Building A Safer Health Care System

Current healthcare practices today have largely been influenced by the Institute of Medicine (IOM) 1999 report, To Err is Human: Building a Safer Healthcare System. This report delineated many weaknesses in the practice of medicine regarding the safety of patients within the healthcare industry. This report has increased public awareness regarding the need for transparency around reporting serious safety events as well as the need to implement best practices in an effort to increase patient safety. Additionally, Medicare initiatives support the need for increased quality of care as hospitals will suffer financial loss due to declining reimbursement for patient. Patient satisfaction and safety are imperative in order for care to be provided. One effort which can help support improvements in patient safety and quality of care is through hourly or intentional rounding on patients. This rounding practice amplifies the nurse-patient relationship, provides continuity of care, increased safety, and service excellence. Intentional rounding or rounding with a purpose, can be a success, as long as nursing staff understand the full implications and the potential for positive outcomes, and take complete ownership of the rounding initiative. Leadership and nurses need to work collaboratively and be cognizant of each other’s role pertaining to the delivery of care regarding this practice. The purpose of this research is to depict the importance of hourly rounding as a

Various internal and external factors influence quality management and outcomes in hospital organizations. One internal factor that affects quality management and outcomes is leadership within the organization. Leadership is important to have successful quality management outcomes because if the leadership does not support it, no change within the organization will be successful. “This commitment must be shared by the board of trustees and all senior clinical and administrative managers and understood that it is a long-term process” (Chassen and Leob, 2011). Leadership is one of the most influential internal parts of the quality management program. Leadership can either help the organization succeed with their support or help the organization fail if they do not support and follow

Los Angeles, Doctor and founder John McLaughlin, came up with the idea to reduce health care costs and improve patient safety

Since the Institute of Medicine’s widespread reports, To Err Is Human (2000) and Crossing the Quality Chasm (2001), revealed widespread incidence of medical errors in U.S. hospitals, there has been a great deal of effort to measure and improve the quality of hospital care. Progressive input has been made in establishing quality indicators and risk adjustment components to compare quality across organizations, and in analyzing processes and cultures in high-performing hospitals. There is a vast amount of knowledge to learn about the infrastructure of hospital performance. Health care organizations performance measures may include which hospitals are

Glickman, S., Baggett, K., Krubert, C., Peterson. E., & Schulman, K. (2007). Promoting quality: the health-care organization from a management perspective. International Journal for Quality in Health Care.

Quality improvement programs in organizations are a key part to providing safe, effective, and high quality care to patients. Nurses are crucial in early recognition and prevention of health complications that may arise with their patients. The purpose of this paper, is to describe my company’s quality program’s goals and objectives. I will also discuss my organization’s quality management structure and who is responsible for quality management. Discussion will continue on how quality improvement continues throughout the facility and how quality improvement is evaluated for effectiveness. I will also identify the nurse’s roles in measuring and improving health care quality and safety.

The purpose of this paper is to discuss my hospital system, The Cleveland Clinic’s, organizational quality department, structure, and programs. Health care reform, accountability, quality care, and patient safety have become the foundation of a reliable hospital system (Huber, 2014). This paper will answer several questions regarding the organizational quality program at my hospital, including management structure, improvement projects, staff involvement, techniques utilized, staff communication, and evaluation of quality effectiveness. I will also provide two examples of a Quality Improvement (QI) initiative that has been successful in my organization.

The definition of quality in the health care system can be puzzling since it can have different meanings to various people. However, the Institute of Medicine has helped out by bringing together a solid standardized representation of the word quality in our system. "Initially, the IOM defined quality as the “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” This led to a definition of quality that appeared to be listings of quality indicators, which are expressions of the standards.”(Mitchell 2008) Some implications of these standards have to deal with quality performance, focus of the delivery of health care services,

Healthcare facilities can use quality improvement techniques to guide in their decision making. Quality improvement techniques include setting standards, monitoring performance and evaluating outcomes. Once a standard of quality has been identified, using quality improvement techniques to achieve that standard is important for healthcare facilities. Facilities can use quality improvement techniques to guide the facility decisions. The status quo can be discouraged and decisions to accept the challenge of improving can prevail. The challenge that organizations encounter

Quality assurance is very important in the health care industry. The industry has seen vast development,

“In recent years, there is an increasing interest in the healthcare industry to apply total quality management (TQM) principles and practices to improve customers’ quality of service and care. The most influencing reason behind this is increased competitive market, advancement of medical technology, high quality healthcare service at reasonable costs, and proactive consumer culture. Therefore, the healthcare managers begin to find new ways to provide services to meet customers’ requirement and TQM best fits to them as this concept had success thus far (Academia.edu,

Quality is something that every health care agency strives to achieve. The Institute of Medicine (IOM) suggests that health care organizations develop a culture of safety such that an organization's care processes and workforce are focused on improving the reliability and safety of care for patients (Groves, Meisenbach, & Scott-Cawiezell, 2011). In order to address an issue related to health care quality, it is important to look at the frameworks that will analyze an organization and identify opportunities to improve performance. The purpose of this paper is to provide a description of an organization and an analysis of the following: mission, vision and values, strategic plan, goals,

This brief focuses on quality management affecting managed care health systems efficient delivery of medical services. Therefore, there are two main approaches to quality management implemented by most managed care

Quality improvement has philosophical components by emphasizing satisfaction with the consumer (patient, provider, and payer) and health outcomes by focusing on having a mission, values, and objectives to measure performance and implementation (Sollecito & Johnson, 2013, p. 11). In order to create this, they review the whole system of service by gathering information from the system operation and patient, so that one can understand the root cause of the information (Sollecito & Johnson, 2013, p. 12). Furthermore, quality improvement emphasizes wanting to find multiple roots of causation, and seeks solutions that fix a multitude of functions, so that the process is optimized (Sollecito & Johnson, 2013, p. 12). Lastly, emphasizing continuous improvement and analysis on systems that will allow the medical personnel to improve continually the quality of care given (Sollecito & Johnson, 2013, p. 12).

The article “Total Quality Management & Business Excellence” is about implementing quality management system in the Healthcare sector a process that is normally utilized in the manufacturing industry. The author is proposing to verify the effectiveness of the quality centered management system for healthcare in providing safe and reliable health care at the organizational level. As previously discussed in our week 1 discussion. We talked about quality management being implemented in the medical industry which could assist with minimizing the mistakes that can cost a patient’s life.