Substandard Quality of Care HCS 451 Health Care Quality Management and Outcomes Analysis Professor Jodi Sapaguh By Lisa Gresley August 9, 2010 Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of …show more content…
Healthcare information technology forms a pivotal part of today 's healthcare system. Improved quality of healthcare, patient safety, drastic reduction in medical errors and enhancement of care delivery is possible because of the induction of these solutions in the healthcare delivery environment. Today, healthcare IT solutions are enabling processes like planning, decision-making related to organizational development, strategic planning to drive growth, recruitment of competent personnel, managing employee benefits, payroll, intra-department communication, etc. One policy that has changed the health care delivery to shift cost responsibility toward the hospital was the Tax Equity and Fiscal Responsibility Act of 1982. This policy has changed hospital reimbursement under Medicare with the introduction of diagnosis-related groups (DRGs) (Sultz & Young, 2009). The DRG prospective payment system rewarded hospitals financially for efficient care (specifically shorter hospital stays) and reduced the incentive to consume (Sultz & Young, 2009). Another policy that placed the burden of responsibility on the hospital was the Consolidated Omnibus Budget Reconciliation Act of 1985 which required hospitals to provide care to everyone who presented in the emergency department regardless of ability to pay (Sultz & Young, 2009). This law was designed with good intent to reduce the “patient dumping” that had arisen from the DRG system, but it nevertheless
The potential for growth in the field of Health Information Management (HIM) is undeniable. With the diversification of the HIM profession, the implementation of new technology, and with an ever growing population, the HIM profession will undoubtedly continue to grow. The HIM professional is experiencing an expanded role in the development of standards on both the national and international levels (AHIMA, 2014). A key component of the HIM profession is the acquisition of new technology. As the current infrastructure of the hospital ages and becomes obsolete, HIM professionals must actively seek technology which is compatible with their organization’s current equipment but also able to support future equipment. Another cornerstone of
The problem is defined in America’s healthcare ranking as the most expensive, least available, and poorest quality health care in the world.
Through the history of health care, the standard of care changed from protecting our patient from injury and illness to a systemic entity to make money for insurance companies. Access to services and clinical outcomes are dependent on what health insurance providers will “pay” for in a clinical or community setting; as a result, patient safety, care and satisfaction has been negatively impacted.
falls short compared to other countries stating that our annual deaths due to medical errors are in the tens of thousands (Filson, Hollingsworth, Skolarus, Quentin-Clemens, & Hollenbeck, 2011). They view this lack of quality of care as depending on what provider you see and where. The United States compared to other countries is in last place when it comes to mortality rates and quality of care (Davis, K, et al, 2014). The authors go on to say that the millions of people who are uninsured and those who are considered to be under insured only add to the gap of quality because these individuals do not have access to basic health care and this also adds to the $130 billion spent on those folks who are not insured or that do not take advantage of preventative
With the rapid growth in technology, many healthcare organizations have embraced the use of healthcare information technologies. As such, the information technology department has various staffs that perform fundamental roles in the information technology-related activities. It ranges from activities of customizing a software to implementing and maintaining a network to ensure effective system backups. In addition, these healthcare information technologies bring about other
In the United States alone there are 98,000 deaths per year caused by low quality health care (Ignatavicius & Workman, 2013, pg. 2). This statistic is disturbing because the errors that resulted in death were errors that were preventable. The intent of this chapter is to bring awareness to health care providers that are able to make a change in the quality of health care. In current practice patients are subjected to medication errors, preventable hospitalizations, premature death, and poor care provided due to racial, ethical, or low-income factors.
