assessment 1
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School
James Madison University *
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Course
464
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
4
Uploaded by DeaconDangerSparrow36
Ryen Biggio
Capella University
NHS-FPX6004 (Section 3)
Dr. Mary Burke
April 2023
Healthcare organizations make it a top priority to follow their set values and mission. With this, goals for improvement need to be set in place. Dashboards provide organizations with information on which benchmarks are not being met and which are being met. These are established by local, state, and federal laws. Dashboard metrics are used by the organization to understand the most successful approaches for quality and improvement. For a healthcare facility to have continual improvement, benchmarks must be set in place. A benchmark is defined as “a measurement of the quality of an organization’s policies, products, programs, strategies, etc., and their comparison with standard measurements or similar measurements of its peers.” The main reasons for benchmarking are to see where improvements can be made and how that information can be used to set goals and achieve higher performance standards. When determining what to benchmark, the focus should be on the organization's key performance indicators (KPIs). The metrics (indicators) are aligned with the business goals (key) and in turn, measure how successful (performance) the organization will be in achieving the objectives. (Miner) Based on the dashboard information provided by the Mercy Medical Center, there is a low
rate of foot exams and HgbA1c exams for Diabetic patients. Both exams are crucial determinants for patients with Diabetes and helpful when identifying early-onset complications. This dashboard also helps provide information on the healthcare organization to determine if benchmarks are being met according to local, state, and federal laws or policies. In turn, this is then used to plan what strategies are most effective in making improvements within the organization. In a healthcare setting, it is important to keep up to date with policies and continual improvement strategies to maintain a functional organization. Administrators can work to achieve
set goals by benchmarking and creating action plans. When the benchmarks are not being met it leads to underperformance. In severe cases of consequences, legal issues such as HIPAA violations or lawsuits can lead to a cascade effect on patient care. Other consequences of benchmarks not being met can lead to the organization going under and not being able to accomplish their stated mission and values due to not following up with policies and what they are looking to improve.
(
CDC - 10 essential public health services - CSTLTS
2022)
Underperformance is non-compliance or not meeting high standards within an organization. Poor behavior that can negatively impact the facility leads to declining work performance. It is beneficial to be able to determine where the organization is falling short and where improvements can be made. This can include underutilization of medical equipment, rooms, staff, or financial burdens. What can lead to underperformance within a healthcare setting? Lack of growth opportunities or incentives within the organization, poor communication or training, and lack of environmental resources. Underperformance can have a domino effect within a setting if these are not handled promptly. (Ghazisaeidi et al., 2015)
One benchmark underperformance within the healthcare organization that has the potential for improving overall quality would be changing the utilization of hospital rooms. In comparing year-to-year data, if there is a significant decline of use in pediatric rooms this could indicate a decline in pediatric staff, or we can look at the number of patients under the age of 18 and the number of births the hospital has within the years. As a hospital, the goal is to be patient-
centered and care for patients of all ages and conditions. With this, the hospital rooms must be strategically utilized and equipped with enough staff. Internal benchmarking is a good approach to ensuring improvements for the organization are being set in place. Administrators and managers can look at the hospital statistics to
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determine where the decline or growth may be. When looking for the areas within the healthcare setting that need improvement, it is important to consider factors such as who is involved, what outcomes will be, who is affected, the financial impact, and the severity of each issue. It would be
beneficial to involve a case manager or social worker to determine if our pediatric rooms are not being utilized due to the hospital staff and patient care or if there is simply a decline in the need for care for that age group. This would help understand if other staff can be moved to other parts of the hospital to be used elsewhere and take pressure off the financial burden of unused rooms. References: Centers for Disease Control and Prevention. (2022, December 1). CDC - 10 essential public health services - CSTLTS
. Centers for Disease Control and Prevention. Retrieved February 27, 2023, from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015, October). Development of performance dashboards in healthcare sector: Key practical issues
. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH. Retrieved March 4, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639357/ Miner, C. (n.d.). Benchmarking in healthcare: Steps for improvement - proquest
. Retrieved March
4, 2023, from https://www.proquest.com/docview/2504872253