Discussion: Chapter 1 & 2 Current State of Healthcare Quality

Discussion: Chapter 1 & 2 Current State of Healthcare Quality ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Chapter 1 & 2 Current State of Healthcare Quality Based on the materials presented in Chapters 1 & 2, present your assessment of the current state of healthcare quality and the efficacy of the arguments in support of healthcare quality outlined that seems most logical or comprehensive. Please help with a 2 to 3 paragraph summary of what approach or concept seems most compelling and why. Include with your initial posting a critical examination of whether or not you believe that the current state of quality in healthcare is addressing the needs of the patients. Include your views of whether quality programs and structures in healthcare appear coherent and comprehensive or is it fragmented and unconnected. Discussion: Chapter 1 & 2 Current State of Healthcare Quality attachment_1 attachment_2 Introduction to Healthcare Quality Management Focus on Quality Quality Is About: ? Meeting customers’ needs and expectations ? Managing and continuously improving services Copyright 2009 Health Administration Press What Is Quality? ? An attribute of a product or service ? The cost of a product or service is indirectly related to its perceived quality Copyright 2009 Health Administration Press What Is Healthcare Quality? ? Quality attribute similarities and differences for stakeholder groups ?Consumers ?Purchasers ?Providers Copyright 2009 Health Administration Press 1990 Institute of Medicine Definition Quality of care is “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” Source: Institute of Medicine. 1990. Clinical Practice Guidelines: Directions for a New Program, edited by M. J. Field and K. N. Lohr. Washington, DC: National Academies Press. Copyright 2009 Health Administration Press Six Key Quality Dimensions 1. 2. 3. 4. 5. 6. Safe Effective Patient centered Timely Efficient Equitable Source: Institute of Medicine. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press. Copyright 2009 Health Administration Press Consumers’ Quality Expectations: Which Are Most Important to You? ? ? ? ? ? Don’t kill me Do help me and don’t hurt me Don’t make me feel helpless Don’t keep me waiting Don’t waste resources—mine or anyone else’s Source: Berwick, D. M. 2005. “My Right Knee.” Annals of Internal Medicine 142 (2): 121–25. Copyright 2009 Health Administration Press Introduction to Healthcare Quality Management Quality Management Building Blocks Quality Management ? A way of doing business that continuously improves products and services to achieve better performance ? Goal: Achieve maximum customer satisfaction at the lowest overall cost to the organization while continuing to improve the process Copyright 2009 Health Administration Press Quality Management Activities Measurement How are we doing? Yes Assessment Are we meeting expectations? The three primary quality management activities are parts of a closely linked cycle. No Improvement How can we improve performance? Copyright 2009 Health Administration Press Brief History of Industrial Quality Evolution ? 1920s—Shewhart introduces statistical quality control. ? 1950s—Deming and Juran introduce quality control and quality management philosophies to Japan. ? 1960s—Ishikawa introduces the importance of a “bottom-up” approach to quality improvement. ? 1970s—Many U.S. companies start losing market share to global competitors. Copyright 2009 Health Administration Press Push for Business Excellence ? 1987: Responding to concerns about inferior quality, U.S. business and quality leaders came together to study what high-performing businesses were doing better or differently. ? “Strategic planning for quality and quality improvement programs, through a commitment to excellence in manufacturing and services, are becoming more and more essential to the well-being of our Nation’s economy.” (Excerpt from the Malcolm Baldrige National Quality Improvement Act) ? This analysis resulted in the development of criteria to support the Baldrige National Quality Program. Discussion: Chapter 1 & 2 Current State of Healthcare Quality Copyright 2009 Health Administration Press Healthcare Performance Excellence: Baldrige Core Values ? Visionary Leadership ? Patient-Focused Excellence ? Organizational and Personal Learning ? Valuing Staff and Partners ? Agility ? Focus on the Future ? Managing for Innovation ? Management by Fact ? Social Responsibility and Community Health ? Focus on Results and Creating Value ? Systems Perspective Copyright 2009 Health Administration Press Brief History of Healthcare Quality Evolution ? 1913—American College of Surgeons (ACS) hospital standardization program ? 1920s—Increasingly stringent licensing and standardization programs ? 1951—ACS program transition to The Joint Commission on Accreditation of Hospitals ? Minimum requirements (structural and individual competence) ? 1965—Medicare program ? Focused primarily on structural details and on discipline of underperforming hospitals and physicians Copyright 2009 Health Administration Press Slow Movement Toward Adopting Industrial Quality Concepts ? 1980—The Joint Commission adopts quality assurance standard ? Identify important or potential problems or concerns with patient care ? Objectively assess the cause and scope of the problems or concerns ? Implement decisions or actions designed to eliminate the problems ? Monitor activities to ensure that desired results are achieved and sustained ? Document the effectiveness of the overall program to enhance patient care and ensure sound clinical performance ? 1980s—Medicare program adds external quality oversight by peer review organizations (now known as quality improvement organizations) Copyright 2009 Health Administration Press Dawn of the Twenty-First Century ? Regulations and accreditation standards affecting healthcare quality management began to incorporate Baldrige core values and statistical thinking originated by Shewhart, Deming, and others. ? Science of quality improvement used in industrial and service industries was being increasingly applied to healthcare delivery. Copyright 2009 Health Administration Press External Forces Affecting Quality Management ? State and federal regulations ? Voluntary accreditation standards Copyright 2009 Health Administration Press Healthcare Quality Management ? The rules and tools continue to evolve. ? The goal—continuous improvement— remains the same. Copyright 2009 Health Administration Press … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10