QUALITY IMPROVEMENT STRATEGIES
KAPLAN UNIVERSITY
ERIC JAVIER
HA499 Unit 4 Assignment
Professor: Lisa Giarda
December 7, 2016
QUALITY IMPROVEMENT STRATEGIES
Healthcare facilities can use quality improvement techniques to guide in their decision making. Quality improvement techniques include setting standards, monitoring performance and evaluating outcomes. Once a standard of quality has been identified, using quality improvement techniques to achieve that standard is important for healthcare facilities. Facilities can use quality improvement techniques to guide the facility decisions. The status quo can be discouraged and decisions to accept the challenge of improving can prevail. The challenge that organizations encounter
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The philosophical elements are most important in CQI. The philosophical elements must be present in order to constitute a CQI effort and at a minimum must include: 1. Strategic focus—Having a mission, values, and objectives, 2. Customer focus—focus on both customer (patient, provider, payer) satisfaction and outcomes. 3. Systems view—Based on analysis of the system influencing an outcome. 4. Data-driven analysis. 5. Implementer involvement—Involving the owners of all components of the system. 6. Multiple causation—Identifying all the multiple root causes. 7. Solution identification—Seeks a set of solutions for better performance. 8. Process optimization—Optimizing a delivery process 9. Continuing improvement—System to self-monitor even when a satisfactory solution is obtained. 10. Organizational learning—To process improvement and personal growth.
Structural methods can include 1. Process improvement teams. 2.Use of one or more of flowcharts, cause-and-effect diagrams, run charts, control charts. 3. Parallel organization—Development of a separate management structure to set priorities. 4. Organizational leadership—to make the process effective integrate CQI into the institution. 5. Statistical analysis. 6. Customer satisfaction measures. 7. Benchmarking—Use of benchmarking to identify best practices. 8. Redesign of processes from scratch—Making sure that the end product conforms to customer
NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.
Quality management is essential to the success of the quality improvement of the health care industry. “Management uses management and planning tools to organize the decision making process and create a hierarchy when faced with competing priorities “( Ransom, et al., 2008). Quality measures should have these goals: effective, safe, efficient, patient-centered, equitable, and timely care (Quality Measures, Center for Medicare & Medicaid Services, 2011).
Health care managers need to improve quality services in health organizations. To improve these quality services they have to use methods that are proven helpful in the QI process. For example, Six Sigma is used to display and measure quality improvement data. It is also used to measure
The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.
This quality improvement discussion will review the purpose of quality management in health care industry and why it is needed. Included in this QI report will be an explanation of the
For health care organizations quality data collection is an essential tool used for data collection. The information produced from the data assists the health care organization in other functions such as effective ways to manage and perform decision making for the organization, this includes the strategic planning process. Quality improvement is the method of assessing processes and provides the information necessary to improve services. All of this together allows the health care organization to become a high producing system of
Our Performance and Quality Improvement Process is based on the Continuous Quality Improvement Model which focuses on the importance of continuing to ask “Can we do it better? Can we do this more quickly? Is there something else we could do to improve the quality of care for our clients and the tools for our staff who deliver this high quality care?” In this model, the point is to focus on improvement even when nothing is wrong.
In any continuous quality improvement effort, measurement is the key element (Sollecito, & Johnson, 2013). “Measurement and statistical analysis are used to assess the impact of an improvement effort” (Sollecito & Johnson, 2013). To Measure the impact of the program, the hospital utilized a departmental quality improvement assessment with a scoring matrix for self-assessment (McLaughlin, et. al., 2012). The scoring matrix consisted of five category ratings which each department head had to complete. Univer4sal Charting and Resource Utilization were also used for measurement (McLaughlin, et. al., 2012).
As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being treated for what they original came in for. Health facilities should be environments of healing, which they are, but they also have tons of various types of germs and infections, which grasp onto individuals that have weak immune systems/are sick. Some infections that are at hospitals are Tuberculosis, VRE, VAP, C-Diff, UTI, and MRSA. Preventive measures to stop the spread of the infections is lacking tremendously in the work and aim to provide safety for all patient’s health. The work
The process emphasizes modifications of system when there are changes to achieve organizational goals (Begunn, Kaissi & Sweetland, 2005). For example, a leader’s approach to patient safety could be a Continuous Quality Improvement (CQI). CQI is an approach to quality management; it principle is built on the traditional quality assurance that emphasizes on an organization and it systems. It focuses on process rather than an individual; it recognizes both internal and external customers and it improve system processes.
After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when
Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage
Moreover, the PQIs can be used as an assessment instrument to help highlight potential healthcare quality concerns and challenges that require further analysis and provide effective data for planning and improvement of health care quality; and provide information to the consumers (U.S. Department of Health & Human Services, 2014). The Inpatient Quality Indicators (IQIs) measures also provide a perspective that includes inpatient mortality for certain procedures and medical conditions; application and utilization of certain procedures for which there are questions of uses
Healthcare providers strive to improve service quality by implementing various quality management programs. Customers tend to seek for higher quality of care when choosing treatments, providers, and health plans. For healthcare organizations that desire to provide high quality care and compete in the global market, choosing a quality management program to implement is critical for performance and efficiency. Many studies have been conducted to analyze the effectiveness of such programs. Lean, Six Sigma and Total Quality Management (TQM) are three programs that will reviewed by three different case studies in efforts to understand them and to compare and contrast their capabilities.
Health care improvement and high quality care requires more then the technical approach of tools and methods, improvements often require a change in attitude and sense of ownership for the quality of serviced provided by an organization. Many supporting factors must integrate QI into the structure and foundation of the company, these are also known as the building blocks. Improvement also implies that it will be implemented in a variety of settings, circumstances and various levels within an organization. The structure has to also define how the different parts and levels of the QI program fit together and how they will be synchronized.