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Course Project Quality Improvement In Healthcare

4236 words - 17 pages

Table of Contents

Introduction Page 3

Risk Scenario Related to Patient Care and Safety Page 5

Risk Scenario Related to the Physical Plant Page 9

Risk Scenario Related to Staffing Page 13

Best Practices in 4 Hospitals Page 15

Tenet Healthcare Page 16

Cleveland Clinic Stroke Improvement Plan Page 17

Conclusion Page 18

References Page 19

Introduction

The issue of risk scenario carries immense importance for most of the hospitals that are part of the healthcare setting. However, there is not only one scenario that can affect the hospitals but there are several scenarios that can create an impact on the functions of the hospital. There are three scenarios that ...view middle of the document...

Alternative healthcare delivery means have been encroaching on the market share of “traditional” hospitals and clinics. HMO’s have brought a capitated model with an emphasis on preventative care. Specialist hospitals have focused on high-profit procedures, such as heart catheterization and orthopedics, leaving traditional hospitals less-profitable procedures. These alternative institutions compete not on price, but quality of the outcomes and the patient experience. Traditional healthcare institutions must therefore adapt in order to compete.

3. States and the federal government are now implementing quality measurements into healthcare procedures. Some states, such as New York and Massachusetts, have published results. The trends in hospitals and by specialty are clear: quality is not only measured on an absolute basis, but compared across specialties and institutions. Those hospitals and clinics which fail to continuously improve their quality—measured in patient outcomes—will fall behind in their census and the ability to attract top healthcare staff.

The above trends make quality improvement particularly necessary in today’s environment. Healthcare institutions have tried to incorporate quality improvement schemes from industry, but the success has been mixed at best. The most common attempt has been with procedures-based medicine, in which best practices are inculcated amongst staff, and specific procedures are to be followed. These measures have led to resistance from staff, as comparability between patients has been challenged.

Risk Scenario Related to Patient Care and Safety

The exposure of the staffing reduction in healthcare facilities, preventable medical errors requires more than attention to the quality of health care provided. Medical errors, or any preventable event, such as a mistake related to medication, a mistake in diagnosing or treating a condition, or a problem with medical equipment may cause or lead to unintended outcome or patient harm. The clinical researcher needs to include a return to patient-centeredness. Even though patient centered care is widely understood to be a key component for enhanced health care, the term is interpreted a number of different ways in medical literature. The definitions of patient-centeredness range from patient satisfaction about interactions with health care providers, to the role of patient/physician attitudes, to how health care systems might affect patient-centered care. Patient-centeredness is often explained in terms of patient satisfaction or the perceived social distance between the patient and the health care practitioner. For example, the researcher in 2003 found that race-concordant visits with their physician were longer in duration and perceived by the patient to be more positive and patient-centered. They viewed concordance in patient–physician relationships as perceived similarities of the patient with their physician on two dimensions: (a) personal beliefs and...

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