Foundational Principles for Evidence-Based Practice, Quality, and Performance Improvement

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Page 1 of 9: Frontmatter


Target Audience
This educational initiative is directed toward hematology and oncology nurse navigators, and is also recommended for patient navigators, social workers, and case managers whose focus is on cancer care and survivorship.

Educational Objectives
After completing this activity, the participant should be better able to:

  • Define Triple Aim, including how this initiative drives quality
  • Define the healthcare environment that is driving focus on quality and outcomes
  • Discuss the IOM reports that address the need for quality in healthcare, including how this shapes practice and initiatives in oncology
  • Define evidence-based practice, quality, and performance improvement terminology
  • Discuss key drivers for evidence-based practice and quality
  • Identify the regulatory agencies that mandate quality improvement
  • Identify evidence-based practice models
  • Identify key quality and performance improvement tools
  • Describe the steps to develop a quality improvement project
  • Discuss how data are used for continuous improvement
  • Provide appropriate care and counsel for patients and their families
Term of Offering
Release date: June 6, 2016
Expiration date: December 31, 2018

Estimated time to complete activity: 0.7 ANCC contact hour

Danelle Johnston, RN, MSN, OCN, CBCN
Manager of Breast Services
Memorial Hospital, University of Colorado Health
Colorado Springs, CO
Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Postgraduate Institute for Medicine and Center of Excellence Media, LLC, do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COIs are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high-quality CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CE activity:

Name of Faculty or Presenter Reported Financial Relationship
Danelle Johnston, RN, MSN, OCN, CBCN Nothing to disclose

The following PIM planners and managers, Trace Hutchison, PharmD; Samantha Mattiucci, PharmD, CHCP; Judi Smelker-Mitchek, RN, BSN; and Jan Schultz, RN, MSN, CHCP, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Writer: Sabeeha Muneer, PhD, has nothing to disclose. Center of Excellence Media, LLC: Susan Berry hereby states that she or her spouse/life partner does not have any financial relationship or relations to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Nursing Credit Designation
This educational activity for 0.7 ANCC contact hour is provided by Postgraduate Institute for Medicine.

Nursing Accreditation Statement

Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Instructions for Credit
There is no fee for this activity. To receive credit after reading this CE activity in its entirety, participants must complete the posttest and evaluation. The posttest and evaluation can be completed online at Upon completion of the evaluation and scoring 75% or better on the posttest, you will immediately receive your certificate online. If you do not achieve a score of 75% or better on the posttest, you will be asked to take it again. Please retain a copy of the certificate for your records.

If you have any questions regarding the CE certification for this activity, please contact Postgraduate Institute for Medicine at: or 303-799-1930.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
System Requirements

Windows 7 or above or Mac OS X 10.6 or higher
Flash Player v 10.0 or higher
Internet Explorer v9.0 or higher or Latest version of Google Chrome, Firefox, Internet Explorer, or Safari
Adobe Acrobat Reader v7.0 or higher*

*Required to view printable (PDF) version of the lesson.
Provider Statement
This activity is jointly provided by Postgraduate Institute for Medicine and Center of Excellence Media, LLC.
Center of Excellence Media

This activity is supported by independent educational grants from Genentech and Merck.

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