...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, Georgia is recognized as a national leader in single incision laparoscopic surgery, advanced cardiovascular services and a Level II Trauma Center. The medical...
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...HLT 313V WEEK 3 COMPLETE LATEST To purchase this tutorial visit here: http://wiseamerican.us/product/hlt-313v-week-3-complete-latest/ contact us at: SUPPORT@WISEAMERICAN.US HLT 313V WEEK 3 COMPLETE LATEST HLT-313v Week 3 Topic 3 Discussion 1 Looking ahead to 2020, pick one area of the current National Patient Safety Goals program and make a prediction of what might change in that area based on technological or other advancements. Consider patient identification standards, communication processes, and infection control protocols, among others. You are required to use and cite a minimum of two references to support your response. HLT-313v Week 3 Topic 3 Discussion 2 The Joint Commission launched the National Patient Safety Goals in 2003. Many years have now passed since the inception of these goals. How has the overall focus of the goals changed in the intervening years? What conditions in the health care marketplace have driven the need for change? You are required to use and cite a minimum of two references to support your response HLT-313v Week 3 Assignment – The Joint Commission Workplace Violation PowerPoint Perform an Internet search to identify and research and a situation where a health care organization or individual provider in your field of allied health was sanctioned by The Joint Commission or other regulatory body for a violation of one or more of The Joint Commission workplace safety, risk management, and quality care requirements. Taking the role of...
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...University NSG 5000 Role of Advanced Practice Nurse: Family Nurse Practitioner April 18, 2015 Abstract The issues of patient safety and the increasing scope of family nurse practitioners in medical practice have been dealt with in this paper. National Patient Safety Guidelines are an important tool to help standardize the patient safety procedures. The role of the family nurse practitioner in helping patients is unquestionable and they are the cornerstones of modern medical practice. Introduction Today’s family nurse comes with in depth knowledge of medicine and is board certified. The responsibilities that have to be fulfilled by such a practitioner embrace health as a way of living and they focus on both treatment and prevention. In recent times, with transitional care gaining widespread acceptance the family nurse practitioner is being granted more decision-making authority although in certain states they are still under a physician’s supervision. The National Patient Safety Goals (NPSGs) were put forward by the joint commission for the first time in 2002. The aim of introducing these goals was to deal with patient safety issues and specify certain prerequisites for accreditation (Fairman et al., 2011). Discussion The 2015 NPSG’s provide great scope for a family nurse practitioner to improve patient care and also places the burden of patient safety on her shoulder along with other members of the medical team. In this section of the paper, an overview of all the NPSG’s...
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...increased demands from consumers related to the quality of care as well as to address problems in patients’ outcomes.” Sometimes, the definition of quality is often elusive because it is perceived differently from person to another person. According to Shannon (2012), “Risk Management is the process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events. Historically, risk management in the health care setting and in health care organizations managed risks in a reactive manner which means each department worked independently to resolve its own issues.” The purpose of quality and risk management in health care organization in general and in the chosen organization in particular. The purpose of management of risk in a healthcare setting is first of all, according to Shannon (2012), “it was first previewed into the health care organization as an answer to the “malpractice crisis”. Health care organizations were faced with malpractice verdicts resulting in higher insurance rates. The purpose of quality management in the health care organization is a continuous process that delivers services and products that meet or exceed the patient’s or customer’s expectations. The three principles that provide the basis of quality management based on and which is closely related are: 1. Quality control 2. Quality progress 3. Quality development. The purpose of risk and quality...
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...National Patient Safety Goals in Acute Care Modified for Behavioral Health Nursing (Dr. Deb) Goal: - Explore impact of national patient safety standards on an acute care unit. - Utilize national patient safety standards to evaluate patient safety in acute care. - Value application of national patient safety standards in an acute care environment. Clinical Objective: - Utilize the 2013 National Patient Safety Goals for hospital care to identify safety concerns on the clinical unit throughout the clinical day. - Apply the nursing process to prevent environmental safety hazards in an acute care facility. Instructions: - During the clinical day, note your observations. - List recommendations for nursing practice based on your observations. -Type and submit this activity sheet in Mental Health Dropbox by assigned date. National Patient Safety Goal Selected Examples Goal met or not met? -Describe observations Recommendations Goal #1 Improve the accuracy of patient identification -Use at least two client identifiers when providing care, treatment and services. -Use 2 identifiers per facility policy when administering medication, blood components or collecting specimens for clinical testing. -Acceptable identifiers may include the individual’s name, ID number, or other person-specific identifier. -Focus on how medication administration differs on an acute behavioral health unit. Goal # 2 Improve the effectiveness of communication...
