measurement and deviations

 Learning Objective 1.1: Identify activities and processes in emergency departments that impact the patient experience. Identification of activities and processes in emergency departments that impact the patient experience is missing. Response identifies fewer than 10 activities and processes carried out in the scenario, or it identifies activities and processes not relevant to the patient experience. The 10 activities and processes, with durations, are inaccurately entered into the productivity metrics dashboard, or fewer than 10 activities and processes are entered. Response identifies 10 activities and processes carried out in the scenario that impact the patient experience. Each of the 10 activities and processes, with its duration, is accurately entered in the productivity metrics dashboard. Demonstrates the same level of achievement as “2,” plus the following: Activities/processes identified are those that have the greatest potential impact on patient experience. Learning Objective 1.2: Analyze activities and processes for how they create inefficiency. Analysis of activities and processes for how they create inefficiency is missing. Analysis identifies fewer than five activities or processes that created inefficiency in the case presented, or the activities identified are not related to issues of efficiency. Rationale for selection of Analysis identifies five activities or processes that created inefficiency in the case presented. Analysis includes a logical rationale for selection of each of the five activities. Demonstrates the same level of achievement as “2,” plus the following: Response describes the impact that the inefficiencies have on patient experience.

 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations the five activities creates inefficiency is weak or all five activities are not addressed. Discrepancies and reasons why they exist are unclear or missing. Analysis identifies discrepancies and outlines reasons why they exist. Learning Objective 1.3: Analyze activities and processes that create inefficiencies against national benchmarks. Analysis of activities and processes that create inefficiencies against national benchmarks is missing. Analysis identifies national benchmarks for fewer than five of the identified activities/processes that create inefficiency, or Identification of benchmarks is inaccurate. National benchmarks are entered incorrectly in the productivity metrics dashboard, or they are missing from the dashboard. National benchmarks are not supported by a citation, or the citation is irrelevant, or the national averages are not documented. Analysis accurately identifies the national benchmarks for the five activities/processes identified as creating inefficiency. National benchmarks are entered correctly in the productivity metrics dashboard. National benchmarks are supported by a citation for the data, and citations are included in the sources tab of the productivity metrics dashboard. Demonstrates the same level of achievement as “2,” plus the following: Response includes national benchmarks for six or more activities/processes carried out in this scenario, OR Analysis includes an explanation for any measure that deviates from the national benchmarks. Learning Objective 1.4: Analyze activities and processes to determine Analysis of activities and processes to determine acceptable differentials for Response partially explains the methodology used to determine acceptable Response thoroughly explains the methodology used to determine Demonstrates the same level of achievement as “2,” plus the following:

 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations acceptable differentials for a productivity metrics dashboard. a productivity metrics dashboard is missing. differentials for each of the five activities/processes, or not all five activities/processes are addressed. acceptable differentials for each of the five activities/processes. Response details the acceptable differentials for six or more activities/processes with relevant rationale