Premium Essay

Improvement in Health Assessment

In:

Submitted By engraham1781
Words 958
Pages 4
Improvement in Health Assessment
Erin Graham
West Texas A&M

September 14, 2012

Improvement in Health Assessment
A nurse’s role in health assessment has multiple parts to make it complete. An evaluation of a person’s health status consists of obtaining a full health history as well as a physical examination. The nurse must incorporate the use of inspection, palpation, percussion and auscultation when performing a health assessment, all which are skills learned throughout the nursing education we obtained. However, we all need to improve on certain things in our practice.
After reading the assigned chapters for this week and evaluating myself as a nurse, two keys things stood out in my practice that could use some improvement. The way I listen to my patients is the first item of improvement. I have always felt confident in the way I approach someone and the way I react when I am approached about the health issues of my patients, but as I think back to the many experiences I have had as a nurse, I recognize that the way I listen to some of them is not done to the best of my ability. I have many times found myself jumping into the conversation before I have heard everything that needs to be said by the patient, therefore leading to my own back tracking of given information. I need to improve the way I listen, by first, hearing the whole topic of concern or question and then proceeding to give my help through my response. The area of nursing I work in comes with a lot of hormonal emotions after the birth of a newborn, so many times my patients just need a shoulder to cry on or in my case cry with, which is how it ends up on most occasions. With this I need to be a type of caregiver that gets down on the patient’s level and out of the authoritative level as a nurse, so to speak, and listens to the frustrations and emotions that comes with having

Similar Documents

Premium Essay

Risk Management Assessment

...Risk Management Assessment Summary Community Mental Health HCS/451 March ##, #### Mister Misty Community Mental Health Being hired as a consultant for a community mental health facility my main focus will be risk assessment and management that will be used to identification of quality patient outcomes. This would mean that any projects that are done in the community mental health facility will need to be well planned and thought out, understanding also that once the program is installed it will remain an ongoing process, allowing room for improvements. In working as a consultant in this role and facility it is necessary to work toward improving employee performance and management as this is essential when analyzing existing developments and issues throughout the organization. Having a plan in place for risk management and assessments for improving quality patient care is important. As a consultant for this organization the processes that I will be introducing will include: • Organizational change • Management assistance • Technology implementation • Development of coaching skills • Policies and regulations of risk-management and assessment • Strategy development • Operational improvement services This consulting opportunity will also have recommendations for methodology that will help to enhance the organizational performance in an efficient and effective manner allowing the completion of all assigned tasks. Community...

Words: 604 - Pages: 3

Premium Essay

HS420 Advanced Health Informatics: Case Study

...HEALTHCARE DATA SETS HS420: Advanced Health Informatics 11/25/2014   HEDIS According to NCQA (2014), HEDIS is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 81 measures across 5 domains of care, there are so many plans that use HEDIS and the measures are so specifically defined it can be used to make comparisons among plans. To ensure that HEDIS stays current the National Committee of Quality Assurance (NCQA) has established a process to evolve the measurement set for each year through its committee on performance measurement. The National Committee of Quality Assurance...

Words: 1800 - Pages: 8

Premium Essay

Hospital Assessment

...Risk and Quality Management Assessment Summary Beverly L. Rivera HCS/451 April 1, 2015 Kevin Stevens Risk and Quality Management Assessment Summary The healthcare industry is growing rapidly with significant changes directing new trends and advance technology for the future. Within recent years, the shift from manual medical records to electronic medical records allows individuals to be an active participant in direct control of their health care. As these changes continue to increase, the risk and quality departments within health care organizations has an enormous duty to enhance the quality of care for its internal and external customers. Gwinnett Medical Center is one of many healthcare organizations that embraces change along with enhancing the quality of care their patients receive. The executive summary assessment will describe details of Gwinnett Medical Center, the risk, and quality management department policies, and how the risk and quality management determines the quality outcome for the goals the hospitals. Gwinnett Medical Center Gwinnett Medical Center (GMC), also known as Gwinnett Hospital System, Inc. (GHS), was established in the early 70s and is a not-for-profit health care network. The hospital is a 553-bed facility, which includes 464-inpatient and 89-skilled licensed nursing and long-term facility. Gwinnett Medical Center has two acute-care hospitals, and facilities in different cities and the metro Atlanta area. The facility in Lawrenceville...

