Clinical Quality Improvement Initiatives: A Case Study

Patient Safety and Quality Improvement Act (PSQIA) was signed into law on July 29, 2005, published on November 21, 2008 and became effective on January 19, 2009 (U.S. Department of Health & Human Services, n.d). PSQIA catalyzes sharing of healthcare data, information and patient safety practices between health care organizations by creating Patient Safety Organizations (PSO). Providers can report or share information related to patient safety events with PSO without the fears of liability, because “ PSQIA provides federal privilege and confidentiality protections for patient safety information, called patient safety work product” (USDHMS, n.d ). This means protected information cannot be introduced in any federal, state, local, or tribal civil,

In the United States alone there are 98,000 deaths per year caused by low quality health care (Ignatavicius & Workman, 2013, pg. 2). This statistic is disturbing because the errors that resulted in death were errors that were preventable. The intent of this chapter is to bring awareness to health care providers that are able to make a change in the quality of health care. In current practice patients are subjected to medication errors, preventable hospitalizations, premature death, and poor care provided due to racial, ethical, or low-income factors.

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

The question can be argued that why isn’t the approach of running a quality improvement-focused business with the aid of automated process systems being applied to all health care delivery

This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance. It will describe ways TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies. Also it will determine how compliance with the regulations and development of risk- and quality-management systems for the organization contributes to the organization’s overall performance-management system.

The incorporation of telehealth shows tremendous productivity, because it expands quality services to patients in other regions especially in underservices populations by cutting down on healthcare spending by

In the face of the limits of traditional support, it is necessary not only to redesign an organization, but to a paradigm shift that allows the socio-health performance to be efficiently and sustainably distributed to the widest possible audience. Digital technologies applied to healthcare and healthcare systems can increase their efficiency, improve their quality of life and give innovative impetus to healthcare markets. Telemedicine services can therefore be assimilated to any diagnostic / therapeutic health service. However, telemedicine performance does not replace traditional healthcare performance in the personal-patient relationship, but integrates it to improve its effectiveness, efficiency and appropriateness.

Quality improvement is defined by Kelly (2012) as “a systematic process of organization wide participation and partnership in planning and implementing continuous improvement methods to understand, meet, or exceed customer needs and expectations and improve patient outcomes” (p.477). The women’ unit can receive thirty patients from age eighteen to late adulthood. The unit is a receiving facility for everyone Baker acted in the state of Florida. Like any other organization, change is always happening in the women’s unit. One of the areas that need improvement on the unit is a reduction in the number of seclusion and restraint that we do every month. Patients that are violent and present a danger to either

The Centers for Medicare and Medicaid Services support quality initiatives. The mission of CMS is quality health care for people with Medicare which is a high priority for the president. CMS began to start quality initiatives back in 2001 to assure quality care for all Americans through accountability. There are various quality initiatives that focus on every aspect of the health care system. From focusing on reporting quality measures for nursing homes to kidney dialysis facilities. Consumers can use the information provided on their website for these health care settings to assist them in making the right choices for the care provided.

Mary, a 79 year old patient has gotten up from bed without assistance to use the restroom. She falls on the way and hits her head leaving her with a huge laceration and possible subdural damage. This is the third fall this month on the unit; changes must be made in order to address the policies to prevent falls. Policy changes are one of the many issues that a quality improvement nurse will address in her field.

Pearl, you mentioned in your post that quality improvement (QI) performance measures are tied to financial reimbursement. The Centers for Medicare & Medicaid Service (CMS) certainly apply quality improvement to providers’ reimbursement. CMS sets rules to follow to keep health care costs down and make sure the program is not paying for treatment that is unnecessary or harmful. Private insurers are implementing restrictions as well. A patient asked yesterday about how the Affordable Care Act had affected a family practice. The provider answered that it had certainly made there more rules to follow to ensure full reimbursement of expenses. This is part of CMS’ initiative to save taxpayer money. CMS states that its programs measure data

Not only do hospitals, doctors, nurses and all other specialists have to play a role in their clients care, clients need to have a responsibility as well. When clients are supplied with correct material, they will require superior support from their doctor and develop into dynamic contributors of one’s wellbeing and medical management. Consumers contain various responsibilities in progressing customer protection by assisting to guarantee one’s personal protection, functioning with healthcare groups to advance security, and promoting as a society for community coverage and responsibility of facilities and health organization achievement.

If a problem has been identified at any point the Infection Control Practitioner will consult with the Infection Control Committee, along with the Quality Department to develop a plan of action. Action plans will include conclusions, recommendations, and action taken, with follow-up and re-evaluation noted. Assessment of all corrective action will be conducted continuously following implementation. Conclusions will be developed after corrective actions have been in place long enough to result change. Follow-up will continue for a specified period of time to ensure resolution.

Health care systems are reporting and monitoring quality of care indicator data with increasing regularity.

-Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives.