...care to the patients. Maintaining and continuously striving to improve the quality of various processes and procedures within the facility is important. Foundation frameworks, stakeholder differences, roles of clinicians and patients, need for quality management, areas to monitor, regulatory agencies, and resources represent the various points that will be addressed throughout the paper. Foundational Frameworks of QI There are several foundational frameworks within the subject of QI. There are several QI models derived from ideas and theories of leaders. According to Ransom, Joshi, Nash, and Ransom, (2008) PDSA/PDCA, API, FOCUS PDCA, Baldrige Criteria, ISO 9000, Lean, and Six Sigma represent various frameworks used to improve the quality of healthcare. Edward Deming described the Plan-Do-Study-Act (PDSA) cycle a plan to learn and improve the quality of work dated back to 1950s. Later Walter Shewhart developed the Plan-Do-Check-Act (PDCA) cycle for the basis for planning and expressing QI endeavors. The PDSA/PDCA model helps the facility to focus on how to plan for the improvement, how the improvement will be implemented, how the improvement will be identified/monitored, and what was learned from the improvement process. The associates in process improvement (API) represent a model based upon the PDSA cycle. In addition to the PDSA cycle the model adds three fundamental questions: what are we trying to improve, how will we identify the change is an improvement, and what change...
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...caregivers feel that the clinical care quality at DCH had deteriorated. Complaints from parents were on the rise, dissatisfied doctors considered sending their patients to other hospitals, and some frustrated staff members eventually quit. As important as DCH’s institutional mission was to promote the community’s health, so important it was to not lose focus from the big picture during a difficult time. The specific goal of clinicians is to restore the health of their patients; however, cost is not something that they want on their minds. Hospital administrators on the other hand have their specific goal to control the rapidly growing healthcare costs. Cost-cutting in such testing conditions traumatized patients, frustrated clinicians, and crippled the mission of DCH. The decision to remove a respirator therapist who worked in the night shift, for instance, affected not only the patient and her parents, but also the insurance company, which ended up paying additional charges for the ventilator and ICU (Meliones, 2000). These situations also give clinicians a powerlessness feeling because decisions related to clinical practice were being taken without taking their inputs into consideration. Tradeoffs between patient care quality and cost control measures thus turned into a source of intense conflict for DCH healthcare...
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...organizations. The Award honors Dr. Nicholas E. Davies, an Atlanta-based practicing physician, president-elect of the American College of Physicians, and a member of the Institute of Medicine Committee on Improving the Patient Record, who died in 1991 in a plane crash. This paper will compare and contrast the eight difference, the process by which each organization decided to implement an EHR, the goals of each implementation, the governance process for planning and implementation and how stakeholders were involved in each case, the functionality that was implemented in each case, including clinical decision support tools and data sharing with external organizations, how security and data integrity issues were addressed in each case, how user satisfaction with the implementation in each case was addressed and give the results, and how each implementation’s success in meeting the original goals of Sentara healthcare system who won the award in 2010 and Eastern Maine Medical Center won the award in 2008.Sentara Healthcare in Norfolk, Virginia, a not-for-profit, integrated health care system in southeastern Virginia and northeastern North Carolina, includes 8 hospitals, health plans with 415,000 covered lives, and a 400 physician medical group, and Eastern Maine Medical Center (EMMC), is a 411-bed medical...
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...of project 12. References Abstract Purpose: New Mexico Heart Institute ( NMHI) has implemented a new electronic medical record system (EMR) to achieve meaningful use. Prior to this implementation, NMHI’s problems were numerous. It had a demanding ambulatory computing setting that caused clinical workflow inefficiencies, eroding physician satisfaction and straining IT resources. Printing was particularly difficult as the laptops could not differentiate when a clinician had moved from one clinic to another intelligently. In addition, slow keyboard-based authentication and login processes were creating more workflow blockages, frustrating caregivers, and increasing patient wait times. Methods: Aventura is context and location aware, a leading provider of awareness computing for the healthcare industry. New Mexico Heart Institute’s partnership with Aventura coincided with two mission-critical projects; this are the organization’s migration to a Virtual Desktop Infrastructure (VDI) leveraging VMware View™ and the planned upgrade of Allscripts EMR to achieve Meaningful Use. Aventura impacted NMHI clinicians dramatically with their integration. Results: NMHI are able to deliver a much more consistent PC experience means they have less downtime and more...
