...Healthcare Risk Control 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...
Words: 10499 - Pages: 42
...Risk and Quality Management Emmett Snider HCS/451 February 25, 2013 Wiechman Risk and Quality Management Hospitals most likely originated from temples, which were dedicated to Greek and Egyptian gods of healing. Sacrifices, prayers, and dream interpretations played the major role in the ancient physicians healing process, but they did occasionally set a broken bone, stitch up an open wound while using opium as a pain killer. Today in the early 21st century hospitals are much different. Hospitals can cover the full spectrum of health care from major surgery to minor injuries acquired in emergency situations. Physicians are highly trained and most of them specialize in some area of medicine that uses hi-tech equipment to help them. Nurses no longer just take vital signs and tell the patient that the doctor will be with you in a few minutes even though they know it will be more like a few hours. Nurses provide a number of preventive and primary health services, take care of minor injuries and illnesses, and prescribe medication. Hospitals have same day surgery where patients arrive in the morning have surgery and are back in their own home by night-fall. Basically hospitals are one or more large buildings where sick or injured people can receive medical or surgical care and most of the time as an inpatient. Everyone takes risk every day of his or her life and the chance of a negative impact is increased by the number of unintelligent choices they make. Risk can...
Words: 2046 - Pages: 9
...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...
Words: 1711 - Pages: 7
... | |Risk ,Quality and Performance Management | |Their role in Healthcare | | | |Linda Hyll | |8/5/2013 | | | The purpose of implementing a quality management program should focus on developing and communicating a customer-focused mission, strategies and action plans; listening and responding to the customers’ needs and expectations; encouraging employees to continuously improve and increase their overall job satisfaction, processes and environment and the gathering and analyzing key performance indicators to improve overall organizational and process results. A quality management system will help the organization to focus on prevention activities...
Words: 941 - Pages: 4
...Risk and Quality Management Assessment Summary University of Phoenix HCS/451 August 19th, 2012 Risk and Quality Management Assessment Summary Aurora is an organization that offers many of different services for families. They are a human service agency that is committed to helping individual’s live fuller and richer lives. Aurora offers services such as counseling, healthcare, residential, Vocational. Aurora takes people that struggle and cannot live on their own. As an Aurora employee; I am glad to say that I am part of their team. I am a float staff there and I am trained at 21 different houses. Aurora staff are there to help make a difference and help people who have disabilities live a better life. Aurora is a very strong organization and they are one of the organizations who are strongly fighting for not having to close down. There is many organizations closing down due to the funding, But as a strong organization Aurora is still standing and fighting for what they believe and that is “Making difference in their life.” Risk management seeks to reduce potential negative impacts on patients, staff and the organization through the identification and reduction of potential dangers or threats (Authenticity Consulting, LLC., 2010). At the same time when they are using risk management they are also using quality management because they are ensuring that they are giving their patients the right quality of care that they deserve. In the Aurora organization they...
Words: 1851 - Pages: 8
...Risk and Quality Management Assessment Summary HCS/451 Barbara Smith 11/16/15 Alanna Vanderpool The organization selected to review is Milestones Management Group. Milestones is a management company that contracts with various long term care facilities and provides general oversight from a corporate level. Their primary focus and target type of facilities are Assisted Living and Memory Cares. The offer nursing and clinical oversight, operations management, growth and development support, quality and risk management support as well as other valuable services to communities in the Pacific Northwest. Milestones is a locally owned company that generally provides contracted services however they do own a few of the properties that they currently manage. Quality and risk management in health care are extremely important not only for an organizations level of success but also for the general wellbeing of its employees and the patients that it serves. To begin, the definition of quality management is “structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality health care that meets or exceeds expectations” (Sollectto & Johnson, 2013, Chapter 1). Most health care organizations, including Milestones, have quality management teams in place that review and evaluate the level of service that the organization provides to its patients. There are several ways for a quality management team to go about determining...
Words: 1884 - Pages: 8
...Risk and Quality Management Assessment Summary Xxxxxxx Xxxx HCS451 September 24, 2012 Instructor Executive Summary Resolve, The National Infertility Association has been assisting and helping out individuals with infertility issues since 1974. Risk and quality management improvements in the organization have rallied behind the patient’s safety, while finding new ways in working as a team that is more effective and efficient when ensuring that the organization can deliver high quality and safe patient care. There have been issues regarding cost of visits and procedures with no insurance coverage while having to pay out of pocket for services that can cost hundreds or even thousands of dollars. The organization offers assistance in providing financial assistance for those in need and assist in finding the health care coverage that would best suit them. Infertility coverage is not a mandated health issue in many states that needs insurance coverage. Out of all the states only 15 are mandated to cover some sort of infertility. 1.1 Key Concepts The main problem was to determine what insurance provider would have some sort of infertility coverage that could assist their patients and avoid out of pocket expenses. The risk analysis will provide information that will help the risk manager realign the activities when dealing with quality care and improvement with the main focus on patient needs. * Review of the current functions of quality improvement and risk...
