What is Quality Management? According to Cherry and Jacob in the Book Contemporary Nursing: Issues Trends and Management 5th Edition, “Quality Management is the philosophic framework for managing organizations that recognize quality is determined by customer needs and expectations, attention is paid to how the work is done, with an emphasis on involving people who best understand the detail of the work practices with which they are involved. Healthcare Quality Management is specifically related to the quality of health services provided.” What does this mean for us as nurses in a time where Quality Management and Evidenced Based Nursing Practice is so deeply emphasized. What brought us to this current trend as a profession of health care? Is quality truly evident in the Health Care Profession today? Who are the regulatory agencies involved in Quality Healthcare Management? What role do regulatory agencies try to ensure this quality management revolution? What role does process improvement play in improving quality and ensuring patient safety? How can we as nurses ensure quality care and management for our clients? These are all questions that we hope to provide further insight on.
What is quality healthcare? The Institute of Medicine defines healthcare quality as the extent to which health services provided to individuals and patient populations improves the desired health outcomes. The care should be based on the strongest clinical evidence as we know it, Evidence Based Practice. This care should be provided in a technologically and culturally competent manner with strong communication skills and shared decision making. This puts the burden of quality on the profession as a whole not on just a few individuals. The sum of qual...
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commission.org/standards_information/npsgs.aspx ; Retrieved on 11/23/13
NCQA Measuring Quality and Improving Healthcare website, Newsroom 2013 State of Health
Care Quality Press Briefing, Annual Quality Study: Good News, Bad News and in Between http://www.ncqa.org/Newsroom/2013StateofHealthCareQualityPress Briefing.aspx; retrieved on 11/23/13
Pelletier and Beaudin, PhD. Q Solutions: Essential Resources for Healthcare Quality
Professional, 2nd Edition, National Association for Healthcare Quality, 2008, pg. 3
Qualis Health, The Commonwealth Team and MacColl Institute at Group Health Cooperative,
Safetynet Medical Home Initiative, Implementation Guide Continuous and Team-Based Healing Relationships: Improving Patient Care Through Teams, December 2010, http://www.anthem .comca/provider/f1/s0/t0/pw_e195153.pdf?refer=provider, Retrieved 11/21/13
Young, W. B., Minnick, A. F., & Marcantonio, R. (1996). How wide is the gap in defining quality care?: Comparison of patient and nurse perceptions of important aspects of patient care. The Journal of Nursing Administration, 26(5), 15-20.
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an “unknown” for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators.
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
In the healthcare system, quality is a major driving compartment for patient outcomes. The quality of care reflects the outcomes in a patient’s care. According to Feeley, Fly, Walters and Burke (2010), “quality equ...
Nembhard, I. M., Alexander, J. A., Hoff, T. J., & Ramanujam, R. (2009). Why Does the Quality of Health Care Continue to Lag? Insights from Management Research. Academy Of Management Perspectives, 23 (1), 24-42. doi: 10.5465/AMP.2009.37008001
Bengoa, R. (2006). Quality of care: a process for making strategic choices in health systems.. Geneva: World Health Organization.
This study is intended to further understand the impact of health care quality and cost
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
Whether you are coming in to sit and wait for someone or you are the one who is having a procedure done safety and quality in any department of health is very important. Patient safety and quality of hospital care can affect hospital ratings.
William, R. (2009, August). Improving quality and value in the u.s. health care system. Retrieved from http://www.brookings.edu/research/reports/2009/08/21-bpc-qualityreport
The community, providers and health organizations work together with entrepreneurs to change health care delivery and improve quality care and outcomes regardless of existing constraints brought about through policy, regulation, innovation, and increasing technological demand. Quality in healthcare is the continuing effort to reach and maintain necessary goals and requirements in order to meet standards of care provided by the healthcare facility. Quality in health care leads to accreditation, performance improvement, and high quality evaluation reports that greatly benefit the healthcare institution as a whole. The entrepreneurship process has influenced the delivery of health care services and products. (Feigenbaum,