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Quality improvement part 3
Quality improvement part 3
Quality improvement research paper
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Slide 2: Introduction
According to National HealthCare Corporation (2016), the organization also generates revenue by managing seven skilled nursing facilities, three assisted living facilities, and one independent living facility owned by third-party operators. Additionally, they have a partnership agreement and a 75.1% non-controlling ownership in Caris Healthcare. Caris Healthcare specializes in hospice care and has 26 locations in four states. Further, NCH provides accounting and financial services to 20 skilled nursing facilities for small operators. Lastly, the organization operates four regional pharmacy operations. These pharmacies serve 56 owned facilities, six managed facilities, and 13 third party entities.
Slide 3: Short and
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In addition, according to the American Physical Therapy Association (2011) most nursing facility patients are appropriate candidates for therapy services. Therapy services improves patient outcomes by reducing falls, improving mobility, and reducing chronic pain. In addition, providing therapy services will ultimately increase profits. Conway (2013) suggested effective health information technology systems facilitate safe, effective, timely, patient-centered, efficient, and equitable health care. Finally, expanding into new markets will enable NHC to form new business partnerships, increase economies of scale, and boost brand recognition.
Weaknesses:
65% of NCH’s patient revenues are derived from Medicare or Medicaid. Importantly, these government programs are subject to frequent and substantial changes. Nursing and physical therapist shortages are expected to worsen. In fact, the American Physical Therapy Association (2014) claims there will be a physical therapist shortage of up to 28,000 by 2020. Moreover, Carnevale, Smith, and Gulish (2015) reported there will be a shortage of nearly 100,000 nurses by 2020.
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Leaders recognize improving clinical quality will have many benefits for both, residents and the organization. For example, it will benefit residents by improving satisfaction, reducing complications, and improving their quality of life. It will benefit NCH by reducing turnover, improving occupancy rates, attracting top talent, and enhance employee satisfaction (Advancing Excellence in America’s Nursing Homes, n.d.). Increasing professional development opportunities will be key for improving clinical quality. Professional development enhances the clinical staff’s competencies and will decrease turnover, which will enable NHC to experience a greater financial return on their development
It is clear that statewide mandated nurse-to patient ratios result in drastic financial changes for every hospital impacted. Hospitals often have to compensate for hiring more nurses by laying off support staff. Mandated ratios also result in an increase in holding time in emergency rooms . (Douglas,
Although the CNL role is fairly new to the health care system, it has impac...
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
According to the Bureau of Labor Statistic’s Employment Projections 2012-2022 released in January 2014, the Registered Nursing workforce is the top occupation in terms of job growth through 2022. It is expected that the number of employed nurses will grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19 percent. Growth will take place for a number of reasons: demand for health care services due to increasing life expectancy; chronic conditions, such as arthritis, dementia, diabetes, and obesity; and the number of individuals who have access to health services.
CVS Caremark is the largest U.S. pharmacy services provider. CVS is known for operating pharmacies, which sell prescription and over the counter drug, as well products such as photo processing services, cosmetics and convenience foods. CVS focus on charitable giving by partnering with Community Heroes. CVS provides $55,000 in grants to Rhode Island nonprofits that focus on health care, children, social services and military support. Through community grants, CVS is focusing in ways to give to their community by providing access to health care for underserved communities. Last year, CVS Caremark provided a $5,000 grant to the Interfaith Partnership for the Homeless (IPH) to increased access to health care services for underserved population
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
Laureate Education, I. (Producer). (2010). Quality improvement and safety [DVD]. In The nurse leader: New perspectives on the profession. Baltimore. MD
Hospital administrators will charge nurse leaders with ensuring that patient positive outcomes prevail while also controlling overhead. Nurse leaders are specially trained just for this task. Clinical Nurse Leaders are the experts that America’s patients will rely on to keep them safe and healthy in hospital settings.
NP’s are often found in Texas, Pennsylvania, New York, Florida, and California and Texas rank among some of the fastest growing states for new hospitals, clinics and other health care facilities. Elderly typically have more healt...
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Here at the University of Alabama in Birmingham (UAB) our goal is to provide excellent care to every patient and family member that enters our facility. Our nationally ranked team of healthcare workers strive daily to improve quality of life to each client we serve. Although there are a number of healthcare workers here at UAB, the nurses here work day and night to ensure that every patient’s needs are met. Furthermore, many of UAB’s nursing staff go out of their way every day in order to satisfy the needs of their clients. The nurses here at the University of Alabama in Birmingham truly believe in the facilities’ core values of own it, do right, work together, and always care. These core values are truly what make a clinical nurse excellent
Support of a decentralized organizational philosophy can transform organizations, staff, and patients because it affects the culture, improves staff outlook, promotes personal involvement and encourages staff to reach higher levels of quality care. In my organization, nursing leaders should strive to involve all patient care units and staff in shared governance, educate unit leadership council chairs, and build on the positive aspects by empowering, motivating and developing staff members. These actions will increase creativity, responsibility, intellectual stimulation, and well-being.
...es” (National Nursing Home Survey, 2004). According to Castle and Ferguson, nursing homes that have ongoing issues are associated with the quality of care that is provided within the organization. Rumors on the way patients were being treated have always caused consumers, government, and researchers to be concerned about the quality of nursing homes. This just shed the light on the truth as to how these nursing homes are really being run and how nursing home quality has been measured. It is noted that the concepts of what is measured, who does the measuring, and why measures are used go hand in hand with one another, like a knotted rope. None the less, steps such as strategic planning, communication, and recognition, need to be taken in the future and considered and this in turn will address and potentially improve the quality of care provided by nursing homes.
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