also emphasize the importance of education and communication to consumers in order to ensure that quality standards are met.
The Malcolm Baldrige National Quality Award was established during 1987, when businesses were slowly but increasingly becoming aware of the importance of quality service and goods to customers. The award program was then established in order to not only promote quality awareness, but also to recognize businesses providing the highest quality in comparison to others. This promotes competition, which in turn promotes higher quality goods and services.
In addition to the health care sector, the annual Baldrige Award is presented by the President to businesses in manufacturing, service, small business, education, and nonprofit organizations. The award, along with the Baldrige National Quality Program, is managed by the National Institute of tandards and Technology.
Businesses can apply for the award by submitting the details of their achievements and improvements in seven key areas, including…...
mlaSources
Bethell, Christina, Carter, Kim, Lansky, David, Latzke, Brooke & Gowen, Kris. (2003, March). Across Culturally-Diverse Populations: A focus on Consumer-Reported Indicators of Health Care Quality. Foundation for Accountability.
A www.markle.org/resources/facct/doclibFiles/documentFile_592.pdf
McKenna, Jeffrey, Pechacek, Terry F., Stroup, Donna F. (2003, May-June). Health Communication Ethics and CDC Quality-Control Guidelines for Information. Public Health Reports, Vol. 118.
A www.publichealthreports.org/userfiles/118_3/118193.pdf
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs or symptoms within…...
mlaWorks Cited
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
If a hospital has a poor record of infections and patient falls, those patients who have a choice will avoid the hospital. So, as the hospitals begin recording and tracking the information, those that do not choose to improve lose patients (HQA 2011). Contrary wise, those hospitals that remain on the cutting edge of improving the quality of care for patients are hospitals that will be sought after by patients who have an option.
Another possible reason for the desire to improve conditions is for the sake of attracting better physicians. Many physicians are selective as to the hospitals they serve with. For instance, most Catholic physicians tend to only seek admission to Catholic hospitals.
It is possible that hospitals may seek reimbursement as a means of dealing with quality issues with patients. Currently, when a hospital makes a mistake the patient is still expected to pay the full amount for…...
mlaWorks Cited
Hospital Quality Alliance (2011). Quality Measures. Extracted February 4, 2012. http://www.hospitalqualityalliance.org/hospitalqualityalliance/qualitymeasures/qualitymeasures.html
Washington State Hospital Association (2011). Quality Indicators Search Page. Extracted February 4, 2012. http://www.wahospitalquality.org/index.php
Success in several high-profile areas, such as stroke prevention, acute coronary intervention, or nosocomial infection have the benefits of focusing the organization on a task which can bring tangible results, measured in clinically-relevant ways.
Specific Program for our Institution
This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality of this institution's morbidity and mortality results. Given the hospital's focus on acute care, the following procedures might be candidates for quality improvement programs:
Ischemic stroke treatment
ACS treatment (acute coronary syndrome).
Trauma in the ER related to gunshot wounds.
Maternal ward delivery performance
Nosocomial infection reduction.
In each case, the procedures should proceed as outlined above: (1) an identification of the problem, (2) identification of best practices as demonstrated in peer-reviewed clinical trials, (3) adoption of the best practices procedures, and (4) measuring and monitoring…...
mlaBibliography
CancerCenter. (2007). Cancer Treatment Centers of America. Retrieved November 23, 2007, from CCA: www.cancercenter.com
Civitarese, L.A. (1999). Congestive Heart Failure Clinical Outcomes Study in a Private Community Medical Group. Journal of American Board of Family Practice, 467-472.
Dana Farber. (2005). Dana-Farber attains nation's highest honor for nursing excellence; first cancer center in New England to earn Magnet recognition. Boston: Dana Farber Cancer Institute.
Katzan, I.L. (2003). Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke. JAHA, 799-800.
Health Insurance and Healthcare QualityHealth insurance plays a significant role in determining the number of healthcare services performed. When a consumer has insurance, they can often access medical procedures and treatments at a lower cost, as the insurance company covers a portion of the expense. However, this can also lead to excessive use of healthcare services, as the consumer may be less concerned with the cost of the procedure. In this essay, we will consider the effects of health insurance on the demand for healthcare services, the relationship between demand and cost, and the potential for excessive use of healthcare services. We will also discuss policies that might be implemented to prevent this excessive use.The consumer demand for healthcare services would likely be lower if the consumer had to pay the full $200 for the medical procedure. This is because the procedure cost would be significantly higher for the consumer…...
