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PART A “Healthcare Quality” Please respond to the following:
- Examine two (2) well-known healthcare quality organizations that have taken two to three (2-3) measures to improve quality within the organizations themselves. Suggest one (1) additional measure that each organization could take to further improve healthcare quality.
- Suppose you are a Quality Officer for a healthcare organization in your area. (Albany, NY) You have been tasked with creating a plan to reduce the increasing number of medical errors that occur within your organization. Specify two (2) quality initiatives that your organization could implement in order to reduce medical errors and their related costs. Determine the fundamental tenets of the Standard of Care that would influence quality in your organization.
PLEASE RESPOND TO CLASSMATE DISCUSSION WHETHER YOU AGREE OR NOT & A DETAILED WHY: The Joint Commission (TJC) is the most well known organization that has taken steps to increase the quality of care for hospitals. By establishing the ORYX Initiative in the 1990’s almost every hospital in the country has been accredited by TJC. By establishing training programs for quality assurance and providing quality assurance reviews of hospitals on demand, they have been able to show hospitals where they can improve and provides tools to do so. A second organization that is well known is Centers for Medicaid and Medicare Services. This organization works with TJC in ensuring quality assurance measures are standardized and practiced by all facilities. Working with hospitals as well as non-profit and private organizations, they provide quality assurance oversight for many institutions as well as training in outpatient quality of life initiatives.
Two initiatives that an organization can implement is to have a team dedicated in oversight for documentation and follow-ups. Monthly revues of medical records. This will ensure that documentation is properly annotated as well as allowing for the ability to identify problems in diagnosis and after care instructions. A second way which is much easier but a little more costly would be to ensure the use of the electronic health record system. This system has built in quality assurance programs which are designed to check for errors in reporting as well as creating a standardized method of record keeping without the risk of damage to hard copy files or the loss of information due to misfiling.
Part B – “Liability and Quality” Please respond to the following:
- As a healthcare administrator, you have been tasked with researching your hospital’s compliance in the proper reporting of both medical and non-medical errors made by the staff. Compare the relationship of hospital’s corporate liability with that of each employee’s vicarious liability in the event of an error. Discuss the essential steps that your organization can take to reduce occurrences in both. Provide at least two (2) examples of the successful application of such steps to support your rationale.
- Interpret the extent to which public reporting and value-based purchasing improve healthcare quality. Include a comparison of two to three (2-3) advantages to each reporting method. Support your response with two (2) examples of healthcare quality improvements that could have resulted from of an organization implementing each type of reporting method in question.
PLEASE RESPOND TO CLASSMATE DISCUSSION WHETHER YOU AGREE OR NOT & A DETAILED WHY: Medical errors do happen everyday and at every healthcare facility. The importance of reporting is pivotal in educating and future prevention. Many of the rules and regulations that are in place are there because there was an incident that occurred that required its implementation. Employees should report any and all errors made or discovered so that a proper assessment can be made. Reporting should be signed off by supervisors and quality control reps. The reports can be monitored to see if there is a bigger issue going on such as an individual not performing their duties properly or an equipment malfunction that needs to be service.
Improvement can be developed by reviewing the public reports. Public reporting should be a mandatory reporting platform. The organization should be as transparent as possible as it is a patients right to know the stats of a health care facility. It will also show good faith that the organization is not hiding or covering any malicious practices. Public reporting can also be used as measurement for possible geographical reasons for the errors. Patient Safety and Quality Improvement Act ( PSQIA) made a system that allows health care providers to anonymously report medical errors for data analysis. Being able to report anonymously takes away the fear of being attacked by the organization or provider that is being reported. This type of reporting can also help reduce the amount of errors that go unreported therefore providing more accurate data.