¶ … HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey offers hospitals and other healthcare centered organizations and facilities the ability to assess how patients perceive the quality of care. While hospitals have implemented this kind of survey in the past, HCAHPS allows the data to be displayed publically and provides national data to allow for valid comparisons across hospitals nationally, regionally, and locally. This data display adds pressure to hospitals to improve their quality of care and increase their accountability. Quality improvement measures are what has resulted from the increase transparency. Such common quality measures hospitals look to highlight are:
Medication Reconciliation/Error
Infection Control
Fall Prevention
Decrease Readmission rate
San Diego, California is where the selected home care agency is located. The California summary of HCAHPS survey results for July 2014 to June 2015 is 75, 78, 62, 69, 61, 70, 51, 85, 49, 68, 69, and 311, with a 26% response rate. Compared with the national average, the scores are lower. The national average is 80, 82, 68, 71, 65, 74, 62, 86, 52, 71, 71, and 30% response rate. Reasons for the lower scores could be higher population, higher population of non-speaking residents, and lower quality patient care. Because these scores are lower, there needs to be a reassessment of what these hospitals can do to improve their results.
One of the most important markers for quality collaboration is medication reconciliation. This is because of the high occurrence of medication error during care transition points. They begin with hospital admission, then transfer, and...
70% 36-38 0-0-5 Overall Rate SIP 2a Subtotal Measure Title Data Period Rate/Value Numerator Denominator Missing Excluded Cat-E) Invalid Cases Population Numerator SIP 2b Data Prophylactic Jul-04 Antibiotic selection for Aug-04 surgical patients CABG Sep-04-100% 10-10 0-0-33 SIP 2b Subtotal SIP 2c Prophylactic Jul-04 Antibiotic selection for Aug-04 Cardiac Surgery Sep-04 0-1 0-0-42 SIP 2c Subtotal SIP 2d Prophylactic Jul-04 Antibiotic selection for Aug-04 hip arthroplasty Sep-04-100% 8-8 0-0-35 SIP 2d Subtotal Measure Title Data Period Rate/Value Numerator Denominator Missing Excluded Cat-E) Invalid Cases SIP 2e Population Numerator Data Data Prophylactic Jul-04 Antibiotic selection for Aug-04 surgical patients Knee arthroplasty SIP 2e Subtotals SIP 2f Prophylactic Jul-04 Antibiotic selection for Aug-04 surgical
Hospital Readmissions In any profession today, quality control means the prevention of problems that were the aim of the business to solve in the first places. Recurrence of these problems means that the business has not been functioning optimally and a new strategy or focus is required. In the health care setting, such a challenges is presented by hospital readmissions. When a person is discharged from hospital after receiving treatment for
Amin, B et al. (2013). Pitfalls of calculating hospital readmission rates based on nonvalidated administrative data sets. Journal of Neurosurgery: Spine, 18(2): 134-138. This study examines the University of California's Medical Center in San Francisco in order to determine if its all-cause readmission rates accurately reflect the readmission rates for spine injury patients. The secondary purpose of the study is to identify readmission predictors. The researchers collected data from 5780
Topic: Pneumonia readmissions among nursing home residents 65 years and older in the United States of America. Backdrop of the dilemma Pneumonia remains an extreme health condition in America. It accounts for roughly 1 million medical-center admissions and over 50,000 fatalities yearly. Roughly ten to twenty percent of pneumonia occurrences need admittance to the Intensive Care Unit or ICU. Moreover, pneumonia accounts for near to 140,000 medical-center readmissions each year, pricing in
Informatics and Nursing Quality Sensitive IndicatorsIntroduction: Nursing-Sensitive Quality IndicatorThe National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a tool designed to help nurses track and improve the quality of care they provide. The NDNQI consists of a set of indicators that measure various aspects of nursing care, including patient satisfaction, nurse turnover, and falls rates. By tracking these indicators, nurses can identify areas where care could be improved and work
The Affordable Care Act means that health coverage will be required for almost every American and will be partially subsidized. However, it will not change the employer-centric, private-insurer-based system of financing and coverage. Demand for care will increase significantly and rapidly, but the underlying issues that created the need for a safety net in the first place will not be solved in the near future. Feldstein (2005) argues that if
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