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Scenario The gap analysis you completed in the previous assessment was the first step toward improving outcomes. Your analysis of the gap between current and desired performance has provided the information you need to move forward with the proposed changes. Your next step

AD admin3 · 📅 27 April 2026 · ⏱ 8 min read
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Write an executive summary, 5–6 pages in length, of existing outcome measures related
to a performance issue uncovered in your gap analysis that you intend to address.

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Introduction
Note: Each assessment in this course builds on the work you completed in the previous
assessment. Therefore, you must complete the assessments in this course in the order
in which they are presented.

As a nurse leader, you must be able to access, identify, and describe outcome
measures as they relate to safety and quality problems in your organization.

This assessment provides an opportunity to examine existing outcome measures,
assess their strategic value, and present your findings to executive leaders in a manner
that will help you gain their support.

Note: Your summary of relevant outcome measures is based on your findings from the
quality and safety gap analysis you completed in the previous assessment.

Scenario
The gap analysis you completed in the previous assessment was the first step toward
improving outcomes. Your analysis of the gap between current and desired performance
has provided the information you need to move forward with the proposed changes.
Your next step is to focus on existing outcome measures and their relationship to the
systemic problem you are addressing. For this assessment, you have been asked to
draft a summary of existing outcome measures for your organization’s executive team to
raise awareness of the problem and the strategic value of existing measures.

Instructions
Write an executive summary of existing outcome measures in your current organization
or practice setting.

The requirements outlined below correspond to the grading criteria in the Executive
Summary rubric, so be sure to address each point. You may also want to review the
performance level descriptions for each criterion to see how your work will be assessed.

Composing the Executive Summary
Explain key quality and safety outcomes that are supported by evidence-based
practices.
Determine the strategic value to an organization and surrounding community of specific
outcome measures.
Analyze the relationships between a systemic problem in your organization or practice
setting and specific quality and safety outcomes.
Determine how specific outcome measures support strategic initiatives related to a
quality and safety culture.
Determine how you, as a leader, would promote an inclusive environment for diverse
personnel.
Determine how the leadership team would support the implementation and adoption of
proposed practice changes affecting specific outcomes.
Writing and Supporting Evidence
Write clearly and concisely, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support your assertions, correctly
formatting citations and references using APA style. Use at least five scholarly or
professional sources.
Submission Requirements
Length: 5–6 pages, typed and double-spaced, not including title and reference pages.
Resources: Use 5–6 scholarly or professional sources with APA format citations.
APA formatting: Resources and citations are formatted according to current APA style.
Be sure to include:
A title page and a reference page. An abstract is not required.
Appropriate section headings.
Properly formatted citations and references.
Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in
the following course competencies and rubric criteria:

Competency 1: Analyze quality and safety outcomes from an administrative and
systems perspective.
Explain key quality and safety outcomes that are supported by evidence-based
practices.
Analyze the relationships between a systemic problem in an organization and specific
quality and safety outcomes.
Competency 2: Determine how outcome measures promote quality and safety
processes within an organization.
Determine how specific outcome measures support strategic initiatives related to a
quality and safety culture.
Competency 3: Determine how specific organizational functions, policies, processes,
procedures, norms, and behaviors can be used to build reliable and high performing
organizations.
Determine the strategic value to an organization of specific outcome measures.
Competency 4: Synthesize the various aspects of the nurse leaders role in developing,
promoting, and sustaining a culture of quality and safety.
Determine how you, as a leader, would promote an inclusive environment for a diverse
panel.
Determine how a leadership team would support the implementation and adoption of
proposed practice changes affecting specific outcomes.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form
and style, consistent with applicable organizational, professional, and scholarly
standards.
Communicate clearly and effectively with stakeholders and colleagues, incorporating
supporting evidence using APA style citations and references, and adhering to
organizational, professional, and scholarly communication standards.
Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated.

