Problem: This hospital in the District of Columbia ranks as one of the worst in the entire nation for ED timely and effective care.Goal: Create a systems-wide approach to substantially improve aspects of ED operation and care that will dramatically improve wait times to be seen, wait times until admission, and reduction of left-without-being-seen rates to meet or register below national averages.You will need to perform any additional research on this hospital that is needed to support your project. Note: As you research this hospital, you will find it is ranked highly in other areas and specialties, even having received The Joint Commission’s Gold Seal of Approval. Researching this hospital’s initiatives that led to this may be helpful.Your project should reflect theories discussed in this course (e.g., lean, Six Sigma) and must utilize the Plan, Do, Study, Act (PDCA) approach. It must include the following:a brief summary of the problem, to include data supporting the need for change;a quality improvement initiative proposal, to include specific desired outcomes;suggested implementation strategies that will be most effective to achieve quality improvement;social marketing approaches to ensure widest awareness and participation in the initiative;a measurement plan, to include the tools that will be most effective to measure change, and how ongoing performance will be monitored to prevent regression and loss of the positive change that has taken place,an analysis of the roles leadership, staff, and patients will play in the improvement initiative; anda summary of the benefits and long term effects if the desired outcomes are achieved.Your project will be a minimum of four pages, not counting any title or reference pages. You must use at least four scholarly sources to support your project. These sources do not include any hospital statistical or data sources that you utilize.All sources used must be properly cited. Adhere to APA Style when creating all citations and references for this assignment.