Quality improvement programs are put into place to ensure all employees are held accountable for their actions, integrating evidence-based practice into healthcare, and to continually improve care to countless populations (Huber, 2014). In this paper I 'm going to explain my organization 's quality program goals and structure. Next, I will describe how quality improvement projects are selected; I will also discuss the quality methodology, tools and techniques, and project management. Following this I will explain how nursing staff is trained in quality improvement process and how quality improvement activities and process is communicated to the nursing staff. I will clarify how the organization evaluates quality improvement activities for effectiveness and the process when the quality improvement activity is not effective. Lastly, I will rationalize two examples of effective quality improvement initiatives in the organization including the process, impact on patient outcomes and whether a change in practice occurred. Organizational Quality Program, Goals, and Structure Quality management system was implemented into my organization on September 1, 2005 and includes hospital-wide processes and organizational goals. The cabinet in management ensure that organization goals are determined with comported comprehensive averages and past performances. Measurable goals are relevant to the department, hospital-wide process and individual levels when appropriate. Some goals included during an acute myocardial infraction are aspirin prescribed at discharge, statin prescribed at discharge, and percutaneous coronary intervention within ninety minutes of arrival to the hospital. In 2014 the organization met 100% of these goals. There are individual goals set for stroke, surgical care, pneumonia, venous thromboembolism, prenatal care, outpatient surgery, chest pain, emergency department and preventive care; these ensure each department is assessed on specific levels. Hospital-wide goals include consumer satisfaction reports such as physician communication, nurse communication, responsiveness, pain management, communication about medication, discharge information, room quiet and cleanliness, and overall rating of the hospital. This report helps show our strengths and weaknesses and gives areas for improvement. The organizations president is appointed director of quality management; they are also a management representative for process improvement.
…show more content…
This individual ensures the processes needed for quality management are established and report to the cabinet on the performance of the quality management system. They are to promote awareness of patient requirements through the organization. The management representative may include a liaison with external parties on any matters relating to the quality management system. The process improvement center specialist can serve as a backup management representative if the director of quality management is unavailable. Quality Improvement Projects-Selection, Methodology and Management This organization facilitates continuous improvement of the quality management system through the use of the Mission, Organization Goals, audit results, data analyze corrective, and preventive actions and management reviews. A checklist developed by Walter Shewart is used; this outline includes identifying the problem, analyzing the problem, developing a solution, implementing a solution, evaluating the results and finally standardize the results. Any member of the staff can bring an identified problem to their manager, if the manager feels this is appropriate they may pass it along to quality improvement. The idea will filter through the checklist and if deemed appropriate may be facilitated into the organization. …show more content…
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. Using the surveys, we are able to identify our strengths and weakness and improve patient care. With the help of these surveys we initiated bedside reporting and nurse to patient communication scores improved. Patients felt more involved with their care and provided the hospital with a better overall score. Another quality improvement included allowing nurses to determine when a Foley may be removed per protocol. This has decreased infections and also improve patient outcomes. Early removal of Foley catheters
This individual ensures the processes needed for quality management are established and report to the cabinet on the performance of the quality management system. They are to promote awareness of patient requirements through the organization. The management representative may include a liaison with external parties on any matters relating to the quality management system. The process improvement center specialist can serve as a backup management representative if the director of quality management is unavailable. Quality Improvement Projects-Selection, Methodology and Management This organization facilitates continuous improvement of the quality management system through the use of the Mission, Organization Goals, audit results, data analyze corrective, and preventive actions and management reviews. A checklist developed by Walter Shewart is used; this outline includes identifying the problem, analyzing the problem, developing a solution, implementing a solution, evaluating the results and finally standardize the results. Any member of the staff can bring an identified problem to their manager, if the manager feels this is appropriate they may pass it along to quality improvement. The idea will filter through the checklist and if deemed appropriate may be facilitated into the organization. …show more content…
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. Using the surveys, we are able to identify our strengths and weakness and improve patient care. With the help of these surveys we initiated bedside reporting and nurse to patient communication scores improved. Patients felt more involved with their care and provided the hospital with a better overall score. Another quality improvement included allowing nurses to determine when a Foley may be removed per protocol. This has decreased infections and also improve patient outcomes. Early removal of Foley catheters