Business Case Quality for Athens Medical Center
A cost reduction, and high quality healthcare delivery are paramount to the values of a healthcare organization. Typically, a cost reduction is driven by operational quality, and clinical improvement leading to removal of harm, variation and waste. The objective of this paper is to present a business case to achieve quality improvement for Athens Medical Center to deliver optimal quality improve patients outcomes. Moreover, the business case develops the implementation plan to enhance the quality of healthcare delivery for our Medical Center. The implementation plan will focus on health education for diabetes patients. After 6 months of the plan implementation, the paper previews that 50% of diabetes patients who receive the health education will record a lower HA1C by 1 point. At least, 25% of the patients will be able to lower their HA1C by 2 points. (Homer et al., 2004, Swensen et al., 2013).
Situational Analysis
I work at Athens Medical Center located in the New York City and operating with 1,119 beds. The Athens Medical Center specializes in providing healthcare services for patients suffering from diabetes and endocrinology problems. The hospital also provides healthcare services to patients suffering from heart failure, knee replacement, hip replacement and other complicated healthcare problems. While the Athens Medical Center is committed to quality healthcare delivery, the hospital has recorded the lowest score in term of quality healthcare delivery in New York City. Comparative analysis of the Athens Medical Center with other healthcare organizations in the United States reveals that the hospital has scored low with reference to safety surgery operations. Moreover, the hospital also scores low mark with reference to their safety procedure. Shortage of highly qualified healthcare professional is one of the problems facing the hospital. The overall safety score for our hospital is below the national average required by the federal government. Our hospital safety scores are very low compared to the safety score recorded by the best hospital in New York. As being revealed in the table 1, there is wide gap for the safety core for our hospital (168.28) compared to the safety score of a best performed hospital (56.31) with reference to number of death from the treatable serious complications. The data in Table 1 reveal that our hospital performs below average with reference to the HAIC level fir diabetes patients.
The low safety score can affect our productivity and increase our cost of operations. For example, the low score may lead to a decline of patients patronizing our organization. Our hospital may face challenges to break-even because of the low quality score. With our current quality problem, Athens Medical Center can face the risks of lower reimbursement from Medicare based on the federal government reimbursement program. (Goudreau, & Smolenski, 2014).
Table 1: 2015 Safety Score
Measure
Our Hospital's Score
Worst Performing Hospital
Avg. Performing Hospital
Best Performing Hospital
Time Period Covered
Dangerous object discovered and left in patient's body
0
0.404
0.03
0
2011-2013
Gas or Air bubble in the blood
0
0.117
0.003
0
2011 -2013
Patient falls
0.297
2.636
0.55
0
2011-2013
Patients HA1C level
1.593
2.185
0.45
0
2014-2014
Infection in urinary tract during stay
0.531
3.611
1.06
0
2014-2014
Surgical site infection after surgery
1.448
3.296
0.95
0
2013-2014
Dangerous bed sores
0.42
1.79
0.32
0.03
2012-2014
Death from treatable complications
56.31
2012-2014
Collapsed lung
0.3
0.63
0.39
0.18
2012-2014
Serious breathing problem
13.57
24.29
12.08
4.11
2011-2013
Dangerous blood clot
5.43
10.12
4.18
1.17
2012-2014
Surgical wound splits open
1.65
2.89
1.7
0.86
2012-2014
Accidental cuts & tears
1.45
3.91
1.8
0.26
2012-2014
The identification of the problem makes this project to design a new program that will assist our hospital to improve safety procedure and improve total safety score and quality assurance.
Proposed Program
The table 1 reveals that there is wide gap between our HAIC score and best performing hospital for our diabetes patients. The new program intends to improve HAIC of patients by lowering the patients' HAIC by 1 point using the health education. The program preview that 50% of the diabetes who receive health education patients will be able to lower their HA1C by 1 point. At least 25% of the patients will lower their HA1C by 2 points. (Homer et al., 2004, Swensen et al., 2013). Essentially, health education is an effective tool that can employed to reduce the HAIC of patients. The program will...
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