They mainly focuses on preventive care services—outpatient services that assist individuals with either staying healthy or managing chronic illness. The Inpatient Quality Indicators (IQIs)- The AHRQ IQIs provide information about the quality of medical care delivered in a hospital. This measure set represents the state of the art in measuring the quality of hospital care using inpatient administrative data. The IQIs include measures in the areas of inpatient mortality; utilization of procedures for which there are questions of overuse, underuse, or misuse; and volume of procedures for which there is evidence that a higher volume is associated with lower mortality. The Patient Safety Indicators (PSIs)- The PSIs are a set of quality measures that use hospital inpatient discharge data to provide a perspective on patient safety.
Trinity Hospitals five year plan includes development of an orthopedic center, cardiovascular center and a cancer center. Task four asks for an assessment of the viability of one of these service lines. By assuming the role of the hospital CEO, I will evaluate the orthopedic center service line and present the findings to the board of directors for their approval. Demand for Orthopedic Service Line As identified in the Trinity Community Hospital’s Community Needs Assessment, the demand for orthopedic services in the area is expected to increase by 46% in the next five years. Inpatient joint and spine procedure are projected to increase by 30% and outpatient joint and spine procedures are expected to increase by 350%.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is something I hear about a lot at my hospital. HCAHPS is a national survey that is sent to patients anywhere from 48 hours to six weeks after their discharge from the hospital. It was created by the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ) (Hospital compare quality, n.d.). The questions on the survey range from communication from nurses and doctors, how quickly staff responded to patient needs, management of pain, discharge information, cleanliness and quietness of the hospital, and overall score (Grellner, 2012). HCAHPS scores are public information, meaning people can look up the results of hospitals and make decisions of where they want to receive care.
Research to help improve the quality of care can be used to ensure the resources are being used effectively. The relationship between nurse and patients will improve. This will then improve the quality of care. For example the government could use research into elderly people to put plans and laws in place to improve the quality of life by delivering more home-based care. Research into planning provision of services is a function of research.
Quality Improvement (QI) can lead to a general approach to the measurable improvement of patient care. Quality improvement uses specialized plans and principles that guarantees quality of care for patients in healthcare facilities. Quality outcomes centers on quality management principles. This report will cover the fundamentals of Quality Improvement. This report will also explain the importance of stakeholders an how quality is identified.
Quality Improvement Part ll HCS/548 Mary Ellen Strout October 21, 2013 2. Quality Improvement Part ll Quality improvement is a hospitals applied process in order to ensure the advancement of the quality of care and outcomes for patients using an explicit set of philosophies and procedures (Walker, 2012). There are potential advances for quality improvement at Jordan Hospital in the Emergency Department. The quality improvement that would be applied uses the measurement of the collected data to be used towards the strategic improvement of patient care. Using the measurements taken and applied tools, it allows for leaders to understand the direction of the quality management in an organization or facility.
• Effective communication among health care staff. • Charting the patient’s response to care. • Auditing care for improvement, third-party payment, and governmental, and regulatory purposes. • Teaching health care professional about care issues for the patients. Key reminders of documentation gave focus on the goals to staff of ways to improve documentations for financial concerns for payments by Medicare, liability issues, and possible malpractice lawsuits.
This paper will address the foundational frameworks of QI, the various stakeholders’ definition of quality, the various roles of clinicians and patients in QI. This paper will also address why quality management is needed in health care industry, accrediting and regulatory organizations involved in QI. The Foundational Frameworks of QI The foundational framework of QI is a continuous process that focuses on multiple relationships such as implementing improvements and improvements in processes. Some areas that organizations may concentrate their improvement efforts on are the reduction of medication errors, reduction of emergency room wait times or clinical measures such as breast cancer screenings or HIV testing. Walter Shewhart developed the Plan, Do, Study Act cycle used as the basis for planning and direction performance improvement efforts (Ransom, Joshi, Nash, & Ransom, 2008).
Running head: IMPROVING QUALITY PATIENT CARE AND SAFETY Improving Quality Patient Care and Safety Betty Miller Western Governors University RTT1 Task 1 Improving Quality Patient Care and Safety The American Nurses Association developed nursing-sensitive indicators for the purpose of improving quality patient care and safety. Nursing-sensitive indicators are the patient outcomes that have been clinically researched and proven to be directly linked to nursing care. Nursing-sensitive indicators are based upon the organization of care, nursing care process and results of patient focused outcomes. The organization or structure of nursing care is reflected by the quantity and quality of nursing staff. The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses.
The compiled data should be composed of specific measurements, input from employees as to suggestions for improvement and concerns as well as patient care results and input. The eminence and accessibility of the company’s resources must be evaluated first. Quality improvement (QI) measures the delivery of medical services and the outcomes like patient health status, mortality, and patient satisfaction (Hughes, 2012). Total Quality Management (TQM) is a model, which includes the organization’s management, staff working together as a team, outlines procedures, and policies, promotes methods of intellectual rational, and a modification to produce an atmosphere for excellence (Hughes, 2012). The construction of Continuous Quality Improvement (CQI) benefits the process of TQM; with the attitude that every chance an organization has should be an opening for improvement (Hughes,