Tennova Health Care Case Study

Improving the quality of health care system is the main goal of this organization. In this case study we will be talking about the strategic plans being made by the organization for the next decade to deal with the problems of resource management, network growth, patient satisfaction as well as nurse staffing. The readiness of the organization towards catering the citizens' needs for health care will also be discussed in this case study (Goetsch and Davis, 2010).

Goal#1 AONE 2i Knowledge of Healthcare Environment: Work on assessing areas for Quality Improvement in the organization by attending various meetings related to quality

At Fort Madison Community Hospital they are focus at continuing improving quality service and managing care within the facility. To do this they have to measure accurately by different methods of quality improvement strategies. The managers also have to look at information technology applications and use benchmarking, milestones to help manage quality improvement to have a more effective facility.

Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be

Assume that you are a quality officer who is responsible for one (1) of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight page (6-8) summary of your recommended initiatives.

S.D. is a 38 year old immigrant female from India who was admitted to a community memorial hospital when she was nine months pregnant. S.D. went to the hospital clinic for a prenatal checkup on October, 7th 2014. The nurse took her vitals and all her vitals were normal except for the blood pressure. Nurse relayed this abnormal finding to the physician who advised S.D. to get admitted as this could pose a potential health risk. She stayed in two different units in the hospital during her stay: Labor & Delivery unit before giving birth and the Maternal Post-Op recovery unit after giving birth through a cesarean section. She was subsequently discharged from the hospital on 10/13/14.

Our Performance and Quality Improvement Process is based on the Continuous Quality Improvement Model which focuses on the importance of continuing to ask “Can we do it better? Can we do this more quickly? Is there something else we could do to improve the quality of care for our clients and the tools for our staff who deliver this high quality care?” In this model, the point is to focus on improvement even when nothing is wrong.

al., 2012). Trying to get the leadership motivated with adapting to TQM was a challenge in the beginning. The enthusiasm of top leaders has caused the TQM process to become effective. Although Health care has a complex adaptive system, leadership is crucial in implementing an improvement system (Sollecito & Johnson, 2013). The strengths of the TQM process were the support of the chamber of commerce, implementation of a quality improvement plan, adapting a successful way to measure improvement and development of cost effective techniques (McLaughlin, et. al., 2012). Corporate headquarters was totally involved in the TQM program with the CEO John Kausch as an active member of the Total Quality Council of the Pensacola, Area Chamber of Commerce (McLaughlin, et. al., 2012)

The Six Aims for Improvement are safe, timely, effective, efficient, equitable, and patient centered (Crossing the Quality Chasm). Through these outlines, I will condense them based on relatability and their outlook on patient care.

Going through these quality improvement modules, has helped me to understand the importance of working together as a group can benefit a lot of people. And also understand and recognize the importance one of the rounds we do in the hospital that I work called daily care briefing (DBC). This rounding was implemented in the hospital because, during a post hospital survey, it was discovered that the patient’s were rating effective communication very low, which in general was also affective the overall score that the patients were giving to the patient.

As you know on Tuesday, December 1st, we are scheduled for an all-day clinical demonstrations session at 108 Providence. One of our strategies as a MSO is to provide independent practice management support for those practices that wish to remain independent. For these practices that we, as Novant Health, want to strategically align ourselves with, our first choice is to install and implement Epic via Community Connect as a vehicle to monitor and assess the practice’s daily operations. As our MSO continues to grow outside of Novant Health’s footprint, there will be practices that we choose not to strategically align ourselves with. In these cases, we may offer up a secondary EHR system that will not allow us to implement

Dr. David Torchiana (Cardiac Surgeon) and Dr. Richard Bohmer (Quality Improvement Administrator) want to improve the process in the hospital by

Like you, I feel that quality of care, is “providing efficient and safe services”, along with being “up to date with skills and deliver safe care to patients”. I feel that the focus of patient-centered care is decentralization, the promotion of efficiency and quality, and cost control. I enjoyed how you explain the manager, as “internal factors for quality care are actively involving nurses and staff in the improvement process”. I think it is important for managers to utilize key tools like, EBP, utilizing cost effectiveness, staffing, along with reducing medication errors. I also enjoyed reading along with learning you think that CQI, is the management program you would get behind and support. Thanks for sharing

Customer satisfaction is everything. It is through the detailed survey that initiates quality initiatives and process changes based on this surveys of which the implemented change start at the grass root levels with staff closest to the area of need identified from these surveys. Arnold Palmer Hospital further builds the culture of quality by observing the four quality quadrants as analysed by the executive team namely service, quality, finance and human resources that make the organisation focus on same goals, vision and to be in the same line to achieve same result of quality culture. So, it would be very important for me to ensure that the hospital staff cares for the patients, and that the staff is responsive to the patient’s needs. Further, all the four determinants of quality have to be successfully met of which are:

Health care improvement and high quality care requires more then the technical approach of tools and methods, improvements often require a change in attitude and sense of ownership for the quality of serviced provided by an organization. Many supporting factors must integrate QI into the structure and foundation of the company, these are also known as the building blocks. Improvement also implies that it will be implemented in a variety of settings, circumstances and various levels within an organization. The structure has to also define how the different parts and levels of the QI program fit together and how they will be synchronized.