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
With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers. Another large trend seen in healthcare is the shift from fee-for-service model to a fee-for-value based system. In the current fee-for-service system reimburses providers for healthcare, where physicians and healthcare professionals have incentives to provide more for the patient in the form of tests ordered and procedures made. The fee-for-value system works on an equation of quality over cost over time, which provides patients with safe, appropriate, and effective care with enduring results at reasonable costs. (Binder, 2014).
The first source could be the data entry system the company is using. Data systems in hospitals are meant to make the organizing and calculating of information easier, however, at many times these system can have a glitch or be improperly set up to meet the company needs. The second source would be the administrators of each hospital. As history and chapter 2 explains that integrity and bonuses can play a major role in the thought process of an individual. Could administrator’s change financial and data entry to look successful or to receive more funding?
These processes are due to The Patient Protection and Affordable Care Act of 2010 or Affordable Care Act 2010 (ACA), which includes several provisions to link cost-effective care with quality. The current system in the health care industry is fragmented and lacks individual responsibility for the coordination and quality of patient care. By designing incentives for establishment of integrated care delivery models and disbursing funds for coordination and quality care, the ACA seeks to reform health care resource allocation attempts towards rewarding quality of care while ensuring greater volumes of care. This necessitates nurses to adjust themselves to the reorganized health care system they being an intricate part in ensuring patient care and desirable outcomes, as well as being fundamental to the attainment of emerging patient-care delivery models (American Nurses Association, 2008). Let us also examine as to how the practice of nursing is expected to shift based on the concepts of continuum of care, accountable care organizations (ACO’s) medical health homes (MHH), nurse-managed health care clinics (NMHCs).
Concept Comparison and Analysis Across Theories There are several nursing theories in the history of nursing. These theories have common core concepts. These core concepts consist of the person, the environment, health, and nursing. Identification of these core concepts lets nurses establish appropriate research questions, develop theory, and identify practice priorities. These core concepts lead nurses to actions that guide their practice.
Front-line staff needs to understand the importance of collecting accurate and reliable information. The last meth is benchmarking. This method is used by health care organizations to compare the organization against other health care organizations. It allows for a comparison on a local, state, and national level. This can also give health care organizations comparative information on how their competitors are performing and if it is at a higher quality level than their
It is amazing what these technologies have provided but the question that comes up is will that medical technology being used change the outcome of a patients illness and overall treatment? It is inevitable that technology will continue to change the medical fields but it has to be used appropriately and not overused if we are to lower costs. I believe that demands will continue to increase; my solution to this is to have physicians develop protocols and standards that are proven in the use of new technologies to see if the patient will truly get a benefit out of it. If the protocol does not prove that a patient will benefit from the use of the technology, then the procedure should not be
Refer to chapter 7, “Techniques for Managing Safety,” in Risk Management in Healthcare Institutions: Limiting Liability and Enhancing Care. 2. Identify two major categories of risk in your health care organization. 3. Explain how you would apply the three elements of risk management that you selected in the “Elements of a Risk Management Program” assignment.
Healthcare Regulatory Agencies and their Effect on Rising Medical Costs Regulatory agencies can be viewed as a hindrance, these agencies such as the Food and Drug Administration (FDA), Joint Commission of Accreditation of Hospitals (JOINT), and the Occupational Safety and Healthcare Administration (OSHA) are responsible for much of the increase in costs that have taken place in providing effective and safe healthcare in the past decade. There have been arguments ever since the inception of the first regulatory agency as to whether or not these were, or would be advantageous to healthcare practitioners and healthcare institutions. Although their focus is on the patient, these agencies state that they exist for the healthcare provider’s protection. There is solid evidence demonstrating the rise in costs due to these regulations. Regulations can be as complex as safety devices for injections and as simple as requiring hair covering for healthcare workers.
Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes. The nursing practice no longer relies on traditions of the past, or trial and error methods, but based on direct responses to the individual needs of the patient (Black, 2011). An evidence- based practice relies on using the best available research discoveries to guide the decision- making process to specific clinical situations. Applying an evidence-based practice for some nurses will be a challenge; it is a new way of thinking and practicing nursing. As the health care system struggles to provide access to care for all people in a cost-effective manner, calls for a much needed change.