Fisher Week Eight Journal Analysis

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Recommended: Importance of quality improvement

Fisher Week Eight Journal
Every health care organization is struggling to address the mandated Centers for Medicare (CMS) core measures, the Hospital Consumer Assessment of Healthcare Providers (HCAHPS) patient satisfaction scores, in addition to the reportable event requirements. PeaceHealth and the University District (UD) Hospital comprehend that compensation is tied to outcomes, therefore, the organization is extremely serious regarding quality and safety initiatives, addition to patient satisfaction scores. I was provided the opportunity to spend the day with the Chief Administrative Officer for the UD and it was an incredible experience. As the CAO, she is responsible for the quality and satisfaction measures at the UD hospital and she is exceedingly engaged. She and I performed rounding on each unit in the hospital. During rounds we visited every single patient, and the CAO asked questions specific to hourly rounding, pain, positioning, and toileting needs. I have not previously witnessed this depth of involvement by someone at such a high level of administration. In addition, she spoke with the staff regarding their workload, their breaks, and requested feedback concerning barriers they may be encountering that would prohibit …show more content…

A serious challenge (possibly a weakness) is that the only unit that is surveyed for HCAHPS is the ACE unit. Unfortunately, most of the patients who are served in this unit are suffering from dementia, Alzheimer’s, or some other form of cognitive impairment. When I participate in rounding with the CAO, it was clear that most of the patients were unable to cognitively comprehend why we were there. Therefore, the likelihood of patients who have been treated in the ACE unit of responding to a survey is

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