Quality Improvement In Health Care

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).
The public agencies such as CMS have periodically made drastic changes to their reimbursement policies. In 2003, the CMS began the hospital quality initiative and Home Health quality Initiatives ( Denisco & Barker, 2013). The hospital quality initiative mainly focused on Acute Myocardial Infarction (AMI), heart failure ( HF), and pneumonia( PNE). The home health quality initiatives also focused on quality measures for individuals receiving home care services ( DeNisco & Barker, 2013). In 2001 about 3.5 million disabled and elderly Americans received care from 7,000 Medicare certified home health agencies and about 3 Million elderly and disabled Americans received care from 17,000 Medicare and Medicaid certified Nursing Homes ( DeNisco & Barker, 2013). In 2004, CMS Nursing home Quality Initiative started 14 quality measures in the areas of delirium, pain( acute and chronic), incontinence, decline in activities of daily living, physical restraints, worsening of anxiety and depression, pressure sores, indwelling catheters, mobility decline, bedfast, weight loss and urinary tract infections( DeNisco & Barker, 2013). The National...

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Blum,J.,(2011). Improving quality, lowering cost: The role of health care delivery system: U. S Department of health and human services.
Retrieved from
DeNisco, S. M.,& Barker, A. M., (2013). Advanced practice nursing: Evolving Roles for the Transformation of the profession (2nd ed.). Boston: Jones & Barlet.
Ruppert, S, D., Shiao, S, K., Tolentino-DelosReyes, A. F.,(2007). Evidence- Based Practice. Use of the Ventilator Bundle to prevent Ventilator associated pneumonia (3rd ed). American Journal of Critical Care.
Pesah, S. K., McKay, N.,Harman, J. S., Amin, M., Cook, R. L (2013). Medicare nonpayment of Hospital- Acquired infection: Infection rates three post implementation. Centers for Medicare and Medicaid services.
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