Words: 2174 - Pages: 9

Premium Essay

Importance of Education in Healthcare

...be military training , relaxation training is given to people who are stressed , training of employees of companys - Health care sector also being a service oriented industry requires training of its employees and its employees are various health care professionals like doctors, and other allied health care professionals like pharmacists and physiotherapists after all they have to deal with life and a unprofessional work place just can’t do the job. TRAINING AND EDUCATION IN HEALTH CARE -Concentrating on health care industry as mentioned earlier the industry deals with life so the importance of training and education in health care cannot be underestimated The Medical Council of India (MCI) is a statutory body with the responsibility of establishing and maintaining high standards of medical education and recognition of medical qualifications in India. It registers doctors to practice in India, in order to protect and promote the health and safety of the public by ensuring proper standards in the practice of medicine.  It is our mission to develop systems which shall continuously assess the needs, enhance the quality and standards of medical education and training in India. Our objective is to attract, foster talent, provide the best opportunities for career advancement and the spirit of excellence in medical profession. The large gaps in health care accessibility in rural parts of the country, the need for enhanced clinical competence and limited opportunities...

Words: 1686 - Pages: 7

Premium Essay

Accountability in Healthcare

...Phoenix Abstract Accountability has become a major issue in health care. Accountability entails the procedures and processes by which one party justifies and takes responsibility for its activities. Health care providers are constantly striving to improve quality and efficiency by using performance management systems and quality improvement initiatives. Creating and maintaining a culture of accountability are important for achieving this end because accountability is the reason for measuring and improving performance. Accountability in Healthcare Accountability is a word that is loaded with meaning that it can strike fear in the heart and soul of our health care system. That is because it has become to mean: Blame and punishment. The outcome to this is blame-avoidance, blame-shifting, cover-ups, in fighting, defensive behavior and anti-learning dynamics has caused an already dysfunctional system to become even more so. Accountability is very different from blaming. Blaming means to find fault with, to censure, revile, reproach. Blaming is an emotional process that seeks to discredit the blamed. When people work in an atmosphere of blame, they naturally engage in defensive routines, covering up their errors and hiding the real issues that need to be dealt with. Accountability emphasizes keeping agreements and performing tasks in a respectful manner. It is about learning the truth and continuous improvement. Accountability within an organization is that each part...

Words: 1070 - Pages: 5

Premium Essay

Chairman

...Vision and approach Transformational solutions Environment Operating responsibly Responsible supply chain – Our approach We work with our suppliers to help them meet our ethical, health and safety, social and environmental standards and improve their performance through monitoring, assessments and engagement. We spend billions of pounds each year on equipment and services that enable us to operate our network and on products such as mobile phones, SIM cards and other devices that we sell to our customers. We demand high ethical, health and safety, social and environmental standards of all our suppliers. These are set out in our Code of Ethical Purchasing (http://vodafone.com/ content/dam/group/suppliers/downloads/VPC_Supplier Policy_A2_Code_of_ Ethical_Purchasing_(V3.0).pdf) and integrated from the initial qualification process all the way through to managing our suppliers’ performance. We conduct regular site assessments to ensure compliance with the Code and we work directly with our suppliers to help improve their sustainability performance. To target improvements further down the supply chain, we require our suppliers to demand similar standards of their own suppliers and check this through audits and performance management processes. We participate in industry initiatives to raise standards across the sector. Read on to find out more about our approach to this issue. Or go to the Performance section to read about our progress in 2014/15...

Words: 4251 - Pages: 18

Premium Essay

Quality and Safety in Health Care Management

...Running head: QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1 Quality and Safety in Health Care Management Murimi Stephen muriets@gmail.com JKUAT December 2014 QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1. Introduction 2 Although health care facilities are designed to ensure people are safe, they remain a dangerous place to be (Mitchell, Gardner, & McGregor, 2012). The sources of risks in the hospital include medical errors, falls, and health care associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito...

