MOD4 QI Proposal Metrics Benchmarks Audit Tool Template 11_22_ (1) (2) (1)

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Kenyatta University School of Economics *

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Nursing

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Nov 24, 2024

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Quality Improvement Proposal – Metrics/Benchmarks and Audit Tool Instructions: Prior to completing the template for this assignment, carefully read the guidelines and rubric in Canvas > NURS 415 > Assignments > Quality Improvement Proposal > Metrics/Benchmarks and Audit Tool. Use the Assignment Guidelines and Grading Rubric to complete each section of the template. Save as an MS Word document, and then upload the template to the “Assignment.” Student Name _______________________________ Assignment Criteria Quality Improvement Proposal QI Proposal Topic Copy and paste (you may refine) the following: The previously approved justification paragraph from Module 2. The PICOT question is stated in the PICOT template format from Module 2. QI proposal topic : Evaluation of the effectiveness of Tele-Pharmacy Services and multifaceted interventions on medication adherence among Older Adults with Chronic Conditions Justification of the importance of this topic : In 2020, a study led by Tecklenborg, et al revealed that most geriatric patients’ adherence to their medication reduced by their second visit to the health facility. This is an important topic given that medication adherence is directly linked to effective treatment and healing. Researchers have established that some of the factors influencing medication adherence in elderly patients can be mitigated using technology and multifaceted theory driven interventions (Emadi et al., 2022). It has also been established that these factors are not linear and may include lack of knowledge, complex medication regimen, memory difficulty and economic difficulty (Tecklenborg et al., 2020). Given the diverse factors that influence geriatric patients not to adhere to medication, a multifaceted approach would be beneficial for this population. Technology has proven to be very impactful in revolutionizing the delivery of care (Emadi et al., 2022). With remote devices accessible to patients and their health service providers, it will be easier than ever to deliver constant reminders to geriatric patients to minimize the risk of them failing to adhere to medication. According to the findings by Pan et al., (2023) some of the factors influencing medication adhehernece in the geriatric population are behavior based. Thus multifaceted theory driven interventions can be effective especially when based on the Health Belief Model. PICOT Question: In geriatric patients (P), does the implementation of technology-based interventions and multifaceted theory-driven strategies (I) compared to standard care (C) improve medication adherence (O) within the first two visits to the health facility (T)? _______ (P), _______ (I), _______ (C), _______ (O), _______ (T). Identify the metrics for QI data collection from the PDSA discussion in Module 3. What are the indicated patient or Metrics used to determine the effectiveness of Tele-Pharmacy Services and multifaceted interventions on Medication Adherence among Older Adults with Chronic Conditions 1. Monitor health outcomes by examining relevant health markers such as blood pressure, blood glucose levels, or other condition-specific parameters especially in the case where patient has chronic condition.

process outcomes? Include in-text citations to justify each metric. ____ Points 2. Monitor rate of medication adherence by calculating the ratio of the number of doses taken to the total prescribed doses over a specific period. 3. Monitor the rates of adoption and utilization of technology by the geriatric patient population by analyzing the number of logins, frequency of technology use, and specific features utilized by patients. 4. Monitoring adverse medication adherence related events by comparing the incidence of such events before and after intervention. Identify and list the benchmarks (minimum standards for results) from the PDSA discussion in Module 3. Sources of the benchmarks can be national, state, local or institutional. Include an in-text citation to justify each benchmark. ____ Points Benchmark 1: Achieve a 20% increase in medication adherence rates among participants utilizing tele-pharmacy services and multifaceted interventions within six months . This outcome aligns with statistics proving that technology-driven interventions positively impact health outcomes (Emadi et al., 2022). Benchmark 2: Achieve a minimum of 70% patient satisfaction rate, measured through surveys assessing user experience with tele-pharmacy services and multifaceted interventions . Patients appreciate receiving help with their medication adherence challenges. A study by Pan et al (2023) established that telepharmacy can increase patient satisfaction by providing remote regular reminders to promote adherence. Benchmark 3: Achieve a 35% reduction in emergency room visits due to adverse events caused by medication non-adherence among geriatric patients in the tele- pharmacy services and multifaceted interventions . Telepharmacy and multifaceted approaches will likely minimize the occurrence of adverse health outcomes due to poor medication adherence subsequently reducing the emergency room visits (Tecklenborg et al., 2020). Benchmark 4: 15% reduction in hospitalization rates linked to chronic conditions among participants receiving tele-pharmacy services and multifaceted interventions. This benchmark reflects the potential impact of improved medication adherence on health outcomes and healthcare resource utilization (Tecklenborg et al., 2020). Audit tool – includes metrics and accurately reflects evidence-based practice or practice guidelines. It is created in a usable table format. ____ Points Metrics Source of Data EBP/Guideline Threshold Medication Adherence Rate (%) Tele-pharmacy records Statistics have established a link between technology and positive health outcomes (Emadi et al.,2022) Target: 20% or higher Participant Satisfaction Rate (%) Patient surveys Positive and improved health care delivery is crucial for patient satisfaction ( Pan et al.,2023) Target: 70% or higher Emergency Room Visit Rate (per 100 patients) Emergency room records Adequate adherence to medication has been linked to decreased adverse health events ( Tecklenborg et al.,2020) Threshold: 35% reduction

References Emadi, F., Ghanbarzadegan, A., Ghahramani, S., Bastani, P., & Baysari, M. T. (2022). Factors affecting medication adherence among older adults using tele-pharmacy services: a scoping review. Archives of public health = Archives belges de sante publique, 80(1), 199. https://doi.org/10.1186/s13690-022- 00960-w Pan, Q., Zhang, C., Yao, L., Mai, C., Zhang, J., Zhang, Z., & Hu, J. (2023). Factors Influencing Medication Adherence in Elderly Patients with Hypertension: A Single Center Study in Western China. Patient preference and adherence , 17, 1679–1688. https://doi.org/10.2147/PPA.S418246 Tecklenborg, S., Byrne, C., Cahir, C., Brown, L., & Bennett, K. (2020). Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis. Drugs & aging, 37(2), 91–98. https://doi.org/10.1007/s40266-019-00738-w

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