OM006_Rubric.pdf

© 2021 Walden University 1

OM006: Process Improvement and Quality: Make recommendations to improve quality in healthcare organizations
based on analyses of current processes.

Assessment Rubric

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations
Process Review Presentation

1. Opportunities for Improvement

Learning
Objective 1.1:

Identify
opportunities for
process
improvement and
cost reduction in an
emergency
department.

Presentation does not identify or
identifies fewer than five
opportunities for process
improvement and cost reduction in
the emergency department, or the
opportunities are not relevant to the
case presented.

An explanation is not given for how
each opportunity relates to national
benchmark rates.

Response is not supported by
references to academic/professional
resources or the resources are not
relevant.

Presentation clearly identifies
three to five opportunities for
process improvement and
cost reduction in the
emergency department in the
case presented.

An explanation is given for
how each opportunity relates
to national benchmark rates.

Response is supported by
references to relevant
academic/professional
resources.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation clearly
identifies more than five
obtainable opportunities for
process improvement and
cost reduction in the
emergency department.

Learning
Objective 1.2

Quantify the size of
process
improvement and
cost- reduction
opportunities

Presentation does not quantify or
vaguely and/or inaccurately
quantifies the size of three process
improvement and three cost-
reduction opportunities, or fewer
than three waste- and/or fewer than
three cost- reduction opportunities
are addressed.

Presentation clearly and
accurately quantifies the size
of three to five process
improvement and three cost-
reduction opportunities.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation quantifies the
cumulative effect of this

© 2021 Walden University 2

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations

A combination of text and
graphics/charts is not used to
convey the size of waste- and cost-
reduction opportunities.

Presentation does not describe the
impact that amount of waste has on
the emergency department and on
quality in the case presented, or the
description is vague.

A combination of text and
graphics/charts is used to
convey the size of waste-
and cost-reduction
opportunities.

Presentation clearly
describes the impact that
amount of waste has on the
emergency department and
on quality in the case
presented.

amount of waste
continuing over time.

Learning
Objective 1.3

Describe the
impact of process
and cost
inefficiencies on an
emergency
department and on
quality.

Presentation does not describe or
describes fewer than three ways in
which process and cost
inefficiencies impact the emergency
department and quality in the case
presented, or the impact described
is not clearly related to the
inefficiency.
Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

Presentation describes three
ways in which process and
cost inefficiencies impact the
emergency department and
quality in the case presented.

Presentation is supported by
references to relevant
academic/professional
resources.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation includes
more than three details or
the addition of return on
investment, cost of
implementation, or cost of
defect prevention.

2. Stretch Goals

Learning
Objective 2.1:

Presentation does not recommend
stretch goals, states fewer than
three stretch goals, or states three
stretch goals but they are not

Presentation clearly
recommends three to five
realistic and measurable
stretch goals, one for each of

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

© 2021 Walden University 3

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations
Recommend
stretch goals for
process and quality
improvement, and
for risk and cost
reduction.

realistic or not aligned to the process
improvement or cost-reduction
opportunities identified in the case
presented.

Presentation vaguely explains the
research and analysis used to
develop the goals, or the explanation
is missing.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

the process improvement
and cost-reduction
opportunities identified in the
case presented.

Presentation clearly explains
the research and analysis
used to develop the goals.

Presentation is supported by
references to relevant
academic/professional
resources.

Presentation includes
more than five realistic and
measurable goals, which
leverages multiple
opportunity areas.

Or presentation describes
how at least two staff
members will be involved
in achieving the three
goals.

Learning
Objective 2.2:

Create a chart
demonstrating how
goals improve
processes and
quality and reduce
costs.

Chart is missing or chart does not
address all goals and/or it does not
clearly detail improvements of
processes and quality and/or
reductions in cost relative to the
case presented.

Chart clearly details how and
when each stretch goal will
improve processes and
quality, and lower costs for
the case presented.

Chart demonstrates the
same level of achievement
as “Meets,” plus the
following:

Summary chart shows
more than five goals.

Or summary chart shows
how the stretch goals align
to national averages and
includes expected trends
over a 5-year period.

Learning
Objective 2.3:

Presentation does not describe or
describes a method to measure
achievement of each of the stretch

Presentation describes an
effective method to measure
progress and achievement of

Presentation demonstrates
the same level of

© 2021 Walden University 4

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations
Determine methods
of measuring
progress and
achievement of
stretch goals that
target process and
quality
improvement.

goals, but the method of
measurement is not aligned to the
goals, or methods of measurement
are not given for all goals.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

each of the stretch goals
identified.

