Competency

Describe different quality methods within healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

• Emergency room services
• Intensive care
• Surgical care
• Obstetrics
• Diagnostic services
• Some rehabilitation therapies
• Inpatient pharmacy services
• Geriatric services
• Consumer physician referral services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Instructions

The CEO has received some resistance from the Board on undertaking a QI program. She has asked you to develop a set of talking points on the pros and cons of common measurement techniques used in healthcare that she can use the next time she runs into a Board member.

Talking points are used to quickly explain something by condensing it into a compelling, but easily digestible, list. If the goal is to increase support for a QI program, the talking points must provide the ideas she needs to convey in order to achieve the goal.

Your talking points should be submitted in a Word document (1 full Page). Your talking points should include the pros and cons of implementing a QI program.

Upon completion of your talking points, please prepare a PowerPoint presentation 6 slides.

APA formatting required.

1. Highlight specific pros and cons of QI programs.
2. Use the Notes area on each slide to expand on the key      points.

 

1.Provides a detailed list of pros and cons of implementing a QI plan.

2.Provide clearly outlined and supporting details of pros and cons of implementing a QI plan.

3.Provides examples of the pros and cons with supporting details.

Project 1: Promoting Health Care Quality

 

Section 3: Quality Measurement and Assessment

 

Measuring and assessing quality provides a foundation for identifying needs for improvement, developing effective interventions, and then monitoring progress toward desired results.

In the Sadeghi, Barzi, Mikhail, and Shabot text, the authors assert that an effort to improve quality “calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind, and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance” (p. 182).

Having this “end in mind” can provide justification for dedicating valuable resources toward the effort, and help to lay a clear, concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.

In this section of the Course Project, you focus on what you would measure—and how you would measure it—relative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.

 

Through your work in previous weeks of this course, you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.

As you deepen your analysis of your selected organization, consider how the information presented in this week’s Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.

 

To prepare:

 

Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this week’s Learning Resources).

Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations, including the IOM’s six aims for quality improvement.

Based on this review and your knowledge of the organization that you have selected, determine appropriate measures and indicators of performance related to your identified quality improvement issue.

Consider how you could gather and use historical evidence of the organization’s performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data, including those currently in use by the organization (e.g., chart audit data, staff surveys, quality indicators that are monitored, observations). If possible, examine actual data to assess your selected organization’s performance related to the issue.

Think about what, specifically, you would like to achieve related to this issue. Establish realistic, evidence-based quality performance targets.

Analyze gap(s) between the organization’s current performance and the performance targets.

As you do this, you may wish to create a graphic organizer/alignment chart for your own use that illustrates:

The measures and indicators that you would evaluate

Current and historical data related to this quality issue—either actual data or methods for how you would collect and analyze the data

Methods for collecting and analyzing data in the future (including when you would do this)

Realistic, evidence-based targets

 

To complete this Assignment, you will write a paper introducing your quality improvement plan.

 

Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:

What is the overall purpose, or aim, of doing this work?

What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?

What value would this work add to the organization?

How would this work improve practice and create outcomes with impact?

Review Chapter 7 of the Sadeghi, Barzi, Mikhail, and Shabot course text. Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.

With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.

 

To complete:

 

Write a 3- to 5-page paper that includes:

An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization

An overview of the current situation with regard to this quality improvement issue in the organization

A description of measures and indicators

A presentation on data related to this issue, including:

Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data

Methods for collecting and analyzing data in the future, including when you would do this

A description of realistic, evidence-based targets

 

Be sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. This section of the Course Project serves as the Portfolio Assignment for this course.

 

Resources: Please use resources of Week 6 Discussion and Week 7 Discussion of 6231

 

Link to part 1 – https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-course-project-part-2grading-rubic-and-ins

Link to part 2 – https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-course-project-part-1grading-rubic-and-ins

Link to week 7 disc – https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-discussion-7-grading-rubic-and-media-attac

Link to Week 6 Disc – https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-discussion-6-grading-rubic-and-media-attac

Due at 12PM CST, Monday, November 6, 2017

HCA 340 500

Discussion Board Assignment #10

Chapters12—Research:  How Health Care Advances and 13–Future of Health Care

Answer the following questions on Research: How Health Care Advances:

1.            Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
2.            In 1999, the Institute of medicine report, To Err is Human,generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?