Improving the health care system can play a crucial role in the delivery of safe, cost effective patient care. Many governing bodies mandate quality improvement in healthcare. Quality improvement initiatives are a result of systems failure. A thorough investigation into the failure can reveal where and how the system can make improvements.…
The Joint Commission (TJC) has been recognized since the 80s as a leader in high performance. TJC standard performance measure is known as the “gold standard” in health care which sets many performance values and the measured data from these measure sets is used by hospitals for internal quality improvement by TJC on accreditation and is publicly reported on their website. The Joint Commission provides a program called Top Performer on Key Quality Measures that recognizes standards on accredited hospitals which acquire excellence on accountability performance. This program is based on data reported from the facilities previous year about evidence and processes that are shown to be the best treatments for conditions including heart attacks,…
Dana Safran presentation is an overview of quality improvement and evidence of quality measures to improve health care. She describes the seed of the quality imperative in the United States. In the year 2000 the IOM scoping the extent of medical errors and system related harm. There were one hundred thousand medical errors leading to death in the United States, making it the fifth leading cause of death in the United States. This woke up the country and made everyone realize how important quality care and safety were.…
Quality of care can be ascertained through the use of quality improvements. Knowledge about the strategic means of improving patient care is very important as I could guide practice as an APN. In quality improvements, data is collected and used to assess positive or negative reports and measures are set in place to improve quality and safety (QSEN, 2014). Daily assessment of quality improvement is very important and all aspects of care should be reviewed such as patient confidentiality, ethics, safety, communication, infection control, and many more (QSEN, 2014). Improving quality of care is a collaborative effort of the management teams, health care professionals, patients as well as family members (QSEN, 2014).…
The data collected includes patient satisfaction, conformity to product requirements, characteristics and trends, supplier performance, internal audit findings, and data to support organizational goals and improvement from management review. When nonconforming products are detected the organization takes appropriate actions. They Maintain documents hospital-wide process for investigation and effective implementation of preventative actions to eliminate the cause of potential problems in order to prevent this occurrence; when the quality improvement is an effective the whole process begins over again. One example of quality improvement within our organization is tracking patient satisfaction. Surveys are sent home with patients for them to evaluate the hospital.…
In the healthcare system there are systematic measurements that exist to help ensure that healthcare providers are providing quality assurance. There are certain factors that are deemed of importance when debating on the topic of healthcare quality. “The definition of healthcare quality will differ, depending on the particular lens through which the health system is viewed” (Jones et al, 2014). Quality is based off the work done by the Institute of Medicine. This non –profit organization takes a number of factors into consideration such as: “patient centeredness, access, timeliness, equity, effectiveness, efficiency and safety” (Jones et al, 2014).…
The clinical site in which I’m currently working is Select Specialty Hospital in Jackson, Mississippi. It is one of 110 long term acute care hospitals (LTACH) owned by Select Medical Corporation of Pennsylvania. As a LTACH facility, the patient population includes those that are critically ill and have medically complex issues. These patients require more comprehensive, specialized care and longer hospital stays that are, on average, three to four weeks. The focus of the quality assurance/improvement programs that Select has in place is geared toward their critical patient population.…
The main principles that help improve the quality of care should incorporate the major principles of the quality improvement (QI). These principles are, to understand that the QI works as the key process and system. The process needs to focus on the patients, the use of data and to be the part of the team (Health Resources and Services Administration, n.d.). The three top strategies to incorporate into the practice are of the health communication, dissemination, and implementation (Agency of Health Care Program, 2012).…
Core measures, a derivative of quality indicators as defined by The Centers for Medicare and Medicaid Services (CMS), represent the national standards of care and treatment for various health conditions. They are evidence based process measures that minimize complications and produce improved patient outcomes. Every hospital in the United States is required to report their core measure compliance to The Joint Commission, The Centers for Medicare and Medicaid Services (CMS) and other agencies (citation). Results of core measure compliance is made available to the public and even impacts hospital reimbursement. According to The Centers for Medicare and Medicaid Services, core measure sets were developed to be significant to patients, consumers…
Value & Quality of Care The most successful health care organizations carry above and beyond requirements for meeting their patient’s needs. In the transformational model, an organization understands that meeting and exceeding standards of individual patient’s expectations will produce better value and quality outcomes. Value can be thought of as “the amount of satisfaction received related to the price and expected outcome or results” (Ginter, Duncan & Swayne, 2013, pg. 131). A transformative health care organization will display extra ways of ensuring each patient is genuinely satisfied and taken care of.…
Physician quality review is important to have within the field of healthcare. For instance, this is how physicians and healthcare facilities are rated in terms of quality and efficiency, especially when it comes to treating patients. There are several important aspects that revolve around the importance of physician quality review and those include Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE) processes and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). All three of these systems work together to provide patients as well as the medical staff with valuable information when it comes to choosing a physician for their quality of care.…
In the next couple of years, my goal is to become a healthcare administrator. Therefore, when I one day meet that goal I want to have advanced knowledge and experience with benchmarking in terms of quality. For instance, measuring quality over volume is just starting to make its way to our healthcare organizations. In fact, the Center for Medicare and Medicaid has designed a program called MIPS, which is a mandatory reporting requirement that will measure physician quality (CMS, n.d.). MIPS is the future of healthcare and that is why I believe this benchmarking data is the most crucial to understand.…
Performance/Outcomes Performance and quality assurance goes hand in hand. Improving clinical outcomes will establish an organization overall rating. In order to evaluate outcomes you must focus on team responsibility, map and study process. The ACA, has influenced Physician Quality Reporting System (PQRS). Quality improvements are influenced by appropriate data.…
This is an ongoing process that helps measure the quality of health care that is being delivered and if goals are being met. The…
The threats associated with poor quality of data will result in ineffective performance improvement process. Data for quality improvement should be: - Relevant to the organization’s goal, mission, vision, values and objectives, otherwise it would not help the organization improve their quality. - Reliable, consistence and valid to identify problems in the health care setting. For example, if there was bias or false data was recorded to show better results then the organization would not be able to know where the improvement is needed. - Precise definition and specification: the data measured should be collected and calculated in the same way for each organization.…