Quality Improvement Initiatives And Performance Management Systems

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Healthcare providers have begun utilizing quality improvement initiatives and performance management systems to improve the quality and outcomes of their healthcare systems. There was a shift from a healthcare provider’s responsibility of their work to being held accountable for their work, as well as the emphasis on a team atmosphere to improve accountability. Responsibility and accountability, while meaning different things, together are important in advancing the quality of healthcare. In this paper, I will clarify the reasoning for an emphasis on accountability and also explain how responsibility and most importantly accountability are essential to nursing practice to improve quality health care. To have accountability, you must…show more content…
Accountability is “an obligation or willingness to accept responsibility or to account for one’s actions” (Merriam-Webster, 2003). We are responsible for the care we provide and are held accountable for the care given if something goes wrong or a patient isn’t happy. It is about the impact of our work and the difference our works make (Porter-O’Grady and Malloch, 2013). Responsibility and accountability are paramount in healthcare and those in a leadership role are there to make sure their staff is held responsible and accountable for their care to be sure the system is improving their care and if there is no improvement, focusing on ways to increase improvement in care. They also act as role models that employees can look up to. A culture of accountability should contain a set of common elements where the belief is that continuous learning and improvement can be done at the individual, departmental, hospital, and organizational level (O’Hagan and Persaud, 2009). There is always room for improvement at every level. The decisions made are not by individual preference but are carefully thought out and are directed by evidence-based protocols and clinical practice guidelines (O’Hagan and Persaud, 2009). An individual performance measurement is the best way to assess these outcomes and direct improvement initiatives. However, it is not a means for punishment if an individual does not meet the criteria.
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