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...hospital, patients, visitors, volunteers, and employee safety, and any possible operational, business, and property risks. Culture Principles The Patient Safety and Risk Management program will support Little Falls Hospitals philosophy; everyone is responsible for patient safety and risk management. It is essential to have participation and teamwork among providers, management, staff and volunteers. The Patient Safety and Risk Management program will be implemented with the coordination of multiple organizational and department functions and activities. Little Falls Hospital will support the introduction of a just culture with emphasis on evidence based best practices, learning from errors, and providing feedback instead of punishment and blame. In a just culture any unsafe conditions or hazards will be identified quickly, medical or patient care errors will be reported and analysed, open discussions of mistakes and suggestions for improvements are welcome with patient safety and risk management practices. Individuals will still be held accountable for compliance. When evaluation and investigation into errors reveals there has been reckless behaviour or there has been wilful violation of policies then disciplinary action may be taken. Development, review, and revision of the practices and protocols of the organization are stimulated by the hospital risk management plan in view of identified risks and the chosen loss prevention and reduction strategies Good patient-physician...
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... We were only in 100% compliance in December throughout the year in one of the priority focus areas of the Joint Commission standard: Communication; Standard: UP.01.03.01; A time out is performed before the procedure. See chart below: This is the universal protocol for preventing wrong site, wrong procedure, and wrong Patient Surgeries. In evaluating this, I must review all standards that go hand in hand with the time-out standard; per Nightingale Community Hospital policy, Site Identification and Verification (Universal Protocol). I will address the elements of performance for all three: UP.01.01.01; Conduct a preprocedure verification process. UP.01.02.01; Mark the procedure site, and UP.01.03.01; A time-out is performed before the procedure. I will then address the items that are not addressed in Nightingale's policy in my corrective action plan and add any updates. (Commission, 2012) Standard UP.01.01.01; Conduct a preprocedure verification process to improve the accuracy of patient identification. This is a preprocedure process to verify the correct procedure, for the correct patient, at the correct site. This is met by using at least two patient identifiers when providing care, treatment and services. Acceptable identifiers are; patient's name, birth date, phone number, ID...
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...part of the American Recovery and Reinvestment Act of 2009, has specific laws pertaining to healthcare records. Healthcare records includes any record that contains patient data, social security information, date of birth, name etc. (HITECH Act Enforcement Interim Final Rule) Part of Health Insurance Portability and Accountability Act of 1996 (HIPAA), involved an aspect called Administrative Simplification. These were provisions that we set that were going to simplify and standardize various identifiers, codes etc. While the thought is good, the rush to meet these standards contained its own set up challenges. HIPAA regulations cover many policies, patients, hospitals, vendors, financial departments, what use to be an acceptable way of business and communicating is now a new thought process for many. The abbreviations E.H.R. (Electronic Health Record) and E.M.R. (Electronic Medical Record) are used interchangeably throughout this paper. Some would agree they are the same, however the term EMR seems to refer more to the “Medical” field, clinical data, the term E.H.R. is Health record, involving all aspects of the health care fields and technologies. Table of Contents: Topic Page Introduction 4 Systems and Conversions 4-5 Public Health Benefits 5-7 National Patient Safety Goals 7 Meaningful Use 7-9 Introduction: These regulations impact all levels of healthcare, private, public, federal, state and local. They have effected how client...
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...Health Care Reform: Impact on Patient Safety, Quality of Care, and Economics November 7, 2015 Health Care Reform: Impact on Economics, Patient Safety and Quality of Care With the implementation of the Affordable Care Act (ACA) in 2010, never before in the history of the United States has there been a more opportune time to cater to the stakeholders, American citizens, and health care industry to improve quality and the way in which health care is delivered. Health care reform has changed and improved the entire spectrum of the health care environment. The three primary goals of the ACA are; consumer protection, improving quality/ lowering cost and increasing access to affordable care (DHHS 2014). Health care reform has affected all three of these goals and have impacted both positively and negatively, patient safety, quality of care and American economics. Impact of Health Care Reform on the Economy According to a study by the Congressional Budget Office (CBO), there have been substantial savings in Healthcare costs. One major reason for the savings is preventative health care. Preventative healthcare saves money on prevention and early detection of illnesses and diseases. The result is people don’t have to wait until their illness becomes so serious that they end up having to go to an emergency room for costly procedures. It has also lowered heath care cost by making preventative health care available and affordable for 33 million Americans who would...
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...empirical evidence that is relevant. However, practitioners have not established better alternatives regarding their practice. In addition, the essential evidence-based methods and critical skills in thinking are still lacking; yet they are ideal for the maximization of the cost-effectiveness and quality of health care (Camiletti, & Huffman, 1998). The Center for Disease Control reported that between 1998 and 2008 a total of 33 outbreaks of patient to patient transmission of HBV or HCV due to breaches of infection control by health care personal (http://www.cdc.gov/injectionsafety/CDCsRole.html1). More than 60,000 patients were at risk and 448 patients acquired with HBV or HCV. The disease transmission was primarily from lapses in aseptic technique, the reuse of syringes and contamination of medications that were multi-dose vials. In 2001(Luby, 2001) The World Health Organization reported the single largest outbreak that resulted in 133 patients infected with HBV or HCV due to the reuse of needles and multi-dose vials on multiple patients for sedation. The purpose of this course project is it to formulate a plan to reduce or prevent the transmission of infections due to unsafe handling and administration of medications. Forming a medication...
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...interdisciplinary study of the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, and planning.” Healthcare informatics is used to gather, analyze, and interpret data and information about patients and treatments. This information, along with business and management information, is used to interpret how things are and to develop a better, more efficient and more cost effective method of operation. The big question is, how does healthcare informatics and technology effect or impact the development and implementation of healthcare law? One of the most effective technologies that has been widely adopted already is electronic health records. EHR are systems that track and record patient information. It also makes them more accessible and easier to share and communicate between doctors, patients and insurance companies. Electronic health records help control costs effectiveness of an organization by communicating information in a timely manner and helps secure payments more effectively than paper billing. With all of the changes and easier access to a patient’s confidential records, obviously healthcare laws and regulations would change in order to protect patient safety. With the positive effects of EHR, it also...
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...will help develop a culture of safety throughout the hospital. This Plan will provide guidelines and methods that will monitor administrative and clinical activities. These monitors will be used to reduce losses associated with employee or visitor injuries, or property loss or damage. The plan will use standards related to the 2010 national Patient Safety Goals. After a recent visit by the Joint Commission, the following issues were identified: • There is no specific plan on how Little Falls Hospital will address and achieve these goals. This has been handled on a department by department basis. • Recently, there has been a significant plaintiff settlement paid by the hospital's insurance carrier, which involved a patient death related to the incorrect medication being administered. • The costs of the hospital's professional liability insurance continue to escalate, and the policy is due to expire in 6 months. Little Falls Hospital has had the same health professional liability insurance policy for 10 years. • The hospital is facing financial constraints and does not have a significant amount of cash on hand to invest in new technologies. To address these issues, the risk management plan will provide a way for collaboration among departments with the organization. Key players from multiple departments were asked their thoughts. Taking into consideration their successes and failures, we will adopt a few National Patient Safety Goals set forth by the Joint Commission...
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...2012 Risk Management Plan for Little Falls Hospital Patient Safety and Risk Management Program 1. Purpose: The Risk Management Plan is designed to support the mission and vision of Little Falls Hospital as it pertains to clinical risk and patient safety as well as visitor, third party, volunteer, and employee safety and potential business, operational, and property risks 2. Culture Principles: The Patient Safety and Risk Management Program supports the Little Falls Hospital philosophy that patient safety and risk management is everyone’s responsibility. Teamwork and participation among management, providers, volunteers, and staff are essential for an efficient and effective patient safety and risk management program. The program will be implemented through the coordination of multiple organizational functions and the activities of multiple departments. Little Falls Hospital supports the introduction of a just culture that emphasizes implementing evidence-based best practices, learning from error analysis, and providing constructive feedback, rather than blame and punishment. In a just culture, unsafe conditions and hazards are readily and proactively identified and admitted, medical or patient care errors are reported and analyzed, mistakes are openly discussed, and suggestions for systemic improvements are welcomed. Individuals are still held accountable for compliance with patient safety and risk management practices. As such, if evaluation and...
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...Collaborative Communication: Integrating SBAR to Improve Quality/Patient Safety Outcomes Cynthia D. Beckett, Gayle Kipnis Purpose/Evidence-Based Practice Question Collaborative communication and teamwork are essential elements for quality care and patient safety. Adverse patient occurrences are an extremely common outcome of communication failures (Leonard, Graham, & Bonacum, 2004). In 2004, the Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations) analyzed 2,455 sentinel events from hospitals across the United States and reported through root cause analysis over 70% of the events were due to communication failures, and approximately 75% of the patients involved died (Leonard et al., 2004). Although improving communication has been included as a Joint Commission’s National Patient Safety Goal for hospitals since 2003, in 2006, handoff communications were included as a specific communication subset. NPSG 02.05.01 states ‘‘The organization implements a standardized approach to handoff communications, including an opportunity to ask and respond to questions’’ (Joint Commission, 2006). Michael Leonard, MD, from Kaiser Permanente- Denver introduced a collaborative communication tool to support patient safety and outcomes. The structured communication tool is Situation, Background, Assessment, and Recommendation (SBAR) (Haig, Sutton, & Whittington, 2006). The SBAR tool provides a framework for organizing information...
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...provides evidence based emergency, specialized tertiary patient centered care for Dubai and Northern Emirates. The hospital is committed to its values in terms of services by providing its staff respect, empowerment, accountability, safety and transparency. Its manage-ment team is strongly committed to development of a benchmark hospital with a quality learning environment. It has achieved first Joint commission International (JCI) accreditation in 2007 and has been reaccredited in 2010 and 2013. The basic principles of Quality improvement Plan are those underlying all the quality improve-ment processes: a dedication to continuous improvement in the system and processes as well to identify and satisfy the patient’s needs and recognizing that it can be best attained through team work and employee empowerment (Deming,2000). These principles lead the progress and im-plementation of quality improvement plan. The goal of this plan is to attain organization wide exposure to quality fundamentals and to promote quality structure and processes. Quality Improvement Issues. Patient Satisfaction: As the health care environment is very complex and changes frequently (Gilbert, 1992) due to competition among providers giving more importance to the improvement in efforts and reduc-tion in costs, it makes patient satisfactionverychallenging. There are different kind of services provided to the patient which are in definable and patient is directly involved in it, so it is very important that...
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