Executive Solution Overview
Tiff week 7 – 2 years ago **files (3)** – ## Unit3ScholarshipofApplicationPart1.PDF – ## Presentation5.PDF – PresentationNU760-8H.pptx **## Unit3ScholarshipofApplicationPart1.PDF** 1 Unit 3: Scholarship of Application Part 1: Aim Statement and Framework Tiffany Williams Herzing University NU760-8H 3…
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Tiff week 7
– 2 years ago
**files (3)**
– ## Unit3ScholarshipofApplicationPart1.PDF
– ## Presentation5.PDF
– PresentationNU760-8H.pptx
**## Unit3ScholarshipofApplicationPart1.PDF**
1
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Tiffany Williams
Herzing University
NU760-8H
3/22/2025
2
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Gap recognition and filling in providing care are important to improving patient
outcomes and staying compliant with evidence-based practice. The paper outlines a practice
problem recognized in a clinical environment, formulates a problem statement, builds an aim
statement, and names a framework that will be employed in creating a scholarly project to
address the problem.
Practice Setting and Population
The practice setting is a primary care clinic with an adult patient population of 18 years
and older. The clinic provides preventive care, chronic disease management, and acute care. The
population consists of people from various socioeconomic statuses, with a high proportion of
them being underserved and at risk for chronic diseases such as hypertension, diabetes, and
cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous
lack of uniform implementation of recommended screenings and interventions is observed.
Description of the Problem
The identified issue is the uneven application of United States Preventive Services Task
Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for
illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and
observations revealed that the majority of patients with the routine screening due are not being
screened on time in reality. Clinic performance indicators also confirm this deficiency, where
65% of eligible patients for indicated screenings are receiving them only, falling short of the
organization's goal of 90%.
3
Failure to screen per guidelines has various implications. Firstly, to delay earlier illness
diagnosis that would otherwise be better treated through intervention earlier in the disease
development process. Secondly, to develop avoidable complications like a heart attack or stroke,
which would otherwise have been avoided by earlier identification and treatment. Thirdly,
evidence-based care shortfall has been established, one of the indicators for quality health care.
Problem Statement
Processes of patient evaluation in the primary care clinic have not been consistent in
adhering to USPSTF guidelines for preventive screening until now. This results in premature
diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise
would have been averted if there was timely intervention.
Aim Statement
This project aims to increase follow-through with USPSTF recommendations for
preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-
month period. This will be achieved by having a standardized screening process, educating staff
on evidence-based recommendations, and reminders in the electronic health record system to
trigger providers at the point of patient visits.
Framework
The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an
Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a
rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,
2025). The PDSA cycle contains four steps:
1. Plan: Identify the problem, establish goals, and prepare for change.
4
2. Do: Implement the change at a trim level.
3. Study: Compare results and determine if improvement was a consequence of the
change.
4. Act: Simplify the change from the result and implement it on an expanded scale.
PDSA cycling is suitable for this project because it allows incremental testing of
interventions such as the protocolized screening process and EHR reminders before large-scale
implementation. It also addresses the project goal of quantitatively measuring improved
screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder
design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested
with a small number of providers. The "Study" phase will entail screening rate monitoring and
provider feedback collection, and the "Act" phase will entail scaling up proven interventions.
Conclusion
The inconsistent compliance with USPSTF guidelines for preventive screening within the
primary clinic is a grave evidence-based practice deficit. By developing an obvious problem
statement, formulating an aim statement concisely, and employing the PDSA cycle as an
orienting framework, this project proposes to enhance screening rates and ultimately enhance
patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,
refined, and implemented in such a way as to maximize their effectiveness and sustainability.
5
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,
W. K. (2023). Putting evidence into practice: an update on the US Preventive Services
Task Force methods for developing recommendations for preventive services. The Annals
of Family Medicine, 21(2), 165-171.
https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,
J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process
Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-
202501000-00010
[https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
**## Presentation5.PDF**
Enhancing Compliance with
USPSTF Preventive Screening
Guidelines
TIFFANY WILLIAMS
HERZING UNIVERSITY
NU760-8H
4/15/2025
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Problem Statement and Aim Statement
Problem Statement: Inconsistent adherence to USPSTF cardiovascular
screening guidelines in a rural primary care clinic.
Results in delayed diagnoses, missed preventive opportunities, and
increased morbidity.
Aim Statement: Improve compliance with USPSTF screening from 65% to
90% over 6 months.
Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,
and diabetes.
Focus on equity: Enhance care for underserved populations in a rural
setting.
Selected
Strategy/Intervention
Implementation of the Plan-Do-Study-Act (PDSA)
quality improvement framework.
Incorporation of EHR reminders for screening
adherence.
Staff education sessions to reinforce USPSTF
guideline adherence.
Pilot test with 2–3 providers before full clinic rollout.
Strategy is evidence-based and allows for
continuous quality improvement (Manandi et al.,
2023).
Anticipated Outcomes
Increase screening compliance to at
least 90% within 6 months.
Earlier identification of cardiovascular risk
factors.
Improved provider knowledge and
confidence in following screening
guidelines.
Enhanced patient safety and health
outcomes through preventive care.
Promote a culture of accountability and
evidence-based practice.
Evaluation Measures
Outcome Measures: Percentage of eligible
patients who received all USPSTF-recommended
screenings.
Process Measures: Number of providers using EHR
reminders and attending education sessions.
Structure Measures: Availability of EHR decision
support and training resources.
Direct Measures: Audit of chart data for
completed screenings.
Support from literature: Structured evaluations
improve sustainability of quality initiatives (Roberti
et al., 2025).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Required Information/Data
Total number of eligible patients seen in the clinic monthly.
Percentage of patients up-to-date on screenings pre- and post-
intervention.
EHR logs to track provider engagement with reminders.
Staff participation data from educational sessions.
Collect both quantitative metrics and qualitative feedback for robust
analysis (Barry et al., 2023).
Data Collection Method 1:
EHR Chart Review
Use EHR audit reports to assess screening
completion rates.
Track use of clinical decision support (CDS) tools
by providers.
Identify patients due/missed for screenings and
follow-up.
Evaluate differences in adherence between pre-
and post-PDSA cycles.
EHR-based reviews support real-time monitoring
and data-driven decisions (Davidson et al., 2022).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Data Collection
Method 2: Pre/Post
Surveys & Observation
Conduct pre/post provider surveys to
assess guideline knowledge and
confidence.
Anonymous format to encourage honest
feedback.
Use observation logs during pilot to assess
EHR tool utilization and workflow impact.
Collect qualitative staff input to identify
training gaps.
Evidence supports mixed-methods for
comprehensive QI evaluation (Guirguis-
Blake et al., 2023).
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
Preventive Services Task Force methods for developing recommendations for
preventive services. The Annals of Family Medicine, 21(2), 165-171.
https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle
Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
cardiovascular disease: US Preventive Services Task Force recommendation
statement. Jama, 327(16), 1577-1584.
https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
_us_220007_1650466044.25397.pdf
Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
(2023). Screening for lipid disorders in children and adolescents: updated
evidence report and systematic review for the US Preventive Services Task Force.
Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281
Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
improvement intervention in primary care. Australian Journal of Primary Health,
30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
949578-202501000-00010
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)
[https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
– Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
– Slide 2: Problem Statement and Aim Statement
– Slide 3: Selected Strategy/Intervention
– Slide 4: Anticipated Outcomes
– Slide 5: Evaluation Measures
– Slide 6: Required Information/Data
– Slide 7: Data Collection Method 1: EHR Chart Review
– Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
– Slide 9: References
**PresentationNU760-8H.pptx**
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**PresentationNU760-8H.pptx**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/presentationnu760-8h-pptx-10264635)
**## Unit3ScholarshipofApplicationPart1.PDF**
1
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Tiffany Williams
Herzing University
NU760-8H
3/22/2025
2
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Gap recognition and filling in providing care are important to improving patient
outcomes and staying compliant with evidence-based practice. The paper outlines a practice
problem recognized in a clinical environment, formulates a problem statement, builds an aim
statement, and names a framework that will be employed in creating a scholarly project to
address the problem.
Practice Setting and Population
The practice setting is a primary care clinic with an adult patient population of 18 years
and older. The clinic provides preventive care, chronic disease management, and acute care. The
population consists of people from various socioeconomic statuses, with a high proportion of
them being underserved and at risk for chronic diseases such as hypertension, diabetes, and
cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous
lack of uniform implementation of recommended screenings and interventions is observed.
Description of the Problem
The identified issue is the uneven application of United States Preventive Services Task
Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for
illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and
observations revealed that the majority of patients with the routine screening due are not being
screened on time in reality. Clinic performance indicators also confirm this deficiency, where
65% of eligible patients for indicated screenings are receiving them only, falling short of the
organization's goal of 90%.