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...Team-Based Health Care Delivery Maria Reodique Grand Canyon University: HCA-515-0101 June 16, 2015 Introduction Health care has evolved and is continuously evolving. The management of care now involves different clinicians to better assess, diagnose and cure a patient. The clinicians evolved from a general practitioner to a team now comprised of Physician’s Assistant, Nurse, License Practical Nurse and Specialists. These health care professionals now compose a team of health care providers that are essential in a patient’s over all health care. The team-based approach is a delivery system that provides a patient an all-encompassing health care delivery system. “ By practicing in a team-based care model, physicians and other clinicians can care for more patients, better manage those with high-risk and high-cost needs, and improve overall quality of care and satisfaction for all involved” (Zawora, O’Leary & Bonat, 2015). Case Description A female 36-year old patient underwent an annual physical exam. The primary care physician ordered full blood panel. The result showed elevated levels of LDL and ALT (alanine aminotransferase). The gastroenterologist confirms that the patient has chronic Hepatitis B. The levels are not high enough but still needs to be watched carefully. The patient is already suffering from high blood pressure and is over weight. The patient migrated from an underdeveloped nation that includes in its diet high sodium content and fatty foods. Patient...
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...Consultation Process Based on the relevant research presented briefly in this paper, as a consultant, the next step is figuring out who to interview, finding agencies that have already adopted a model addressing cultural and linguistic concerns to see how their progress is going. As well as agencies who have not adopted a model but may need help seeking one. Lastly, reaching out to local individuals in the communities to get feedback on their thoughts about mental health services available to their usage in addition to their perception of satisfaction with services provided. After all, the goal is to implement interventions that will help remove such disparities. Focusing primarily on the urban areas of New York, I interviewed 3 clinicians...
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...HIM 6667 Foundation in Management Information Systems Week 7 Assignment Name: | Topic 1. (70 points) This week’s topic studies the delivery of decision support (DDS) through “e-” applications. As we seen in a previous session, healthcare DDS are built to assist clinicians and/or administrators to carry out important decisions and improve patient satisfaction, profitability and reduce medical errors. DDS operate under the premise of providing the right information and knowledge for the right patient at the right time. Implementing a successful DDS encompasses all concepts we have discussed in previous sessions such as sponsorship, managing change, outsourcing, data standards, security and privacy. For this week’s assignment and discussion we will address the implementation of a Web-enabled DDS at ZZZ health care system. ZZZ is a national hospital organization with more than 3,000 beds combined. It employs about 10,000 people and its total operating revenue is approximately $1 billion. ZZZ member hospitals provide services for acute care, extended care, residential facilities for disabled and older adults, occupational medicine and community services organizations. ZZZ could benefit from DDS at many levels: operational (i.e. resource allocation), managerial (i.e. assess departmental costs, integrate services between departments etc.) and strategic (pricing and contracting decisions, discontinuation or initiation of services etc.). ZZZ has gone through three generations...
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...telemedicine are improve access to health care facility for rural areas, gives clinicians better accessibility to tertiary consultation, give clinicians access to conduct remote examinations respectively, improving patient care, reduce health-care costs and reduce patient transfers to secondary and tertiary care centers...
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...THE RELATIONSHIP BETWEEN NURSING INFORMATICS & PATIENT SATISFACTION Daisy Michele Mattei University of Arkansas at Little Rock I will be discussing the relationship between patient satisfaction and the role nursing informatics plays. The expansion of health information technology may have an impact on patient satisfaction and outcomes either positively or negatively. More and more healthcare providers are using health information technology (nursing informatics), to improve patient care. I will also be discussing the impact of the electronic health record on improving the efficiency, safety, and privacy of healthcare today, along with the skills nurses need related to informatics and technology. Patient satisfaction is an important indicator of healthcare quality. “Satisfaction is an attitudinal response to value judgments that patients make about their clinical encounter.” (Kane RL, Maciejewski M, Finch M, 1997) Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. (McGonigle D, Mastrain KG, 2012, p. 95-96) (ANA, 2008, p.1) The goal of nursing informatics is to improve the health of populations, communities, families, and individuals by optimizing information management and communication. (McGonigle D, Mastrain KG, 2012, p. 95-96) (ANA, 2008, p.1) Information technology has dramatically changed the way nurses work. It...
