Summary: Board Oversight Of The Quality Of Care

In summary, implementing shared governance is a great partnership in the healthcare workplace. Healthcare workers should continuously strive better the work environment. It is known that shared governance requires strategic change in organizational culture and leadership. It demands a significant realignment in how leaders, employees, and systems transition into new relationships and responsibilities. In the spirit of continuous improvement and professionalism, healthcare organizations must never stop seeking ways to engender a satisfying and fulfilling workplace (Hutchison & Moore, 2007).

The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency. An overarching agenda for achieving excellence focuses on high-impact health conditions, provides goal-oriented tools to analyze population data, proactively identifies patients in need of intervention, supports systematic process improvements, and promotes collaboration between patients and professionals to improve health.

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

This paper will describe current quality outcome measures and the significance for improving medical care. Organizational accountability and transparency has improved with the emergence of Hospital Inpatient Quality Reporting (IQR) programs and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPs). This article will review the role of the nurse manager in creating a culture for quality care as well as the nurse for meeting organizational and patient expectations. Organizations like The Joint Commission (JC), Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMS), and The American Nurses Association (ANA) have been critical in establishing standards for quality. This paper will also report on the most recent hospital statistics and steps taken to improve HCAHP scores and reduce readmission rates at the University of Tennessee Medical Center in Knoxville (UTMCK). Statistics at UTMCK will also be compared to the Tennessee and National averages found on the Medicare website Hospital Compare. The aim of this paper is to explore if healthcare system initiatives are improving quality and enhancing patient outcomes.

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.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

Nurses are integral key players in multidisciplinary teams caring for patients in complex healthcare systems. Hospitals, a primary care delivery portal within the health system, are inundated with patients requiring higher acuity care. Nurses must be prepared to recognize patients’ health care needs and provide quality patient care outcomes. The knowledge of nursing sensitive indicators can be helpful in providing the care which meets quality standards. Nursing sensitive indicators rely on evidence-based practice. The American Nurses Association created a repository for implementing, developing, and

In conclusion, this paper explored the strengths and weaknesses of this organization. A weakness is identified and improvement is recommended to create a Patient Advisory Council in the Shared Governance to promote better patient-centered care. In doing so, patients will have sense of empowerment by having their input in the plan of care. To measure the success of the recommended change, the use of HCAHPS and patient metrics are utilized and compared nationally.

Quality and Safety has been recognized as important issues in creating the delivery of effective and responsive health care. To improve Quality and Safety the leader must analyze data and interpret the information to develop a system for clinical performance by motivating, supervising, and develop a problem solving approach to deal with system of medical errors. The purpose of this paper is to inform the reader of the role of the leader in evaluating data to improve

Critical Review of Mechanisms Used to Monitor and Audit the Quality in Care Services Task 1 = == == =

Clinical leadership is fundamental to patient safety. World Health Organization (WHO, 2016) considers patient safety as “ an prevention of errors and adverse effects”. WHO has pointed out, as the greater development of technologies, medicines and treatments, health care services become more complex therefore decision-making in clinical setting are crucial. Financial and emotional burden may easily occur with poor decision-making by

The members of the High power/ High stakes group are responsible for the financial success of the system. These members must be fully engaged in the management process. Each member of this group has a fiduciary resposibilty for running the system. This group provides the complience checkes and balances required in the system. This is the management and governace of the system. These stakeholders have potential legal ramifications to failure to fulfill their duties. The approach must be open and continious dialog on operations and consinious on major decisions. There must be transparency in financials and decision making. This the group the health care leader must worke closely with and be responsiable

According to Veronesi, Kirkpatrick et al. (2013), 10% increase in the number of doctors on boards can have positive impacts on hospital performance. It may be important to add, that it is clinical involvement that is increasing performance and not the reverse case, which would mean that more clinicians are hired at senior levels in well performing institutions. Moreover, the results suggest having a larger group of clinicians on boards, which collectively contribute in the decision-making process (Veronesi, Kirkpatrick et al. 2013). The longitudinal study is well - conducted and the idea of distributed leadership (cf. point 2: Different concepts of

Hospitals in today’s world require organizations that have a variety of people on their boards. Hospitals are usually run by administrators, board of directors, and other departments. Each of the many tiers of the hospital organizations has varied goals and achievements that they wish to accomplish. This article is designed to discuss some of the strengths; weakness, opportunities and threats (SWOT) of the hospital organization (Roussel, 2013). Internal and external forces will be discussed as factors of influence upon the decision making body of the hospital. An example of a problem found in many hospitals, the threat of patient falls will be analyzed. This article hopes to give a better picture of hospital organizations,

It is vital for the top managers to drive the benchmarking process from the top by assessing the outside environment for the best procedure and practices. Studies showed that quality of care has been connected to leadership in hospitals. (Talib, F., Rahman, Z., & Azam, M.