...U.S. Health Care Quality Analysis: Legislative History Following up to the 1999 release of the Institute of Medicine (IOM) report, To Err Is Human, in 2002 a Kaiser Family Foundation survey found that only about 5% of physicians considered medical errors as a primary healthcare concern.[1] Congress, however, did not share the physicians’ nonchalant attitude and gave the Agency for Healthcare Research and Quality (AHRQ) an estimated $50 million towards minimizing medical errors.[2] Senator James Jeffords (R-VT) of the 107th Congress introduced the Patient Safety and Quality Improvement Act (S.2590) to the Senate on June 4, 2002[3] attempting to improve the safety of patients and “…reduce the incidence of events that adversely effect patient safety.”[4] In 2003, President Bush signed into law the Medicare Prescription Drug Improvement and Modernization Act (P.L 108-173).[5] A section of this law authorized AHRQ to research effectiveness in treatments in order to set a guideline to improve the quality of care.[6] John Eisenberg helped build this program that generates summaries that can help provide health care providers with evidence-based practices that help improve quality of care delivered.[7] Realizing the importance of this research to quality of care, the president signed the Under the American Recovery and Reinvestment Act of 2009 (H.R. 1) into law on February 17, 2009, providing additional funding to continue effective research.[8] This helps to demonstrate the...
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...Quality assurance in health care is very important because it allow providers to be proactive in their obligations. On PubMed, I used the MeSH terms quality assurance and telemedicine to search for my article. One article that intrigued me was the study conducted by Wootton, Liu, Bonnardot, Venugopal, and Oakley; they discussed the importance of quality assurance in telemedicine network system. Telemedicine is a relatively new technology that integrates medicine, virtual technology, and the patient-physician relationship. Telemedicine provides a greater range of availability for those in need of quality health care. It closes the gap due to physical distance and eliminates the need for face-to-face visits. There are different types of telemedicine...
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...Health Economic Tools and Concept Chinenye Nwokey HCS/522 December 2 2013 Amy Shoales Economic Tools and Concept The United States is presently confronting a nursing shortage which is likely to get worse in the future. The shortage is compelled by amount of reasons linked to the employment and maintenance of nurses. Less young females going into nursing schools as professional prospects in other areas have stretched. Countless eligible candidates are denied admission due to a scarcity of nursing instructors at schools. The student will present economic tools and concepts pertaining to health care issues (nursing shortage); the student will use marginal analysis and supply and demand curve to assess the issue of nursing shortage as it relates to health care. These tools are designed to explore and evaluate the nursing shortage. Registered nurses are the major set of health care specialists in America and Worldwide. It is important to understand the effects that a nursing shortage has on the economy and the health care system. Supply and Demand Supply and demand curves are vital when considering the number of registered nurses available to provide services to patients in need of care. A good service is said to be scarce when more is desired than can be satisfied with available resources which means demand exceeds supply. Quantity and quality of care demanded are greater than quantity of nurses supplied (Lane & Grohmann 1995). Nursing is a professional fields...
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...businesses, and organizations like health care organizations choose how to use resources. Economics and health care are interlinked in that heath care practitioner apply economics in their activities. This is mainly through resource allocation. A health carte organization has to plan how to use the resources it has. Economic and health care share some terms like cost, quality and resources. This paper analyzes how the terms are similar in economics and health care. Also, the paper analyzes how the terms differ in economics and health care. Terms In economic a resource is considered to be any physical thing or virtual element that has limited availability. It is also considered to be anything that is used to help people earn a living. Economists use the term resources to refer to different things (Chung, 2006). In economics there are different types of resource like human resources, natural resources. Human resources in economics mean human capital or employees in an organization. Resources can also mean factors of production. Natural resources are used in production. A resource in economics has economic value (Hall & Jones, 2007). Economists view resources in economics important as they help in production. Resources in economics are limited, and people have to look for ways of allocating resource Resources in health care means all materials and funds used to provide health care services to people. In addition, the term resource in health care means the facilities and personnel...
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...Risk Management Assessment Baptist Hospital of Miami is currently analyzing the possibility of developing risk management strategies that will ensure to meet all needs or the organization related to quality management. Every plan needs to be approved by every member of the board of directors. The purpose of the Clinical Risk Management Plan is to support the vision and mission of Baptist Hospital of Miami as it pertains to risks associated with the safety of employees, patients, visitors, volunteer, staff, third parties; also operational risks and property risks. The risk management plan will basically guide the process of development and implementation of a risk management program. The risk management promotes the philosophy of Baptist Hospital of Miami that the risk management and patient safety is responsibility of members of the organization and team cooperation is essential for an effective and efficient functioning. Baptist Hospital of Miami believes that organizational errors should be addressed through the implementation of evidence-based practices, constructive feedback, and learning from error analysis. Clinical errors should be addressed by using the following: • Proper report and analysis of errors related to medical or patient care. • Proactive identification of hazards and unsafe conditions. • Open discussions of mistakes. • Open acceptance of system improvements. The Risk Management Plan at Baptist...
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...y Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are besides guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors...
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...of the health record AND explain how each uses the record. (Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety...
