Valuable Learning From The Institute For Healthcare Improvement

The Institute of Medicine (IOM) committee created six “Aims for Improvement” that healthcare should embrace in

The aim of the plan is to establish high quality as IHCs core business approach to extend full management accountability to IHCs clinical functions. Through the use of a clinical-outcomes-tracking data system, they used the outcomes data to hold IHCs associated employed and non-employees professionals accountable for their clinical performance to be able to set and achieve improvement goals.

Triple Aim is an initiative created by the Institute for Healthcare Improvement (IHI). The primary goals are to improve patient experience, improve overall population health of Americans, and decrease the per capita cost of health care. These goals are a part of the care reform integrated into the nationwide strategy that was established as a result of the Affordable Care Act (ACA) (Zimmer, 2015) signed into law by President Obama in 2010. The ACA contains substantial modifications to how health care is compensated, funded, and provided within the timeframe of 2010 to 2018 to achieve all of the objectives. A few of the initiatives include the expansion of Medicaid, changes to private and small business health plans, participation conditions, federal subsidies, and limitations on cost sharing.

This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance. It will describe ways TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies. Also it will determine how compliance with the regulations and development of risk- and quality-management systems for the organization contributes to the organization’s overall performance-management system.

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

Quality Improvement Organizations (QIOs), work in partnership with the Centers for Medicare and Medicaid Services (CMS) to advocate for safe, efficient, and quality healthcare for Americans. Working at the community level, QIOs collaborate with providers and interact with beneficiaries to improve patient outcomes. Additionally, QIOs support new models of care and promote healthcare goals endorsed by the National Quality Strategy, and CMS Quality Strategy. CMS has strategically placed QIOs in several regions nationwide, and Mississippi is served by Information and Quality Healthcare (IQH). IQH founded in 1971 as a non-profit organization has strived to improve the quality of care received in Mississippi. IQH participates in a tobacco cessation helpline, behavioral health services, and diabetes education for Medicare beneficiaries.

The IOM Report Brief is a significant revelation that indicates where the US healthcare delivery system lacks in offering quality care to every in the US. This report not only discusses the problems in the healthcare system but also presents recommendations as to how the government can improve it. This paper examines as to what the progress is made in the field of healthcare after this report was written.

This is a performance-oriented organization devoted to improving the level of health care given to children. After its establishment in 1999, principal focus was to get rid of the gap the links what is and what can exist in healthcare for every child. Its main emphasis was to put a stop to childhood obesity, promote centered care for children with chronic conditions, and to promote equity in care for everyone. Under the management of experienced professionals in children healthcare, its work focused towards improving children's healthcare to realize this goal through awareness. NICHQ drives attention towards the need to spread the message of success demonstrating the possibility of improving children's health care to realize better outcomes. It conducted a project to fit in excellence upgrading and cultural proficiency in clinics.

Quality improvement is a systematic and continuous process which leads to improvements in healthcare services. The health services are then a reflection of the improving health status of a patient population (Health Resources & Services Administration, n.d.). Quality improvement strategies are the actions which a team will take to accomplish the goals of process improvement. The Institute of Medicine (2001) has developed a vision of six aims for improvement in healthcare which include, safe, effective, patient-centered, timely, efficient, and equitable care. Making improvements in these areas will better meet the needs of patients.

More methods are being created and taken place to ensure, inspect, repair and correct performance where it is needed to do so. MCOs have developed a new status quo of improving and performing better every year with tools such as the “Quality Drivers of Care” (Miller, 2004). One of these tools, perhaps the most important one, is the voluntary accreditation of MCOs by organizations such as the National Committee on Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, and the Utilization Review Accreditation Commission, among others. While MCOs are not required to do so they choose to, to show the industry that they are being assessed in the quality and service they provide and that improvements are in fact being made. They are also drivers in effectiveness and quality assurance as MCOs now find themselves competing amongst each other not only on costs but also on their effectiveness.

An organization risk manager and quality manager are continually seeking useful ways on minimizing risks to the organization and promoting better care of the patient. Risk management is the series of actions that is put forward to identify and address the issues to avoid the possibility of loss or injury. “Moreover, even when a risk-management plan creates barriers to access, a careful discussion of those barriers can lead to strategies to reduce them” (Meltzer, 2007, pg. 2). Quality management oversees the development of a product or service and ensures that it’s functioning or performing in the best possible manner with the least waste of time and effort. These departments are critical in recognizing and protecting a company loss. Many health care professionals not easily persuaded that quality can improve even though the result is not good

Intermountain Healthcare (IHC) is a not-for-profit and integrated delivery system that provides coverage and care mainly in Utah and the southeastern part of Idaho. IHC has been the leader in developing and executing electronic medical records, in applying the principles of quality measurement (QI) and improvement to health care, and approaching to managing heath care delivery by integrating clinical transformation, launching, and focusing on data. They have 28,000staffs which include 700 physicians in a multispecialty group practice. IHC also operates 21 hospital. The company was also financially stable and bringing their cash value to $242 million dollars.

In the Harvard Business School case study of Intermountain Health Care (IHC), we learned about the efforts made by IHC to adopt a new strategy for managing health care delivery that is focused on improving care quality while simultaneously saving money. Beginning in 1986 as a series of experiments tying cost outcomes to traditional clinical trials, IHC’s approach to delivering care became known as “Clinical Integration” which “referred to both an organizational structure and a set of tools” (Bohmer, 2002). The organizational structure required a departure from the traditional administrative management model to one that “involved administrative and medical

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,

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.