Analyse The Relationship Between Structure Process And Outcome Quality

The primary care practice is essential to improve the care of our population, our current system is fragmented, but it does show potential for improvement. The Agency for Healthcare Research and Quality has listed some areas that will help improve our system. One is “the need for external infrastructure to help primary care practices develop quality improvement” this is done with support to the quality capacity (Agency For Healthcare Research and Quality, 2015). Quality care will include the coordination of care within the system, as well as understanding what needs the patient will have

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 way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.

Quality is an important factor that affects an organization’s service delivery approach or underlying system of care. To achieve a different level of performance and improve quality, an organization’s system needs to change its own delivery system and key processes. The resources (inputs) and activities carried out are addressed together to ensure or improve quality of care. A health service delivery system can be small and simple, such as an immunization clinic or large and complex or a managed care organization. A health care delivery system consists of resources, activities, and results. Activities or processes within a healthcare organization contain focuses on what care is provided and how is done based on the location, time, and patients of the care delivery. Providing services that meet the needs and expectations of patients and their community, including system that affect patient access, care provision that is evidence-based, patient safety, support for patient engagement, coordination of care with other parts of the larger health care system, and cultural competence, including assessing health literacy of patients, patient-centered communication, and linguistically appropriate

Lead practice that promotes individuals’ health and choices and control over the outcomes they want to achieve (O3.3, O3.4, O4.4)

Promote quality of care using and developing clinical analysis of performance as it relates to risk adjustment and quality data. Influence present model processes and design/implement new programs to improve clinical

Quality improvement is defined “as systematic, data-guided activities designed to bring about immediate improvement in health care delivery in particular settings”(Lynn et al., 2007, p 667) by utilising the Model for Improvement, which is not a replacement for one already used by the organisation. Instead, the model of improvement accelerates improvement of health care process and proved to be successful. It consists of two parts such as the three questions and the Plan-Do-Study-Act (PDSA) cycle of rapid change tool to determine if the change is an improvement (Institute for Healthcare Improvement, 2017).

When analyzing any organizational structure and model of care you must compare and contrast the findings to the characteristics. These findings will demonstrate the organizations primary function, organizational structure, and care deliver models. Evidence practice models help organizations address gaps in patient care and aid in development of congruent delivery of care. Vitas’ organization structural represents a service-line structure that provides hospice services to terminally ill patients. Service-line structures collaborate with other service functions to meet service goal needs. An example of this would be Vitas’ collaboration with hospitals to allow Vitas to have inpatient units for patients with immediate critical care needs. Moreover,

According to Shi and Singh (2015) states that Donabedian model is considered a wide known means of measure that is used to give an understanding in measuring quality in healthcare organizations. In this model three domains that are hierarchical and are closely linked Donabedian would examine the quality of healthcare through structure, process and outcomes. In this model structure is considered the foundation of quality healthcare, and in order to have good process a good structure must be in place. If there is deficiencies within the structure then healthcare delivery process will be compromised (p. 494). Shi and Singh outlines the results of the domains beginning with outcome which focuses on patient satisfaction such as health status

The organizational structure is as important as culture for health organizational to provide best care to patients. According to Glickman, Baggett, Krubert, Peterson, and Schulman, (2008) "Organizational design is a formal, guided process for integrating the people, information, and technology of an organization, and serves as a key structural element that allows corporations to maximize value by matching their corporate design to overall strategy." It is really hard for large organizations to provide high quality of care when the organization structure is not set properly. Most large health organization have their work divided into small tasks and each employee is responsible for his or her duties. As I have discussed earlier communication is major problem in health organization that leads to many medical errors. Without clear communication between

Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.

Quality is something that every health care agency strives to achieve. The Institute of Medicine (IOM) suggests that health care organizations develop a culture of safety such that an organization's care processes and workforce are focused on improving the reliability and safety of care for patients (Groves, Meisenbach, & Scott-Cawiezell, 2011). In order to address an issue related to health care quality, it is important to look at the frameworks that will analyze an organization and identify opportunities to improve performance. The purpose of this paper is to provide a description of an organization and an analysis of the following: mission, vision and values, strategic plan, goals,

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.

A country’s economy and well-being depends upon how strong its healthcare system is. A country would grow into a stronger nation if the people are mentally and physically stronger. Moreover, healthcare systems are usually complex and complicated systems and thus, they need a lot of attention. As Donley (2005) states, “[t]he changing patterns of health care delivery have increased complexity in all practice environments” (p. 314). By a complicated system, it means how different healthcare organizations together play a pivotal role in measuring success of a country’s healthcare system. These healthcare organizations further rely on various departments within the system which are in turn led by various leaders. Thus, it is evident how leaders are the key link in deciding the fate

During my clinical experience at Our Lady of Fatima hospital I have observed how important it is for organizations to have structure. When an organization has structure it increases their chances of accomplishing their units goals. Structure provides for better coordination and use of available resources. In order for an organization to build structure they must start off using an organizing stage. This is where “relationships are defined, procedures are outlined, equipment is readied, and task are assigned.” (Marquis & Huston, 2015, p261). It takes multiple levels of management to build structure within the organization. Working in Fatima hospital I was able to observe many different levels of management. The Top-level managers look at the organization as a whole. They generally make decisions with few guidelines. An example of a top-level manager would