...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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...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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...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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...Principles of Health Care Administration Earl Greenia August 18, 2014 “Texas Health Harris Methodist–Cleburne, located in Cleburne, Texas has 137 acute care beds and over 80 physicians on its medical staff. It is part of Texas Health Resources, a large, nonprofit health care delivery system in north Texas that oversees 14 hospitals (Lashbrook, A. 2009).” In this paper I will summaries the systems approach of Texas Health Harris Methodist–Cleburne with a very brief over-view of the organizational theories, analyze how Texas Health Harris Methodist-Cleburne is a learning organization, explain the organizational structure displayed in this case study, describe the leaders involved in this case study, and discussing the role of the leaders in this case study. Organizational Theories The organizational theory described in this article treats organizational as a commitment to implementing an organizational change providing recommended treatment related to surgical care. This way of thinking about organizational is best suited for examining the performance improvement department and data management department that provide support for quality improvement activities at the hospital level (Lashbrook, A. 2009). Texas Health Resources makes three contributions to organizational theory. First, the article begins by talking about the improvement measure of success depends on the all-or-nothing approach. That Texas Health is not accepting failure when it comes to improving the quality...
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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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...Superior health services A business Proposal to inprove efficency and customer satisfaction Proposal Number: HCS325-01 Executive Summary Background Superior health services is delighted to put together this proposal for services to aid Health Care Resources, Inc.in achieving its goals for improving customer satisfaction through teamwork by providing training and post-training support the increase volume of patient calls. We have partnered with dozens of health care organization throughout the Southeast—health care organization committed to improving the customer experience through feedback, accuracy of information, and updated technology. Superior health services is a noteworthy health care management company located in Houston, Texas. Focusing on teamwork in the department we close the gap between customer experiences and improving efficiency. We offer various programs that will streamline operations that are enriched with essential business techniques. We have specialists who are trained in business styles that increases productivity and customer service. Objective Health Care Resources, Inc. is in need of skillful recommendation that provide methods to improve response time for customer questions, improve upon weakness in customer satisfaction and improve efficiency. Due to the increase in call volume in past year, Superior health services must find ways to improve CSR (Customer service representatives) efficiency using current staff and the additional...
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...Measuring Health Care: A Reflection The past few decades have seen a growing interest in the use of healthcare measures to monitor and evaluate health system quality and performance. A measure is a summary statistic used to give an indication of a process that cannot be measured directly. For example, the quality of care a patient receives is difficult to measure directly, however, we can measure particular processes (such as adherence to protocols) or outcomes related to quality of care. The use of quality data has led to improvements in operations, finances, and clinical outcomes. This discussion will center on a few topics that are vital to health care measures and system quality and performance. The foundation of measures and reasons for their use will be discussed in great detail. We must understand the reason for using measures in health care and their relationship to providers, policy makers, and administrators. Another topic that is vital to the discussion of measures is the use of data to improve organizational processes and thus the outcome of improvements. Although healthcare institutions do not generally make use of quality data and measurements to improve their profit margins, there are many ways they can utilize such measures to enhance their organizational performances. Finally, the discussion will come full circle to show how solidifying the relationship between quality standards and operational and financial efficiencies will lead benefits in long-term strategic...
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... The Office of the National Coordinator for Health Information Technology, coined the ONC, is a part of the U.S. Department of Health and Human Services. The office was created in 2004 via an Executive Order and reinforced by the implementation of the HITECH Act of 2009 (Health and Human Services). The purpose of the ONC is to assist the nation in the implementation, exchange, and progressing information technology in healthcare (Health and Human Services). In 2011, the ONC released its first Federal Health IT Strategic Plan. This plan required changes secondary o the implementation of the Affordable...
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...Accreditation Audit AFT2 Task 1. Herman Big Mawanda Western Governors University Contents COMPLIANCE STATUS. 3 PLANS OF COMPLIANCE 7 JUSTIFICATION 8 BIBLIOGRAPHY 10 Nightingale Community Hospital provides leadership in quality health services. Its core values focus on safety, community, teamwork and accountability with a vision of being a hospital of choice for all and a mission to create a healing environment with a passionate commitment to health care excellence. This executive summary of the accreditation audit is presented to the senior leadership to outline the compliance, plan of compliance and institution of the hospital under the reviewed focus area of Information Management as per the Joint Commission Standards. COMPLIANCE STATUS. The Joint Commission Standard IM 02.02.01 requires that the hospital effectively manages the collection of health information. Nightingale Community Hospital is in compliance with this standard under its patient care policy which specifies prohibited abbreviations. Its policy states that the use of abbreviations and symbols in the medical record is discouraged to prevent errors; as these can be associated with misinterpretation resulting in medical errors, and patient harm. In case the intended meaning of the abbreviation or symbol in the context of a specific order is not clear, the ordering practitioner must be contacted for clarification. This procedure demands that the elements of performance under IM 02.02.01 of the...
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...Health disparities are defined as unequal burdens in disease morbidity and mortality rates which are often experienced by the minority racial/ethnic groups. In today’s population ethnic and racial disparities exist for various and intricate reasons, which has grave impacts on an individual’s access to health care. These disparities have been around for several centuries and continue to be problematic despite the little progression being made with the revisions of preexisting health care laws. Laws and regulations are continually being revised to allow further health insurance expansions in hopes to reduce the ethnic and racial disparities for access to adequate care. Even with the increase in awareness, policymakers and clinicians have...