Office of National coordinator for Health Information Technology (ONC) has funded this program to find breakthrough innovations in the field of Health Information Technology (IT). This research program was awarded $60 million and this program is divided into four focus areas. This program brings together researchers, healthcare providers, and other health IT sector stakeholders in order to transform the research products into practice. This program is designed to improve quality, safety and efficiency of healthcare using advanced information technology. According to Healthit.gov “current adoption rates of health IT in different states we see that some states are better than others” [1], hence this program is designed to find the factors that are hindering the adoption of health IT and the products developed using this project should help propagate the growth of health IT. This program has both short-term and long-term related goals hence they focus both on current and future needs of health IT products. I have selected this program because it is important to understand the factors that are effecting healthcare practices health IT adoption and work towards analyzing and finding solutions to those problems, so that there is a 100% rate of adoption and data flow is seamless between the healthcare practices. This program helps keep the maintenance cost of the products developed to minimal as it focuses both short and long term needs. There are 4 focus areas to
The palpable symptoms of our “sick health care system” are described almost daily in popular print and broadcast media. Almost one of every six Americans have no health insurance, health care spending is escalating rapidly, administrative costs are excessive, and medical errors (including overuse and underuse of medications and procedures) are rampant. Less frequently discussed, but of fundamental importance, are systemic problems in the financing of health care and in the organization and delivery of care.
The major challenge of IT professionals in healthcare is the regulatory oversight. IT professionals needs to follow the HIPPA rule and make sure that the information is communicated to the designated person or patient only. Another challenge is the possibility of technical difficulty, there is always a chance attached to the technical malfunction. If the technology is not working properly then the healthcare information can’t be updated, and can’t be properly used. Staff training is another barrier, staff needs to be trained to use the information and update it properly.
The healthcare information system (HIS) is a collection of systems that is used to deliver and promote communication systems and information along with technology to assist the characteristics of patient care, ongoing medical education and original research. When the entire systems combine together it can develop and improve the healthcare system and help decrease a significant number of medical and therapeutic related errors. It is also used to support and enhance healthcare e.g. Administrative information system, Clinical information systems (CISs), Nursing Information System (NIS).
Patients does not always receive the necessary care and procedures that should work. Most people believe that they receive the best care in the US. “Although the US spends approximately 2 trillion dollars each year on health care, 16 percent leads to imperfect quality of care.” Quality of care falls under three categories : underuse, misuse and overuse.The Institution of Medicine reported that at least 44,000 patients die each year because of an infection they develop during hospital stay. Patients with certain type of insurance plans or no insurance coverage does not receive the medical care that is needed. If a patient goes in for surgery such as gall stone surgery and doesn't have insurance, the doctors discharge them without proper observation because they are a liable expense to the hospital. According to the Medical Institution, each year more than 100,000 patients receive the wrong care, there are over 1.5 million medication errors each year. Is that quality care? Another issue is the overuse and abuse of insurance. Many patients receive care than is not needed. Doctors order extra tests and procedure because of the type of insurance plan the individual has and the amount of incentive the doctor will be paid. Most doctor’s and hospitals are paid more money if they provide more services to patients. But more care does not mean the best
The research will provide a thorough overview of information systems and their importance in the Central Service Department. It will provide a brief history of health care information system in the United States. It will also high a few cases of challenges of IT
Hospitals rely on information to be their lifeblood of modern medicine and health information technology is destined to be its circulatory
The Agency for Healthcare Research and Quality defines quality healthcare as, “doing the right thing for the right patient, at the right time, in the right way to achieve the best possible results”. Quality healthcare in the United States is lacking due to misuse leading to injury, underuse due to many patients not receiving necessary treatment, and overuse of care that is not needed. A lack of quality care can lead to serious harm or even death to patients. Studies show that due to incorrect care, as many as 91,000 Americans die each year. Tens of thousands die each year due to preventable hospital errors. Studies have also shown that quality care has significantly improved among health care facilities that participate in programs that pay
When implementing technology into healthcare, there may be advantages and disadvantages. The first advantage is efficiency. Informatics allows for a more conscientious way of caring for patients. Different departments can access patient records allowing for less errors and an easier way to gain knowledge about how to take care the patient. A second advantage is accuracy. Health informatics allows for a more accurate way of collecting pertinent information about a patient that can aid in the safety of the patient. With the right technology, the information can be accessed as soon as it is needed. Health informatics can also improve patient care by offering guidelines on the computer for the patient as well as the staff. This allows for less