Quality Improvement Case Study

References Berry, L. L. (2000). Cultivating service brand equity. Journal of the Academy of Marketing Science, 28(1), 128-137. Retrieved from http://link.springer.com/article/10.1177/0092070300281012

As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being

NURS 410 6380 Applying Evidence-Based Practice in Nursing (2155) Assignment #4 Quality Improvement Proposal Paper Part 1 Helen Viban RN – BSN Program UMUC After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when

Quality Improvement and Patient Safety 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.

In the past several years, there have been several changes in economic policy at federal and state levels. The two economic policies that present to be the most precedent for healthcare leaders with concern to facility reimbursement are the Affordable Care Act (ACA) and the switch from volume to value reimbursement. First, there is the ACA policy, which have affected healthcare facilities and their reimbursement methods. In fact, ever since this policy was implemented, provider reimbursement has started to decrease in terms of fee-for-service payments (The Common-Wealth Fund, 2015). In other words, the intention of this policy was to provide budget relief to the government payers as well as giving providers an incentive to provider patients with great quality of care.

Quality Improvement for Elderly Adults The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.

The Joint Commission is currently the leader in creating and implementing the greatest standards for safety and quality in health care delivery and organizational performance evaluation. Currently, a majority of healthcare organizations use the standards developed by the JC as a guide for how to manage care and improve quality

It is important to understand as the years pass by and the time is changing, the world of healthcare is changing as well, especially in terms of healthcare reform. One major change in healthcare reform was a course of action that required healthcare organizations to submit mandatory data on the quality care of their patients. This plan was initiated by the Centers for Medicare and Medicaid in 2015, in which they implemented the Medicare Access and CHIP Re-authorization Act (MACRA). This act modernized how Medicare payments are tied to quality and cost of care (EClinical, n.d.). MACRA initially focused on Meaningful Use (MU), PQRS and Valued-Based Modifiers (VBMs). In fact, when it came time to report quality data, if an organization did

Since the enactment of The Patient Protection and Affordable Care Act (PPACA), health care has been faced with complex issues. Health Care providers are challenged with extreme cost pressures making it difficult to maintain their financial viability. It is important they uphold high ethical standards when making financial

Week Four Response to Picard Quality and financial viability being closely tied is an extremely salient point. Furthermore, the Affordable Care Act has influenced the requirement for high-quality, cost-effective care provision by implementing Value Based Purchasing (Aroh, Colella, Douglas, & Eddings, 2015). In addition, there are presently Centers for Medicare and Medicaid (CMS) quality indicators that effect reimbursement for hospitals (Xu, Burgess Jr, Cabral, Soria-Saucedo, & Kazis, 2015). For example, if a facility does not meet the indicator threshold for catheter associated urinary tract infections, central line infections and/or pressure ulcers their reimbursement is affected. Given that the quality of care provided by a hospital is

Executive Summary The idea that the healthcare reimbursements should be linked to the quality outcomes and performance measures is central to the Patient Protection and Affordable Care Act. The legislation provides various reforms that either provide incentives to healthcare providers for better quality services and outcomes or reduce their payments

The Medicare Access and CHI (Children's Health Insurance Program) Reauthorization Act (MACRA) was established in 2015. This act confirms policies for physicians and other clinicians to improve the payments through the modifications of quality measurement and Medicare incorporates. These policies within the health care system would unify and promote a greater value towards the Quality Payment Program, which would develop new guidelines to address the Alternative Payment Models (APMs). The MACRA has arisen for the advancements of coordinated framework towards healthcare providers and their organization as they strive to intend on succeeding in the CMS Quality Payment. I think the improvements towards the MACRA puts an increased focus on the quality

Building a culture of quality improvement JCL calls for setting standard for quality care and patient services . Our aim is to do the right thing , in the right way ,the first time , every time and this is the way of our success .

1. What do you consider to be the key issues for quality improvements in the NHS quality-improvement program as it goes forward?

Executive Summary iConsultant is committed to implementing appropriate quality management systems and processes to enable the delivery of the highest practicable quality products and services. Dyson Limited engaged iConsultant to strategize a total quality transformation for the company to overcome its current quality challenges and hone its competitiveness in the world market.