...Running head: QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1 Quality and Safety in Health Care Management Murimi Stephen muriets@gmail.com JKUAT December 2014 QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1. Introduction 2 Although health care facilities are designed to ensure people are safe, they remain a dangerous place to be (Mitchell, Gardner, & McGregor, 2012). The sources of risks in the hospital include medical errors, falls, and health care associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito...
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...Risk and Quality Management Assessment Summary Beverly L. Rivera HCS/451 April 1, 2015 Kevin Stevens Risk and Quality Management Assessment Summary The healthcare industry is growing rapidly with significant changes directing new trends and advance technology for the future. Within recent years, the shift from manual medical records to electronic medical records allows individuals to be an active participant in direct control of their health care. As these changes continue to increase, the risk and quality departments within health care organizations has an enormous duty to enhance the quality of care for its internal and external customers. Gwinnett Medical Center is one of many healthcare organizations that embraces change along with enhancing the quality of care their patients receive. The executive summary assessment will describe details of Gwinnett Medical Center, the risk, and quality management department policies, and how the risk and quality management determines the quality outcome for the goals the hospitals. Gwinnett Medical Center Gwinnett Medical Center (GMC), also known as Gwinnett Hospital System, Inc. (GHS), was established in the early 70s and is a not-for-profit health care network. The hospital is a 553-bed facility, which includes 464-inpatient and 89-skilled licensed nursing and long-term facility. Gwinnett Medical Center has two acute-care hospitals, and facilities in different cities and the metro Atlanta area. The facility in Lawrenceville...
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...Quality Improvement Email Glorybel Rodriguez HCS/588 Measuring Performance Standards November 24, 2014 Dr. Debbie Simmons Quality Improvement Email Health care organizations aim to provide both quality and safe patient care. These two fundamental and critical concepts in health care require continuous effort. “Organizations must make an intentional effort to measure, assess, and improve performance” (Spath, 2014, pp.266). Quality improvement (QI) is essential for the continued success of an organization as it reveals specific guidelines and methods to provide consistent and dependable quality services. This paper will discuss QI while focusing on quality management’s role and importance in health care, stakeholder’s different views of quality, QI roles, and what areas in health care require monitoring. Additionally, involved accrediting and regulatory organizations in QI and helpful resources and organizations that affect QI will be discussed. Quality Management According to Kelly (2011), quality management refers to how managers operating in various types of health services organizations and settings understand, explain, and continuously improve their organizations to allow them to deliver quality and safe patient care, promote quality patient and organizational outcomes, and improve health in their communities” (pp. 9). Therefore, the purpose of quality management is to enhance the effectiveness, efficiency, and safety of health care processes to achieve quality...
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...Risk Management Assesment 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...
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...Risk and Quality Management Assessment Summary The organization for this summary is a Skilled Nursing Facility. The facility, Park Regency Care Center is located in La Habra, California. The skilled nursing facility provides nursing care in services for speech therapy, wound care, IV therapy, nutritional support, and medication and disease management. As well as rehabilitation in services for occupational therapy. The primary customers they serve are men and women around 55 years and older in age. The organizations care focuses on their customers who are in need of 24 hour care in support in transferring back home at prior level functions. The "Park Regency Care Center" (2013) website at Park Regency Care Center, under a physician’s directed treatment plan, we work with our residents and their family members to develop comprehensive individualized care plans for our residents to promote their recovery with goal of achieving the medically optimal result. Risk and Quality Management The purpose of risk management and quality management in health care organizations in general are to reduce the risk and implement changes for improvement and standards of the organization. Risk management improves management the proper way. According to Parker, Smith & Feek, Inc (2015), “Risk management is typically a hybrid function bridging a number of disciplines to reduce the incidence of organizational loss” (para. 2). In quality management it works side by side with risk management in improving...
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...Risk management in the health care in the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. As up today they have close the gap to provide a better, and safety quality patient care. Rationale What is risk management any way not everyone has the same meaning. It can be define as such Risk management is a process for identifying, assessing, and prioritizing risks of different kinds. Once the risks are identified, the risk manager will create a plan to minimize or eliminate the impact of negative events. A variety of strategies is available, depending on the type of risk and the type of business. Outline Risk Management and Patient Safety: The Synergy and the Tension Integrating Risk Management, Quality Management, and Patient Safety into the Organization Benchmarking in Risk Management Risk Management Strategic Planning for a Changing Health Care Delivery System Using Never Events to Reduce Risk and Advance Patient Safety Governance and Board Responsibility to Assure Safety in Health Care Organizations 1. Introduction What is the goal or the idea behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public...