Presentation is supported by
references to relevant
academic/professional
resources.

achievement as “Meets,”
plus the following:

Presentation includes a
method of measurement of
achievement of more than
five clear and measurable
goals, which leverages
multiple opportunity areas.

3. Continuum of Care

Learning
Objective 3.1:

Analyze
opportunities to
improve the
continuum of care,
eliminate
redundancy, and
decrease quality
risks.

Presentation does not identify or
identifies fewer than three, or
identifies three opportunities that,
some or all of which, do not relate to
the continuum of care, the
elimination of redundancy, and
reduction of quality risks.

Presentation’s rationale for targeting
each of the three areas is not logical,
or the rationale is missing.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

Presentation identifies one
opportunity to improve the
continuum of care, one
opportunity to decrease
quality risk, and one
opportunity to eliminate
redundancy in the case
presented.

Presentation offers a logical
rationale for targeting each of
the three areas.

Presentation is supported by
references to relevant
academic/professional
resources.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation identifies an
additional opportunity to
improve the continuum of
care, decrease quality risk,
or eliminate redundancy in
the case presented, and
includes a logical rationale
for targeting this area.

Learning
Objective 3.2:

Presentation does not include or
includes recommendations that are

Presentation clearly states
three recommendations for

Presentation demonstrates
the same level of

© 2021 Walden University 5

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations

Recommend
methods for
improving the
continuum of care,
decreasing quality
risks, and
eliminating
redundancy in
specific healthcare
context.

not aligned to the areas of
opportunity identified in the case
presented and/or fewer than three
recommendations are made.

Presentation does not explain the
desired results of the
recommendations in quantifiable
terms, or the terms are vague and/or
not supported by references to
relevant academic/professional
resources.

the case presented—one for
each of the areas or
opportunity identified for
improving the continuum of
care, eliminating redundancy,
and decreasing quality risks.

Presentation explains the
desired results of the
recommendations in
quantifiable terms and is
supported by references to
relevant
academic/professional
resources.

achievement as “Meets,”
plus the following:

Presentation includes
more than three
recommendations.

4. Culture of Accountability and Quality Excellence

Learning
Objective 4.1:

Define a culture of
accountability and
quality excellence.

Presentation does not provide or
provides an unclear or incomplete
definition of a culture of
accountability and quality
excellence.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

Presentation clearly and
accurately defines a culture
of accountability and quality
excellence.

Presentation is supported by
references to relevant
academic/professional
resources.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

The definition is
accompanied by a brief
scenario that exemplifies
various aspects of a
culture of accountability.

Learning
Objective 4.2:

Presentation does not explain or
vaguely or inaccurately explains why
a culture of accountability and

Presentation clearly and
accurately explains why a
culture of accountability and

Presentation demonstrates
the same level of

© 2021 Walden University 6

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations
Explain why a
culture of
accountability and
quality excellence
will lead to an
improved patient
experience and an
improved work
environment.

quality excellence will lead to an
improved patient experience and an
improved work environment in the
case presented, and/or the
explanation does not relate to the
case presented.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

quality excellence will lead to
an improved patient
experience and an improved
work environment in the case
presented.

Presentation is supported by
references to relevant
academic/professional
resources.

achievement as “Meets,”
plus the following:

Presentation explains one
or two scenario-based
examples that illustrate the
points presented.

Learning
Objective 4.3

Recommend ways
leadership teams
can foster a culture
of accountability
and quality
excellence.

Presentation does not include
recommendations or
recommendations are unclear or are
not aligned with fostering a culture of
accountability and quality
excellence, or do not relate to the
case presented.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

Presentation includes three
clear recommendations for
how the healthcare leaders in
the case presented can
foster a culture of
accountability and quality
excellence.

Presentation is supported by
references to relevant
academic/professional
resources.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation includes
more than three
recommendations.

Learning
Objective 4.4

Describe the
challenges of
fostering a culture
of accountability

Presentation does not describe or
vaguely describes three challenges
of fostering a culture of
accountability and excellence in the
context of the case presented, or

Presentation clearly
describes three challenges of
fostering a culture of
accountability and excellence
in the context of the case
presented.

Presentation demonstrates
the same level of
achievement as “Meets,”
plus the following:

Presentation provides
suggestions for

© 2021 Walden University 7

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations
and excellence in
healthcare
environments.

fewer than three challenges are
described.

Presentation is not supported by
academic/professional resources
and/or the resources are not
relevant.

Presentation is supported by
references to relevant
academic/professional
resources.

overcoming the
challenges.