3
Failure to screen per guidelines has various implications. Firstly, to delay earlier illness
diagnosis that would otherwise be better treated through intervention earlier in the disease
development process. Secondly, to develop avoidable complications like a heart attack or stroke,
which would otherwise have been avoided by earlier identification and treatment. Thirdly,
evidence-based care shortfall has been established, one of the indicators for quality health care.
Problem Statement
Processes of patient evaluation in the primary care clinic have not been consistent in
adhering to USPSTF guidelines for preventive screening until now. This results in premature
diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise
would have been averted if there was timely intervention.
Aim Statement
This project aims to increase follow-through with USPSTF recommendations for
preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-
month period. This will be achieved by having a standardized screening process, educating staff
on evidence-based recommendations, and reminders in the electronic health record system to
trigger providers at the point of patient visits.
Framework
The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an
Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a
rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,
2025). The PDSA cycle contains four steps:
1. Plan: Identify the problem, establish goals, and prepare for change.
4
2. Do: Implement the change at a trim level.
3. Study: Compare results and determine if improvement was a consequence of the
change.
4. Act: Simplify the change from the result and implement it on an expanded scale.
PDSA cycling is suitable for this project because it allows incremental testing of
interventions such as the protocolized screening process and EHR reminders before large-scale
implementation. It also addresses the project goal of quantitatively measuring improved
screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder
design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested
with a small number of providers. The "Study" phase will entail screening rate monitoring and
provider feedback collection, and the "Act" phase will entail scaling up proven interventions.
Conclusion
The inconsistent compliance with USPSTF guidelines for preventive screening within the
primary clinic is a grave evidence-based practice deficit. By developing an obvious problem
statement, formulating an aim statement concisely, and employing the PDSA cycle as an
orienting framework, this project proposes to enhance screening rates and ultimately enhance
patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,
refined, and implemented in such a way as to maximize their effectiveness and sustainability.
5
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,
W. K. (2023). Putting evidence into practice: an update on the US Preventive Services
Task Force methods for developing recommendations for preventive services. The Annals
of Family Medicine, 21(2), 165-171.
https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,
J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process
Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-
202501000-00010
[https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
**## Presentation5.PDF**
Enhancing Compliance with
USPSTF Preventive Screening
Guidelines
TIFFANY WILLIAMS
HERZING UNIVERSITY
NU760-8H
4/15/2025
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Problem Statement and Aim Statement
Problem Statement: Inconsistent adherence to USPSTF cardiovascular
screening guidelines in a rural primary care clinic.
Results in delayed diagnoses, missed preventive opportunities, and
increased morbidity.
Aim Statement: Improve compliance with USPSTF screening from 65% to
90% over 6 months.
Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,
and diabetes.
Focus on equity: Enhance care for underserved populations in a rural
setting.
Selected
Strategy/Intervention
Implementation of the Plan-Do-Study-Act (PDSA)
quality improvement framework.
Incorporation of EHR reminders for screening
adherence.
Staff education sessions to reinforce USPSTF
guideline adherence.
Pilot test with 2–3 providers before full clinic rollout.
Strategy is evidence-based and allows for
continuous quality improvement (Manandi et al.,
2023).
Anticipated Outcomes
Increase screening compliance to at
least 90% within 6 months.
Earlier identification of cardiovascular risk
factors.
Improved provider knowledge and
confidence in following screening
guidelines.
Enhanced patient safety and health
outcomes through preventive care.
Promote a culture of accountability and
evidence-based practice.
Evaluation Measures
Outcome Measures: Percentage of eligible
patients who received all USPSTF-recommended
screenings.
Process Measures: Number of providers using EHR
reminders and attending education sessions.
Structure Measures: Availability of EHR decision
support and training resources.
Direct Measures: Audit of chart data for
completed screenings.
Support from literature: Structured evaluations
improve sustainability of quality initiatives (Roberti
et al., 2025).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Required Information/Data
Total number of eligible patients seen in the clinic monthly.
Percentage of patients up-to-date on screenings pre- and post-
intervention.
EHR logs to track provider engagement with reminders.
Staff participation data from educational sessions.
Collect both quantitative metrics and qualitative feedback for robust
analysis (Barry et al., 2023).
Data Collection Method 1:
EHR Chart Review
Use EHR audit reports to assess screening
completion rates.
Track use of clinical decision support (CDS) tools
by providers.
