1
MSN Core Word E-Portfolio Template
Student Name: Melanie Miller
Course Name: Quality Outcomes in a Culture of Value-Based Nursing Care - D026
Instructions:
To fulfill the requirements for this course, you must complete the CPE Record.
Refer to the CPE Record under "Supporting Documents" in your Assessment
Task Overview for specific deliverables. You must include the required
deliverables from that CPE Record in this e-portfolio.
Enter your written deliverables (e.g., reflections, etc.) into this template for each
phase. Previously created word documents may also be inserted into this Word
document by using the following instructions or may be submitted as separate
documents for evaluation.
To insert a PDF document or previously created Word Documents, follow these
instructions:
1. Click or tap where you want to insert the content of the existing document.
2. Go to Insert and select the arrow next to Object.
3. Select Text from File.
4. Locate the file that you want and then double-click it.
5. To add in the contents of additional Word documents, repeat the above steps as
needed.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 2
Phase 1: CPE ACTIVITY EVIDENCE AND TASK DELIVERABLES
Include the following deliverables in your e-portfolio:
1a. A discussion of how three domains of healthcare quality influence value-based
care (suggested length of one paragraph)
Three of the six domains of healthcare quality influencing value-based care
include patient-centered care, ensuring effective care services, and the efficiency of all
resources. The goal of value-based care is to decrease healthcare costs while
improving patient outcomes and increasing patient satisfaction through evidence-based
practice and continual process improvement; putting the patient as the focus of every
decision to improve efficiency and avoid unnecessary services demonstrates this
concept.
1b. 10 responsibilities needed for a quality management position
10 Responsibilities of a Nurse Quality Manager:
• Responsible for overseeing, coordinating, implementing, and evaluating all facets
of an effective accreditation readiness program.
• Facilitate the development, implementation, and sustainment of proactive and
corrective improvements to meet accreditation standards and other regulatory
requirements.
• Plans, facilitates, conducts, and documents tracers, walkabouts, and quality
monitoring audits, as scheduled and as needed, focusing on continual survey
readiness and evaluation of specific corrective action plans, and reports findings
to process owners and tracks corrective action plans; and evaluates patient
medical records for compliance with inpatient and outpatient services, policies
and accreditation requirements; maintains current documentation and data as
required for continual readiness.
• Participates on facility committees as an accreditation and quality content expert.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 3
• Completes survey-related administrative processes and applications, and
provides consultation and support to all levels of facility leadership, the Quality
Management Chief, and others responsible for facility accreditation activities,
including all accreditation-related requirements, facility policy initiation/revision,
readiness preparation, intra-survey facilitation, and development,
implementation, and monitoring of post-survey corrective action plans.
• Educates staff about accreditation-related regulations, standards, facility
guidance and processes, and OIG initiatives, and provides consultation to ensure
that facility Memoranda correctly and completely address all accreditation-related
requirements.
• Creates effective lines of communication and collegial, collaborative functional
partnerships with senior leadership, internal and external customers, and
accreditation stakeholders.
• Meet goals through efficient, effective utilization and management of
organizational and personal resources.
• Facilitates, supports, and assures completion of ongoing assessments and
quality monitoring actions by service/subject matter experts to evaluate
compliance with regulatory and accreditation standards.
• Provides HRO program management/administration to ensure that
programs/initiatives align directly with the journey to high reliability. Serves as the
subject matter expert on the HRO mission and objectives. Serves as HRO
Baseline Training and clinical Team Training facilitator. Facilitates, coaches, and
trains staff at all levels of the organization on high-reliability principles/concepts.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 4
1c. A mapping table with 10 responsibilities that are mapped to a related AACN
domain and competency
Responsibilities Domain and Competency
Responsible for overseeing, coordinating, Domain 1, Competency 1.2f
implementing, and evaluating all facets of an Domain 2, Competency 2.5j, 2.6e, 2.6g, 2.6h, 2.6i,
effective accreditation readiness program. 2.6j
Facilitate the development, implementation, and
sustainment of proactive and corrective Domain 2, Competency 2.5j, 2.6e, 2.6f, 2.6g, 2.6h,
improvements to meet accreditation standards 2.6i, 2.6j, 2.7d, 2.7f
and other regulatory requirements.
Plans, facilitates, conducts and
documents tracers, walkabouts, and quality
monitoring audits, as scheduled and as needed,
focusing on continual survey readiness and
evaluation of specific corrective action plans,
Domain 2, Competency 2.5j, 2.6e, 2.6f, 2.6g, 2.6h,
and reports findings to process owners and
2.6i, 2.6j, 2.7d, 2.7f.
tracks corrective action plans; and evaluates
Domain 4, Competency 4.1j
patient medical records for compliance with
inpatient and outpatient services, policies and
accreditation requirements; maintains current
documentation and data as required for
continual readiness.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
MSN Core Word E-Portfolio Template
Student Name: Melanie Miller
Course Name: Quality Outcomes in a Culture of Value-Based Nursing Care - D026
Instructions:
To fulfill the requirements for this course, you must complete the CPE Record.
