Organizational Model of Healthcare Performance, Quality Assessment and Management
High performing healthcare organizations provide quality patient care that is cost efficient. Metro Health has an effective organizational model for its quality assessment and management of healthcare performance. The purpose of this paper is to describe Metro Health’s quality program, management structure, goals, and objectives. Next, this paper will discuss the selection, methodology, and management of quality programs at Metro Health. In addition, this paper will state how staff are trained in quality initiatives and how new quality programs are communicated. Finally, this paper will summarize the evaluation of quality improvement, effectiveness and
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There are several committees that are responsible for the overall quality at Metro Health. The Joint Conference Committee (JCC) and the Medical Executive Committee (MEC) both report to the Metro Health Board of Directors (Carlson, 2014, p. 5). The JCC is an advisory committee and serves as a liaison between the MEC and the Metro Health Board of Directors (Carlson, 2014, p. 5). The MEC is responsible for medical staff and patient care (Carlson, 2014, p. 5). After the top management level, the quality improvement process continues to the subcommittees that look into different aspects of quality management (Carlson, 2014, p. 8). For example, the Infection Prevention Committee looks into quality management aspects regarding the prevention of infections (Carlson, 2014, p. 8). Each department at Metro Health has members on the subcommittees as well. Finally, each department has the Unit Based Council (UBC), where all quality improvement projects are reviewed.
Quality Improvement Projects: Selection, Methodology and Management
Quality improvement projects are selected, managed, and monitored based on a priority basis (L. Blumenstein, personal communication, May 23, 2015). Generally, the priority of the project is related to what is happening within the organization or in response to an occurrence (L. Blumenstein, personal communication, May 23, 2015). For example, the blood transfusion policy was selected as a high
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 management is essential to the success of the quality improvement of the health care industry. “Management uses management and planning tools to organize the decision making process and create a hierarchy when faced with competing priorities “( Ransom, et al., 2008). Quality measures should have these goals: effective, safe, efficient, patient-centered, equitable, and timely care (Quality Measures, Center for Medicare & Medicaid Services, 2011).
At Fort Madison Community Hospital they are focus at continuing improving quality service and managing care within the facility. To do this they have to measure accurately by different methods of quality improvement strategies. The managers also have to look at information technology applications and use benchmarking, milestones to help manage quality improvement to have a more effective facility.
A quality improvement (QI) project involves data-guided activities with short timelines to improve health care delivery systems (Arndt & Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt & Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in
For health care organizations quality data collection is an essential tool used for data collection. The information produced from the data assists the health care organization in other functions such as effective ways to manage and perform decision making for the organization, this includes the strategic planning process. Quality improvement is the method of assessing processes and provides the information necessary to improve services. All of this together allows the health care organization to become a high producing system of
The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.
Topic 1 - Part 1 There are several reasons for quality initiatives, particularly as they pertain to Medicare and Medicaid. First, quality initiatives impact every aspects of healthcare and the manner in which quality and efficiency are delivered and combined. Second, successful quality initiatives impact the way the public sees healthcare and the manner in which government can help impact the delivery to the majority of citizens. The are a standardized approach for the development and most especially, the measurement, of quality. The focus and idea is that if you do not measure it, it won't measure up to standards. There are 15 of these steps that directly impact care; from the development and definition of a plan, through committees and panels, then finally through the approval and implementation process. Essentially, this is a set of tools that are used to both standardized and improve care.
More methods are being created and taken place to ensure, inspect, repair and correct performance where it is needed to do so. MCOs have developed a new status quo of improving and performing better every year with tools such as the “Quality Drivers of Care” (Miller, 2004). One of these tools, perhaps the most important one, is the voluntary accreditation of MCOs by organizations such as the National Committee on Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, and the Utilization Review Accreditation Commission, among others. While MCOs are not required to do so they choose to, to show the industry that they are being assessed in the quality and service they provide and that improvements are in fact being made. They are also drivers in effectiveness and quality assurance as MCOs now find themselves competing amongst each other not only on costs but also on their effectiveness.
al., 2012). Trying to get the leadership motivated with adapting to TQM was a challenge in the beginning. The enthusiasm of top leaders has caused the TQM process to become effective. Although Health care has a complex adaptive system, leadership is crucial in implementing an improvement system (Sollecito & Johnson, 2013). The strengths of the TQM process were the support of the chamber of commerce, implementation of a quality improvement plan, adapting a successful way to measure improvement and development of cost effective techniques (McLaughlin, et. al., 2012). Corporate headquarters was totally involved in the TQM program with the CEO John Kausch as an active member of the Total Quality Council of the Pensacola, Area Chamber of Commerce (McLaughlin, et. al., 2012)
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.
Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage
Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.
Healthcare providers strive to improve service quality by implementing various quality management programs. Customers tend to seek for higher quality of care when choosing treatments, providers, and health plans. For healthcare organizations that desire to provide high quality care and compete in the global market, choosing a quality management program to implement is critical for performance and efficiency. Many studies have been conducted to analyze the effectiveness of such programs. Lean, Six Sigma and Total Quality Management (TQM) are three programs that will reviewed by three different case studies in efforts to understand them and to compare and contrast their capabilities.
Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.
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,