Words: 3675 - Pages: 15

Premium Essay

Work

...HND in Business Unit 15 - Managing Business Activities to Achieve Results Module Handbook 2013/14 Module Leader: Andy Humphries 01244 656371 Email: a.humphries@west-cheshire.ac.uk CONTENTS | PAGE NO. | 1 | WELCOME AND INTRODUCTION | 3 | 2 | MODULE RATIONALE | 3 | 3 | LEARNING OUTCOMES | 3 | 4 | OUTLINE CONTENT | 3 | 5 | TEACHING AND LEARNING APPROACH | 4 | 6 | ASSESSMENT | 5 | | | | 7 | EQUAL OPPORTUNITIES | 9 | 8 | ACADEMIC SUPPORT | 9 | 9 | EVALUATION | 10 | 10 | SCHEME OF WORK | 10 | 11 | READING/LEARNING RESOURCES | 12 | 1 WELCOME AND INTRODUCTION The overall function and direction of an organisation is determined by the nature of its corporate strategy. Strategy provides the goals, objectives and guidelines for the structure and operations of the organisation. It is by means of structure that the purpose and work of the organisation are carried out. Some structure is necessary to make possible the effective performance of key activities and to support the efforts of staff. Structure provides the framework of an organisation and its pattern of management. The manager needs to understand the importance and effects of organisation strategy and structure. The aim of this unit is to provide learners with the understanding and skills to manage their | activities in the business workplace to improve their effectiveness and efficiency. | This unit focuses on the effective and efficient planning and management...

Words: 3446 - Pages: 14

Premium Essay

Quality and Safety in Health Care Management

...Running head: QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1 Quality and Safety in Health Care Management Murimi Stephen muriets@gmail.com JKUAT December 2014 QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1. Introduction 2 Although health care facilities are designed to ensure people are safe, they remain a dangerous place to be (Mitchell, Gardner, & McGregor, 2012). The sources of risks in the hospital include medical errors, falls, and health care associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito...

Words: 3675 - Pages: 15

Premium Essay

Quality Improvement in Healthcare

...measure performance to meet multiple internal and external needs and demands. Internally they measure current performance that identifies the strengths and weaknesses of the current process giving insight of areas that needs improvement. When measuring the external performance objectives you are assessing healthcare provider accountability, decision-making, public reporting, organizational evaluation and supporting national improvement goals and activities. The framework for measurement is support by leadership commitment, staff understanding and participation, partnership with key stakeholders, performance improvement oversight, use of a performance improvement method, development of performance improvement protocol, the identification and response to performance improvement resources, recognition and acknowledgement of performance improvement efforts and continuous assessment of improvement efforts. Control charts and comparison charts are tools used to track performance measurement data. Control charts mange process stability and control, it is a graph with a central line used to study how process changes over time within an organizations norms, they are able to tell a healthcare organization whether the changes they made towards quality improvement was effective. Comparison chart analysis evaluates the organizations performance against the standard norm of several organizations. Chapter 8 The profiling of physicians is to...

Words: 598 - Pages: 3

Free Essay

A Collaborative Approach to Fall Prevention

...respective roles and responsibilities. The letter of agreement was intended to foster a sense of belonging among the group and identify leadership and governance for the project. The two site coordinators were responsible for preparing and coordinating the ethical review applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed at evaluating an alternative service-delivery pathway to reduce the number and consequences of falls in adults aged 65 and older who presented to an inner-city hospital emergency department. The project was based on the Falls Intervention Team (FIT) study, which had evaluated a best practice, multifactorial fall-prevention...

Words: 3372 - Pages: 14

Premium Essay

Healthcare Information Systems

...a. How would HIT contribute to the strategy laid out in the Health Partners reading? One example that I noticed while reading this chapter was the use of the electronic medical record. Health Partners moved beyond the data entry aspects of the EMR and made a wizard. This wizard “helped guide clinicians in their decision making about what treatments might be best for patients.” The wizard is a perfect way to standardize and customized care based on individual’s needs. With the EMR, pathways can be established to fit the workflows you want to establish, instead of performing the current workflows in digital form. This is currently what I see in our EMR. Our EMR was set up just like our paper forms. Easy for nurses, however is retitled with extra steps, redundant information, and not way to interface into a decision support to guide us to position our patients any different, be on the lookout for potential needs while our patient is under anesthesia, or how to promote standardization among our patient population-surgical patients. The other example I see that will be a great improvement in the health care system is Employee Health. The idea of self-assessment in the work place to improve the health of the work force could be integrated into a yearly bonus or break on their health care insurance. What a concept, those that log self-assessments, see a primary care doctor, and then follow up pays less for insurance. The HIT that could be involved in this aspect would be adding...

Words: 1165 - Pages: 5

Free Essay

Achieving and Maintaining Accredattion

...and Maintaining Accreditation in Managed Care Name: Institution: Devry Table of Contents Introduction………………………………………………………………………………………3 Background……………………………………………………………………………………….3 Importance of accreditation…….………………………...………………………………………3 Accreditation Bodies……………………………………………………………………………...4 Literature review………………….…………………………………………………………….....4 Challenges that are experienced in achieving and maintaining accreditation…………………..…5 The role of the URAC as an Accreditation Body………………………………………………....5 How the URAC accredits healthcare institutions….........................................................................6 Quality assessment and control solutions in accreditation ……………………………………......8 Implementation of quality improvement and accreditation solutions…………………………......9 Justification…………………………………….…………………………………………………10 Summary and conclusion……………………….…...……………………………………………10 References ………………………………………………………………………………………..11 Achieving and Maintaining Accreditation in Managed Care Managed healthcare organizations and professionals encounter numerous challenges on a yearly basis in the course of offering services, whereas the state, stakeholders, and clients (patients) expect to be reassured that bodies that render managed healthcare services are well equipped to meet their demands. Accreditation is, therefore, a detailed evaluation process through which an independent professional body...

Words: 2121 - Pages: 9

Premium Essay

Managing Quality Improvement

...Managing Quality Improvement Benedictine University Professor Taniya Henry August 10, 2013 Abstract The main purpose of managing quality improvements is to set up a structure by which to measure how the organization is doing out in the public sector. We need a process in place that will drive our improvement efforts when less than optimal results are identified through undesirable trends and benchmarking. They need to be measurable and be the same for all patients in the survey area. This data will assist us in developing the measures necessary to improve performance standards. A team will be organized that will include the Executive Director of our local hospice as well as the Medical Directors (3), that drive our management force. Defining an action plan to implement proper and effective data collection for our Quality Assessment and Performance Improvement (QAPI) program will entail establishing an overall goal first. This can be monitored regularly through weekly meetings of the team members to determine where they are in the process and what their findings have been so far. Managing Quality Improvement The organization that I work for has an excellent Quality Assessment and Performance Improvement (QAPI) program, not many hospices have a fully functioning program. However, one particular issue needs improved upon, the data collection process now being employed. The company they are using at this time, Deyta, does not seem to be very effective...

Words: 666 - Pages: 3

Premium Essay

Qi Plan Part 1

...QI Plan Part 1 Kewanna Hatter HCS/588 June 28, 2015 Instructor Cynthia Hughes QI Plan Part 1 Introduction Performance improvement plans are tools organizations can use to identify areas where employees are lacking in their performance. These plans can also establish detailed steps employees can follow to boost their ability to meet expected performance standards in the department they work in to help the organization reach their goal. The ultimate goal of a quality improvement plan is to enable an employee to reach their best performance level, which is key to any business reaching optimum performance and ensuring they are abiding by the rules and regulation that govern their organization. In this paper, I will create a plan for an organization and I will describe the data needed to monitor improvement. I will identify and describe at least three data collection tools I can use to collect performance information. I will also Research at least two tools that measure and display the QI data that can be gathered with the data collection tools. The Organization and Issues Aurora Health Care is an integrated, not-for-profit, and all-for-people health care provider serving communities throughout eastern Wisconsin and northern Illinois. Our approach keeps people in our minds and at the heart of everything we do. We treat each person as a person, not as a patient, an illness or an appointment. Today we serve communities throughout eastern Wisconsin and northern Illinois, with...

Words: 1340 - Pages: 6