Before I outline the advantages and disadvantages, I wanted to bring you up to speed of the definition of process and outcome measures. Process is how healthcare is provided and how the system works. Outcome is the measure of health status and the difference made in methodology applied. There are some advantages and disadvantages of process and outcome measures of quality care to discuss. Below are some of these advantages, followed by the disadvantages.
An advantage to consider is that most process measures require less risk modification for patient illness than do most outcome measures. When using this process measure, one thing to put into consideration is defining a sample of population that will qualify to receive this process. Once we are able to determine the population that is qualified for this process, further risk adjustment may not be required, but is still useful. Risk adjustment is a helpful tool used to standardize the platform in regarding the reporting of patient outcomes by adjusting for the differences in risks among specific patients (www.sts.org, 2015). It is important to take notice of the existing risk adjustment; and to do this can be
…show more content…
What is meant is that process measure provides information in an area that needs improvement and areas that don’t. There are some factors that affect healthcare outcomes that go beyond the provider’s control, and this is a disadvantage.. However, when process measures are developed well so as to reflect the care that the clinician is delivery, the clinician feel answerable to them. A good thing about this is that when the data is collected by an electronic patient record, when a provider executes the process, these measures become less taxing and become
...the tools meet both CPA and Health of the Nation outcome scales requirement (DOH 2007). The Risk is assessed using the Face Risk Profile. This tool is really easy to use as it has Five sets of Risks indicators, these are then coded as present or absent and a risk status (0-4) is judged (DOH 2007). The problem with this assessment is that the patient would sometimes need to be involved and at present because of Julie’s presenting problems this would not be able to happen but parts of the Risk Profile can be filled in by the Nurse who is in charge of Julie care and wellbeing. The problem with the actuarial approach is that sometimes these tools may not give a conclusive answer to the problem. However many researchers would suggest that the use of both actuarial and clinical risk assessment would be better for a nurse to use to come up with an accurate risk assessment.
The world of healthcare changes every day. Technology, as we know it evolves and changes the actual care that patients receive and even post care as well. It has been determined that most faults are caused by system failures. When a break in the system has occurred it must then be decided where the,” inefficiencies, ineffective care and preventable errors” to then influence changes within the broken system (Hughes, 2008). Improvements sometimes can begin with measurements and benchmarks which in turn will allow organizations to assess the trouble spots and broken areas within the system. Many times those broken areas within the system will be owned by the humans who operate within these systems. According to the Institute of Medicine (IOM)
...occurrences including sentinel events, near misses and serious occurrences; Detail of program activities that the high-risk process components; Results of the high-risk or error-prone processes selected for ongoing measurement and analysis; results of input from patients and families participation in improving patient safety is obtained; report medical/health care errors description of education and training programs that are maintaining and improving employee proficiency and supporting approach to patient care (Ihi.org,2011).
1) Q: Shareholders are generally perceived as being very “passive” in nature. Briefly explain what this refers to. Shareholders as owners of a share of stocks in corporation, are granted special rights based on their classes of stock. They are not involved in day to day management.
Nursing process is an integral aspect of my job because it’s been utilized in all stages of my practice. Since assessment is part of each activity the nurse does for and with the patient. In effect, assessing is a continuous process carried out during all phases of the nursing process. It is important to note that the purpose of assessment is to establish a database about a client’s response to health concerns or illness in order to determine the nursing care needs.
... 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).
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
Obviously, financial establishments can endure breathtaking misfortunes notwithstanding when their risk management is top notch. They are, all things considered, in the matter of going out on a limb. At the point when risk management fails, be that as it may, it is in one of the many fundamental ways, almost every one of them exemplified in the present emergency. In some cases, the issue lies with the information or measures that risk directors depend on. At times it identifies with how they recognize and impart the risks an organization is presented to. Financial risk management is difficult to get right in the best of times.
Outcomes: These are the results; patients well being, patient satisfaction, and a creation of a healing atmosphere.
[Cover: discussion about how risks are balanced during risk assessment, why this is a difficult task -> proposing a set of principles and practical measures that might assist both researchers and patients, to enable more informed decisions about risk]
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
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
Effective health care targeted processes that demonstrate desired outcomes. It is important to adopt the process of various techniques and identify the prevented techniques for the influence of changing associated system. Some techniques are involved in assessment of performance and tools for the quality of improvement. Health care provides multiple factors to determine the quality and ensure the safety of the change practices which increase challenges for patients. The patient actively engages in the development of evidence based on critical knowledge and core health care system strengths.
The risk management process needs to be flexible. Given that, we operate in the challenging environment, the companies require the meaning for managing risk as well as continuous improvement in identifying new risks that will evolve and make allowances for those risks that are no longer existing.
... should be designed to reflect current hazards and unexpected future uncertainties. Moreover, the process of risk framework should be able to reflect costs and benefits before making a decision to remove threats.