Words: 1830 - Pages: 8
...LP8 Journal The concepts during the establishment can be: Is this a good idea or a bad idea? Is this belief defensible or indefensible? Is my position on this issue reasonable and rational or not? Am I willing to deal with complexity or do I retreat into simple stereotypes to avoid it? If I can't tell if my idea or belief is reasonable or defensible, how can I have confidence in my thinking, or in myself? Is it appropriate and wise to assume that my ideas and beliefs are accurate, clear, and reasonable, when I haven't really tested them? Do I think deeply or only on the surface of things? Do I ever enter sympathetically into points of view that are very different from my own, or do I just assume that I am right? Do I know how to question my own ideas and to test them? And do I know what I am aiming for? Should I? Finding from research compounds all the others and makes it harder to change practice Avoidance thought-provoking work and activities and stick to predictable routines Being caught in a vicious circle of mediocre practice modelled after mediocre practice, of trivialized knowledge begetting more trivialized knowledge That there are appropriate standards for the assessment of thinking and there are specific ways to cultivate the learning of them. The research into critical thinking establishes tools that can help us evaluate our own thinking and the thinking of others, if we see their potential benefit and are willing to discipline our minds in ways that may...
Words: 317 - Pages: 2
...Quality Management Assessment Summary Mark Borland HCS/451 Julie Carson February 25th, 2013 Quality management assessment summary Purpose of Quality Management When an organization or corporation invests its time and resources to qualitymanagement, it permits to enhance quality of business procedures and thiseventually leads to a reduction in the possibility of unforeseen obscurity and troubles. This enables patients to get products and services of superior quality. High quality of production development diminishes the prime cost of th4e final product or service, sothe hospital gets an opportunity to avail customers with better prices. Concepts of Quality Management • Ensure your health care fits your needs and preferences (What is Qualityin Health Care, n.d). • Ensure that your health care does not cause harm (What is Quality inHealth Care, n.d). • Ensure that your health care is right for your illness (What is Quality inHealth Care, n.d). • Make sure that your health care is given without unnecessary delays(What is Quality in Health Care, n.d). • Ensure that your health care includes only the medical tests andprocedures that you need (What is Quality in Health Care, n.d). • Make sure that your health care is fair and not affected by such thingsas your gender, language, color, age or income (What is Quality inHealth Care, n.d). The Cleveland Clinics method of approach to quality management are toprovide lower healthcare cost, revenue generated , overall...
Words: 2528 - Pages: 11
...FAILS: QUALITY IMPLEMENTATION AND TESTING Background The resource I have chosen for this Library assignment is “Why software fails: Quality implementation and testing”. The author provides a look into the main factors for a system failure and the goals and the importance of testing in a SDLC process. The authors of this article are Heather Taylor, Heather and Stephens, Charlotte. Executive Summary Information systems projects frequently fail and it’s a reality that is often not talked out. When undertaking a large, complex, systems project, the realistic expectation should be that the there will be complication with the production of the software. In particular, business process reengineering (BPR) projects have an even higher failure rate because of their expanded scope. Hiring a large, established consulting company is no guarantee of success; neither is buying packaged software and implementing it. Projects are frequently built using a strategy that almost guarantees failure. Software engineering is a kind of engineering. With this in mind, “the industry has become serious about adopting various standards, process improvements, and "silver bullet" tools. However, in spite of the growing trend toward process improvement and Total Quality Management (TQM) for software many companies are finding themselves without the quality and productivity improvements they were hoping to gain”. The author portrays testing as the most important factor in a quality product...
Words: 1274 - Pages: 6
...Total Quality Management (TQM) There are always great opportunities to improve the performance of healthcare in organizations. In today’s economy, coupled with overwhelming changes in healthcare policy, requires solid, on-going performance improvement in healthcare. What does that mean? It means healthcare providers at every level must examine their organizations from the most strategic level on down to the simplest routine process for opportunities to streamline, improve and optimize the care given and the costs associated with that care. I will later discuss three big ideas in order based on their greatest potential benefit in the healthcare organization which includes total quality management, outsourcing, and customer relationship management. Quality improvement in health care has developed gradually as emerging ideas have been explored and implemented within various clinical and non-clinical settings. One of the more recent methods of quality improvement which has been introduced into healthcare organizations is Six Sigma. Six Sigma is a rigorous set of processes and techniques to measure, improve, and control the quality of care and service based on what is important to the customer (Liberatore, Page 440). The goal of this approach is to bring procedures to defect-free levels by trying to eliminate variation in processes. Defects are seen as any factors which lead to customer dissatisfaction. Many processes in healthcare require a near-zero tolerance for error, especially...
