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Quality improvement research paper
Quality improvement part 3
Quality improvement research paper
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Quality improvement research paper
Quality improvement part 3
Quality improvement research paper
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The real-world business situation that I will be addressing by collecting and analyzing a set of data is that of a Hospital, specifically that of the hospital staff and the patient safety interaction. I have chosen this specific business as it is my hope to utilize this degree to become a director at a local hospital. In Hospital’s there are so many aspects that one needs to look at. These aspects can be broken down into individual pieces of data that can be analyzed and provide a clear outlook of change.
The Joint Commission’s tracer methodology is used to ensure compliance standards are met, as well as to “trace” and document the level of care provided to patients in order to make improvements to the facility’s health care delivery system. Patients requiring services that utilize the entire continuum of care spectrum are selected in an effort to gather sufficient information needed to identify areas with potential risks and safety concerns. As the patients’ course of care progresses across the system, Joint Commission surveyors evaluate each department 's policy and procedure on data management, infection control and medication management process. Health information management is impacted by the “tracer methodology” because HIM must ensure
I picked this passage to represent the beginning of the book because it shows the awakening of the darkness in the boys’ hearts and their realization of the power they hold. This fits into the theme because it is when the boys realize that they can have power over themselves on this island and start to ignore the rules of the conch. The fire they unleashed represents the chaos that the society will eventually fall into. Piggy, as he represents law and order, glances into the fire and foreshadows what is to come. I really like the use of describing the noises of the fire as “a drumroll that seemed to shake the mountain.”
Since CMS implemented the Physician Quality Reporting Initiative (now known as the Physician Quality Reporting System (PQRS) under the Tax Relief and Health Care Act of 2006 (TRHCA), there have been several changes in participation sanctions, reporting mechanisms and eligibility for incentives and bonuses. During the first two years, the program was technically a temporary, renewable initiative that sought to improve the quality of both delivery and coordination of care. The initiative became permanent when the Medicare Improvement for Patients and Providers Act (MIPPA, 2008) was enacted. The Centers for Medicare and Medicaid Services (CMS) believes the sanction-based initiative will empower consumers and providers to make better informed decisions
Their mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,
Comparative study Jurisdictions who have set up systems of reporting on quality indicators Questions to be answered - How they define quality - Entity responsible for collecting data and the structure of the entity - CQC - If the institution is independently regulated or self-regulated - Independent - Pros and cons of each approach - How different stakeholders collaborate to a England Regulator The Care Quality Commission (previously the Healthcare Commission) is an independent regulator of health and social care in England. It regulates the quality of care provided by the National Health Service, public service, local authorities and voluntary organisations in the United Kingdom. The CQC was established by the Health and Social Care
HHS expects 90% of Medicare payments to be directly tied to quality measures by 2018. It is imperative that hospitals, urgent care clinics and frontline providers align their
The is a discussion of quality measures. A brief review of provider contracting is included. The is a status update of the project. A model of the Integrated Care Delivery System (ICDS) is also presented. This information is relevant to healthcare care provides as it provides information as to the state’s choice of a MCO over the ACO model.
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
Hospitals frequently enhance their quality of care by improving their best practices. Bedside reporting is a best practice that has numerous benefits including a decrease in the potential for mistakes, increased patient involvement and understanding of their care, increased teamwork among nurses, and an increased accountability of nurses (AHRQ, 2013). A review of the literature was run and showed several studies and literature reviews on bedside reporting. The majority of these articles were conducted on adult medical-surgical
Hospitals and providers had to sustain certain quality outcomes and measures. Currently, if quality outcomes are not obtained hospitals and providers are penalized. What is the sole purpose of meaningful use? Patient outcomes will improve and care will
The Agency for Healthcare Research and Quality (AHRQ) is developing a group of assisting materials that help in research and decision-making in healthcare field. Researchers and other individuals in different administrative ranks can use these assisting tools at the local, State, and Federal levels. In order to measure health care quality, AHRQ uses The Quality Indicators (QIs), which is using the promptly available inpatient administrative information from hospitals. AHRQ by using The QIs is focusing on the main probable quality matters, detecting zones that demand more body of knowledge and exploration, and tracking any alteration within the passage of time.
1. Describe three possible interventions to address the potential negative consequences of general healthcare quality improvement programs (eg. pay for performance and quality reporting) on racial and ethnic healthcare disparities. Reference: • Robin M. Weinick and Romana Hasnain-Wynia. Quality Improvement Efforts Under Health Reform: How To Ensure That They Help Reduce Disparities --Not
Medicare reimbursement is partially based on a facility’s Star Rating. A critical component to this is patient surveys and HCAHPS. I have seen a push toward the customer service experience. Indeed, I feel strongly that every healthcare worker including nurses should treat each of their patients with respect, equality and do the absolute best to meet their needs.
Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,