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...Economic Tool and Concepts The health care industry has been experience for many century the shortage of nurses. It is perceive by the health care industry the shortage of nursing supply than the demand across the country. The demand for nurses in every health care organization growth in a daily basic as the technology advance. The consumers are always demanding for more personalize and quality of health care services at the time they are seeking for health care delivery creating nurses supply to be less in every health organization. A few probable reasons for nursing shortage within the health care industry can be the number of nurses in the workforce with a close retiring date, immigrated nurses from other country that works under constrained work permit, and also the population growth. As population increase the requirement for health care providers and services the growth of nursing and medical providers’ shortage will be notable. According to Getzen (2007), “There has recently been a growing recognition that instead of a surplus, a future shortage of physicians may occur. Since the number of U.S. medical graduates has not kept pace with the growth in U.S. population” (Chapter 7, p. 161). The nursing shortage and medical providers has become extremely demanded within the health care industry to provide a quality of health care. The following information will define economic concepts such as supply curve, demand curve, marginal analysis, and elasticity. According to...
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...Organizational Systems & Quality Leadership Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are beside guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient...
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...tools and concepts are used in health care to determine the accessibility as well as availability of health care to the public. The tools are also fundamental in determining the quality of health care services and facilities that are availed to different categories of people. Various key players in the industry hold critical roles in determining the nature of services offered at public as well as in private institutions although the government has a more significant role in regulating the health care industry. In the recent years, the health care industry has been hit by a severe shortage of health professionals as well as facilities such that most people rarely access the basic heath cares services. Tools such as elasticity, demand and supply curves as well as marginal analysis in the health care industry are used to present this scenario. Economic tools and concepts are used in health care to determine the accessibility as well as availability of health care to the public. The tools are also fundamental in determining the quality of health care services and facilities that are availed to different categories of people. Various key players in the industry hold critical roles in determining the nature of services offered at public as well as in private institutions although the government has a more significant role in regulating the health care industry. In the recent years, the health care industry has been hit by a severe shortage of health professionals as well as facilities...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There...
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...Health Economics and Health Policy A critique of the methods used to measure and value health in cost-effectiveness studies submitted to NICE. Introduction The responsibility to provide data concerning “Good value for money” in regards to a new treatment or healthcare programme intervention has for itself a remarkable relevance. However, this information has become much more important in recent years due to the fact that we are facing a combination of unprecedented demand with the limitation of resources and the necessity of making decisions regarding priority setting in the healthcare system. Priority setting in healthcare means to determine what is most important in the context of finite resources as well as to decide who is going to benefit from a particular health care service as giving priority to one group of people inexorably implies taking it away from another one. (William, 1998). Nowadays, health care systems are facing the problem of how to set priorities in the allocation of health care resources in order to provide a high quality of care to those who need it and at a cost their governments can afford. All this happens in a time when people have greatest expectations concerning the care they should receive and the health care innovation offers broader options for interventions. (Littlejohns et al, 2012). In England the NHS has the obligation to provide a comprehensive and fair service for all and at the same time to promote an equal...
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...Health care Orginization Introduction This health care organization has recently experienced substantial growth with increasing volumes of patients and consumers. Unfortunately, the expansion of the company is a major contributor to the creation of new problems. Along with growth there are more opportunities for mistakes; and all staff members must view these errors as areas for development. The purpose of the Quality Improvement Department is to direct and guide output of employees within the organization toward providing safe and efficient health care services. If our hospital is expanding rapidly it’s crucial that the organization has the necessary capacity and resources for operating under these conditions. Anticipating patient volumes and determining the scope of health care services to be provided are important considerations that should be taken into account. The problems this health care organization is experiencing are closely associated with the growth of the hospital and appropriate action must be taken. Creating a Quality Improvement Department is a strategic investment which will substantially increase our ability to provide safe, high quality and efficient care. This unit is specifically designed to assist in maintaining compliance with state and federal regulations, guiding employee actions towards completing organizational objectives, and establishing standards of quality, safety and efficiency. Our hospital can utilize the QI department to organize...
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...What is a Master of Health Administration? A master of health administration is a degree designed for students who intend to work as a health care manager or administrator. Degree programs tend to either focus on either clinical supervision from a health care perspective or operations management from a business perspective. What is Health Administration? Health care administration includes elements of organizational leadership, personnel management, office administration and public health systems. There are two types of health care administrators. First, there are generalists who assist with front-line personnel and facility management. They are the equivalent of an operations manager in the business world. Second, there are specialists who work behind the scenes and ensure the...
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...HA425: Operational Analysis and Quality Improvement Unit 3 Project Student Name: Tincy Jackson Part One What are the philosophical elements of CQI and how can these elements can be used in a health care setting? | The philosophical elements of Continuous Quality Improvement (CQI) consist of strategic focus, customer focus, systems view, evidence-based analysis, implementer involvement, multiple causation, solution identification, process optimization, continuing improvement, an organizational learning. Philosophical elements of CQI basically identify the traits that are needed in order to ensure ongoing improvement within an organization. Strategic focus would basically tell what the companies mission and is and the services that are offered. The customer focus would identify whether there is cohesiveness among the patients as well as the staff ensuring both are satisfied with the results of their care and outcomes. Systems view “emphasis on analysis of the whole system providing a service or influencing an outcome,” (McLaughlin & Kaluzny, 2006). Evidence based analysis would be where data is collected and studied in order to identify trends of all types such as billing errors, and areas of excelling or needing improvement. All stakeholders would take part in some way in the implementer involvement phase. In the multiple causation phase causes of certain occurrences or their appearance would be identified and explained. Solutions will be identified...
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