Public Health Framework

Various internal and external factors influence quality management and outcomes in hospital organizations. One internal factor that affects quality management and outcomes is leadership within the organization. Leadership is important to have successful quality management outcomes because if the leadership does not support it, no change within the organization will be successful. “This commitment must be shared by the board of trustees and all senior clinical and administrative managers and understood that it is a long-term process” (Chassen and Leob, 2011). Leadership is one of the most influential internal parts of the quality management program. Leadership can either help the organization succeed with their support or help the organization fail if they do not support and follow

HC1: Public health is here to assist in the prevention of disease, promote health and continually adding longevity to life (WHO, 2015). It is broken down into a few different functions. There are assessments and monitoring of different health communities and the populations which are at risk (WHO, 2015). Second, would be how policies are designed to solve certain problems on the local and national levels (WHO, 2015). And last, would be to make sure that all populations have adequate access to health care and that it is cost effective (WHO, 2015). Quality improvements is increasing its approach to get maximize services that will be effective while also minimizing the costs (HHS, 2011). When making improvements one must first identify strategies and characteristics that are essential to the concern (HHS, 2011). Once that is completed, apply the quality improvements to produce a measurable improvement (HHS, 2011). This will show whether there were improvements in efficiency, effectiveness as well as performance and outcomes (HHS, 2011). Another improvement would be making the role that environmental health has to give more of an impact in public

The cost and quality of health care and access to it is one of the foremost aspirations in national health care. And the overall main aims of reforming the American health care system is to reduce costs, enhance the quality of and access to health care [1].

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).

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

The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.

More methods are being created and taken place to ensure, inspect, repair and correct performance where it is needed to do so. MCOs have developed a new status quo of improving and performing better every year with tools such as the “Quality Drivers of Care” (Miller, 2004). One of these tools, perhaps the most important one, is the voluntary accreditation of MCOs by organizations such as the National Committee on Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, and the Utilization Review Accreditation Commission, among others. While MCOs are not required to do so they choose to, to show the industry that they are being assessed in the quality and service they provide and that improvements are in fact being made. They are also drivers in effectiveness and quality assurance as MCOs now find themselves competing amongst each other not only on costs but also on their effectiveness.

The United States is not acquiring 20 or even 30 percent better health care or outcomes than other countries do. While there are points of greatness, particularly at some of America’s prominent academic health foundations and in unified health care strategies, the quality is unequal. And quality is a problem that affects us all, whether rich or poor. Practically no matter how we calculate it, whether by life expectancy or by survival for particular diseases like asthma, heart disease or cancers; by the rate of medical errors; or merely by gratification with health care

According to the AHRQ: National Healthcare Quality Report (2009), the goal of quality of health is to help people stay healthy, learn to live with a disability or chronic disease, recuperate from an illness, and deal with dying and death. However, instead of delivering health care services that are safe, patient centered, equitable, and timely. Many patients do not receive needed care. When care is received many times it is unsafe or too late

An organization risk manager and quality manager are continually seeking useful ways on minimizing risks to the organization and promoting better care of the patient. Risk management is the series of actions that is put forward to identify and address the issues to avoid the possibility of loss or injury. “Moreover, even when a risk-management plan creates barriers to access, a careful discussion of those barriers can lead to strategies to reduce them” (Meltzer, 2007, pg. 2). Quality management oversees the development of a product or service and ensures that it’s functioning or performing in the best possible manner with the least waste of time and effort. These departments are critical in recognizing and protecting a company loss. Many health care professionals not easily persuaded that quality can improve even though the result is not good

Risk management is the series of actions that is put forward to identify and address the issues to avoid the possibility of loss or injury. “Moreover, even when a risk-management plan creates barriers to access, a careful discussion of those barriers can lead to strategies to reduce them” (Meltzer, 2007, pg. 2). Quality management oversees the development of a product or service and ensures that it’s functioning or performing in the best possible manner with the least waste of time and effort. These departments are critical in recognizing and protecting a company loss. Many health care professionals are not easily persuaded that quality can improve even though the end result is not good (Moore & Kelly, 1996). These departments provide the means for a company to move forward and grow. Without these watchdogs, it is impossible for a company to gain a profitable earning and increase consumer satisfaction. Both of these departments ensure that BCBS is accredited, follow standards and policies in an effort to provide the consumer with the quality of care from managed care plans.

Glickman, S., Baggett, K., Krubert, C., Peterson. E., & Schulman, K. (2007). Promoting quality: the health-care organization from a management perspective. International Journal for Quality in Health Care.

The growing demand for quality and affordability in healthcare has peaked in the United States in these recent years. The goal in today’s health care is to manage costs while improving healthcare quality outcomes and patient satisfaction. To adapt the efforts towards improving the quality of care, it is important to begin by defining quality. Quality is purposed by the care experienced by patients, family members, and the general public; in addition to, the safety of care, effectiveness of care, availability and accessibility of care, and the environment (Horne, 2014).

Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.

Quality assessment and quality improvement in healthcare are methods for assessing the performance of healthcare delivery in terms of quality. Quality is a term broadly describing efficient access to care and effective services, which meet health needs of individuals and populations. Quality assessments are commonly carried out by health service organizations to comply with regulatory agencies and as part of a continual improvement process. Data obtained from quality assessments helps determine the need to of implement changes to enhance components of care requiring improvement. Changes implemented may include provider behaviors, organizational policies, procedures, and infrastructure modification. Examples of both successful quality improvement programs and barriers limiting their success can be used to inform health service organizations.