Daily Care Briefing Analysis

Shaw, P. & Elliott, C. (2012). Quality and Performance Improvement in Healthcare. 5th Edition. (pgs. 156, 157, [VitalSource Bookshelf version]. Retrieved from

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

McLaughlin, C.P., & Kaluzny, A.D. (2006). Continuous Quality Improvement in Health Care, Third Edition, Jones & Bartlett Publishers, Sudbury, MA.

Goal#1 AONE 2i Knowledge of Healthcare Environment: Work on assessing areas for Quality Improvement in the organization by attending various meetings related to quality

Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be

Before any quality improvement plan (QIP) can be developed, the overall aim of the project must be determined to ensure the QIP stays on track. This includes deciding what is going to be measured, what the current baseline is, what the target will be and a timeline for accomplishing the goal (Health Quality Ontario, n.d.). Thus, the aim for this QIP is to reduce the rate of worsened pain in the VC from the current value of 20.2% of residents with worsened pain by 1% by the next quarter by educating nurses on the correct way to assess and document pain in the electronic system.

The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.

Quality improvement is a systematic and continuous process which leads to improvements in healthcare services. The health services are then a reflection of the improving health status of a patient population (Health Resources & Services Administration, n.d.). Quality improvement strategies are the actions which a team will take to accomplish the goals of process improvement. The Institute of Medicine (2001) has developed a vision of six aims for improvement in healthcare which include, safe, effective, patient-centered, timely, efficient, and equitable care. Making improvements in these areas will better meet the needs of patients.

The Quality Improvement Committee includes a clerk, nurse, and clinical units as the multidisciplinary team management. The included duties of QI committee is to identify and coordinate QI activities, promotes and assists in implementing regulated evaluation report, and sharing information to avoid duplicate. The existing data collection is used to determine the issue and set priority, protocol, set standard for the proper use of study, assess, and solve possible

Our Performance and Quality Improvement Process is based on the Continuous Quality Improvement Model which focuses on the importance of continuing to ask “Can we do it better? Can we do this more quickly? Is there something else we could do to improve the quality of care for our clients and the tools for our staff who deliver this high quality care?” In this model, the point is to focus on improvement even when nothing is wrong.

Continuous quality improvement (CQI) is a topic that is taught from the beginning of nursing school. “Continuous quality improvement is an approach to improving quality on a continuing basis” (Pozgar & Santucci, 2015, p. 549). It is called continuous quality improvement because we will always have room for improvement throughout the healthcare system. “Continuous quality improvement involves improving performance at every functional level of an organization’s operation, using all available resources (human and capital)” (Pozgar & Santucci, 2015, p. 549). Continuous quality improvement is so important because it involves everyone. “It combines fundamental management techniques, innovative improvement efforts, and specialized technical skills

Quality improvement is defined “as systematic, data-guided activities designed to bring about immediate improvement in health care delivery in particular settings”(Lynn et al., 2007, p 667) by utilising the Model for Improvement, which is not a replacement for one already used by the organisation. Instead, the model of improvement accelerates improvement of health care process and proved to be successful. It consists of two parts such as the three questions and the Plan-Do-Study-Act (PDSA) cycle of rapid change tool to determine if the change is an improvement (Institute for Healthcare Improvement, 2017).

Clinical practices are increasingly focused on QI strategies to improve population-based health outcomes and health-care systems” (Hoyle & Johnson, 2015, p. 15). Performance metrics that focus on patient outcomes, safety, and cost are identified and routinely monitored. Continuous quality improvement is embedded into the clinic and each provider team uses the PDSA framework. Refer to Appendix A. Work plan goals are developed , reviewed with staff, evaluated on a systematic basis, and are recorded in the performance narratives. Work teams are developed to address goals not met and changes are made as

Healthcare industry is constantly changing we are seeing more technology and customer focus innovation to meet the needs and well being of the patient. The introduction of the New Healthcare Reform is challenging leaders to reduce cost, decrease waste, deliver personalized experience, improve quality, and safety. According to Mc Natt (2015), “improvement in the quality of hospital care is a fundamental aspect of health system strengthening that is directly linked to the service delivery dimension of the World Health Organization (WHO) building blocks of a health system” (p.719). Improvement in processes both internal and external will need to be continuous on a daily basis. Performance improvement projects are used to

Quality improvement projects are being conducted by organizations to streamline procedures and protocols. QI aimed to enhance the safety, efficiency and effectiveness of health care services through standardized processes. The improvement is achieved using various methods and strategies. Healthcare delivery is becoming more complex which required for new and enhanced methods that will reduce costs and provide access to new healthcare information technologies.