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Importance of quality improvement
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Quality improvement implementation
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Data Analysis and Quality Improvement Initiative Proposal The health care industry is charged with continually pursuing different ways to improve patient safety and quality. We see this in the Triple Aim initiative of optimizing the performance of heath care. The Institute for Healthcare Improvement (IHI) seeks to improve three dimension of care. First, IHI wants to improve the experience of patients under care. Second, improve overall population health. Third, reduce healthcare cost. When the Triple Aim was developed, no health care provider or organization was accountable to the three dimension of health care. The Triple Aim promotes to change this (Institute of Healthcare Improvement, n.d.). The steadfast commitment to both quality and safe cares thrusts healthcare providers to think of initiatives on improving monitoring and adherence to treatment policies in order to improve outcome. This paper will analyze a healthcare issue identified. It will discuss a proposed quality improvement initiative. It will review the data that supports the issue. It will examine the different interprofessional perspectives taken …show more content…
The purpose is to reduce the adverse events or near miss events. The next step is to look at the data that needs to support the quality improvement plan. Challenges within the Vila Health hospice program include delayed referral to the hospice program, lack of resources or nursing staff that visits the patients in the home, inadequate policy for pain assessment, and late assessment of patient symptoms. The baseline data of the challenges will serve as the starting point of the quality initiative. Afterwards, place measures that confirm patient needs and outcome are being met. Peer collaboration and service is required in order to contribute to the benchmarking, enhance models of care, and improve patient outcome (Currow et al,
A powerful speech given by Don Berwick on December 2004 explains ways in which healthcare industries needs to implement in order to save lives and to reduce the mortality death rates that occur in the healthcare (i.e. no needless death). In his speech entitled “Some Is Not A Number…. Soon Is Not A Time” invites all healthcare care organization U.S. and the world to come together to save 100,000 lives by June 14th 2006 at 9am exactly 18 months from the day of the speech. In order to achieve this goal Dr. Berwick suggests there should be a high standards protocol that will help improve care and reduce patients harm.
The Texas Medical Institute of Technology, through programs such as Chasing Zero, is bringing a public voice to the issue of healthcare harm. The documentary is a stirring example of the quality issues facing the healthcare system. In 2003, the NQF first introduced the 30 Safe Practices for Better Healthcare, which it hoped all hospitals would adopt (National Quality Forum, 2010). Today the list has grown to 34, yet the number of preventable healthcare harm events continues to rise. The lack of standardization and mandates which require the reporting of events contributes to the absence of meaningful improvement. Perhaps through initiatives such as those developed by TMIT and the vivid and arresting patient stories such as Chasing Zero, change will soon be at hand.
With healthcare costs soaring in the United States, there is a continuous movement by hospitals and health systems towards reaching a number of patient and system oriented goals related to higher levels of quality, safety, and cost effectiveness. The Triple Aim captures the essential challenges and opportunities of this time within the U.S. Healthcare system. Formally introduce by the Institute for Healthcare Improvement (IHI) in October 2007, the Triple Aim is theoretical model for optimizing health system performance. The initiative has three components: improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita costs of health care (Berwick,
October of 2007 The Triple Aim Initiative was launched by the Institute for Healthcare Improvement (IHI). It was created to lower the rate of increase in the per capital cost of care and also to help health care organizations better the health of a populations patients experience of care (McCarthy & Klein, 2010). In order to improve the experience of care they had to improve the quality, access, and reliability that the patients receive.
According to the Institute for Healthcare Improvement’s article “A Primer on Defining the Triple Aim”, the Triple Aim was introduced as a framework as opposed to a concept. Frameworks are structures derived from a series of related concepts; in this case: patient experience, cost of care, and population health. Comparatively, William Kissick’s Iron
Healthcare around the world is constantly changing and improvement in quality of care is pursued. Quality assurance is vital to healthcare. According to the American Society for Quality [ASQ], quality assurance is “the planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled” (n.d). In other words, once an issue in a system is identified, quality assurance involves the implementation of activities to fix the issue and meet the required standards. The short video “Quality improvement and healthcare reform: Patient experience with David Feinberg” depicts the journey of a UCLA hospital in identifying issues in its health
National Institute for Health and Care Excellence (NICE) developed the area of their concern for quality improvement in relation to t prevention and treatment of various kinds of health conditions or services. Therefore, in the course of this innovation, team members will make sure patients are safe and not harm by the change that aims to help them; care is effective, practising with the best available evidence based practice, is person centred; making patients first concerned when making clinical decision; avoiding unnecessary delays and provide care in timely manner (Health Foundation, 2013).
The standards of the Joint Commission are a foundation for an objective evaluation process the may help healthcare organizations measure, assess and improve performance. These standards are focused on organizational functions that are key for providing safe high quality care services. The Joint Commission’s standards set goal expectations of reasonable, achievable and surveyable performance of an organization. Only new standards that are relative to patient safety or care quality, have positive impact on healthcare outcomes, and can be accurately measured are added. Input from healthcare professionals, providers, experts, consumers and government agencies develop these standards.
An important topic is being discussed and it concerns hospice care. Hospice care is patient/family centered program which provides compassionate, professional, state-of-the-art physical, emotional, and spiritual care and support for people facing life-limiting illnesses. Indeed, there are many opinions about hospice care. However, by most measures of benefit and cost, hospice has been a successful experiment in end-of life care (Lessons from the Hospice Benefit, 2017, Pg. 58). As a result, I believe that hospice care is very beneficial to society.
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).
Quality improvement is a formal process to examine and improve performance through the analysis of data. The primary goal of quality improvement is to enhance patients’
Thus, it is imperative that evidence-based practice is conducted to provide the best current, valid and reliable evidence in an aim to close the gap between non-conformity and coincide with the professional obligation of providing the patient with the best possible care (Liamputtong, 2013).... ... middle of paper ... ... Patient safety and quality of care. Rockville, MD: Agency For Healthcare Research And Quality, U.S. Dept. of Health.
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
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
Interventions that are practiced with an evidence-based standard is definition behind the mission of quality and cost of health care. The final component of the triple aim asserts a value be added to the care of individuals. By utilizing evidence-based practices managed care produces best outcomes for the scenarios in the most cost effective manner. “ In effect, patients, caregivers, organizations, and managers would know the “state of the system” with respect to its reliability, adherence to evidence, cost, and progress in improvement,” (Berwick, 2013, p. 1922)