Quality Chasm Reflection

This paper examines how organisational values and stakeholder engagement can improve patient quality, experience and care. The author will do this by exploring what stakeholder engagement is and how it is being used in the healthcare arena to improve care quality and patient experience. The author’s critical analysis will discuss the relationship between organisational values, stakeholder engagement and the delivery of quality patient care, before relating this to his professional practice, prior to drawing and presenting conclusions.

In this article, Working Together to improve the Patient Experience, author Richard Billingsley(2014) explains how working together amongst providers, the patients, and the patient's family improves the patient experience, thus markedly heightening the quality of care. In this article, he also shares how other organizations have successfully adopted a model to facilitate cultural change within their facilities. This cultural model is referred to as patient family centered care (PFCC), and while it is not a new concept, it's emphasis has gained popularity as insurance companies adjust the criteria that encompasses what constitutes as high quality care.

“Patient satisfaction is undoubtedly on the minds of hospital administrators in an increasingly consumer-driven healthcare system. With patient

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value

In 2001, the US Institute of Medicine’s seminal report, ‘Crossing the Quality Chasm: A New Health System for the 21st Century’, recommended six goals for improvement in healthcare, with one focusing on patient-centred care (Institute of Medicine [IOM], 2011). Furthermore, various international organisations, such as the Institute for Patient- and Family-

Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice.

The patient is the entire purpose of the Patient Centered Medical Home. It is a system designed with the patient’s needs in mind, however the patient is required to play an active role in order for the system to work properly.

The reason I chose this article is not only because patient-centered medical homes (PCMH) has national relevance but because it’s patient centric. Our system sometimes takes care of everything else but the patient. The Institute of Medicine (IOM) defines patient-centered care as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions" (Frampton, 2013).

Patient centered care is important to me because it shows empowerment to the patient by showing respect, giving them your undivided attention, being honest when providing them with information. Collaboration between the healthcare team and allowing patients to take part in the decision making process regarding their care.

Moreover, increasing costs of healthcare delivery and emerging trends toward patient empowerment and patient-centered care in order to achieve higher quality healthcare, needs patients to play a more active role in their

The causal pathway through which quality improvement affects and/or is associated with patient centredness is complex. From a quality improvement perspective, a patient-centred approach may be justified by better meeting patients' rights, improving health outcomes or using information provided by patients to contribute to organizational learning. With regard to the measurement strategy embodied in a patient-centred approach, no gold standard measure is available and patient-level measures should be accompanied by assessments of organizational policies and processes. There is a risk that strategies aiming at improving patient centredness may benefit less those that have higher information needs. Interventions to improve patient-centred care

It is clear that to engage nurses in a culture shift to patient-centered care we will need to define what this means. By understanding patient-centered care we can see how it is a substantial contributor to the development of evidence-based practice and the movement to a transparent health care system. The acceptance and implementation away from traditional-care models will have a significant impact on strategic planning, clinical practice, and management of population health.

What is a patient centered care? People have subjective views what a quality, patient-focused care might be, but certainly it can be summarized into two main aspects of care affecting the healthcare challenge: the overuse and underuse of services. According to some estimates, thousands of Americans die annually because they were not provided proper care. These patients would often be treated for symptoms and not serious, underlying problems resulting in increase in medical costs and unnecessary testing. Like underuse, the overuse of services contributes up to 30% of the national healthcare costs in the United States. Both of these problems can lead to thousands of deaths.

Making healthcare delivery more patient-centered is not an easy process. Patient centeredness is one of the six interrelated factors constituting high quality-care identified by 2000 Institute of Medicine report. Patient-centered care can be defined as a healthcare setting in which patients are encouraged to be actively involved in their care, with a physical environment that promotes patient comfort and staff who are dedicated to meeting the physical, emotional, and spiritual needs of patients (Charmel & Frampton, 2008). In addition, the Institute of Medicine defined patient centeredness as providing care that is respectful of and responsive to individual patient needs, preferences, and values ensuring that patient values guide all clinical conditions (Institute of Medicine, 2001). Healthcare organizations developed different models and strategies on how to provide patient centered care. But the Institute of Medicine recommended that what is really needed is a planned-care system in which patient’s needs are anticipated in the context of a collaborative relationship between professionals and the patients they serve.