Deliverables and Critical Success Factors Chamberlain College of Nursing Student Name here NR 631: Nurse Executive Concluding Graduate Experience September/October 2018 DELIVERABLES AND CRITICAL SUCCESS FACTORS 2 Deliverables and Critical Success Factors Project deliverables and critical success factors (CSF’s) play an important role to successful project management. Following a large number of hospital acquired pressure injuries (HAPI) (Stage 2 or greater) acquired by patients while in the care of one of the units within the Critical Care Division (Medical Intensive Care Unit, Surgical Intensive Care Unit, Cardiac Intermediate Care Unit, or Neuro-Trauma Intermediate Care Unit) during the preceding fiscal year – a decision to implement HRO (high-reliability) principles in conjunction with traditional HAPI prevention strategies as a strategy to reduce HAPI was made. HAPI’s can be a source of discomfort, pain, and altered body image for a patient. HAPI development can negatively impact patient experience. Some studies estimate that the prevalence of HAPI development within Critical Care could be as high as 43% (Krapfl, Langin, Pike, & Pezzella, 2017). HAPI development within Critical Care can be extremely costly – costs which will not be reimbursed by Centers for Medicare and Medicaid Services (CMS) (Boyle, Bergquist-Beringer, & Cramer, 2017). Most HAPI’s are highly preventable and as clinicians -we have an ethical and moral responsibility to prevent harm to our patients. In the paper below, discussion surrounding project deliverables, critical success factors (CSF’s), and summarized conclusion will be provided. Project Deliverables Project deliverables, for the HAPI prevention plan utilizing HRO principles in critical care, include the following: scope statement, project charter, literature review, formal communication plan, and critical success factors plan. The scope statement is developed at the start of project planning; however, should be continuously reviewed and updated as applicable. This is a crucial document for project planning and provides a comprehensive DELIVERABLES AND CRITICAL SUCCESS FACTORS 3 outline of the project including project objectives, justification, implementation plan, resources needed, project timeline, and measures of success (project goals/expected outcomes). Successful resource planning, as detailed within a project scope statement, can be evaluated through teamwork, organizational culture/receptivity to change, leadership support, development of business plan/project vision, effective communication, and identification of project champions (Orouji, 2016). These aspects can be measure through surveys (pre and post project) as well as through organizational culture of safety surveys and employee engagement/satisfaction surveys. Additionally, improvements within quality aspects of care are often indicative of clear vision, sufficient resources, utilization of staff champions, and clear communications of goals/outcomes. Project’s charter is another key deliverable for any project. The charter provides information in detail on key stakeholders as well as roles/responsibilities and project approach, goals, and budget. Selection of the right stakeholders is essential for the success of any project. Employees that are engaged can become empowered through the project management process. Engaged project team members are more likely to collaborate, share information, be more flexible and open to ideas, develop mutual respect and trust, and have improved problem solving ability (Hietschold, Reinhardt, & Gurtner, 2014). Employee engagement is measured within most organizations on an annual or biannual timeframe. Active participation and attendance at project meetings, meeting project timelines, and active interactions with other project team members can be a measure of individual project member’s level of engagement. Review of the literature is important in project management, as it can provide the most up to date, peer reviewed, best practices related to HAPI prevention strategies and the inclusion of HRO principles. A key aspect of HRO principles is deference to expertise so this DELIVERABLES AND CRITICAL SUCCESS FACTORS 4 fits well with identification of the correct stakeholders which does not necessarily mean the individual with the highest title. Factors that aid in the success of a project include alignment with organizational strategic initiatives as well as alignment with expectations from key stakeholders (Carpim-Besteiro, de Souza Pinto, & Novaski, 2015). Current relevant literature related to HRO principles in conjunction with HAPI prevention strategies to prevent HAPI development in critical care patients can be measured through a comprehensive literature search utilizing several key terms and search engines.