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...Not everyone has the luxury to simply get in their car and drive down the street or across town to get to a doctor’s office. This is why the use of telemedicine can be so beneficial and is essential to rural communities. In March 2010, the Patient Protection and Affordable Care Act was enacted in order to show that telehealth could be used efficiently and effectively in our country’s healthcare system (Lee 2012). In regards to physical therapy, telemedicine can be used in a variety of ways to bring rehabilitation to those who live in remote areas. Telemedicine is currently a very important practice, because it allows clinicians to expand the ways they can treat their patients with physical therapy (Peterson). With advancements in technology, health providers are able to speak with their clients in real-time using audio and visual communications where they can conduct evaluations and send home exercise programs straight to their...
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...In a community living environment, there are often volunteers or staff that like to engage with the residents. By this interaction, the residents are able to participate in this life review. Therefore, residents are able to improve their life satisfaction. Some of the life review stories mentioned to me were mostly about relationships with family and friends. In a resident’s story, I noticed that they would start off talking about the wonderful events that occurred with their family and friends. Right after that, they mentioned how they regret that they lost contact with some family and friends. During this part of the discussion, their mood and voice changed. I noticed that this was something that played a role in their negative life review,...
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...Assignment : Human Resource Management Topic : Training and education in healthcare Submitted by : Vasudha kansal PRN : 12040141077 Training and Education are vital in Health Care Education is important to ensure that critical risk management and loss control information is presented to, understood and utilized by healthcare professionals and staff. These educational and training programs provide the tools required to move toward s Energized, committed and educated employees make a positive difference in a patient’s healthcare experience; untrained and undereducated employees lead to potentially unsatisfactory service situations. This is critically important since most malpractice claims and lawsuits are pursued based on patients’ feelings about those potential communication and service lapses. Developing the Loss Control Culture Research consistently shows that often the cause of malpractice claims is miscommunication and service lapses, not actual malpractice. A loss control program that focuses on eliminating service and communication lapses and stresses the importance of service excellence creates an environment where everyone wants to work and practice. More importantly, an environment is created in which the...
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.......... 5 Training and Health Care ....................................................................................... 6 The physician and emotional intelligence .............................................................. 7 Conclusion ............................................................................................................. 8 Introduction There is a renewed interest in healthcare, in the role of Emotional Intelligence — a set of behavioral competencies, distinct from traditional IQ, that impact performance. There is also a growing body of evidence that individual behaviors, including EQ, influence patient outcomes and organizational success. What is EQ? How does it apply to healthcare? How do we use it to improve performance? Everyone is striving to provide patient-centered care. Operational strategies like Lean or Six-Sigma help in designing new, patient-centered care models. Information systems make clinical and financial data more useful and enhance efficiency. These strategies and technologies are widely available, but not every organization is successful....
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...Three Core Process Model This model is use to understand and defined a balanced set of outcomes, these are patient’s clinical outcomes, the patient’s functional status satisfaction and cost of services. This processes is interrelated and a failure of one despite the success of the others is still an inefficient system. Take for example in the facility where I am currently working, in their effort to cut the cost of services, most of the time we function in a maximized environment where our staff carry the load of seven patients. Management is saving on the cost of staffing where as we all know that it is the highest cost of expenditures in any setting. This in turn causes a lot of grumblings and complains that will often lead to call-ins the next day which in turn causes the management to hire PRNs or Agency staffing which cost more, and worse patients suffer from it all because they do not get the best care since their nurses are just too busy to attend to their other needs. Staff knows the importance of keeping cost low, and if there are any efforts to reduced cost it needs clinician involvement to increase the likelihood of success because it is necessary to have decision-making processes that actively engage clinicians in change initiatives (Kelly, 2011) In the Concept to practice topic where managers try to assess and clarify their purpose, the question “what am I trying to accomplish?” is the first question and according to Kelly (2011), the answer sometimes leads...
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...achieving equitable health care remains an important goal for the New Zealand healthcare system. Engendering cultural competence in our physicians is widely recognized as a mechanism to reduce these disparities through culturally sensitive and unbiased healthcare. We define cultural competence in regards to healthcare as ‘care that respects diversity in the patient population and cultural factors that can affect health and health care, such as language, communication styles, beliefs, attitudes, and behaviors’ (Ref). Research has shown that cultural competence training improves the attitudes, knowledge, and skills of clinicians that are related to caring for diverse populations, including facilitating a richer dialogue with the patient which removes barriers to seeking and sharing more information during medical visits. Cultural competence training also has also been demonstrated to improve patient satisfaction. Although there are only a few published...
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