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...Risk and Quality Management Assessment Summary HCS/451 July 31, 2012 Introduction According to Sollecito and Johnson (2013), “Quality management is a systematic and continuous development that organizations use to deliver products, services, and to distribute merchandise that will meet or exceed consumer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care as well as to address problems in patients’ outcomes.” Sometimes, the definition of quality is often elusive because it is perceived differently from person to another person. According to Shannon (2012), “Risk Management is the process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events. Historically, risk management in the health care setting and in health care organizations managed risks in a reactive manner which means each department worked independently to resolve its own issues.” The purpose of quality and risk management in health care organization in general and in the chosen organization in particular. The purpose of management of risk in a healthcare setting is first of all, according to Shannon (2012), “it was first previewed into the health care organization as an answer to the “malpractice crisis”. Health care organizations were faced with malpractice verdicts resulting in higher insurance rates. The...
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...risk management and quality improvement. Select 8-10 historical regulatory and nonregulatory events and activities over the 20th century that contributed to the theoretical foundations of risk management. The matrix must identify the name, year, and founder of the development; the nature of the development; and its importance in the development of risk management and quality improvement. Use this table as a graphic organizer to summarize the theoretical underpinnings and historical development of risk management and quality improvement. Historical Development (Name, Year) Founder of Event Nature of Development Importance to Development of Risk Management and Quality Improvement 1. The National Health care Quality Report, 2011 Agency for Healthcare Research and Quality The nature of the development is to monitor and control nationally the quality of care in the United States. These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. In the 20th century new chapters on care coordination, health system infrastructures are put into place. The reports present, in chart form, the latest available findings on quality of and access to health care. According to Priority areas for national action: Transforming health care quality (2003), the committee decided a framework would be useful in helping to identify potential candidates for the priority areas.The framework encompasses four domains of care, they...
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...Risk Management Summary HCS 451 March 20, 2011 Risk Management Summary The purpose of risk management is an important aspect of health care industry in United States and throughout the world. The risk management in health care organization considers patients safety, quality assurance and patient’s rights as well as employees rights. The Joint Commission, which accredits and certifies more than 17,000 health care organizations and programs in the United States, defines risk management in health care as "clinical and administrative activities, undertaken to identify, evaluate, and reduce the risk of injury to patients, staff, and visitors and the risk of loss to the organization itself” (Miller, 2010). The Children Hospital Central California commits to patient safety therefore safety depends on creating processes to anticipate errors and prevent them before they cause harm. The primary goal of their Patient Safety Program is to ensure that all care is safe, effective, patient-centered, timely, efficient, and equitable. The hospital vision is to sustain involvement of everyone at Children's Hospital Central California, which will develop into a national innovator and leader in delivering safe patient care. Care proudly recognize by patients, parents, peers, and the community. At children’s hospital, the key steps in identifying and managing risk are to practice safety regularly. Numerous of initiatives are structure around the Joint Commission’s National Patient Safety...
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...1. Introduction What is the goal or the idea behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public demand for accountability in health care delivery. The consequent tightening of governmental regulation has led to a greater allocation of an organization's resources to regulatory compliance. Some states, including New York, enacted stringent incident reporting requirements for hospitals, requiring additional staff to investigate and prepare such reports. Additionally, competition among hospitals has also fostered a greater concern over the community's perception of quality of care. Many hospitals have had to compete harder for patients as inpatient lengths of stay decrease and more procedures are performed on an outpatient basis. Risk management in the health care In the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. Managing risks is the quality of services provided & the safety of patients, their careers & visitors. To manage risks to staff & subsequent risks to service quality. To manage risk of failing to meet national & local priority targets to manage risks to the efficiency of services...
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...high-level job position you aspire to secure in your chosen allied health field and (b) a same-level position in a different and unrelated allied health care field. What educational and professional qualifications must each individual in this high-level position possess? What is the typical career path to arrive at each position? Compare and contrast the responsibilities each position entails in regards to workplace safety, risk management, and/or quality of service, and identify one element from each career path that might benefit the other. HLT-313v Week 1 Topic 1 Discussion 2 Review the biographical sketches of your classmates in this course and select an individual in an allied health career field or position that is different than your own current position or proposed career path. Using your readings, the GCU Library, and Internet association or government websites, identify the safety, risk-management, or quality-based scope of the classmate’s job. Engage in a dialog with the classmate about whether or not the stated responsibilities are those actually experienced by the individual. How are they the same? How are they different? What “real life” activities in this area does your classmate perform that are not discussed in the official literature? What factors may cause any discrepancies between stated and actual job responsibilities? HLT-313v Week 1 Assignment – Workplace Safety Initiative Proposal Allied health professionals are uniquely qualified in many ways to recommend...
