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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Rubric Attempt Start Date: 07-Sep-2020 at 12:00:00 AM Due Date: 13-Sep-2020 at 11:59:59 PM . Executive Summary: Fall Prevention Essay.

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The incidence of falls among inpatients has increased significantly. However, the incidence of falls varies among various units in healthcare organizations. For instance, the rate of falls is high in neurosurgery and neurology units. On the contrary, falls are rarely experienced among patients in intensive care and surgical units. Additionally, the rate of falls in healthcare facilities depends on various factors, including mental status, age, the severity of one’s condition, and ambulation aids. Irrespective of their incidence, falls pause a significant threat to patients and complicate their hospital stays. Therefore, this executive summary aims at addressing the high rate of falls in medical facilities through fall prevention. Specifically, it will capture the purpose of fall prevention, the targeted audience, the benefits of fall prevention, the interprofessional collaboration required for the implementation of fall prevention, the required budget, and the basis of evaluating fall prevention.

The Purpose of Fall Prevention

The proposed quality improvement initiative aims at reducing the high rate of falls in healthcare organizations. Falls are among the key factors associated with the unintentional injury. The International Classification of Disease-9 (ICD-9) and ICD-10 code fall as E880-E888 and W00-W19, respectively. Falls can occur on the upper, lower level, or same levels. Although all patients are likely to experience falls, their prevalence is relatively high among individuals aged 60 years and above. According to Spoelstra et al. (2015), 28% of falls result in minor injuries and bruises. 11.4% of falls are attributed to severe wounds that occur in the soft tissue. 5% and 2% result in fractures and head trauma, respectively. Head trauma leads to long-term disability, subdural hematoma, or death. Thus, falls tend to complicate the health condition of elderly patients.  Executive Summary: Fall Prevention Essay.On the other hand, patients who sustain “minor” injury tend to stay in the hospital for a relatively more prolonged period, increasing the overall medical bills. Therefore, implementing a fall prevention initiative in healthcare organizations will minimize various complications associated with falls. Additionally, this quality improvement initiative will reduce the high medical bill incurred by patients who sustain falls due to prolonged hospital stays.

The Targeted Audience

The fall prevention initiative targets nurse practitioners, specifically those dealing with elderly patients aged 60 years and above. According to Alshammari et al. (2018), morbidity and mortality among the elderly are attributed to falls. Additionally, falls result in unintentional deaths among this patient population. Various factors, including assistive devices and some health conditions such as balance impairment, muscle weakness, orthostatic hypotension, visual and hearing disorders, diabetes mellitus and osteoporosis, and cognitive and sensory impairments, make elderly patients more prone to falls (Sharif et al., 2018). Once the falls occur, thy result in both severe and minor injuries. Severe injuries complicate the patient’s health condition further while the minor injury increases the length of the hospital stay. Therefore, this falls prevention initiative targets practitioners who attend to elderly patients in the healthcare organization. It will educate them on specific measures that can be adopted to prevent elderly patients from falling.

The Benefits of Fall Prevention

The fall prevention initiative will accrue a wide range of benefits to various parties, including patients, families, and practitioners. This initiative will lower the chances of other medical conditions associated with falls, including fractures, bruising, and lacerations that are likely to occur in mild cases. Additionally, the initiative will lower the possibility of intracranial bleeding and head trauma in severe cases. Consequently, patients will recover faster, thus shortening their length of hospital stay. The reduced hospital stay will, in turn, lower the overall cost of care.  Secondly, the fall prevention initiative will benefit family members of elderly patients. According to Vieira et al. (2016), falls lowers one’s activities of daily living. They also impair one’s capacity to perform daily activities independently. Therefore, patients who have sustained fractures due to falls require to be taken care of by their family members after being discharged from the hospital. Thus, implementing fall prevention measures will benefit the family members since they will not have to take care of their loved ones after being discharged. Finally, this initiative will benefit healthcare providers. In most cases, falls tend to complicate the health condition of patients further. Consequently, healthcare practitioners tend to spend most of their time and energy attending to patients who have sustained fall injuries (De Moura Sá et al., 2017). Therefore, introducing this initiative in the healthcare organization will enable care providers to save time and energy that would be spent on such cases.

