Managing Quality Assurance in the Workplace
The U.S. anticipates the health care industry will expand significantly over the next several years. This is a result of aging populations, the rise in chronic disease prevalence and technological advancements in medicine. (Conklin, 2002) Quality assurance (QA) is an organized way to make sure that products, services and processes meet consumers’ needs and expectations and it is frequently the main objective of accreditation procedures. The ability to employ QA to decrease errors, identify and resolve problems, and improve patient safety is essential for ensuring the high level of health care. (Johnson & Sollecito, 2018) The purpose of this essay is to discuss how the United States could handle
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The Act contains a variety of provisions aimed at enhancing risk management, medical care quality, and occupational safety. (“Medicare and Medicaid Programs: Revisions To,” 2005) All Medicare-certified hospitals and ambulatory surgical centers (ASCs) must be accredited by a reputable accrediting agency, which is one of MIPPA’s most significant requirements. (Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule, 2022) Risk management and quality improvement plans must be in place for hospitals and ASCs that have received Medicare certification under MIPPA. The goal of a risk management program is to identify and eliminate threats to patients, employees and visitors while the goal for quality improvement is to find and fix care areas that fall short of expectations. An example of a risk management plan would be a high dose time out prior to administering a patient’s treatment to ensure the correct patient, body part and dose are being delivered. A quality improvement plan would be to include a joint on a radiograph when treating a mid-femur lesion. Based on prior mis-treats, this plan was developed so that therapist and physicians have a reference boney landmark in relation to the lesion position on the radiograph. Occupational safety would include all team …show more content…
The outcomes of the decisions are assessed using outcome measures that includes identifying the issue of interest, developing the measure, and designing the data collection mechanism. Quantitative and qualitative tools assist the development team in defining the goal, comprehending the operation of the process, locating areas for improvement, and developing solutions. (Spath, 2013) Decision-making considerations such as organizational needs, availability of resources, leadership commitment and team member involvement should be taken into account. Organizations must have processes and structures that support safety and quality, as well as operating efficiently, in order to participate in accreditation programs. This includes implementing safety policies and procedures, developing a risk management plan, and implementing quality standards. Accreditation systems that adhere to the continuous quality improvement principle have enhanced decision-making, safety and improved overall functioning of facilities. (Johnson & Sollecito,
Identify what quality improvement is synonymous with. Review the steps in process improvement. Explore the technology support to enhance quality improvement. Examine CMS value-based programs and quality metrics functions. Then discuss CMS value-based programs factors as well as CMS quality metrics.
Impact of CMS Regulations and Reimbursement Models The Health Care Industry HCM307-1802B-03 Unit 1- Individual Project 1 Michael Green May 22, 2018 Introduction Healing Hands Hospital is preparing financially for the many different reimbursement changes associated with Medicare Advantage Plans. My financial team and I, have been asked to evaluate our current billing and operations workflow processes and incorporate the current trends. We will be discussing how Medicare Advantage affects Healing Hands Hospital, and how we can utilize these trends to maximize patient care. Organizational Budget Reimbursement and financial trends will change go hand and hand.
Their mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
I have provided what should be avoided in order to maintain the position. Introduction: There are several benefits from this job; however, there is one specific problem that shows itself consistently throughout this position. This problem is the protection of patient privacy or also known as HIPAA. HIPAA stands for, "Health Insurance Portability and Accountability Act".
Introduction For several decades, government officials and healthcare experts have been discussing the broken and dysfunctional US healthcare system. The US ranks highest for cost and lowest for outcomes. Healthcare accounted for 17.4 percent of the gross domestic product in 2013 (CMS.gov). The Institute for Healthcare Improvement highlighted the quality of healthcare in the US or lack of quality with the 100,000 lives campaign. The Institute for Healthcare Improvement brought national attention and awareness to the epidemic of hospital errors and the loss of life related to those errors.
There are many things that define and promotes the use of accreditation as a means of accountability across the continuum of care. The market, regulation, and professionalism all affect the use of accreditation as a means of accountability across the continuum of care. The role of the market play in defining and promoting the use of accreditation as means of accountability across the continuum of care is that money talks. Health care purchasers and consumers can use money as a mean to stimulate organizations to improve quality by either rewarding or punishing the organization base on performance or progress. (1) Healthcare consumers and purchasers are demanding more information regarding quality of care.
For example, CAQ’s have the potential to improve employment opportunities for many PAs. Dearani and Nowak (2015) argue that “Today’s health care paradigm has to reconcile millions of newly insured Americans with an aging population battling chronic conditions and a shortage of physician specialists… Certified PAs must have the education, experience and skills to deliver quality specialty care” (p. 6). CAQ’s are a way for specialty PAs to formally demonstrate their proficiency and advanced knowledge. In addition, according to Danielsen (2009), Governmental agencies like the Agency for Healthcare Research & Quality (AHRQ), and the National Institutes of Health (NIH) are heightening focus on patient safety and risk management.
Health care professionals need to maintain a high degree of professionalism, while possessing the upmost degree of integrity. A patient needs to feel confident and safe at all
The Affordable Care Act has major impact on the health care system, some positive as well as negative. Although it provides the Americans people with better health security by expand coverage, hold insurance companies accountable, lower health care costs, guarantee more choice, and enhance the quality of care for all Americans, it also cause major issues for providers and small practices. The Patient Protection and Affordable Care Act will bring several changes in within the health care system (Morrison & Furlong 2014). Some of the areas that will be affected by Patient Protection and Affordable Care Act (PPACA) include the way cares are being provided and cost of care. In addition, Patient Protection and Affordable Care Act will focus on designing
“Healthcare facilities and practitioners are licensed and regulated by federal, state, and local governments and laws” (Gartee, 2011, p. 43). Having accreditation means that an organization has been recognized for upholding standards and compliance. In efforts to ensure quality care of patients, an organization must meet Joint Commission standards in which a facility is one of the accomplished facilities. The Joint Commission is better known as JCAHO stands for the Joint Commission of the Accreditation of Healthcare Organizations. JCAHO was established to recognize the best organizations but in the process to improve the quality care among disadvantaged institutions as well (Kobs, 1999).
Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,
Assessing risks, minimizing errors and damages can be a tough job, but with the help of a quality manager. Sharing plans, tasks, and hopes for the future will make it is easier to focus on what is best for the longevity of a healthcare
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,