Identify patients due/missed for screenings and
follow-up.
Evaluate differences in adherence between pre-
and post-PDSA cycles.
EHR-based reviews support real-time monitoring
and data-driven decisions (Davidson et al., 2022).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Data Collection
Method 2: Pre/Post
Surveys & Observation
Conduct pre/post provider surveys to
assess guideline knowledge and
confidence.
Anonymous format to encourage honest
feedback.
Use observation logs during pilot to assess
EHR tool utilization and workflow impact.
Collect qualitative staff input to identify
training gaps.
Evidence supports mixed-methods for
comprehensive QI evaluation (Guirguis-
Blake et al., 2023).
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
Preventive Services Task Force methods for developing recommendations for
preventive services. The Annals of Family Medicine, 21(2), 165-171.
https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle
Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
cardiovascular disease: US Preventive Services Task Force recommendation
statement. Jama, 327(16), 1577-1584.
https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
_us_220007_1650466044.25397.pdf
Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
(2023). Screening for lipid disorders in children and adolescents: updated
evidence report and systematic review for the US Preventive Services Task Force.
Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281
Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
improvement intervention in primary care. Australian Journal of Primary Health,
30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
949578-202501000-00010
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)
[https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
– Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
– Slide 2: Problem Statement and Aim Statement
– Slide 3: Selected Strategy/Intervention
– Slide 4: Anticipated Outcomes
– Slide 5: Evaluation Measures
– Slide 6: Required Information/Data
– Slide 7: Data Collection Method 1: EHR Chart Review
– Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
– Slide 9: References
**PresentationNU760-8H.pptx**
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**## Unit3ScholarshipofApplicationPart1.PDF**
1
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Tiffany Williams
Herzing University
NU760-8H
3/22/2025
2
Unit 3: Scholarship of Application Part 1: Aim Statement and Framework
Gap recognition and filling in providing care are important to improving patient
outcomes and staying compliant with evidence-based practice. The paper outlines a practice
problem recognized in a clinical environment, formulates a problem statement, builds an aim
statement, and names a framework that will be employed in creating a scholarly project to
address the problem.
Practice Setting and Population
The practice setting is a primary care clinic with an adult patient population of 18 years
and older. The clinic provides preventive care, chronic disease management, and acute care. The
population consists of people from various socioeconomic statuses, with a high proportion of
them being underserved and at risk for chronic diseases such as hypertension, diabetes, and
cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous
lack of uniform implementation of recommended screenings and interventions is observed.
Description of the Problem
The identified issue is the uneven application of United States Preventive Services Task
Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for
illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and
observations revealed that the majority of patients with the routine screening due are not being
screened on time in reality. Clinic performance indicators also confirm this deficiency, where
65% of eligible patients for indicated screenings are receiving them only, falling short of the
organization's goal of 90%.
3
Failure to screen per guidelines has various implications. Firstly, to delay earlier illness
diagnosis that would otherwise be better treated through intervention earlier in the disease
development process. Secondly, to develop avoidable complications like a heart attack or stroke,
which would otherwise have been avoided by earlier identification and treatment. Thirdly,
evidence-based care shortfall has been established, one of the indicators for quality health care.
Problem Statement
Processes of patient evaluation in the primary care clinic have not been consistent in
adhering to USPSTF guidelines for preventive screening until now. This results in premature
diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise
would have been averted if there was timely intervention.
Aim Statement
This project aims to increase follow-through with USPSTF recommendations for
preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-
month period. This will be achieved by having a standardized screening process, educating staff
on evidence-based recommendations, and reminders in the electronic health record system to
trigger providers at the point of patient visits.
Framework
The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an
Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a
rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,
2025). The PDSA cycle contains four steps:
1. Plan: Identify the problem, establish goals, and prepare for change.
4
2. Do: Implement the change at a trim level.
3. Study: Compare results and determine if improvement was a consequence of the
change.
4. Act: Simplify the change from the result and implement it on an expanded scale.
PDSA cycling is suitable for this project because it allows incremental testing of
interventions such as the protocolized screening process and EHR reminders before large-scale
implementation. It also addresses the project goal of quantitatively measuring improved
screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder
design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested
with a small number of providers. The "Study" phase will entail screening rate monitoring and
provider feedback collection, and the "Act" phase will entail scaling up proven interventions.