Words: 1418 - Pages: 6
...continuous process. Process improvement helps an organization to view process value through the eyes of the customer. It helps to define, manage, and measure a process in order to regularly evaluate it using data-driven information. It reduces unnecessary business costs. The primary goal is to identify and understand issues in order to recognize solutions and implement improvements to stay aligned with customer needs and expectations. The Process Improvement Methodology serves as a common framework for understanding the ongoing nature of a process. It provides a set of phased activities for analysis of an existing process for the specific purpose of identifying improvement opportunities. Finally, it provides direction as to appropriate process management and periodic process review and evaluations geared toward ongoing improvement. The recommended tools you use will vary depending on scope of effort or size of process. Process improvement is an ongoing effort. Why is Process improvement important? All companies need to improve all their processes all the time. The ideal outcome is that jobs can be done cheaper, quicker, easier and most importantly safe. Experience also confirms that process improvement brings a significantly positive return on investment ROI and improvement in key business indicators. Process improvement is important to achieve a better way and understanding that while not every attempt will be a winner, the large number of attempts will result in plenty of successes...
Words: 1563 - Pages: 7
...Quality Management includes the process in which determines the quality policies, objectives, and responsibilities performed so that the project will satisfy the needs for which it was undertaken. Implementation of the policies and procedures within the project’s context will ensure that the project and product requirements are met and validated (PMI, pg 227). It is also the ability to plan and control quality and performs quality assurance. If you include these processes in your Project Quality Management process, your will improve the quality of your current and future projects. The first process of Project Quality Management understands the scope and deliverables of the project. In order to give high quality to your customer or stakeholders, you must know their expectation of the service or product. The basic approach of quality management is compatible with ISO International Organization for Standardization quality standards. Every project should deliver quality to which a set of inherent characteristics fulfill requirements with a grade as a design intent assigned to deliverables having the same functional use but different technical characteristics. The project team will need to apply appropriate levels of accuracy and precision for use in the quality management plan. Applying ISO compatibility to quality management, you will need to take the approaches below: • Customer satisfaction –Customers expectations are met (PMI, pg 229). • Prevention over inspection...
Words: 1596 - Pages: 7
...Quality Issues with Toyota Motor Vehicles Randy Kenepp 821 Vickie Drive Del City, OK 73115 Phone: 405-473-7998 Email: rkenepp@gmail.com Managing Quality - BSOP 588 Professor: Richard Sheng October 19, 2014 I. Introduction: Toyota Motor Corporation (TMC) is a motor vehicle and production business. TMC is headquartered in Aichi Prefecture, Japan. TMC was founded August 28, 1937 by Kiichira Toyoda. Kiichira Toyoda’s son Akio Toyoda is the current President of the company. The company was originally a division of the Toyoda Automatic Loom Works Company founded by Kiichira’s father, Sakichi Toyoda. World War II halted many of the company’s initial manufacturing, but by 1950, Toyota reopened production facilities. In the 1960s and 1970s, TMC began rapidly exporting automobiles to foreign markets (The Editors of Encyclopædia Britannica, paragraph 4). TMC has continued to grow and has manufacturing plants and distribution channels setup in many countries. As of May 2014, TMC has a 397.05 billion yen, or 3.69 billion dollars, of capital. As of March 31, 2014, TMC has 338,875 employees. TMC has had a long standing reputation for quality. TMC’s quality philosophy is stated on their website, Toyota-Global.com (2005), “In June 1961, TMC decided to adopt the system of Total Quality Control (TQC) to modernize management operations. To realize TQC, all employees in Toyota were required to ‘regard the next processes (on the production line) as their customers and provide them...
Words: 3561 - Pages: 15
...Definition - What does Product Quality Management (PQM)mean? Product quality management is a comprehensive set of tools that enables organizations to control and manage the data related to product quality across enterprises. This product data includes product and manufacturing defects, field failures, customer complaints, product improvements and corrective and preventive actions requests. Techopedia explains Product Quality Management (PQM) Quality management includes four major components: * Quality Planning: Continuous efforts to track defects and determine the causes behind them. * Quality Control: Reducing production, repair and warranty costs through defect tracking and repair. * Quality Assurance: Effective tracking of problem reports and customer complaints in an effort to resolve the queries in a timely fashion. * Quality Improvement: Interaction with other enterprise customer relationship management systems and integration with other enterprises for importing customer complaints, quality related information and manufacturing problems. This speeds up the quality tracking process and provides a central repository for tracking the data related to product quality. Many product suppliers recognize quality as a prime factor that can set their products apart from those of their competitors. Many manufacturing companies now follow the ISO 9000 series of standards, which are used by companies worldwide for product quality management. • Own monthly product‐specific...
Words: 268 - Pages: 2
