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RESEARCH PAPER ON QUALITY IMPROVEMENT in health care
Importance Of Quality In Healthcare
RESEARCH PAPER ON QUALITY IMPROVEMENT in health care
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Elements of an Organizational Model of Health Care Performance, Quality Assessment, and Management
Quality care, safe practices and principles, and accountability constitute the foundation of any health care organization (Huber, 2014). Addressing patient safety issues and improving health care quality may include reorganizing operations to improve efficiency, coordinating care with interdisciplinary team members, and using information technologies (Wang, Cha, Sebek, McCullough, Parsons, Singer, & Shih, 2014). In this paper, I will review my organization’s quality program goals, objectives, and management structure, how quality improvement (QI) projects are selected, managed, and monitored, and how nursing staff are trained and supported in
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The goals are to “provide high quality care and continuously improve our performance.” The four main focuses are: 1) preventing hospital acquired infections, 2) contributing to developing and implementing the Cleveland Clinic Integrated Care Model by delivering care coordination and care path projects within the Value Based Care strategic initiative, 3) avoiding preventable harm to patients and caregivers, and 4) delivering data and projects that support the operational needs for organizational quality and safety, including performance and regulatory reports, system administration and design, accreditation support, patient safety support, and clinical risk management (Cleveland Clinic, 2015). The QI team “enhances value across the enterprise, including patient care, outcomes, and cost, by collaboratively delivering projects and infrastructure aligned with Cleveland Clinic strategies” and the two major components are project management and data analysis that work together to “support clinical safety and quality improvement efforts.” The Chief Quality Officer is over the Quality and Safety Officer. Under that are the Administrative Program Coordinator, Administrative Director, Department Coordinator, and Institute Administrator. Additionally, there are Institute Quality Directors who manage QI for their particular institute, for example Cole Eye Institute or …show more content…
The goal was chosen, background obtained, literature review done, methods established, and implications for nursing practice reviewed. They wanted to implement one-on-one discussions with bedside nurses related to behavioral justification for restraint use, use of least restrictive restraint, and prompt removal when clinically justified, along with coordination of information-sharing with nursing leadership to promote a data driven approach to reduction in restraint usage. Outcomes were that as a result of monthly discussions, there was a sustainability of reduction in usage of restraints in the adult ICU’s. Another initiative was the nurse driven urinary catheter removal protocol. The goals were to reduce catheter associated urinary tract infections through early removal of indwelling urinary catheters and increase compliance to the Surgical Care Improvement Measure Urinary Catheter Removal through a nurse driven protocol that standardizes care and sanctions catheter removal based on approved criteria. A pilot was conducted at two hospitals to assess efficacy of implementing the plan system wide. A plan was developed with interventions, a urinary catheter removal algorithm, and documentation compliance parameters. Outcomes were lower catheter days and reinsertion rates, decreased catheter utilization ratio, and infection rates
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
Apply continuous technical and quality assurance resolution to patient/department complaints, ensuring departmental quality; project improvement, leading multidisciplinary teams, implementation of policies and systems.
THE NCQA health plan accreditation encompasses healthcare facilities to have written plan approved by the governing board and is required to be reviewed and updated periodically as if it was a policy or procedure document. Every department must have its own plan but not in any particular format. The plan must exhibit the essential aspects of the quality management system. This reading entails an example of a facility quality management plan. The board of trustees is responsible for the safety and quality care, treatment and services provided in the hospital. The board makes decisions with the medical staff and hospital management which include medical director, chief executive officer, nursing director, clinical services director, vice president
An example of a quality improvement initiative that could be proposed would be to reduce medical errors by improving communication and teamwork. Medical errors usually occur when there is a breakdown in teamwork and communication. The first thing that I would propose is to have all medical staff members follow a routine daily round schedule. During the daily rounding, the teams will be encouraged to collaborate and discuss the patient plan of care. A performance improvement dashboard should be implemented. Medical staff should be encouraged to use the patient's bedside whiteboards to document and keep track of daily goals. Also, patients and family members should be encouraged to ask questions and collaborate on the plan of care.
The value of nursing in promoting the high-quality patient care is enormous and precisely outlined in nursing-sensitive outcomes. Furthermore, the concept of clinical and administrative indicators is valuable to elaborate nursing care performance. The data of quality indicators is a comprehensive source of insights and guidance of the strategies in achieving the highest level of performance and satisfaction. The purpose of this assignment is to provide an analysis of data from the quality indicators dashboard and develop a nursing plan for areas that needed improvement.
The purpose of quality initiatives is to promote safe, timely, effective, efficient, equitable patient centered care( DeNisco & Barker, 2013). The quality improvement evaluation is important in the health care industry to find out the best practice care and to provide high quality cost effective care to patients. The public and private agencies are the regulatory entities in the health care Industry which promote quality and safety in the delivery of health care. The major regulatory agencies are CMS, the Joint commission, and AHRQ (deNisco & Barker, 2013).
To establish policies and procedures for quality improvement (QI) activities within the Health Information Management Department (HIM).
This paper explores Quality improvement (QI), which is essential for healthcare managers to identify and solve issues in a meaningful way. The two most common approaches to QI is Six Sigma and Continuous Quality Improvement (CQI) (Williams, Savage, & Stambaugh, 2011). For the purpose of this paper, the current quality problem within the Respiratory department will be identified and explained. The step by step process of CQI will be discussed and applied to manage and resolve the identified issue.
For this week’s written assignment, I will be discussing my organization’s quality program goals and objectives. I will discuss the quality management structure within my organization. I will also explain how quality improvement projects are selected, managed, and monitored, as well as if the nursing staff have any input. I will identify quality improvement inservice programs that are available for staff within my facility and describe an overview of these programs. I will explain what quality methodology and quality tools techniques are utilized and if they are effective or not. I will also explain how quality improvement activities and processes are communicated to the staff and if the communication is effective, as well as if it could be improved upon. I will describe how my organization evaluates quality improvement activities for effectiveness and what the process is when the quality improvement activity is not effective. I will provide two examples of a quality improvement initiative that have been effective in my organization and the quality improvement process that occurred. I will also identify the impact this has on patient outcomes and if it resulted in a change in practice. After discussing these issues, I will end this discussion with a conclusion.
For example, total quality management (TQM) does not provide any recommend quality measure tools or methods to speed up the pace for quality improvements (Sadikoglu & Olcay, 2014). It is no longer an issue whether the health care industry should aim for quality, but rather the methods and models used to accelerate quality improvement. Therefore, it is necessary for the leadership to implement a quality improvement program and incorporate different methods and models such as the Plan-Do-Check-Act, (PDCA), Lean, and Six Sigma (Sokovic, Pavletic & Pipan, 2010). Implementing a quality improvement program will not only change the organizational culture, but it will accelerate quality improvement efforts of patients safety and health care
The last outcome, application of the quality improvement measures to improve health outcomes consistent with current professional knowledge throughout the nursing career was demonstrated through the Management and Leadership 4374 in the Optimizing Quality and Safety assignment which consisted of managing quality improvement initiatives through principles of patient safety. The Introduction to Evidence 4373 Critique Process assignment also demonstrated the seventh learned outcome, by applying evidence to clinical decision making improving patient safety and quality. The application of this evidence can be used in creating and updating policies and procedures in regards to patient safety and quality.
Good leadership, fostering a culture of change and safety, team work are essential in implementing quality improvement and risk management in the organization. Leaders and the governing body must demonstrate commitment to the processes and define their expectations for all stakeholders. Leadership team should make sure that the team’s attention is focused on the core business of the organization, which is to provide care and treat patients in a safe and high quality clinical environment. There are different tools that can be used for quality improvement that also applies to analyzing risk issues. These are measurement of quality, benchmarking, RCA, FMECA, and so
Introduction The movement towards accountable care organizations and patient centered results has given a further impetus to the growing importance of continuous quality improvement in health care. Due to recent changes made to health care by the Affordable Care Act drivers such as payment model changes, consumer/patient preferences, and resource shortages have created further pressure to provide safe, reliable, high-quality, and cost-efficient care (McGrath & Blike, 2015). In fact many health care organizations are seeking internal and external performance improvement techniques/strategies to improve organizational sustainability. Building a solid foundation will require administration and leadership to facilitate a culture of change that is inclusive of all involving stakeholders.
In the 21st century, the Institute of Medicine (IOM) reported that many medical incidents have occurred by human error so they expressed to build a safer health system to reduce the error and provide the high quality of care to patients. Summed up the literature, quality defined that healthcare workers followed the current professional standards to apply in the patient care and prevention of unnecessary harm, and achieve patient’s expectations. IOM also identified that the concept of quality has included six key elements which are effective, timely, equitable, efficient, patient-centered and safe. Moreover, leadership has needed to monitor and manage the improvement process due to different of elements have affected the quality