Conclusion
The inconsistent compliance with USPSTF guidelines for preventive screening within the
primary clinic is a grave evidence-based practice deficit. By developing an obvious problem
statement, formulating an aim statement concisely, and employing the PDSA cycle as an
orienting framework, this project proposes to enhance screening rates and ultimately enhance
patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,
refined, and implemented in such a way as to maximize their effectiveness and sustainability.
5
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,
W. K. (2023). Putting evidence into practice: an update on the US Preventive Services
Task Force methods for developing recommendations for preventive services. The Annals
of Family Medicine, 21(2), 165-171.
https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,
J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process
Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-
202501000-00010
[https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
**## Presentation5.PDF**
Enhancing Compliance with
USPSTF Preventive Screening
Guidelines
TIFFANY WILLIAMS
HERZING UNIVERSITY
NU760-8H
4/15/2025
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Problem Statement and Aim Statement
Problem Statement: Inconsistent adherence to USPSTF cardiovascular
screening guidelines in a rural primary care clinic.
Results in delayed diagnoses, missed preventive opportunities, and
increased morbidity.
Aim Statement: Improve compliance with USPSTF screening from 65% to
90% over 6 months.
Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,
and diabetes.
Focus on equity: Enhance care for underserved populations in a rural
setting.
Selected
Strategy/Intervention
Implementation of the Plan-Do-Study-Act (PDSA)
quality improvement framework.
Incorporation of EHR reminders for screening
adherence.
Staff education sessions to reinforce USPSTF
guideline adherence.
Pilot test with 2–3 providers before full clinic rollout.
Strategy is evidence-based and allows for
continuous quality improvement (Manandi et al.,
2023).
Anticipated Outcomes
Increase screening compliance to at
least 90% within 6 months.
Earlier identification of cardiovascular risk
factors.
Improved provider knowledge and
confidence in following screening
guidelines.
Enhanced patient safety and health
outcomes through preventive care.
Promote a culture of accountability and
evidence-based practice.
Evaluation Measures
Outcome Measures: Percentage of eligible
patients who received all USPSTF-recommended
screenings.
Process Measures: Number of providers using EHR
reminders and attending education sessions.
Structure Measures: Availability of EHR decision
support and training resources.
Direct Measures: Audit of chart data for
completed screenings.
Support from literature: Structured evaluations
improve sustainability of quality initiatives (Roberti
et al., 2025).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Required Information/Data
Total number of eligible patients seen in the clinic monthly.
Percentage of patients up-to-date on screenings pre- and post-
intervention.
EHR logs to track provider engagement with reminders.
Staff participation data from educational sessions.
Collect both quantitative metrics and qualitative feedback for robust
analysis (Barry et al., 2023).
Data Collection Method 1:
EHR Chart Review
Use EHR audit reports to assess screening
completion rates.
Track use of clinical decision support (CDS) tools
by providers.
Identify patients due/missed for screenings and
follow-up.
Evaluate differences in adherence between pre-
and post-PDSA cycles.
EHR-based reviews support real-time monitoring
and data-driven decisions (Davidson et al., 2022).
ThePhoto by PhotoAuthor is licensed under CCYYSA.
Data Collection
Method 2: Pre/Post
Surveys & Observation
Conduct pre/post provider surveys to
assess guideline knowledge and
confidence.
Anonymous format to encourage honest
feedback.
Use observation logs during pilot to assess
EHR tool utilization and workflow impact.
Collect qualitative staff input to identify
training gaps.
Evidence supports mixed-methods for
comprehensive QI evaluation (Guirguis-
Blake et al., 2023).
References
Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
Preventive Services Task Force methods for developing recommendations for
preventive services. The Annals of Family Medicine, 21(2), 165-171.
https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle
Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
cardiovascular disease: US Preventive Services Task Force recommendation
statement. Jama, 327(16), 1577-1584.
https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
_us_220007_1650466044.25397.pdf
Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
(2023). Screening for lipid disorders in children and adolescents: updated
evidence report and systematic review for the US Preventive Services Task Force.
Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281
Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
improvement intervention in primary care. Australian Journal of Primary Health,
30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123
Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
10(1), e788.
https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
949578-202501000-00010
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)
[https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)
[https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
[https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)
– Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
– Slide 2: Problem Statement and Aim Statement
– Slide 3: Selected Strategy/Intervention
– Slide 4: Anticipated Outcomes
– Slide 5: Evaluation Measures
– Slide 6: Required Information/Data
– Slide 7: Data Collection Method 1: EHR Chart Review
– Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
– Slide 9: References
**PresentationNU760-8H.pptx**
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