The Interprofessional Collaboration required for the Implementation of Fall Prevention Initiative

The implementation of fall prevention imitative requires collaboration among various healthcare staff. Specifically, primary care providers will collaborate with physiotherapists in treating patients who have sustained falls. First, physiotherapists play a key role in preventing falls among elderly patients (Sherrington & Tiedemann, 2015). Also, they assist individuals who have sustained fall injuries through exercise and manual therapies, which, in turn, help them to move. Additionally, they educate these patients on various pain management strategies. Therefore, involving physiotherapists in care delivery will improve patients’ health and overall quality of life. Executive Summary: Fall Prevention Essay.

Budget required for the Implementation of Fall Prevention Initiative

Funds are required to enhance the implementation of fall prevention initiatives. Practitioners can only prevent elderly patients from falling if they understand the factors that increase the risk of falls. Practitioners use fall prediction tools to assess the likelihood of fall. History of previous falls is among the key indicators of the probability of falls occurring in the future. The factor that caused the first fall is likely to lead to another fall in the future if it was not corrected. Another primary prediction tool is the physical functioning of an individual. Assessing the functioning capacity of individuals indicate whether they are likely to fall in the future or not. Therefore, approximately $5 000 will be required to fund the assessment process to rule out if a person is prone to fall. Research indicates that exercises reduce the risk of falls (Sherrington & Tiedemann, 2015). Approximately $15 000 will be required to fund exercises as a fall prevention intervention. This amount will be used to compensate the trainer and to purchase the required exercise devices. Therefore, a budget of around $ 20 000 will be required to enhance the implementation of fall prevention initiative.

The Evaluation of Fall Prevention Initiative

            The effectiveness of fall prevention initiative will be assessed based on the outcomes of falls in the healthcare organization. The decline in both mild and severe injuries will indicate the effectiveness of the fall prevention initiative. Specifically, the cases of intracranial bleeding, head trauma, bruises, fractures, and pain associated with falls will decline significantly following this quality improvement initiative. Additionally, the length of the hospital stay will reduce.

In conclusion, the fall prevention initiative plays a significant role in reducing falls in the healthcare organization, especially among elderly patients. Consequently, health complications associated with falls, such as fractures, minimize significantly.

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References

Alshammari, S. A., Alhassan, A. M., Aldawsari, M. A., Bazuhair, F. O., Alotaibi, F. K., Aldakhil, A. A., & Abdulfattah, F. W. (2018). Falls among the elderly and its relation with their health problems and surrounding environmental factors in Riyadh. Journal of family & community medicine, 25(1), 29.

De Moura Sá, G. G., da Silva Júnior, L. G., Bezerra, M. A. R., de Carvalho, K. M., dos Santos, A. M. R., Nunes, B. M. V. T., … & da Rocha, S. S. (2017). Nursing care for the prevention of falls in the elderly: an integrative review. International Archives of Medicine, 10.

Sharif, S. I., Al-Harbi, A. B., Al-Shihabi, A. M., Al-Daour, D. S., & Sharif, R. S. (2018). Falls in the elderly: assessment of prevalence and risk factors. Pharmacy Practice (Granada), 16(3). Executive Summary: Fall Prevention Essay.

Sherrington, C & Tiedemann, A. (2015). Physiotherapy in the prevention of falls in older people. Journal of physiotherapy, 61: 54–60.

Spoelstra, S, L., Given, B., & Given, C, W. (2015). Fall Prevention in Hospitals: An Integrative Review. Clinical Nursing Research, 21(1):92-112.

Vieira, E. R., Palmer, R. C., & Chaves, P. H. (2016). Prevention of falls in older people living in the community. BMJ, 353, i1419.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using non-traditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities. Executive Summary: Fall Prevention Essay.

This activity is intended to foster demonstration of skills related to leadership and management.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

1. Do you believe the proposal would be approved if formally proposed?
2. What are some strengths and weaknesses of the proposal?

_______________________________                                              _________________

Signature of Individual Providing Feedback                                            Date Signed

NOTE:

Acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud). Executive Summary: Fall Prevention Essay.