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. Specifically, the PSIs identify problems that patients experience through contact with the health care system and that are likely amenable to prevention by implementing system level changes. The problems identified are referred to as complications
According to American College of Medical Quality (2010), risk management involves identifying conditions that might put patients or a healthcare organization at the danger of undesirable outcome. In addition, the practice involves putting in place measures of avoiding, preventing, and controlling the risks. Quality management in healthcare organization is useful in managing, reducing, and alleviating risks. Risk management is an essential component of making sure that patients are safe, and that the care they get does not endanger their health or wellbeing. Process improvement is a quality management concept that involves the identification of weak areas in order to come up with ways to improve processes at the medical facility.
The goals focus on the Institute of Medicine’s description of needed objectives. It outlines their plan to achieve quality within that facility. It further discusses steps needed to be taken in order to realize the objectives with good information describing why each step is crucial in the process. This article provides a great outline for why quality control is needed within any healthcare setting and a source of possible solutions in order to realize the goal. The authors have strong backgrounds in the medical field as directors in managing care as well as planning strategies (Anderson, Amarasingham, & Pickens, 2007).
The inpatient coder ensures that the data entered is relevant, indicating the reason that the patient was admitted, which involves the kind of illness and a breakdown of the treatment that was given (Henderson.) The inpatient coder uses the current version of ICD-CM classification for the most appropriate DRG assignment for assigning codes to diagnoses and procedures. They have to be able to determine the correct diagnosis and secondary diagnosis, identifying and assigning co-morbidities and complications and principle procedure codes. The inpatient coder is also responsible for selecting the proper DRG and Discharge Disposition Code. The impatient coder sends the documentation to HIM Operations for follow-up when Physicians documentation is not clear or straight forward.
This report will also explain the importance of stakeholders an how quality is identified. The review of the purpose of physician and patient pertaining to Quality Improvement will be discussed in this report. Why Quality Management is necessary in the healthcare
More often a nursing assessment is based on the medical side of the patient rather than the holistic approach. In this assignment I will be discussing the importance of the nursing process, care planning, and looking at how these are used in practice. I will look at the tools used in the nursing process and show an understanding of how effective they are when used correctly. I will achieve this by describing a case study of a patient from my practice area, and discussing two specific areas that affect the patients care. Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008).
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).
Evidence-based practice (EBP) provides the research and information of how to deliver the best patient care, and can be integrated into the delivery of nursing care. Prevention of ventilator-acquired pneumonia (VAP) in ventilated patients in the intensive care unit is just one example of how evidence-based practice is being implemented in nursing care. Evidence-Based Practice Dr. David Sackett, a pioneer of evidence-based practice, best describes it as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patient” (Troseth, 2009). This involves the integration of clinical experience, the values of the individual patient, and the best evidence-based research (Schardt, 2010). Implementing EBP in nursing care establishes who they are, what they do, and what effect they have on patient outcomes (Overholt, 2004).
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).
The plan must address who is to perform specific duties during the recovery period. These people must be selected very carefully, alternates identified, and plans should be documented to train and test those individuals in the performance of their duties. * Review and update the current contingency plan for the hospital to ensure that it is flexible in order to respond to any type of internal or external disaster including nuclear, biological, and chemical terrorist threats. Update the current contingency plan to ensure that it outlines a chain of task delegation and communication to be activated by the upper level medical services supervisor on-site following notification from the administrator on call that emergency procedures are to be implemented (see Table A). * Conduct a business impact analysis to identify and prioritize critical systems, business processes, and components.