Improving Patient Care Experience Advisory Team

The performance measure is to improve patient satisfaction scores on the unit. Our goals are to increase HCAPHS scores, to achieve this goal we will be implementing an anonymous patient satisfaction survey for parents that will be given at of discharge. Results from this survey will provide feedback on ways to improve patient care. As a result, it will improve HCAPHS scores for the hospital, thereby increasing hospital reimbursement and revenue.

Many entities outside of nursing are making initiatives to measure the quality and safety of the patient experience such as the Agency for Healthcare Research and Quality (AHRQ) and Centers for Medicare & Medicaid Services (CMS). The CMS Partnership for Patients Program (PPP) is a group of over 8000 hospitals, representative of health care organizations, state governments, employers, and unions. Partnership for patients is focused on providing safer, more reliable and less costly hospital care. Other organizations such as not- for-profit groups focus on improving relationship between patients, families and health care professionals. The goal of enhancing this relationship is to ensure the provision of high quality care, delivery of safe care, reduction of the cost of care, and enhancement in the transition of care from provider to the next level of care. Even though nurses strive to provide safe and high quality care, they often lost their hope in patient satisfaction scores, performance improvement and quality measurement. Nurse are willing to provide the best care to their patients and committed to the process of improvement, if their efforts are resulted in better patient outcomes. According to the 2014, issue of the New England journal of medicine, a CMS report of 2013 confirmed that the partnership for patients at an estimated cost of $1 billion, showed early elective deliveries in the CMS hospital engagement networks were down by 48% and nationally, readmissions were

In order to make sure the healthcare organization is doing everything to provide the best care for their patients and that the facility is doing everything that they can to ensure that, some type of performance measurements need to be used. “Performance measurement systems employed in healthcare must be capable of not only meeting expectations of different stakeholder, but also of giving the most realistic image of the status and the progress that are being made to the system” (Doolen, Enami, 2015, pg. 427). By using performance measurements, the facility can see what they are doing wrong and in what ways they can improve service the patients next visit to ensure their voice was heard by the facility. The three measurements that can be used to see Middleville’s overall performance include daily patient log, patient

We started off by evaluating are current staff in the field measuring top and bottom performers to see what is working and what is not. We followed up by researching various models that would fit with are patient care delivery model; with the goal being standardization of a

As the nations focus continues to be on cost and quality of medical care rendered, the push for standardization persist. Care in Anytown USA should mimic the care rendered in the most elite medical centers in the country. This is our duty to the patients that we serve. The organizations that were listed by Mr. Druse strive to universalize the care that every patient receives ensuring quality and safety for all. NDNQI participation allows nursing and organizations to stay current with the trends and avoid commonly seen errors that occur in healthcare. The IOM uses information from clinical research and standard of practice to 'fuel' their interventions and initiatives (Dunton, 2008). Quality improvement is driven by evidence- based practice and allows organizations to measure themselves against national comparative data (Dunton, 2008).

The HCAHPS survey is a subjective questioner that asks the patient their perception of the care they received while hospitalized. Different from traditional data measures, there are many variables that attribute to the patient’s perception of care. Interpretation of the survey questions, literacy levels, and ethnicity all are factors in the way patients rate their care. There is however, a direct correlation between higher HCAHPS scores and improved patient outcomes (Stein, Day, Karia, Hutzler, & Bosco, 2015). This finding strongly supports quality initiatives that center on improving HCAHPS performance.

Defining, identifying, and managing high-risk patient populations can be a very difficult task for healthcare organizations (HCOs). Should HCOs look at age, length of problem list, number of medications, number or specialist or subspecialist a patient sees, or number of recent hospital admission (Pelzman, 2014)? Whatever method HCOs decide to use,

Similarly, if DCH could assign more number of patients to each nurse to improve the productivity of internal business quadrant, but that would give more scope to errors –a tradeoff that is totally unacceptable. Development and implementation of a BSC is a labor intensive task, since it is a methodology that is consensus driven. To make the BSC work, DCH started a pilot project, initiated a top-down reorganization and procedural work redesign, and developed a customized information system. The most challenging task for DCH however was to convince its employees to work in new ways. Doctors and managers initially viewed the move to organize them into teams as one that would cause their powerbase to shift. Almost all employees complained that a systematic approach to cost control was just like “cookbook medicine” (Meliones, 2000). It needed a lot of persuasion, reassurance, and persistence to get all employees at DCH to buy into the new process.

Dr. David Torchiana (Cardiac Surgeon) and Dr. Richard Bohmer (Quality Improvement Administrator) want to improve the process in the hospital by

Managing the growth of allied health care sector in the United State. Healthcare delivery system changings are most effectual when they are cohesive and ensure real answerability from providers to patient to improve outcomes. With the expected increase in allied health staff in the healthcare organizations, the first need will be to ensure that the care provided to patients is not impacted in anyway. Hiring new allied health staff allows organization to provide to provide adequate care for patients, but it also increases the cost to provide care. This means that recovering the financial costs of care and minimizing the cost of care takes a higher priority. Evidence proposes that multiple methods to delivery system changes may be necessary bend the cost curve and improve care quality. For example, the efficiency of a single disease administration program may be limited for patients who have multiple chronic conditions and who require coordinated care from many

Improving employee engagement and clinical outcomes, measurement is just the beginning. Having a plan and making the Q12 elements the centre of regular team discussions will lead to improved engagement, better performance, and higher quality care. Managers must emphasize the big picture of engagement, actively listen to team members, and encourage employee involvement in the process. By weaving engagement into their management style, healthcare leaders can build and sustain engagement -- and improve the healthcare worker and patient experience. (Chris Groscurth, 2014). [6]

2. Hold a meeting among all team members and coaches to communicate honestly and openly in order to find and solve the problems especially

The first alternative course of action, that is maintaining a proper organizational structure, this would possibly have a good and effective output but it is a bit time consuming. A change in the operations would basically take some time to carry out.

A reduce amount of people within staffs, a better organized and structured meeting should help the division to better solve its current

2. Change the culture of the department, so the young/new employees can openly communicate and share their ideas, believes, and knowledge, and also enjoy a more balanced work-life. This change is the result of a change in the culture of the entire company, which will take a long time to implement.