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components of quality of health care
quality of care in healthcare essay
essay on quality of care in health care
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Quality of care in healthcare was not previously measured or reported due to the ultimate trust that patients had in their care providers that what was prescribe or treatment given was necessary and appropriate. As society has evolved healthcare has undergone changes that has significant impacted the way in which healthcare is practiced. A landmark in the quality movement in health care has been the publication of the Institute of Medicine 's (IOM) report “To err is human: building a safer health system” of 1993, which serve to usher in an era of care focused on improving quality, and ultimately a culture of evidence-based care (De Jonge, Nicolaas, Van Leerdam & Kuipers, 2011).
The IOM released a second report, “Crossing the quality chasm”
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The problems of healthcare that impact quality such as medical errors, health insurance, shortage of healthcare personnel are issues that contribute to a lack of trust in health care systems. Rendering quality care should be appropriate to the need and specific actions taken in accordance to the individual need. Meltzer & Chung (2014), suggest that although quality improvement may sometimes reduce costs, the financial resources, time, and effort available for quality improvement are limited-whether within a single hospital, a payer network, a state, or a …show more content…
Spending on quality improvements generally implies a trade-off against other activities, and focusing on specific quality indicators may divert resources away from other indicators or other components of health care. Thus, it is imperative to determine what measures will produce changes in care that result in the greatest improvements in health care quality and reductions in disparities in health between groups of people, (Meltzer & Chung,
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
The National Healthcare Quality and Disparities Report (NHQDR) (2012) identified three key themes. The themes are health care quality and access are suboptimal, especially for minority and low income groups; overall quality is improving, access is getting worse and disparities are not changing; and urgent attention is warranted to ensure continued improvements in: quality diabetic care, maternal and child health, adverse events, disparities in cancer care and quality care among the states in the south.
The world of healthcare is driven by competition; the organizations that deliver quality care to their patients, employees, and third parties will generate more profit when compared to organizations that do not focus on quality (Nowicki 2016). The organizations that choose not to focus on quality could potentially lose revenue because patients might choose to visit a hospital that finds quality an important part of their mission. Joe DiMaggio Children’s Hospital is part of the non-profit Memorial Healthcare System. This hospital focuses on delivering the best to their patients by focusing on patient-and-family centered care. They put all their efforts into delivering the best quality hospital stay. They do this not only by being known for their
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
In the healthcare system, quality is a major driving compartment for patient outcomes. The quality of care reflects the outcomes in a patient’s care. According to Feeley, Fly, Walters and Burke (2010), “quality equ...
The primary information from the IOM report indicated that the reason for poor quality care was indeed inadequate performance reporting procedures (Sadeghi, 2013). With that said, another point to consider is that health administrator often times get anxieties when dealing with criticism from the public. This problem could result in expensive litigation. This can affect the organization’s in terms of quality and finance. This creates inadequacy in how problems are detected, solutions identified and resolutions brought about. Given the original Hippocratic Oath, which includes the commitment to First, Do No Harm as a guiding principle, these errors are unacceptable (Sadeghi, 2013). First Do No Harm is an esteemed proverb often traced to Hippocrates and the Hippocratic Oath that for a long time functioned as an essential admonition in the ethics of physicians and other health-care providers (HIGGS, R., 2017). There may well be other influencing factors; however, it does appear as though these have contributed to
Nembhard, I. M., Alexander, J. A., Hoff, T. J., & Ramanujam, R. (2009). Why Does the Quality of Health Care Continue to Lag? Insights from Management Research. Academy Of Management Perspectives, 23 (1), 24-42. doi: 10.5465/AMP.2009.37008001
Continuous quality improvement is engrained in the culture of all successful healthcare organizations. As future healthcare administrators, it is imperative that we create an atmosphere that ensures quality is delivered to the patient though the care provided under an organization management. While there are many measures that help define quality in healthcare organization, ongoing consistency, reliability, and most importantly accountability are characteristics of an administration that has created a culture of excellence for their patience and staff alike (Joshi, Ransom, Nash, & Ransom, 2014).
Improving quality of care in the healthcare system begins with the patients. According to the Institute of medicine, (IOM), the deaths per year that were caused by medical errors were estimated between 44,000 to 98,000. Medical errors are common to occur in today’s complex healthcare system, even though, hospitals and all other healthcare organizations regularly provide in-services to their staff and train them in regards to new changes in the healthcare. In addition, the health care system also provides counseling to patients who are affected by the errors and to their families afterwards. Still, medical errors still continue to occur. Hence, the healthcare profession continues to implement new methods that can help in improving
Improving Quality and Value in the U.S. Health Care System . (2009, August). Retrieved from http://www.brookings.edu/research/reports/2009/08/21-bpc-qualityreport
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes resources and minimizes waste. (3) Accessible: timely care that is provided in a setting where the skills and resources are appropriate for the medical need and is geographically reasonable. (4) Acceptable/Patient-Centered: healthcare that considers individual needs, preferences, and culture. (5) Equitable: healthcare quality that does not vary because of race, gender, ethnicity, geographical location, or socioeconomically status. (6) Safe: healthcare that minimizes harm and risks to patients. (Bengoa, 2006)
improving the quality of care, it is important to begin by defining quality. Quality is purposed by
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy
The field of health care has seen remarkable accomplishments achieved within the past few decades. One of the more significant changes is seen in the field of public health; and the shift in perspective that health organizations are having in the areas of prevention and treatment of diseases. The idea of providing a more patient-centered experience and being accessible to patients in order to improve their health outcome is steadily on the rise. All of these accomplishments, to include the Affordable Care Act has initiated innovation between treatment, prevention, and cost effectiveness in providing quality service. In moving forward, it is important that health care organizations as well as future and current health care professionals have an understanding of the future of health care delivery.
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance