Case Study 1 Keiser University Dr. Marsha Lawrence HSM691 (Quality Management in Health Care) December 9, 2013 Introduction West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John
A quality improvement (QI) project involves data-guided activities with short timelines to improve health care delivery systems (Arndt & Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt & Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in
Fox News (2007). Dennis Quaid's twins among three newborns given drug overdose. Retrieved rom:http://www.foxnews.com/story/0,2933,312357,00.html McLaughlin, C.P., & Kaluzny, A.D. (2006). Continuous Quality Improvement in Health Care, Third Edition, Jones & Bartlett Publishers, Sudbury, MA.
With enactment of the Medicare Modernization Act (MMA) in 2003, Medicare began moving toward value-based payments, and the introduction of Affordable Care Act (ACA) in 2010 meant that Medicare accelerated its use of value-based payments as a means of improving outcomes and managing overall costs (Wofford, 2015).
The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied
The Policy Process: Part I Susan Kunz HCS 455 July 6, 2011 Rich Jones The Policy Process: Part I Patient access to affordable health care is an ongoing issue in the United States. The first portion of the policy process involves three different stages, the formulation stage, legislative stage, and the implementation stage. Three main stages exist in the process to transform a topic into a policy (Morone, J. A., Litman, T. J., & Robins, L.S., 2008). Coupled with the implementation stage is an evaluation of all the stages to determine effectiveness and gather information for use in future public health care policy making. In the formulation stage, the ideas, concepts, and information steam from this process of policy making. The
The disadvantages of VBPS program are that it requires healthcare facilities and providers to involve in all steps of care process for patients. The program holds responsible of healthcare facilities and providers for some services that they do not provide or unable to control while failing to assign accountability for other services that they do provide. For example, providers and healthcare facilities coordinate cares for patients but they cannot control or organize the patients’ weigh loss efforts. In addition, the VBPS required that patients should evaluate the care that they receive, which may lead to negative feedback for teaching healthcare facilities (Minemyer, 2016).
Affordable Care Act (ACA), and the aging of the population are the three major factors driving healthcare costs at this time (CMS, 2014). The nursing profession has the ability to contribute to refining the cost-effectiveness and efficiency of care through the delivery of evidenced-based treatment strategies to known populations
One major trend in the healthcare environment is the shift from volume based reimbursement towards value based reimbursement. Many provider practices remain on a volume based or fee for service reimbursement plan. This system tends to reward high quantity of services with less regard for the quality or performance of the service. However, with a renewed focus on value, reimbursement plans
The Affordable Care Act has enable Medicare & Medicaid Services(CMS) to link Medicare’s payment system to a value-based purchasing system to improve healthcare quality1. Hospital Value-Based Purchasing (VBP) which is part of the Centers for Medicare & Medicaid Services; the program allows
“Back to Basics: Implementing Evidence-Based Practice” written by Lisa Spruce is an article that touched on the importance of implementing EBP to engage patients better in their care. Spruce discusses how to implement EBP in a perioperative nurse setting can improve patient outcomes and save money. She goes on to describe the steps to take to implement this strategy and describes how the implementation of EBP positively impacts the entire facility. Physicians and other medical professionals, such as nurses, have the obligation to inform patients about the best options for their care. After all, the goal of seeking medical care is a positive outcome; EBP requires highlights this.
First of all, both scenarios represent emotionally charged situations that impact many stakeholders both internally (employees, patients, providers and board members) and externally (payers, community, government entities, community leaders). There is no doubt that the knowledge I have gained over the course of this program allowed me to have a broader understanding of the implications for each of these stakeholders. Furthermore, not only having knowledge of the perspectives of these various stakeholders but also the tools to critically assess the situation and formulate a plan is also a byproduct of my studies. Additionally, this work highlights the complex and fragmented nature of the US health system and the challenges in working on a solution to almost any problem tackled by healthcare leaders today. Thankfully, the program has given me the confidence to undertake these
NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.
Moreover, the PQIs can be used as an assessment instrument to help highlight potential healthcare quality concerns and challenges that require further analysis and provide effective data for planning and improvement of health care quality; and provide information to the consumers (U.S. Department of Health & Human Services, 2014). The Inpatient Quality Indicators (IQIs) measures also provide a perspective that includes inpatient mortality for certain procedures and medical conditions; application and utilization of certain procedures for which there are questions of uses
Promoting Population Health With Value Based Purchasing To encourage the shift toward service quality, the Centers for Medicare and Medicaid Services has launched four initial value based programs: the Hospital Value Based Purchasing VM) or Physician