The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care. To accomplish this, they are creating incentives for combined models of care delivery and distributing funds for proficient and quality care (Haas, 2011). Accordingly, because nurses take on an elaborate role of patient care and outcomes, they must adapt to the restructured health care system (Haas, 2011). The rationale for this speech is to describe the anticipated shift in nursing practice and to examine the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health care clinics. In addition to recognizing them as important contributors of primary care services, the PPACA acknowledges the prospective leadership responsibility for the advance practice registered nurse (APRN) in the innovative care system (U.S. Government Printing Office, 2013).
Managing and improving quality is base on models and methods use to assist a health care organization to appease the needs of the patients and evolve their efficiency and effectiveness so their work is a series of actions that achieve results, improvements, and quality. This paper will discuss three performance methodologies and chose one of these methodologies for Boston Medical Center (BMC) to use for their quality improvement plan. The description of each information technology use will be research to help improve the performance area of BMC, how benchmark, and milestones are involve, adjacent with the positioning of the mission, vision, and strategic plan of BMC will be analyze. Describe and Compare Three Performance Improvement Methodologies There are various methodologies accessible for the assimilation of quality improvement strategies into performance improvement measures. Health care administrates have been introduce to the approach of quality improvement and quality management that they had to settle on the appropriate methodology for the organization (Moyer, Shaw & New, 2004).
BTEC SUBSIDIARY DIPLOMA IN CARE UNIT 0NE DEVELOPING EFFECTIVE COMMUNICATION IN HEALTH AND SOCIAL CARE. JUSTICE PEPRAH BTEC SUBSIDIARY DIPLOMA IN CARE UNIT 0NE DEVELOPING EFFECTIVE COMMUNICATION IN HEALTH AND SOCIAL CARE. JUSTICE PEPRAH CONTENTS PAGE Pages P1: Explain the role of effective communication and interpersonal Interaction in a health and social care context. 4-11 P2: Discuss theories of communication. 12-17 P3: Explain factors that may influence communication and Interpersonal interactions in health and social care environment.
CDS can operate as a stand-alone system, or incorporate seamlessly into an Electronic Health Record. Due to the overwhelming amount of information, technological changes, and research based changes to recommendations available, clinicians are compelled to seek out consultation for appropriate recourse during the management of the care of their patients. CDS can provide an automated mechanism to such support. Clinical decision support strengthens the use of other healthcare IT such as EHRs, e-prescription, Computerized Physician Order Entry (cPOE), and medication reconciliation, and causes synergy between those systems to help providers reach the proper diagnosis and treatment of their patients. The article "Information in practice", is a systematic review of trials used to identify features critical to the success of implementing clinical decision-support software.
In the UK, this regulation is undertaken by independent regulators who monitor and assess services and take action if there are concerns about the safety or quality of care. These regulators carry out inspections and spot checks and also seek feedback from staff and the public to help them improve care services. They also publish useful guidance on how to manage risks as well as detailed inspection reports, assessments and surveys which may provide useful information on the performance of your organisation. The UK regulators of health and social care services are: Cymru/Wales: Care and Social Services Inspectorate Wales (CSSIW) Healthcare Inspectorate Wales (HIW) England: Care Quality Commission (CQC) Northern Ireland: The Regulation and Quality Improvement Authority (RQIA) Scotland: Healthcare Improvement Scotland (HIS) Social Care and Social Work Improvement Scotland (SCSWIS) hosted by health boards or local authorities. An important part of their role is to promote the inclusion of patients, communities and other stakeholders in the planning and delivery of health and social care services, including scrutinising any proposals to change services.
Furthermore, CMS has other tasks including the directorial simplification principles from the “Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality ethics in nursing homes through assessment and accreditation process, and clinical laboratory, quality laboratory along with quality standards under the Clinical Laboratory Improvement Amendments”( About CMS, n.d.). The most important aspect of CMS is providing health care to millions of people, lowering insurance premiums, and giving consumers better information to make informed health care decisions, accountability from insurance companies, and giving patients more information to make better health care
The Joint Commission is one such agency that provides assistance and support to health care facilities to ensure that certain standards are met, education for implementing new standards and feedback of current healthcare practices as part of the accreditation process. According to Facts about Hospital Accreditation (2014), the “Joint Commission standards address the hospital’s performance in specific areas, and specify requirements to ensure that patient care is provided in a safe manner and in a secure environment (p. 1).” This agency uses a Priority Focus Process methodology to identify areas within healthcare organizations which have a significant impact on patient safety and quality of care. One of these areas that Nightingale Community Hospital would like to focus on is communication. According the O’Daniel and Rosenstein (2008), “Lack of communication creates situations where medical errors can occur. These errors have the potential to cause severe injury or unexpected patient death…More specifically, the Joint Commission cites communication failures as the leading root cause for medication
There are advantages and disadvantages to these two types of quality measurement. A healthcare organization or HCO will decide what type of quality measurement best fits their needs, facility, and patients. Quality measurement is an essential tool that a HCO can utilize and implement into the organization in order to promote good health and improve the overall quality of care (Centers for Medicare & Medicaid Services, 2010). Need for Quality Care Improvement The principal reasons for care measurements are; the evaluation of care and the impact of said care; to promote and improve particular practices; measure performance for improvement; public reporting; and to utilize in future or potential investments for improvement of quality of care (Centers for Medicare & Medicaid Services, 2010). There is always room for improvement in any HCO.
Lastly, indentifying how the service strategy is linked to the organizational vision and mission. Health Care Organization’s Service Strategy The service strategy is the detailed plan for meeting and exceeding the customer’s expectations of a healthcare experience. It should be based on informed judgment and should involve environmental assessments and consumer surveys. Led by the mission and vision, the service strategy guides the development of the service product, service setting, and service delivery system. It should also include the needs, opinions, preferences, and expectations of the targeted consumer group (Fottler, M.D., Ford, R.C., and Heaton, C.P., 2012).
The quality of care would be monitored by a series of inspections in health settings such as care homes, hospitals, GP surgeries and many other health organisations. The responsibility of the Care Quality Commission is to recognise where effective care is being carried out and the areas in which improvements can be made. This would be a continuous cycle that changes according to whether relevant laws are put into place and the experiences of service users. The CQC set a standard of quality and safety that service users should expect when receiving care off health organisations. The standards of quality and safety would change according to the health care providers roles due to them providing different cares e.g.