Findings CARES data identifies opportunities for improvement in out-of-hospital cardiac arrest (OHCA). CARES provides on-demand meaningful benchmarks for continuous quality improvement (CQI) through its web-based program; it supplies the configurability for creating hierarchy organization accounts for individual assessment to statewide assessment. It incorporates two data entry methods: direct web-based entry or via electronic patient-care record (ePCR) extraction. Both methods are subjected to a series of validation checks to ensure data integrity. The CARES team supports one-on-one report interpretation and consultation comparing multi-layered metrics for interested agencies.…
1) Creation of a 24/7 call roster to provide support for the crisis team and guide decision-making in client disposition and divert to a lesser restrictive level of care, when appropriate (Triaging). a) Met with all prescribers (Doctors, Nurse Practitioners, and a Physician Assistant) to identify those interested and qualified in participating. b) Developed criteria and guidelines to facilitate decision-making on a uniform basis. c) Set regular (at least monthly) meeting with roster participants to ensure uniformity and consensus about best practices in the fulfillment of our roles. d) One on one meetings with roster participants to discuss and address individual concerns and issues of quality of care.…
In today’s healthcare, case management ascends to an irreplaceable component in delivering quality care. The interaction of the case managers with multiple departments in a health system allows open communication, resulting in quality metrics demonstrating value in areas such as length of stay, observations, accounts receivable, and appeals or denials of patient care (Miodonski 2011). According to the Case Management Society of America (CMSA) hospital case management exists as a collaboration of assessments, plans, implementations, coordination, monitoring and evaluations of options and services for healthcare consumers. Huntsville Hospital (HH) Case…
The three main focus points of the interviews and observations during this study was the content of the information being handed over during report (using SBAR), time spent at the bedside including patient involvement and staff numbers and their…
Development Plan: Bedside Rounding The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey utilized to measure a patient’s perception of hospital care (Centers for Medicare and Medicaid Services, n.d.). In the given scenario, patient satisfaction scores are declining; nurse communication has been deemed the factor, as patients are reporting not being made aware of their treatment plans and care. In an effort to rectify the problem, the implementation of bedside reporting has been decided.…
Though both physiological and technical issues are important situations that need to be alerted to medical staff, many times the issues are not real or important issues collectively known as false alarms. A clinician must still attend each alert. False alarms place extra stress on medical professionals and take attention away from other issues. The more false alarms are triggered, the less the medical staff will believe the…
During a chart audit on November 10, 2016 you failed to document any bedside emergency/safety equipment on our respiratory care flowsheet for our patient McClure, Taunya in ICU 2 as well as incomplete airway charting, treatment charting and a plan of care. There was no documentation referring to any treatments on your patient King, Janet 5023 during your shift. Our patient Babalolham, Jenia in 3030 did not have a plan of care. These actions has fallen under our Corrective Action Category 1 section I.…
Physician Manipulation of Reimbursement Rules for Patients Between a Rock and a Hard Place Matthew Wynia, Deborah Cummins, Jonathan Van Geest, Ira Wilson American Medical Association Synopsis and Summary A study was done to determine at what rate physicians manipulate the rules of reimbursement in order for patients to receive services for which they may not otherwise be granted under utilization review rules though the physician may find the service necessary. The 1998 study was a random study that contained a national sample of 1124 physicians who were surveyed through mailings and the response rate was 64%. Three areas of concentration were involved that asked if the physician’s (1) exaggerated the severity…
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 was established to promote electronic medical record (EMR) adoption and electronic health information exchange. Furthermore, incentives and penalties were fixed to invoke health organizations to install EMR programs and achieve meaningful use standards set forth by the Center for Medicare and Medicaid Services (CMS). Overall, the HITECH Act and Meaningful use standards were created to improve quality of care, patient safety, and public health. In order to verify the outcome we will investigate the effects of computerized physician order entry (CPOE), computerized decision support systems (CDDSs), use of statistical reports, and health information…
Code Blue-Where To? This is a review of the case study Code Blue-Where To?, The patient in this case is an 80 year old patient admitted to a psychiatric facility, who ultimately dies. His death is not the fault of the medical staff, but the care he received prior to his death was plagued with system errors and communication breakdowns that could be argued as causing undue patient harm. The errors include problems with staff training, policy and procedures, outdated equipment, and failure to follow protocol.…
Mission, Vision and Values I have worked for TriHealth for over five years as a Registered Nurse. TriHealth is a health care system consisting of two hospitals, several emergency facilities, primary care offices, and a rehabilitation unit that spans the greater Cincinnati area. In that time, I have seen our organization apply for and gain magnet recognition, transition from paper charting to electronic medical records, and change several policies on my unit based on evidence-based research and the input of our shared leadership committee (SLC). Our policies and changes in our culture over the years have been attempts to more reflect the TriHealth mission.…
In 2005 the Patient Safety and Quality Act, or PSQIA, was established; the significance being that the Federal Government wanted to establish a commitment to creating a culture of patient safety and confidentiality. This act is incredibly involved; requiring doctors and physicians to undergo observations and evaluations to ensure that there is no malpractice of any kind. The PSQIA created Patient Safety Organizations to analyze, gather, and create a specialized conglomerate of information that is confidential and reported by healthcare providers. Patient safety improvement efforts are often put to a halt by the fear of discovery of these deliberate under-reporting of events.…
Countless Medicare beneficiaries suffer from serious disabilities or illnesses and receive service from numerous medical professionals in various health care locations. Since these patients are in such poor health, they often find themselves receiving treatment in a lengthy hospital stay. There is a high chance of an error occurring when patients are being transitioned back into the community because it is hard for the hospital clinician to obtain all of the medical history necessary to properly treat the patient at hand. This creates a large problem because if some of the health history is not known, re-hospitalizations may occur, which is something hospital clinicians try to avoid at all costs. Quality improvement proves to be of great importance in situations like this one, because without it hospitals would keep making the same mistake and their levels of dissatisfaction would be at an all time high.…
Wagner, L. M., Castle, N. G., & Handler, S. M. (2013). Feature Article: Use of HIT for adverse event reporting in nursing homes: Barriers and facilitators. Geriatric Nursing, 34112-115. doi:10.1016/j.gerinurse.2012.10.003 This article is a study by Wagner, Castle, and Handler that analyzes why adverse events reporting are such an issue especially in the nursing home setting.…
Introduction I am going to look at the connection between how a personal trouble is the result of a bigger public social issue based on C. Wright Mills’ notion of the sociological imagination. He described how the relationship between “personal troubles” and “public issues” is essential in understanding his notion of sociological imagination. For Mills, “the individual and the social are inextricably linked and we cannot fully understand one without the other” (Page 1, The Sociological Imagination). In this case, it involves a university student’s financial struggle and the pressure to achieve high academic grades in the face of adverse course content within the university system. Thesis…