Quality And Risk Management In Healthcare

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.

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.

Affordability should be applied to the hospital setting. There have been many patients that are in the hospital on an extended stay and they are not able to afford such things like a television in their room or, maybe the patient does not have family and they are on a fixed income. The hospital should have a policy in place that allows the hospital to go into a fund that is set up for patients that are in need. Hospitals should apply policies within their organizations that benefit the community and staff. A policy should be in place to ensure

Senior leadership must determine and direct the level of quality that is acceptable within the organization. Leadership should prioritize areas of quality and use data based on benchmarks from other facilities. (Dlugacz, 2006). In addition the author states there are some important areas that must be monitored for quality. Compliance must be followed by leaders and all

The first step in evaluating Mr. Smith possibility of risk of violence consisted of a thorough background check of his personnel record, information collected in the collateral interviews and through interactions with Mr. Smith himself. If applicable and approved a thorough look in to mental health records. However, Mr. Smith declined to allow the company into his military service record.

Quality Improvement can be defined as the combined effort of health care professionals including, doctors, nurses, healthcare managers who ensure better patients outcome such as quality care, safety, better system performance and better professional development. Healthcare system always goes through changes, whether its implementation of new systems or diagnosis of new disease. Therefore, health organizations are always in need of some improvement and advancement. In order to achieve improvement, systems have to go through a series of change; however, not all changes can be called an improvement. To ensure the improvement in these systems, some powerful strategies are planned, designed and implemented. These formal strategies analyze the systemic efforts and measure performance in order to improve the entire system and is called quality improvement or QI program.

quality. As reforms continue to ensue organizations must stay abreast of these changes to guarantee their livelihood.

Quality improvement in health care has been and will continue to be a beneficial process in helping with many problems faced in healthcare. According to U.S Department of Health and Human Services (2011) “quality improvement consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups” (p.1). These systematic and continuous actions have indeed led to many health care improvements throughout the years including reductions in infection rates, medication errors, and health care costs. One major current concern in the health care field is the presence of catheter associated bloodstream infections (CABSI’s). Provonost, Marsteller, and Goeschel (2011)

Evergreen Woods health and rehabilitation center is located in Spring Hill Florida. The center has been serving Hernando County for over 25 years. Services that the center offers are: Post-acute services, Rehabilitative services, skilled nursing, Short and long term care through physical, occupational and speech therapists. The mission of Evergreen Woods health and rehabilitation center is to provide comprehensive services to meet the care of the residents and patients. They strive to meet customer satisfaction daily and follow core values to obtain excellence in care.

Quality improvement in healthcare is “the use of a deliberate and defined improvement process” in order to respond to organization needs to improve the health of the population through quality (Bialker, Beitsch, Cofsky, 2010). Quality Improvement tools and techniques have been used considerably in Health Care Organizations in order to solve many major problems that the organization may have. One tool that is often used to analyze a successful process to analyze quality is the Cause and Effect Diagram. This Cause and Effect Diagram can then be turned into a Success and Effect Diagram. However, instead of using the “5 Why’s” like in a Cause and Effect Diagram,

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.

To achieve total quality, organizations must be willing to explore all areas within the business for improvement. It is important to analyze data to determine the best course of action for a solution to the problem. Making decisions without data could create new problems or make the existing ones worse. Total quality tools are available for management to enhance decision making, monitor performance, predict future problems, manage quality initiatives, and solve problems.

Key steps for successful change management include assessing readiness for change, establishing a sense of urgency, assembling the steering team, developing an implementation plan, executing a pilot, disseminating change, and anchoring the change within the organization. Adoption of change management practices increases the odds of success because focus is placed on the people in the organization who make things happen (Varkey & Antonio, 2010). In addition, enhancement of clinical performance and the continuous improvement of the safety, effectiveness and appropriateness of clinical care occurs through the introduction, use, monitoring and evaluation of evidence-based best practice. Ongoing evaluation of organisational and clinical performance is critical to good governance and involves the use of performance measures, clinical indicators and clinical audit. Reporting organisational performance is central to governance of clinical care and provides mechanisms for monitoring safety and quality performance and flagging issues that require intervention. Clinicians should provide input into prioritising improvement activities through identifying gaps between evidence and practice. Improvement activities

Patient safety which is the amount to which patients are free from unintentional injury has established a great deal of media attention during the past few years. Regulatory and professional agencies have specified that patient safety education should be given to healthcare workers to improve health results. The primary purpose of this essay was to gain a better understanding of the present status of patient safety consciousness among those that work in the health care setting... Risk Management Issue

According to Miles et al. (1978, p. 547), an organization is both its purpose and the mechanism constructed to achieve the purpose. It means that the concept of organization is embracing both goals and all the elements that represent unique combination. Miles et al. (1978, p. 553) draws the conclusion that structure and the processes taking place inside the organization are closely aligned; it is hard to speak about one without mentioning the other. It is important to understand the conclusion drawn by Miles et al. (1978). It illustrates how the