mlaReferencesNational Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Health Care Utilization and Adults with Disabilities. Healthcare Utilization as a Proxy in Disability Determination. Washington (DC): National Academies Press (US); 2018 Mar 1. 2, Factors That Affect Healthcare Utilization. Available from: M. J., & Lee, E. (2020). How to Reduce Excessive Use of the Health Care Service in Medical Aid Beneficiaries: Effectiveness of Community-Based Case Management. International journal of environmental research and public health, 17(7), 2503. https://doi.org/10.3390/ijerph17072503 Thuong, N. T. T., Huy, T. Q., Tai, D. A., & Kien, T. N. (2020). Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam. BioMed research international, 2020, 9065287. https://doi.org/10.1155/2020/9065287 Kaplan, J. (2022). Why your healthcare is about to get a lot more expensive. Business Insider. Retrieved January 9, 2023, from https://www.businessinsider.com/healthcare-cost-increase-forecast-making-it-more-expensive-for-you-2022-10 https://www.ncbi.nlm.nih.gov/books/NBK500097/ Kim,
Improving Local Health Care:
Quality health care is an important aspect in the modern health care system because of the necessity for quality and safety improvement measures. This concept is described as the extent in which health care services for patients and populations enhance the possibility of desired health outcomes. These services also need to be consistent with the existing professional knowledge in the field. Consequently, quality and improved care services are determined through evaluating the impact of these services on desired outcomes and the extent they adhere to procedures based on scientific and professional knowledge. As part of improving health care services, health care systems should adopt several process-improvement strategies. These strategies should recognize ineffective care, inefficiencies, and avoidable errors and then effect changes on the system to result in improved care.
Incorporating Unapplied Telecommunications Concepts:
Based on the last visit to the local health care system in the community, there is…...
mlaReferences:
Angst, C.M., Devaraj, S. & D'Arcy, J. (2012). Dual Role of IT-Assisted Communication in Patient Care: A Validated Structure-Process-Outcome Framework. Journal of Management Information Systems, 29(2), 257-292.
Hughes, R.G. (2008). Tools and strategies for quality improvement and patient safety. In Patient safety and quality: an evidence-based handbook for nurses (chap. 44). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2682/
U.S. Healthcare
[QUALITY]
To analyze and compare the U.S. healthcare, internationally, it is important to know what really constitutes a good health care system. The U.S. Institute of Medicine describes this quality as, "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." This system, in its broad sense, should comprise of two main branches of preventative and curative medicine, both of which should cover different aspects of health, such as travel medicine, school health, occupational health, mental health, reproductive health and so on. Furthermore, a well established health care system does not act independently but in co-ordinance with other industries, such as the agricultural industry. Therefore, since a well developed nation has better access to proper sanitation, housing and adequate nutrition, it is more likely to have a better developed health care system. Other factors, such as…...
mlaReferences
Atrash, H.K., Alexander, S., & Breg, C. (1993, Feburary 05). Maternal mortality in developed countries: not just a concern of the past Obstetrics and Gynecology, 15(3), Retrieved from http://www.inamay.com/?page_id=86
Docteur, E. & Berenson, R.A. (2009, August). How does the quality of u.s. health care compare internationally?. Timely Analysis Of Health Policy Issues, Retrieved from http://www.urban.org/uploadedpdf/411947_ushealthcare_quality.pdf
Health care for all: a frameworkfor moving to a primary care-based health care system in the United States. (2011). American Academy Of Family Physicians, Retrieved from Kurt, H. (2008). A success story in american health care: eliminating infections and saving lives in michigan. Healthreform.gov
Mark A., S., McGlynn, E.A., & Brook, R.H. (1998). How good is the quality of health care in the United States? The Millibank Quarterly, 76(4), retrieved from http://www.milbank.org/760401.html
Gingrich believes that there is a great need to repeal and substitute the huge government health bill with actual solutions that will lessen costs and enhance health outcomes. In addition to opposing the Obamacare because of its failure to accomplish universal coverage, he proposes the Patient Power Plan that will change the current system into a coordinated and innovative system rather than a broken and fragmented one.
I support Gingrich's proposal of the Patient Power Plan as the most suitable health care system that make health coverage more affordable, accessible, and portable. Since the plan gives patients an incentive to efficiently use medical care, it prevents excessive costs that are linked to overuse of medical care and excessive administrative burdens. One of the major advantages of such a plan is that it allows patients to self-insure for several likely medical bills through initiatives like medical savings accounts. Secondly, the plan…...
mlaReferences:
Paul, R. (2006, August 23). Lowering the Cost of Health Care. Retrieved March 20, 2012, from http://www.lewrockwell.com/paul/paul339.html
"Real Reform." (n.d.). PatientPowerNow.org -- Independent Institute. Retrieved March 20,
2012, from http://www.patientpowernow.org/free-market-health-care-summary/
Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in the first…...
mlaReferences:
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…...
mlaReferences
Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as
Told by One Client. Health Affairs, 24(1).
Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.
Annals of Internal Medicine, 142(10), 847-54.
The expectations for these kinds of changes will be to see gradual shifts at first. Where, it may not seem like anything is changing at the facility. However, over the course of time, these kinds of changes will be obvious in the quality of treatment that is being provided will improve. As a result, the strategy will take approximately one year to fully implement a change in the atmosphere of the operating environment.
