Improving the health care system can play a crucial role in the delivery of safe, cost effective patient care. Many governing bodies mandate quality improvement in healthcare. Quality improvement initiatives are a result of systems failure. A thorough investigation into the failure can reveal where and how the system can make improvements.…
Abstract: Improving Post-Hospitalization follow-up for Veterans who are admitted into Non-VA facilities Objectives: VA policy mandates Non-VA facilities to notify the VA Transfer Center or Fee Basis department about Veterans’ admissions to initiate possible transfers and reviews for reimbursement. Since there is a lack of communication, primary care teams are not aware of the Veterans’ admissions. Consequently, Veterans who are admitted into Non-VA facilities do not receive appropriate and timely post-hospitalization care with their VA primary care teams. The objective of this quality improvement project is to improve post-hospitalization follow-up for Veterans who are admitted into Non-VA facilities by facilitating communications among Transfer…
I have enclosed three fitness evaluation report enclosure (1) is for the period prior to my GOVCC misuse, demonstrating good judgment, trustworthiness and reliability. Enclosure (2) is the adverse fitness report for the period I received a 6105, also acknowledging my negative behavior, and accepting the consequences of my behavior. Enclosure (3) is for the period after my treatment, and recovery, showing renewed good judgment, trustworthiness and reliability. During this period 2015 I was awarded a Certificate of Commendation signed by Brigadier General Michael A. Minihan USAF, Colonel Christopher J. PaPaj USMC, and Graisri, Gesorn Rear Admiral, Royal Thai Navy, for my efforts during OPERATION SAHAYOOGI HAAT enclosure (4). It has been one…
For Sam: Assessment validation How do you perceive your health? Do you think your poor vision or memory a threat to your safety at home? When your daughter helps you at home, does it make you feel helpless or a burden to her? Would you feel comfortable if someone lives and assists you in your daily tasks?…
Quality Progressions- A lens view of the organization Quality Progressions is a non-profit Supports Coordination agency founded by CEO Joel Goldberg in 2004 to support and provide services to individuals with intellectual disabilities and families throughout eastern Pennsylvania. Quality Progressions has two offices located in Philadelphia and Bethlehem. This agency’s mission is to empower individuals by providing them the tools to live a meaningful and fulfilling life through person centered and progressive interventions (Quality Progressions, n.d). Quality Progressions aims to achieve this mission through the following values: meeting the health and safety needs of each individual, enabling the individual to have choice and agency, the individual…
The main reason organisations have quality standards is to ensure that they –meet or exceed customer requirements, this in turn help retain customers and help make people buy their products or use their services. Standards provide benchmarks for performance. A benchmark is “a standard or point of reference against which things may be compared” within Real Skills we use benchmarks on a monthly basis they are mainly used to see whether we are meeting targets in sales. We are set a baseline figure I must meet on a monthly basis, I am given a target that I must meet which is then recorded and compared to past months and years to see trends within the organisation, this then can help prompt promotions and advertisements during slower months.…
Integrated assessment utilises both qualitative and quantitative approaches. Quantitative research can be used for theory generation and qualitative research can be used for theory verification [1]. Integrated approach allows for a more complete understanding of the impact of Yoga practice on the various physiological as well as cognitive parameters [5]. Questions on emotional conditions associated with any disorder are dealt with in qualitative assessment [2]. It provides scores that can be categorized as normal, mild and severe.…
What is the importance of validity, accuracy, and reliability in behavioral measurement? Validity measurement is important, because it measures the target behavior, measures the duration of the target behavior and any questions that are directed towards that behavior. Validity also makes sure the data was tracked at appropriate times and are relevant to the target behavior(Cooper, Heron & Heward, 2007, p. 103).…
Measuring and improving quality across the board can be a challenging task. However, any organization can do it with the proper procedures and steps to improve their quality ratings. Some of the ways to measure quality and improve experience of care can be found under the Institute of Medicine. First introduce in 1987 by Picker under the Commonwealth Program for Patient-Centered Care with the emphasis to improve patient care and experience of care (Ransom, 2008). Initially started as surveys to explore the concerns and needs of patients as means to improve quality.…
The American Nurses Association has a guideline for scope of practice that can guide any nurse working to implement a new procedure (Scope of Practice, 2018). The scope of practice and standards asks the nurse for the who, what, when, where, and why of a procedure. Can we legitimately apply these five qualifiers? Who is qualified to perform the action, is it within the licensure of the RN? What are we doing?…
Continuous quality improvement needs to continue utilizing the patients’ opinion on services rendered because you may think everything is going well because the job is getting done properly and timely, but continuous quality improvement also includes that 20% of how the staff treats a patient. In addition, the patient may have valid ideas on how to improve service because they are not close to the situation on a personal level. Sometimes, if you are too close to the situation you cannot see a viable solution to the issue. Additionally, all patients should be considered a partner in their care because the medical staff is not with them when they walk out the door.…
A deeper insight for quality and safety revolution is at work with United States healthcare system and innovation in current medicine to improve safety and quality is the efficient focus of Quality Improvement. (QI). To correct the gaps in quality improvement overuse, underuse, and misuse of health services, six aims was identified namely safety, effective, patient-centered, timely, efficient, and equitable (IOM, 2012). The nursing profession interest has always been on ethical and justice related to quality of patient care, the distress on insufficient staffing and work situation makes it impossible to claim non-maleficence (Aiken et al., 2012; Martin, 2015).…
In today’s ever-competitive healthcare market, patient safety, and quality of care is one of the top factors of an organizations survival. Quality improvement (QI) and safety have become a major component of our larger healthcare organization, because they value our patients, employees, and families, but why are we not following in their footsteps? A particular new idea that would be useful in a smaller unit is an action board, which allows anyone to write down a particular quality or safety problem (Steelman, 2014). In addition, the use of Situation, Background, Assessment, and Recommendation (SBAR), which can assist with identifying the problem, examining evidence, and determining if a solution will be applied in order to improve communication handoff (Eberhardt, 2014). Both of these solutions are cost effective, and would not take very much training to implement on the units and throughout the organization.…
Once Lauren starts assembling a quality improvement team, Lauren should choose team members who work between systems and across multiple disciplines within the rehabilitation practice. Lauren should choose a team champion, clinical leader, technical expert, day to day task leader, and a project sponsor for project contributing team members for her QI initiative. Lauren needs to start her quality improvement project by assigning a team champion. The team champion should be an individual who is committed to continuously improving the health care organizations processes, systems and guidelines. The team champion should show an interest for ongoing improvement initiatives and ongoing effective quality improvement processes.…
In order for my quality improvement plan to work, the following stakeholders must be part of the plan and fully support the plan. 1. Providers: The doctors must approve the plan and guide their staff in making sure that the correct information is disseminated to the patients. The reasoning is that they are ultimately responsible for this information and have the final say about antibiotic prescriptions. Additionally, doctors are typically the last person that speak to patients from a medical perspective; and it is important that any educational opportunities that was provided by the nurse is followed up by the provider.…