Discuss ways that a hospital might measure quality. Be sure to explain your reasoning.
Quality is not always that simple to measure. The five dimensions of quality as stated in the text, such as reliability, responsiveness, assurance, empathy, and tangibles are good fit for Memorial Hospital (Vonderembse & White, 2013). The factor included in quality assessment of Memorial Hospital depends on delivering exceptional care, i.e. effective, timely, safe, courteous, and convenient. Hospitals use quality measure to assess whether hospitals are using the right treatments and procedures when patients are in the hospital. Memorial Hospital has concentrated on offering high-quality general health care in the areas such as laboratory and X-ray facilities, an emergency room, an intensive care unit, a cardiac care unit, and a psychiatric ward.
According to Vonderembse & White (2013), the definition of quality has an internal orientation - quality from the company 's perspective, and an external orientation - quality from the customer 's perspective. Internal orientation directly measure characteristics of the Memorial Hospital, such as how the patients are treated, how long patients have to wait for nurse or doctor, and how many patients do not return to the hospital because of the treatment they received. For example, doctors must follow proper procedures to treat pneumonia patients and give them same medication.
Quality with an external orientation focuses on the patient. It
This paper will describe current quality outcome measures and the significance for improving medical care. Organizational accountability and transparency has improved with the emergence of Hospital Inpatient Quality Reporting (IQR) programs and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPs). This article will review the role of the nurse manager in creating a culture for quality care as well as the nurse for meeting organizational and patient expectations. Organizations like The Joint Commission (JC), Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMS), and The American Nurses Association (ANA) have been critical in establishing standards for quality. This paper will also report on the most recent hospital statistics and steps taken to improve HCAHP scores and reduce readmission rates at the University of Tennessee Medical Center in Knoxville (UTMCK). Statistics at UTMCK will also be compared to the Tennessee and National averages found on the Medicare website Hospital Compare. The aim of this paper is to explore if healthcare system initiatives are improving quality and enhancing patient outcomes.
Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient outreach, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care.
When dealing with healthcare organizations such as hospitals; evaluating the quality of care is essential. This will help to know what needs to be done to improve the quality of healthcare. There are a few different measures
The National Database of Nursing Quality Indicators were published in an effort to build on previously collected quality data and further develop nursing knowledge to provide best practice nursing care. This paper explores eight scholarly articles that report on the relationship between hand hygiene compliance and the nursing-sensitive indicator of nosocomial infections. These items will be reviewed; a needs assessment, high reliability standards, just culture principals, quality improvement implications, a plan for future action using the Plan-Do-Study-Act model, and summarization of ethical implications. Health care organizations must engage in robust process improvement for hand hygiene (HH) compliance for the resultant reduction
The purpose of this paper is to discuss the methods used by a local health care facility, Southwest General Hospital, to evaluate and monitor healthcare quality data. Quality measurement in health care is the process of using data to evaluate the performance of health care providers against recognized quality standards (FamiliesUSA, 2014). The measuring of quality plays a vital role in the creating, maintaining, and managing of the data that this healthcare facility aims in focusing on quality of health care.
Middlefield Hospital is in an urban area where patients should have access to the best quality healthcare possible. Middlefield needs to offer their patients a triad of care, which includes access, cost and quality of care. There are many factors why a patient may not be able to access care, such as lack of health insurance or financial resources, therefore Middlefield needs to ensure the population that we are affordable and the patient will receive the best possible care regardless of their financial situation. Cost refers to the total expenditures related directly and indirectly to the provision of healthcare. It is imperative that the hospital manages these costs as effectively and efficiently as possible so that these costs do not reflect to our patients and their care. Quality of care can be conceptualized by two measures, process and outcome. Process measures look at the specific components of providing care and assesses whether these concepts are effective in achieving the desired outcomes, i.e., did the patient receive the appropriate care for the diagnosis in the ER? Outcome measures evaluate the end result of care and assess whether treatment has produced the desired outcomes, i.e., did the patient have a heart attack
One of the main departments of the healthcare facility, of which will be the focus of this analysis, is the Quality
The health care industry can no longer measure quality based purely by patient outcomes. Under CMS regulations, quality is a product of both patient outcomes as well as the patient’s perception of how the services are provided, among other measures (Centers for Medicare and Medicaid Services, 2015). Therefore, the patient’s perception of quality can no longer be ignored.
Using these measures, a hospital can understand where they stand among other hospitals in terms of providing quality care. This can help them to improve quality of care and also understand competitive advantage. The hospitals can find out whether they have the desired percentage and then compare its position with respect to other hospitals or hospital state average and national average (hospital). A lower percentage can help them to do a root cause analysis and help them in improving their percentage by adopting to strategies that will benefit them. An above average and good percentage will encourage and motivate them to achieve stability. The comparison is made not only on the basis of medical condition but also on wide range of categories like complications, Readmissions and deaths, payment and value of care etc. This
What is a core measure?? “Core Measures are an important way to measure the quality of care that a hospital is providing to its patients (www.jointcommission.org).” Core measures evaluate treatment options to find what the best results are to the patients. This helps make sure that the measures and guidelines are kept up-to-date to provide the most accurate and upmost care to the patients in the hospital. Many accredited organizations for health care, such as the Joint Commission, accumulate data to observe these core measures and adjust according to the results to improve the quality of care.
Evaluation and Quality “Mayo Clinic defines quality as a comprehensive look at all aspects of a patient's experience. Mayo Clinic patients seek excellence in care, medical knowledge, experience and technology (TM Corporate website, 2017).”Reading through the website one can realize why the Mayo Clinic defines quality in such a way. Not only does it provided outstanding care to its patients it makes sure it is known around the world for the amazing care it provides to each and every patient that walks into one of its facilities. “Mayo Clinic takes pride in the quality health care provided at each of its three clinic locations and in the Mayo Clinic Health System, a network of clinics and hospitals in more than 70 communities in Iowa, Minnesota
quality measures: A quality measure is therapeutic data from patient records changed over into a rate or rate that shows how well healing centers administer to their patients. Quality measures give you data about how well a clinic gives consideration to a considerable lot of its patients. You can utilize this quality data to help you think about
Horner's clinical analytics department collects, tracks, and analyzes various quality measures at HCA based out of Nashville, Tn. uses the data to compare against other HCA hospitals, as well as external quality benchmarks (Dimick, 2010). The goal is to use the quality measures to improve facility performance in key areas and ultimately improve the quality of care patients receive, he says. I would expect these measures to be highly associated because though sometimes difficult to accomplish, quality measures are essential to healthcare(Dimick, 2010). The end goal is to use these measures not to receive the gold star for excellence, but to create evidence-based care for patients.
These measurements provide feedback of a patient’s experience with the care offered at a given hospital. These measurements assess a wide range of factors including interpersonal aspects of care, clarity of - and ease of access to - information provided by the physician, speed of medical staff’s response to the patient’s urgent care needs, among other factors. These measurements are used by patients in their subjective evaluation during their process of choosing a hospital for emergency care or
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes