...Quality Measurements by Health Care Professionals Miracle Brown HCA: 450 September 1, 2013 Professor Matson Plan-Do-Study Act (PSDA) | Six- Sigma | HFMEA | This Act was made to make good and positive changes to the health care process. It has been used by many healthcare institutes for improvement of the health care. | “A tool used in the health care facility to measure improvement by comparing the process capability after piloting potential solutions for quality improvement” (Mold 2010). | A tool used in the health care organizations for risk assessments. It helps to prevents risk that will happen in the health care facility. | Medical Assistant uses the Plan-to-do study plan to measure how they record the patient information. | Medical Assistant uses the Six-Sigma to measure how the patient records are stored in files. | Medical Assistant uses the HFMEA to measure quality in a health care organization by see how they record the patient records improve the workplace and workflow. | Primary Care Physician uses the Plan-do-study act to make sure that their patients by treating their patients with the right care and medication to treat any condition. | Primary Care Physician uses the six-sigma to make sure that their patients are treated right while in their care. | Primary Care Physician uses the HFMEA to make sure that their patient are not in any harm and make sure they get all the test down to make sure they are treated right. | Certified Nurse Midwives uses the Plan...
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...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost, and improve...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Consumerism Most healthcare organizations are setup for the primary purpose to care for people of a community. This creed is meant to be executed at the highest level possible. Though it is evitable that business in healthcare suggests profit is an indicator of the growth of an organization but it isn’t the primary purpose of a hospital or health care facility. Consumers of healthcare aren’t receiving satisfaction from the care they receive based on the amount they paid for it, they are more interested in the quality of care and how such care is delivered. When a patient is sick and visits a hospital, most of the time, the facility must not only care for the patient but also for their loved ones, the family and friends must be carried along in the care delivery choice and process. It is imperative that organizations meet the needs of these consumers and constantly strive to improve on the quality of care. According to Ransom et. al (2008), there is six dimensions of quality organizations should address when planning improvement strategies. Quality care should be safe, effective, efficient, timely, patient centered, and equitable. What is the difference between performance measurement and quality improvement processes: Quality Improvement is a process used to enhance the quality of care provided and performance measurement is a tool by which organizations measure whether the goal for quality improvement was actually achieved (Koss, Hanold, & Loeb, 2002, p. 82). Performance...
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...Organizational Quality Improvement Plan Part 1 HCS/588 June 3, 2013 Organizational Quality Improvement Plan Since the Institute of Medicine’s report “To Err is to Human” enacted in 2000, effort has been made to improve the quality of health care. To implement correctly a quality improvement plan (QIP) the perception of the organization culture and the stakeholder’s culture need to be explored (Centers for Medicare & Medicaid Services, 2013). Quality improvement plan improves quality and efficiency of services to the highest levels rendered. In the United States, for example, consumers have the right to choose, bargain, and express their dissatisfaction or concerns about a product or service. The economy is based on consumerism and the opinion of the consumer is valuable. In the health care arena, consumers have the right to choose the right providers when they looking for medical attention. They have the option to choose the one that can accommodates their needs. This also can create competition in an open market. Competition is very good because it helps competitors to improve the quality of their goods and services. In this paper, a quality improvement plan will be developed for Mary Washington Hospital, the difference between performance measurement and quality improvement will be addressed along with the organization mission and goals. The role of the stakeholders, and which external quality indicators are available will also be discussed in this...
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...Health Care Coordination Models: Benefits and Challenges Traci L French Salem International University Abstract: Care coordination refers to several forms of patient care management that is patient- rather than provider-focused and has the end goal of the “Triple Aim”-improved patient experience, improved population health and decreased per capita costs. These goals are achieved by developing healthcare models which promote collaborative care between providers, increase communication between health care entities, actively engage patients in health care and lifestyle choices and rely heavily on health technology to extend provider services, personalize care and monitor quality improvement efforts. The main barriers to care coordination implementation include poor reimbursement for services, difficulties with provider network communications, shortages of trained care coordination personnel and ambiguity in provider roles and responsibility, which can lead to provider accountability issues. When well-established, care coordination models allow patients to form substantive, long-term personal relationships with providers and increase personal accountability for health care choices. These relationships increase compliance with care regimens in the ambulatory setting and decrease costs with overall improvement in patient quality of life. Care coordination refers to several forms of patient care management which is patient- rather than provider-focused and has the end goal of...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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...HADM 339 – Essay Major themes in health care in Canada include access to services. Identify the issues, identify the changes you believe are needed and discuss the approach you would propose to implement these changes. Simply put, access in the health care sector refers to the ability for a patient to receive the care and services required to maintain a healthy quality of life. Access to health care services continues to be a key issue for Canadians and health policy makers.1,2 Key issues exist in several dimensions of the health care process, including access to a specialist, non-emergency surgery and non-emergency diagnostic testing. More specifically, it is the significant amount of time one will spend waiting for their opportunity to receive these services that remains a concern. Among those who had waited for specialist visits, 29% reported unacceptable waits. This was also true for 17% of patients who were waiting for a non-emergency surgery and 20% for those waiting for diagnostic testing.3 Median waiting times for all specialized services remained relatively stable between 2003 and 2005 at 3 to 4 weeks, depending on the kind of care. Approximately 18% of individuals who visited a specialist indicated that waiting for the visit affected their life, compared with 11% and 12% for non-emergency surgery and diagnostic tests respectively.4 Despite several efforts made by government agencies, access still remains one of the foremost issues identified. Billions...
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...Name: Catherine I. Ekwenchi, RN Professor: Kimberly Hammerton Institution: Grand Canyon University Course: NRS-430V = Professional Dynamics (0105) Date: August 18, 2013. Introduction Nurses are one of the most important members in the society. Due to their invaluable services, transformation of the nursing practice is important. The Institute of Medicine creates a platform where nurses can exploit opportunities to build a healthcare system that meets demand for safe, accessible, quality, patient-centered and affordable care. The Institute of Medicine describes a vision where the health care system can undergo a transformation that will be effective in the delivery of medical services. Nurses are required by the Institute of Medicine to assume roles that will benefit them by improving their skills in the medical practice. The committee is looking for diverse ways to make quality care accessible to majority of the population. The impact of the IOM report on nursing education The IOM report recommends that nurses should be adequately trained in order to effectively render their services to patients. This ensures that nurses undertake their nursing practice with utmost professionalism. The report also states that nurses should use their education and training to the full extent. This is crucial as it determines if a patient will be able to recover from the ailment that they are suffering from. According to the Institute of Medicine (2010), an improved...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...Financial Managers and Quality Initiatives in Health Care Post University Tina M Dixons Abstract This paper will discuss the importance of why financial manager should be concerned with quality initiatives in the health care setting. The topic will describe why quality initiatives are a key role in the financial success and failures in healthcare. Delivery of healthcare is synonymous with finance and the task related to quality improvement and quality initiatives that support accuracy in documentation and treatment. There is a strong correlation between providers and finance. Key words: Finance, Quality initiatives, Providers, Patient care. Financial Managers and Quality Initiatives It is clear that if good quality of services, successful outcomes and customer satisfaction are presented in a healthcare setting, then the financial stability may sustain. As financial managers collaborate to achieve health care quality, they know that there are several variable factors that must manifest in order to sustain and earn profits for their organization. Some variables include reduction in medical error, appropriate diagnostics, medical analysis, education programs, staff training, prevention, primary care, financial reimbursements, technological advancements and minimizing waste. Error and Accuracy Medscape reported that “Eight years ago, the Institute of Medicine's (IOM) report To Err is Human revealed that between 44,000 and 98,000 Americans...
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...The Primary Care Clinic Student’s Name Instructor’s Name Course Title Date The Primary Care Clinic Introduction A primary care clinic is located twenty-five miles outside the minor city with a population of the fifty thousand individuals. The primary care clinic is operated by five family physicians, two physician assistants, two nurse practitioners and twenty clinical support staff entailing LPNs, RNs, and CMAs. The clinic offers primary care to various individuals from the community who lives and work outside the city limits. Initially, the locality was a rural area, but the community has grown and has various opportunities for education, employment and ample living spaces for youthful families. This paper addresses the management of the small primary care clinic through the manager. The paper also addresses five major topics concerning clinic. First are the economic, social and political factors that might have influenced the development of the clinics over the past two or three decades. Second is the clinic’s comprehensive mission statement that shows the focus of the clinic. Third are directions that the clinic can take to enhance its business. The fourth is the discussion of the measures that can be taken to determine the effectiveness of the clinic’s performance. Finally is the determination of how opportunities for improvement can be addressed and processes that can be put in place. Social, Political and Economic factors that have resulted...
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...The Accountable Care Act was signed on March 23, 2010. The goal of this act is to transform US health system into a quality and efficient health system. With emphasis on the public programs this calls for hospitals to create an innovative workforce. With this creation calls for a change in nursing education, nursing practice and nursing leadership. Impact of Nursing Education Currently there are three routes one can purse for their endeavor of becoming a registered nurse. There is the three year diploma program rendered through a hospital; an individual may seek out an associate degree rendered at the community college; or there is the four year baccalaureate degree offered at the university level. Graduates from all three pathways take the same NCLEX-RN exam. The NCLEX-RN exam is multiple choice and tests the minimum competency for practicing nursing safely. Once an individual passes the exam they are licensed to practice. Currently the exam is focused on acute care setting. As the health system sways from the acute care scene to the primary care environment the focus of the exam will need to change to meet these demands. The exam will need to emphasis on community health, health promotion and primary care. As our health system transform, there comes a demand to have a nurse with a higher education. Studies have shown better patient outcomes when there is a BSN prepared nurse at the bedside (Aiken, Clarke, Sloane, Lake, & Cheney, 2003;Kutney-Lee, Sloan, & Aiken, 2013)...
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...Canyon University July,22 2012 To represent more than 3 million health care members nursing profession is one of the major divisions of work force in United States. Nurses played an important role in setting the 2010 Affordable Act, legislation and creating Medicare and Medicaid programs. There are lot of hurdles inhibits nurses to respond successfully with reforming healthcare system. In order to overcome these obstacles nurses are well educated and well positioned in healthcare system to lead these changes. In 2008, Institute of Medicine and Robert Johnson Foundation appointed a committee to evaluate the need for healthcare transformation. Committee made some recommendations regarding improve education and training of nurses, nurses need to achieve highest level of education, nurses should collaborate with other healthcare professional to redesign healthcare system and accurate planning of work force for data collection. According to the report the committee suggested that many problems facing nursing education system nursing education system need to be advanced. Impact of IOM report on education. In 21st century statistics shows that there are many health issues affecting American population and it will be increased to 20 percent of the population by 2030.In addition to that nation’s health care needs also increasing. Primary goal of nursing education is to prepare safe and quality care of patients. Chronic disease conditions like cardiovascular diseases, mental...
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