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Criterion 1
Explain key quality and safety outcomes that are supported by evidence-based
practices.
Distinguished
Explains key quality and safety outcomes that are supported by evidence-based
practices, and reflects on the strengths and weaknesses of these outcome measures.
Proficient
Explains key quality and safety outcomes that are supported by evidence-based
practices.
Basic
Lists quality and safety outcomes, but does not explain why these outcomes are
important, and outcomes are not supported by evidence-based practices.
Non Performance
Does not list quality and safety outcomes that are supported by evidence-based
practices.
Criterion 2
Determine the strategic value to an organization of specific outcome measures.
Distinguished
Determines the strategic value to an organization of specific outcome measures, and
suggests how existing outcome measures could be used to provide additional value to
the organization.
Proficient
Determines the strategic value to an organization of specific outcome measures.
Basic
Attempts to determine the strategic value of specific outcome measures, but fails to
explain the impact of these measures on patient care, the implications for a culture of
quality and safety, or why it is important to continue to measure these outcomes.
Non Performance

Does not determine the strategic value to an organization of specific outcome
measures.
Criterion 3
Analyze the relationships between a systemic problem in an organization and specific
quality and safety outcomes.
Distinguished
Analyzes the relationships between a systemic problem in an organization and specific
quality and safety outcomes, and suggests additional data that could be collected to
gain an expanded understanding of the problem.
Proficient
Analyzes the relationships between a systemic problem in an organization and specific
quality and safety outcomes.
Basic
Identifies specific quality and safety outcomes related to the systemic problem, but fails
to analyze the relationships between the problem and the specific quality and safety
outcomes.
Non Performance
Does not analyze the relationships between a systemic problem in an organization and
specific quality and safety outcomes.
Criterion 4
Determine how specific outcome measures support strategic initiatives related to a
quality and safety culture.
Distinguished
Determines how specific outcome measures support strategic initiatives related to a
quality and safety culture, and comments on the relevance of the organization’s
strategic plan in light of the current health care environment.
Proficient
Determines how specific outcome measures support strategic initiatives related to a
quality and safety culture.
Basic

Attempts to determine how specific outcome measures support strategic initiatives, but
fails to connect to the organization’s strategic plan, or does not describe how outcome
measures support the organizational strategy or promote a culture of quality and safety.
Non Performance
Does not determine how specific outcome measures support strategic initiatives related
to a quality and safety culture.
Criterion 5
Determine how you, as a leader, would promote an inclusive environment for a diverse
panel.
Distinguished
Determines how you, as a leader, would promote an inclusive environment for a diverse
panel; addresses specific steps that take into consideration the unique needs of a
diverse panel.
Proficient
Determines how you, as a leader, would promote an inclusive environment for a diverse
panel.
Basic
Attempts to determine how you, as a leader, would promote an inclusive environment,
but does not address how to promote changes to a diverse panel.
Non Performance
Does not determine how you, as a leader, would promote an inclusive environment for a
diverse panel.
Criterion 6
Determine how a leadership team would support the implementation and adoption of
proposed practice changes affecting specific outcomes.
Distinguished
Determines how a leadership team would support the implementation and adoption of
proposed practice changes affecting specific outcomes, and highlights opportunities for
interprofessional collaboration.
Proficient

Determines how a leadership team would support the implementation and adoption of
proposed practice changes affecting specific outcomes.
Basic
Attempts to determine how a leadership team would support the implementation and
adoption of proposed practice changes, but does not describe specific steps that nurse
leaders should take, or does not explain why this approach would be effective.
Non Performance
Does not determine how a leadership team would support the implementation and
adoption of proposed practice changes affecting specific outcomes.
Criterion 7
Communicate clearly and effectively with stakeholders and colleagues, incorporating
supporting evidence using APA style citations and references, and adhering to
organizational, professional, and scholarly communication standards.
Distinguished
Communicates analyses and information clearly and accurately, and grammar and
mechanics are error-free; integrates relevant, credible, and convincing sources of
evidence to support assertions. Sources are current, and citations and references are
error-free.
Proficient
Communicates analysis data and information clearly and accurately, using correct
grammar and mechanics, and integrates relevant and credible sources of evidence to
support assertions, correctly formatting citations and references using APA style.
Basic
Communication is not consistently clear and accurate, or errors in grammar or
mechanics inhibit effective communication; sources lack relevance or credibility, are
poorly integrated, or are incorrectly formatted.
Non Performance
Does not communicate analysis data and information clearly and accurately, using
correct grammar and mechanics; does not integrate relevant and credible sources of
evidence to support assertions, correctly formatting citations and references using APA

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