Wk 4assignment late

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University of Phoenix *

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325

Subject

Health Science

Date

May 13, 2024

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docx

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3

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[Last Name] 1 Felicia Bayoh Connie woods HCS/325 April 4 th , 2024 Summative Assessment: Certainly, as you requested, here are the answers to the interview questions. Question 1: Describe some of the regulations and quality standards (e.g., CMS, NCQA, AHRQ, The Joint Commis- sion) that you must maintain as a health care manager. Why is CQI/process improvement so important in a health care workplace? To maintain the highest standards of care and ensure patient safety, healthcare managers must comply with various regulations and quality standards. Key standards to follow include: CMS (Centers for Medicare/Medicaid Services): Federal regulations establish minimum standards for healthcare quality and payment that affect hospitals, nursing homes, and other health facilities. Adherence to CMS rules is essential to ensure receipt of Medicare and Medicaid funds. NCQA (National Council for Quality Assurance): NCQA establishes criteria for accrediting health plans, with a focus on improving quality in managed care organizations. Adhering to these standards is crucial in order to improve the quality of services provided by managed care . AHRQ (Agency for Healthcare Research & Quality): A crucial aspect of enhancing healthcare quality involves following the guidelines set by AHRQ to implement research-based practices that lead to im- proved patient outcomes. The Joint Commission: Ensuring a high level of patient safety and care quality, The Joint Commission ac- credits and certifies hospitals and health facilities that meet their rigorous standards. Continuous Quality Improvement (CQI) plays a vital role in healthcare settings by allowing for ongoing evaluation, adjustment, and improvement of processes and practices to ensure evidence-based, efficient, and safe patient care. This approach helps in identifying and minimizing risks, decreasing errors, increasing patient satisfaction, and ensuring compliance with regulations. By promoting a culture of improvement, CQI contributes to im- proved health outcomes, regulatory adherence, and overall success in the healthcare sector. Question 2. What are the impacts on a health care facility (e.g., hospital, doctor’s office) of external regulations and quality standards (e.g., CMS regulations, state regulations, The Joint Commission)? As a manager, how would you ensure that your department is compliant with external regulations and quality standards? External regulations and quality standards have a substantial impact on healthcare facilities as they play a key role in shaping their operations, determining reimbursement rates, and building patient confidence. The effects of these regulations and standards encompass: Financial Implications: Failure to comply with regulations can result in a decrease in reimbursement or potentially face penalties, negatively impacting the financial stability of the facility. Operational Changes: Facilities need to adjust their procedures to meet certain standards, which can re- sult in enhanced efficiency and patient safety. However, this may necessitate investments in training for staff and technology. Reputation and Trust: Adhering to standards helps improve the facility's image, building confidence among patients and the community. As a manager, it is important to ensure that all rules and regulations are being followed. Education: Continuing to educate employees on regulations and standards to ensure they are aware and understand them. Monitoring: Consistently reviewing procedures and results to pinpoint instances of not following rules and promptly taking corrective measures. Documentation: Keeping detailed records of regulatory compliance actions, audits, and enhancements. Collaboration: Working with regulatory agencies, performing internal audits, and obtaining accreditation to showcase dedication to high quality standards. Continuous Improvement: Incorporating continuous quality improvement (CQI) methods to continuously improve processes and adhere to changing standards.
[Last Name] 2 Question 3: Why is CQI process so important for quality of direct patient care? What are the outcomes on patient care if the health care organization does or does not have a good CQI process in place? As a health care manager, how would you ensure that continual improvements in quality are being made? A strong Continuous Quality Improvement (CQI) system is vital for improving the quality of direct patient care as it allows for constant assessment, modification, and improvement of care procedures. Without an effective CQI process: Patient Safety: Mistakes and safety incidents that are left unattended can jeopardize the safety of patients . Efficiency: Ineffective procedures can cause bottlenecks in providing care, impacting the well-being of patients. Quality Variability: The quality of care can differ, resulting in varying patient experiences and results. Stagnation: If the organization does not make enhancements, it could lag behind in adopting optimal methods and evidence-based treatment. As a healthcare manager, I would guarantee ongoing enhancements in quality by: Cultivating a Culture of Improvement: Promoting a culture where all employees are empowered to recognize and tackle quality concerns Data-Driven Decision making: Using data analysis and measuring performance to spot patterns and pinpoint ar- eas that require enhancement. Feedback Mechanisms: Setting up mechanisms to collect feedback from patients, employees, and other involved parties. Training and Education: Continuously educating staff in CQI strategies and optimal practices. Benchmarking: Using industry benchmarks and competitor performance data to analyze and pinpoint areas that may need improvement. Question 4: What are approaches that health facilities and agencies take to ensure the aptitude and competency of their clinical and non-clinical staff members? As a manager, what are some things you can do to ensure that your team has the proper resources to consistently deliver high quality care? Healthcare facilities maintain staff competency by: Credentialing and Licensing: Verifying that clinical staff have up-to-date and legitimate licenses and certifications. Training and Development: Providing continuous training, workshops, and programs for enhancing skills. Performance Evaluations: Providing continuous training opportunities, workshops, and programs for en- hancing skills . Competency Testing: Regular assessments to confirm proficiency in clinical abilities and understanding. Quality assurance Programs: Adding competency evaluations to programs focused on enhancing qual- ity . In my role as a manager, I can guarantee that my team has access to the necessary resources by: Resource Allocation: Distributing funds and resources for the purpose of training and improving staff skills. Professional Development Plans : Working with employees to develop personalized plans for profes- sional development . Mentorship and Coaching: Offering guidance and support through mentorship and coaching to develop abilities and expertise. Feedback and Recognition: Providing positive criticism and acknowledging accomplishments. Monitoring Compliance: Making sure that employees follow the necessary training and certification re- quirements. Question 5: What is the role of technology in direct patient care quality and safety? As a manager, how could you use technology (e.g., Microsoft Excel, Tableu) to help your department stay on track? The use of technology is crucial for ensuring high-quality and safe patient care. It allows for: Electronic Health Records: Streamlining the process of documenting and accessing patient information to minimize mistakes. Data Analytics: Recognition of patterns, potential dangers, and chances for enhancement. Telemedicine: Improved ability to receive care and monitor patients from a distance. Medication Management Systems: To minimize mistakes in medication administration, I would leverage tools like Microsoft Excel and Tableau as a manager. Data analysis: Examine performance data in order to pinpoint areas that could be enhanced. Reporting: Create and distribute reports that monitor important quality metrics to keep staff and stake- holders informed. Benchmarking: Evaluate how well each department is performing in comparison to established industry standards. Process Mapping: Develop visual depictions of care procedures to pinpoint chokepoints and shortcom- ings in efficiency. Resource Planning: Utilize Excel for creating budgets and managing resources to ensure proper staffing and equipment allocation.
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