Primary care is considered by many countries as a backbone of the medical health system that is effective and efficient and satisfies the demands of patients and families (Sebo, 2015). The enhancement of primary care practices’ quality improvement (QI) orientation is essential in strengthening the primary care practices (U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, 2013). In addition, external supports such as feedback and benchmarking, coaching, expert consultation, and shared learning can help primary care practices with quality improvement and enhancing QI orientation. There are different organizations that provide quality supports to primary care practices. One of this is the North Carolina Area Health Education Centers (AHECs) Practice Support Program. The aim of the program is to support primary care practices in North Carolina by providing primary care practices with onsite QI consultants, tools, and resources that help primary care practices’ transformational efforts (U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, 2014).The aim of this paper is to summarize two articles related to primary care.
I. Quality Improvement in Primary Care: External Supports for Practices
In the article “Quality Improvement in Primary Care: External Supports for Practices,” Taylor, Peikes, Geonnotti, McNellis, Genevro, & Meyers (2014), describes the importance of quality improvement (QI) for primary
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.
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
McLaughlin, C.P., & Kaluzny, A.D. (2006). Continuous Quality Improvement in Health Care, Third Edition, Jones & Bartlett Publishers, Sudbury, MA.
The Affordable Care Act (ACA) is a federal health reform legislation engineered to provide Americans with high quality, affordable cost and better access to health care [1]. To address these overarching aims, the ACA requires the secretary of the Department of Health and Human Services (HHS) to establish a National Strategy for Quality Improvement in Health Care, also known as the National Quality Strategy (NQS) [2]. The strategy sets three aims. First, to make health care more reliable,
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
* Monitor and improve overall quality of care within the practice (Garret and Seidman, 2011).
This quality improvement discussion will review the purpose of quality management in health care industry and why it is needed. Included in this QI report will be an explanation of the
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
The purpose of quality management in healthcare is a continuous process that improves health care performance and increase customer satisfaction. Within health organizations there are many entities such as pharmacies and clinics all of which need to provide quality services to their patients. Quality improvements are organizational strategies incorporating evidence-based practice to improve healthcare (Huber, 2010). Reviewing why and how the need for quality management in a health care organization will be discussed.
There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.
Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage
Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.
The Institute of Medicine (IOM) Committee to Design a Strategy for Quality Review and Assurance in Medicare defines quality of care to be “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Ransom, Joshi, Nash & Ransom, 2008). Making sure to have current knowledge on healthcare services is crucial to the quality of care provided, and health care professionals are expected to continuously stay updated on the changing trends. The IOM later released six aims for improvement, or also known as the six dimensions of quality, which are safe, effective, efficient, timely, patient-centered, and equitable.
Safe, effective, patient-centered care delivered in a timely and efficient manner is the goal of quality healthcare. Unfortunately, the delivery of such quality faces serious concerns. The Institute of Medicine (2001) describes the quality gap in healthcare as having three types of problems, “overuse, underuse, and misuse” (p. 23). In recent years, emphasis on improving the quality of care has increased (IOM, 2001). Quality improvement methods, such as plan-do-study-act (PDSA), have successfully enabled health care providers to address the quality gap. The purpose of this paper is to identify a quality healthcare problem, discuss the quality improvement plan, and describe the strategy for implementing effective change using the PDSA method.
This individual reflection on the group work will present how I have seen the application of the principles of Primary Health Care (PHC) through the roles of the community health workers (CHW) in making health care more accessible. In addition, some strategies will be suggested to address the critical bottlenecks that hinder the effectiveness of the CHWs. Having the experience of working as a District Health Officer, this reflection will highlight most significant areas that I feel require attention to improve the health system in the country. This reflection will be based on the two case studies of CHWs in Malawi and Sri Lanka namely, the Health Surveillance Assistants (HSAs) and Eye Health Promoters, respectively.