To ensure that these improvements can continue to be built upon a new system will be introduced of monitoring for shifts that are occurring. In this case, the committee that was established to implement these changes will become way of: monitoring the kinds of treatment that is being provided and the challenges that are facing the facility. This will be accomplished by having outside consultants conduct anonymous surveys of patients, staff members and within the community. They would…...
mlaBibliography
Online Customer Surveys. (2011). Key Survey. Retrieved from: http://www.keysurvey.com/solutions/healthcare-surveys.jsp
SWOT Analysis. (2010). Quick MBA. Retrieved from: http://www.quickmba.com/strategy/SWOT/
Badrick, T. (2002). Role of External Management. Clinical Leadership, 16 (5), 281 -- 286.
Bennis, W. (1969). Organizational Development. New York, NY: Addison Wesley.
WHO rates France as having the best healthcare ("World Health," 2000). In addition to universal healthcare, France also has non-profit supplementary providers, which means that the government subsidizes 70% of regular expenses but pays 100% of more expensive or long-term treatment plans (Sandier, Paris, & Polton, 2004). Money for subsidies comes from mandatory earnings contributions such as 5.25% salary, capital income, and gambling winnings (Sandier, 2004).
An argument that often arises is that people say they don't want the government deciding what medical procedures they can have. However, decisions regarding what procedures are covered by a particular health plan are made by the healthcare insurance companies, which are for-profit ("Insurance Verification," n.d.). Many people are denied treatment regardless of the illness. As already mentioned, some of the other nations with universal healthcare have supplementary plans in addition to the government plans that allow the patient more choice.
There are many arguments…...
mlaReferences:
Carrasquillo, O., Himmelstein, DU.,Woodhandler, S., Bor, DH. (1999). A Reappraisal of Private Employers' Role in Providing Health Insurance. NEJM, 340(1), 109-114.
"Insurance Verification & Eligibility Services." (n.d.). Retrieved from http://www.globaledgeusa.com/insurance_verification_eligibility_services/
Mahon, Mary. (2010, June 23). U.S. ranks last among 7 countries on health system performance. EurkAlert. Retrieved from http://www.eurekalert.org/pub_releases/2010-06/cf-url062210.php
Reid, T.R. (Producer). (2008, April 15). Frontline: Sick around the world [Television broadcast]. New York: Central Broadcasting Service.
Healthcare Delivery Systems Annotated...
mlaReferences:
Parnaby, J., & Towill, D.R. (2008). Seamless healthcare delivery systems. International Journal of Health Care Quality Assurance, 21(3), 249-73.
Towill, D.R., & Christopher, M. (2005). An evolutionary approach to the architecture of effective healthcare delivery systems. Journal of Health Organization and Management, 19(2), 130-47.
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland and the impact of the lack of financial resources. The…...
mlaPotter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals
Physicians generally think of errors as individual that resulted from patient morbidity or mortality.
Physicians report errors in medical records that have in turn been ignored by researchers.
Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of 50.5%. (Hui, Colombia…...
mlaBibliography
Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000
Patient Safety/Medical Errors Online at the Premiere Inc. page located at: http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.
Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101
Accountable Care Organizations (ACOs) like AdventHealth aim to improve healthcare quality by enhancing care coordination, reducing unnecessary spending, and focusing on preventative care. Metrics often used to evaluate their impact include patient satisfaction scores, hospital readmission rates, and the management of chronic conditions. ACOs are compared through benchmarks in these areas, cost savings, and quality of care improvements.
Determining the impact of AdventHealth ACO on healthcare quality and metrics requires a deep dive into several factors. Here's a breakdown of key aspects to consider:
Metrics used for evaluation:
1. The impact of COVID-19 on the healthcare system in 2020 and predictions for 2021
2. The rise of telemedicine and its implications for healthcare in 2021
3. Healthcare disparities and access to care in 2020 and strategies for improvement in 2021
4. The role of artificial intelligence in healthcare in 2020 and potential advancements in 2021
5. Mental health challenges faced by healthcare workers in 2020 and support resources available in 2021
6. The importance of vaccinations in preventing disease outbreaks in 2020 and efforts to increase vaccination rates in 2021
7. Health policy changes and their impact on healthcare delivery in 2020 and anticipated....
Certainly! Here are some essay topics that present opposing viewpoints on social justice issues in healthcare quality:
1. Should healthcare be considered a fundamental right for all individuals, regardless of their ability to pay?
-Opposing viewpoint: Some argue that healthcare is a privilege and should be earned through hard work and personal responsibility.
2. Should government-funded healthcare programs be expanded to provide better access to quality care for low-income individuals and marginalized communities?
-Opposing viewpoint: Some believe that expanding government-funded healthcare programs will lead to increased taxes and government control over healthcare decisions.
3. Is healthcare inequality a result of systemic....
## Essay Topic: Universal Healthcare: A Guarantee or a Burden?
Proponent's Viewpoint:
Universal healthcare ensures equal access to quality healthcare for all citizens, regardless of income or employment status.
It eliminates barriers to care, such as high deductibles, copays, and pre-existing condition exclusions.
By providing comprehensive coverage, universal healthcare reduces the financial and emotional burden of medical expenses on individuals and families.
It promotes preventive and early intervention services, leading to better health outcomes and reducing overall healthcare costs.
Opponent's Viewpoint:
Universal healthcare is unaffordable and would lead to higher taxes or cuts in other government programs.
It would create long wait....
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