Based on your organization’s data, or an organization of your choice (Summerlin hospital), analyze the data metrics and dashboards used to select a patient satisfaction quality improvement opportunity. If you are analyzing a hospital-based system, include the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores in your analysis. If you are analyzing a healthcare organization that is not a hospital, include the metrics within the organization, as well as an outside agency’s or accrediting body’s information, that the organization uses to provide information to the public.

Analyze the laws, regulations, policies, and procedures that may affect the quality improvement project.