Refer to the CPE Record under "Supporting Documents" in your Assessment
Task Overview for specific deliverables. You must include the required
deliverables from that CPE Record in this e-portfolio.
Enter your written deliverables (e.g., reflections, etc.) into this template for each
phase. Previously created word documents may also be inserted into this Word
document by using the following instructions or may be submitted as separate
documents for evaluation.
To insert a PDF document or previously created Word Documents, follow these
instructions:
1. Click or tap where you want to insert the content of the existing document.
2. Go to Insert and select the arrow next to Object.
3. Select Text from File.
4. Locate the file that you want and then double-click it.
5. To add in the contents of additional Word documents, repeat the above steps as
needed.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 2
Phase 1: CPE ACTIVITY EVIDENCE AND TASK DELIVERABLES
Include the following deliverables in your e-portfolio:
1a. A discussion of how three domains of healthcare quality influence value-based
care (suggested length of one paragraph)
Three of the six domains of healthcare quality influencing value-based care
include patient-centered care, ensuring effective care services, and the efficiency of all
resources. The goal of value-based care is to decrease healthcare costs while
improving patient outcomes and increasing patient satisfaction through evidence-based
practice and continual process improvement; putting the patient as the focus of every
decision to improve efficiency and avoid unnecessary services demonstrates this
concept.
1b. 10 responsibilities needed for a quality management position
10 Responsibilities of a Nurse Quality Manager:
• Responsible for overseeing, coordinating, implementing, and evaluating all facets
of an effective accreditation readiness program.
• Facilitate the development, implementation, and sustainment of proactive and
corrective improvements to meet accreditation standards and other regulatory
requirements.
• Plans, facilitates, conducts, and documents tracers, walkabouts, and quality
monitoring audits, as scheduled and as needed, focusing on continual survey
readiness and evaluation of specific corrective action plans, and reports findings
to process owners and tracks corrective action plans; and evaluates patient
medical records for compliance with inpatient and outpatient services, policies
and accreditation requirements; maintains current documentation and data as
required for continual readiness.
• Participates on facility committees as an accreditation and quality content expert.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 3
• Completes survey-related administrative processes and applications, and
provides consultation and support to all levels of facility leadership, the Quality
Management Chief, and others responsible for facility accreditation activities,
including all accreditation-related requirements, facility policy initiation/revision,
readiness preparation, intra-survey facilitation, and development,
implementation, and monitoring of post-survey corrective action plans.
• Educates staff about accreditation-related regulations, standards, facility
guidance and processes, and OIG initiatives, and provides consultation to ensure
that facility Memoranda correctly and completely address all accreditation-related
requirements.
• Creates effective lines of communication and collegial, collaborative functional
partnerships with senior leadership, internal and external customers, and
accreditation stakeholders.
• Meet goals through efficient, effective utilization and management of
organizational and personal resources.
• Facilitates, supports, and assures completion of ongoing assessments and
quality monitoring actions by service/subject matter experts to evaluate
compliance with regulatory and accreditation standards.
• Provides HRO program management/administration to ensure that
programs/initiatives align directly with the journey to high reliability. Serves as the
subject matter expert on the HRO mission and objectives. Serves as HRO
Baseline Training and clinical Team Training facilitator. Facilitates, coaches, and
trains staff at all levels of the organization on high-reliability principles/concepts.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
, 4
1c. A mapping table with 10 responsibilities that are mapped to a related AACN
domain and competency
Responsibilities Domain and Competency
Responsible for overseeing, coordinating, Domain 1, Competency 1.2f
implementing, and evaluating all facets of an Domain 2, Competency 2.5j, 2.6e, 2.6g, 2.6h, 2.6i,
effective accreditation readiness program. 2.6j
Facilitate the development, implementation, and
sustainment of proactive and corrective Domain 2, Competency 2.5j, 2.6e, 2.6f, 2.6g, 2.6h,
improvements to meet accreditation standards 2.6i, 2.6j, 2.7d, 2.7f
and other regulatory requirements.
Plans, facilitates, conducts and
documents tracers, walkabouts, and quality
monitoring audits, as scheduled and as needed,
focusing on continual survey readiness and
evaluation of specific corrective action plans,
Domain 2, Competency 2.5j, 2.6e, 2.6f, 2.6g, 2.6h,
and reports findings to process owners and
2.6i, 2.6j, 2.7d, 2.7f.
tracks corrective action plans; and evaluates
Domain 4, Competency 4.1j
patient medical records for compliance with
inpatient and outpatient services, policies and
accreditation requirements; maintains current
documentation and data as required for
continual readiness.
Last Revised: 4/2/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility,
Production & Operations [IS Based on review completed 3/14/24.]
