, D. S. C. (2019). Comprehensive care for Chronic Obstructive Pulmonary Disease. Journal of Thoracic Disease, 11(S17), S2181–S2191. 

Konstantinidis, A., Kyriakopoulos, C., Ntritsos, G., Giannakeas, N., Gourgoulianis, K. I., Kostikas, K., & Gogali, A. (2022). The role of digital tools in the timely diagnosis and prevention of acute exacerbations of COPD: A comprehensive review of the literature. Diagnostics, 12(2). 

Li, S.-A., Jeffs, L., Barwick, M., & Stevens, B. (2018). Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: A systematic integrative review. Systematic Reviews, 7(1), 1–19. 

Press, V. G., Au, D. H., Bourbeau, J., Dransfield, M. T., Gershon, A. S., Krishnan, J. A., Mularski, R. A., Sciurba, F. C., Sullivan, J., & Feemster, L. C. (2019). Reducing Chronic Obstructive Pulmonary Disease hospital readmissions. An official American thoracic society workshop report. Annals of the American Thoracic Society, 16(2), 161–170. 

Robertson, N. M., Siddharthan, T., Pollard, S. L., Alupo, P., Flores-Flores, O., Rykiel, N. A., Romani, E. D., Ascencio-Días, I., Kirenga, B., Checkley, W., Hurst, J. R., Quaderi, S., & GECo Investigators. (2021). Development and validity assessment of a Chronic Obstructive Pulmonary Disease Knowledge Questionnaire in low- and middle-income countries. Annals of the American Thoracic Society, 18(8), 1298–1305. 

Sculley, J. A., Musick, H., & Krishnan, J. A. (2021). Telehealth in Chronic Obstructive Pulmonary Disease: before, during, and After the Coronavirus Disease 2019 Pandemic. Current Opinion in Pulmonary Medicine, 28(2), 93–98. 

Wang, C., Siff, J., Greco, P. J., Warren, E., Thornton, J. D., & Tarabichi, Y. (2022). The impact of an Electronic Health Record Intervention on spirometry completion in patients with Chronic Obstructive Pulmonary Disease. COPD: Journal of Chronic Obstructive Pulmonary Disease, 19(1), 142–148. 

White, R. (2020). Implementation of a fall risk assessment tool in primary practice may decrease fall frequency in the ageing population. Doctoral Dissertations and Projects. 

Wong, A. K. C., Bayuo, J., Wong, F. K. Y., Yuen, W. S., Lee, A. Y. L., Chang, P. K., & Lai, J. T. C. (2022). Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 24(3). 

Please Fill The Following to Resume Reading

    Please Enter Active Contact Information For OTP

    Verification is required to prevent automated bots.
    Please Fill The Following to Resume Reading

      Please Enter Active Contact Information For OTP

      Verification is required to prevent automated bots.
      Scroll to Top