Quality In The Healthcare Industry

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.

Various internal and external factors influence quality management and outcomes in hospital organizations. One internal factor that affects quality management and outcomes is leadership within the organization. Leadership is important to have successful quality management outcomes because if the leadership does not support it, no change within the organization will be successful. “This commitment must be shared by the board of trustees and all senior clinical and administrative managers and understood that it is a long-term process” (Chassen and Leob, 2011). Leadership is one of the most influential internal parts of the quality management program. Leadership can either help the organization succeed with their support or help the organization fail if they do not support and follow

The manager on this position should have what is called as personal power. Those people who have personal power are the ones who take charge and make things happen.

There are a number of agencies that may affect the healthcare industry such as Joint Commission, the Food and Drug Administration, and the Center for Disease Control (Immunization of Healthcare Personnel, 2014). All of these have specific guidelines that have an impact on how a business is

It is very important that you become familiar with the regulatory agencies that control the healthcare industry. Here, you will receive a brief introduction to the agencies of major influence.

As a new manager of an organization, I would first take a look at the organization’s entire infrastructure, and then evaluate the total quality management system that was implemented into that organization’s configuration. I would then implement my own infrastructure such as the Pareto run chart or subsequent cascading charts. I would create a quality development team that’s dedicated to instituting quality upgrades (a quality council). The quality council would have subcommittees that would be in control of managing and communicating total quality developments throughout the organization; reassuring duties such as project development teams, quality development managers, a quality training program, and planning development training (Goetsch

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).

The health care system is one of the largest industries in the nation. It employs nearly twelve and a half million people. Even though this many people are employed by health care systems, there is little to no competition between the many different systems. This results in the cost being whatever the system wants. People who are ill or

“A company starting on a quest for quality looks to others for guidance. Through the years, various important initiatives have been devised. Although all have strengths and weaknesses, all can give suggestions and guidance to a company that wants to establish its own, unique improvement program.”(Ledolter

The different segments within the sector such as hospitals, home health rehabilitation services among other patient care facilities employ qualifies personnel to attend the needs of the patients at different capacities. Therefore, the managers in the health care need to possess skills and knowledge concerning the integration of change in the right manner and similarly, possess effective interpersonal skills, communication ability, and competent leadership skills to guide and direct diverse groups of individuals towards the achievement of a common organizational goal.

The advancement of a high-performing health care system that accomplishes improved access, enhanced quality, and more effectiveness, for the susceptible, vulnerable, the uninsured, minority, children, and elderly adult, remain vital (Commonwealth Fund, 2016). The expectations to meet this standard has been adopted by hospitals as they are in continuous review of modalities to provide safe, effective, and efficient care for their community. Consequently, the priority Quality Improvement area identified in the Medsurg/Orthopedic unit of riverside hospital is “Point of Care Documentation”.

They monitor and analyze quality reports in order to identify areas of risk and improvement. Based on the information they gather, clinical quality specialists create root cause analysis charts and recommendable solutions. They help manager implement changes and develop work plans to monitor progress. They regularly conduct on-site visits to identify new problem areas and conduct health care provider education sessions. For example, they may work with admin staff regarding proper coding practices and chart documentation, but work with nurses to streamline communication flows between doctors. They sometimes monitor the performance quality of contracted vendors and services. They help create health care provider outreach, engagement and education materials to

Quality measures are strategies that gauge, evaluate or compute health care processes, results, discernments, patient insight, and administrative structure. In addition, quality measures are frameworks that are connected with the capacity to deliver first-class health care and/or that are able to identify with one or more quality objectives for medicinal services. These objectives include: compelling, protected, effective, quiet focused, impartial, and opportune consideration. Quality measures can be used to measure quality improvement, public reporting, and pay-for-reporting programs specific for health care providers (CMS.gov, 2016). There are an assortment of quality measures in which health care organizations can use to determine the status of the care they are delivering. Many are appropriate, but few are chosen for this research paper. Among them are: National Health Care Surveys, Hospital IQR Programs, Scorecards, and Political, Power, and Perception/Data for Decision-making tools.

Health care systems are reporting and monitoring quality of care indicator data with increasing regularity.