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...HLT-313v Week 4 Topic 4 Discussion 1 Locate and select an article which discusses performance-based trends in patient safety, risk management, or quality management in health care organizations. Provide a summary of your findings and explain how and why the trend(s) would or would not be effective or successful in your workplace or in an allied health organization in your chosen field. You are required to use and cite a minimum of two references from the GCU Library to support your response. HLT-313v Week 4 Topic 4 Discussion 2 Risk management functions and quality improvement functions in an organization can overlap in terms of addressing patient safety. Using information from your own employer/organization’s risk management plan, or that of an allied health care organization in your city or region, identify and summarize two such functions which commonly overlap in this manner. What common factors lead to the overlap? Does the structure work for the organization you selected? Why or why not? You are required to use and cite a minimum of two references from the GCU Library to support your response. HLT-313v Week 4 Assignment – Managing Quality Assurance in the Workplace Essay Health care delivery and the organizations that provide it, manage it, and reimburse for it are growing at an explosive rate. As part of this trend, the growth in the allied health job sector is expected to grow significantly, with job growth projections in the 40% plus range for the period 2012-2022...
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...Risk and Quality Management Strategies 4 Executive Summary VOLUME 2 July 2009 Key Recommendations Assess current activities in risk management and quality improvement to evaluate their effectiveness in addressing overlap. Establish a structure to ensure that patient care activities are addressed in a coordinated manner involving risk management and quality improvement functions. Seek legal counsel to ensure that the structure for risk management and quality improvement activities maximizes legal protections granted by state and federal statutes while allowing for the flow of information. Align risk management and quality improvement plans with the strategic goals of the organization. Educate stakeholders on the role of risk management and quality improvement functions. Design systems to coordinate and streamline data collection, analysis, monitoring, and evaluation. Risk Management, Quality Improvement, and Patient Safety In the past, the risk management and quality improvement functions often operated separately in healthcare organizations and individuals responsible for each function had different lines of reporting—an organizational structure that further divided risk management and quality improvement. Today, risk management and quality improvement efforts in healthcare organizations are rallying behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations deliver safe and high-quality patient...
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...Occupational Health and Safety in the Workplace Occupational safety and health (OSH) also commonly referred to as occupational health and safety (OHS) or workplace health and safety (WHS) is an area concerned with the safety, health and welfare of people engaged in work or employment. The goals of occupational safety and health programs include fostering a safe and healthy work environment. OSH may also protect co-workers, family members, employers, customers, and many others who might be affected by the workplace environment. Human resources are one of the most important features of many businesses. A business’ success relies heavily on the effectiveness to which this resource is managed. Policies and practices used by the firm, set out the standards to which they seek to aspire. They are designed to govern the operation of the business; especially in today’s economy where there is such a rise in service industries. This paper seek to highlight the importance of Workplace Health and safety to the business, to develop an understanding of how its effective management can affect the performance of a business, outline how this can be effectively carried out with the interest of the company in mind. It is often said that, “the health of a nation is the wealth of a nation”, the same concept applies to business. The health and safety of a company’s human resource is an enormous contributor to the success of that business. Human resources account for a large proportion of many company’s'...
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...this form ( http://hwguiders.com/contact-us/ ) Feel Free to Search your Class through Our Product Categories or From Our Search Bar (http://hwguiders.com/ ) Roles and Functions Paper Today’s health care needs a manager who has understanding of management and the skills needed to manage within the health care environment. This management refers to activities included in planning, organizing, leading and controlling of an organization. The manager must respond and adapt to the changes in an organization required by the needs of the patient population it serves. Managers must be accountable not only in decision-making, but productivity, cost containment, safety, confidentiality, etc. An effective manager must be accountable, create a quality work environment, and understand the value of a diverse workplace as well as other important functions that contribute to effective management. Although the roles of manager vary, all managers in any health care organization or any organization for that matter must manage effectively using the management process, being accountable for themselves and others, using the principles of effective time management, networking, recognizing and supporting the department of intellectual capital and other essentials of successful management. To be able to achieve this, a manager must understand the business environment, and the people that will be involved in these changes, such as employees and other stakeholders that directly or indirectly...
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