nnIdentify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 words paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply ?The Road to Evidence-Based Practice? process, illustrated in Chapter 4 of your textbook, to create your proposal.nnInclude the following:n

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1. Provide an overview of the problem and the setting in which the problem or issue occurs.

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2. Explain why a quality improvement initiative is needed in this area and the expected outcome.

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3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.

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4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.

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5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.

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6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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nWhile APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.n

SOLUTION

nQuality Improvement AssessmentnnQuality Improvement refers to a set of activities designed and focused to observe, evaluate, and improve the quality of processes in order to improve the healthcare outcomes in an organization (Radhakrishnan et al., 2018). The objectives of quality improvement include improving the health of the population, reducing the cost of health-care, and enhancing patient experiences and outcomes. In tandem, this essay seeks to provide an overview of the problem and the setting in which the problem occurs, explain why a quality improvement initiative is needed, discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes, discuss steps necessary to implement the quality improvement initiative, explain how the quality improvement initiative will be evaluated to determine whether there was improvement.nnOverview of the Problem and its SettingnnIn health facility, particularly, the mental unit patient transition can be a quality improvement opportunity for the mental health department. Among the patient population in transition, there is a high rate of patient readmission. Data collected by our mental health department indicate the rate of readmission for patients with substance abuse disorders ranged from 25% to 30% and the rate of readmission for patients with depression ranged from 30% to 35%. These high rates of readmission indicate there is inefficiency in the patient transition process. This can be attributed to several factors such as lack of collaboration and coordination among health-care providers, and inadequate patient and caregiver education. Healthcare providers fail to follow-up with substance abuse disorder and mental disorder patients who are in transition. To promote lasting recovery, these patients require preparation for everyday life after discharge, and social integration into society. Patients with substance abuse disorders and mental disorders such as depression are less likely to stick to recommended self-care discharge plans and medical treatment without proper patient preparation and monitoring (Porterfield et al, 2017).nnNeed for Quality Improvement Initiative and Expected OutcomennA quality improvement initiative is essential in the mental health department for several reasons. Firstly, it addresses the issue of low patient outcome by reducing the high rate of patient readmission. Secondly, rehospitalization is a??????nn