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...Darrick Poole HCS/531: Health Care Organizations and Delivery Systems February 11, 2013 Eugene Burwell Reimbursement and Pay-for-Performance In 2010, health care expenditures in the United States almost reached $2.6 trillion. This was 10 times more than expenditures spent in 1980. The rate of increase slowed in the late 1990s and early 2000s but industry experts still expect the cost of health care to increase more than the national income for some time to come. Stakeholders agree this continual financial burden is of critical importance. During the last decade, the financial woes in the United States caused many people to lose employment and others to work for much lower wages. The effects of the financial conditions increased the focus on health care spending and peoples’ ability to afford health care. The premiums paid by employees for their families increased by 97% putting further strains on employers and their workers. Baby boomers reaching retirement age increased enrollment in Medicare and Medicaid causing strain on federal and state government budgets. In 2010, health care expenditures consisted of 17.9% of the Gross Domestic Product. Over half of the nation’s health care expenditures result from hospital care, physician, and clinical services. One way the Affordable Care Act seeks to address the issues of cost is by reducing the compensation for hospital and treatment services that result in medical errors or inadequate quality of care. One of these payment models...
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...Assignment title | Managing Quality in Health and Social Care | ------------------------------------------------- Introduction..................................................................................................................6 Executive Summary This report has been produced to show how RUH have developed a number of mechanisms to overcome the notices placed by CQC. The hospital itself became a trust in June 2012. It is located in West Wilshire, outskirt of Gloucestershire and Bath with over 4500 staff a budget of 230 million, 4600 staff and delivering a number of complex and acute services the hospital has the opportunity through work with it Human resource and quality team to address the 5 action points given to the hospital after the February 2013 inspection. Introduction This report will show how RUH are using different techniques to address gaps in their service of delivery, it will discuss the tactics being used and how they are being evaluated, policies procedures being in place the impact it has left the organisation in terms of remaining competitive. And avoid any re-buff from CQC .Quality can be described as the standards of measuring something set against a criteria this statement is supported by Geynt (1995). For health and social care it is about improving knowledge and techniques to deliver high quality services .Quality management is essential within the sector as...
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...Organization Case Study Paper for United Health Group MaryAnn Dennis Grand Canyon University: NRS-451V Instructor- Kathy Skromme October 5th, 2014 Case Study for United Healthcare Organization Availabilities of selected several health care plans exist that people can benefit from in order to meet their budget, preferences and personal needs. It becomes obvious that the health care system plan remains difficult, not consistent and often expensive. In maintaining and improving the health care business, the organization involved will consistently be innovating and evolving in meeting demands of people concerned. In this writing, the United Health care group case study is been discussed, including what it entails, their management resource as well as their network, their nursing view and their ways of satisfying their individuals in care. Explaining United Healthcare United Health Group is the largest profit carrier among other organization in the United States of America, and has it’s headquarter in Minnetonka in Minnesota. It remains a more diverse company and was founded in 1977. It remains number 17 among the top 500 companies in the U.S.A, as Fortune magazine explained. Total workforce of the United Health Group approximated to be 150,000 in 50 states of America as well as 20 other countries. They served eighty five million people in the whole universe (UnitedHealth Group, 2013). United health Group provide wide spectrum and vast health services including equipment in two...
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...Improving Quality of Care Ottawa University Abstract Assessing and improving quality health care in the United States is a high priority in this day and age of health care. As health care providers we have an obligation to serve as leaders and visionaries and actively demonstrate and document the advances to patient-centered care. Many agencies and organizations have developed initiatives to advance patient care through quality improvement measures and patient safety programs. Evaluating quality health care is important for consumer, providers and society. Developing a quality measure of health care is an important objective for organizations that value health care quality. Improving Quality of Care The continuing growth of technology in healthcare is ground breaking at this time. With the advancements in technology and health care, there has become a rift between providers and patients. Patients want the best quality care from the health care system. Despite this justifiably positive view that, overall, quality of care is high in this country, many factors point to the fact that the quality of care is declining. It is believed that patient-physician relationships are not as strong as they once were, causing distrust and uncertainty. The health care field is ever changing and health care providers need to stay current on those changes, both now and in the future. Quality patient care will greatly remain impacted from the health care provider shortages and in return...
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...Summary of Key Points and Terminology - Chapter 2 • Quality management had its roots in manufacturing during the 1980s; soon after, service providers, health care, education, nonprofit, and government organizations began to study and implement quality management approaches. • A system is a set of functions or activities within an organization that work together for the aim of the organization. Systems thinking is critical in applying quality principles because the organizational linkages among various functions of an organization must be in alignment to meet the needs of customers and other stakeholders. • Quality in manufacturing has traditionally focused on such technical issues as reliability, inspection, defect measurement, and process control. Quality plays an important role in each component of a manufacturing firm’s production and business-support systems. All are linked together as a system of processes that support the organization’s objectives. • Service – which is “any primary or complementary activity that does not directly product a physical product – that is, the non-goods part of the transaction between buyer (customer) and seller (provider)”represents the dominant sector of the U.S. economy today. The differences between services and manufacturing require different approaches in designing and implementing quality assurance programs. The two key components of service quality are employees and information technology. • The...
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