Leading Health Care Quality Improvement Essay

As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue.Leading Health Care Quality Improvement Essay

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Read the following two scenarios and select one to focus on in this Discussion.

Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?Leading Health Care Quality Improvement Essay

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.Leading Health Care Quality Improvement Essay

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)Leading Health Care Quality Improvement Essay

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
Chapter 20, “Managing Costs and Budgets” (pp. 357-375)

When it comes to public health, quality improvement is vital. According to Kane, Moran Armbruster, Quality Improvement Plan refer to a continuous means of achieving improvements that are measurable when it comes to performance, efficiency, accountability and the quality of services necessary for a particular community requires in order to improve the health of the population. A good Quality Improvement Plan incorporates the processes put into place to ensure there is consistency in the quality delivered by the public health stakeholders (Kane, Moran & Armbruster, 2010). Being an integrative process, the Quality Improvement Plan requires constant revision so as to reflect on the achieved accomplishments, the organizational concern’s that have changed and the lessons one has learned in relation to the Public Health Department (Kane, Moran & Armbruster, 2010).Leading Health Care Quality Improvement Essay

Foundational frameworks of Quality Improvement, QI

A framework is defined as a tool used to organize an organization’s perspective about the quality of health care (Meisenheimer, 2007). According to Meisenheimer (2007), a Quality Improvement framework is built upon more than one existing framework and these frameworks are determined by the focus provided in improving certain health care aspects including the rate at which a patient waits in order to get treated, the performance levels depending on the nursing care, and the rate at which immunization programs are conducted. These health care frameworks, which have been developed, include the Chronic Care Model. Another health care framework is HIVQUAL, which is responsible for improving the quality of HIV services rendered and supported by the HIV and AIDS bureau (Minkman, Vermeulen, Ahaus, & Huijsman, 2011).Leading Health Care Quality Improvement Essay

Different definition of the quality of care of various health care stakeholders

Different health care stakeholders have various approaches regarding the quality of care. These approaches in the end transform into unusual evaluations of quality services provided. Stakeholders in the mental health care, which is one primary area, have diverse perceptions about the quality of health care. Even though this area of study does not require adequate research regarding the quality and stringent measures put into place, the diversity of views determines the rate at which the members determine the quality provided (Campbell, Shield, Rogers & Gask, 2004). One method used to define the quality of health care is consensus panel methods. These methods are useful in developing the quality measures in cases where the evidence produced becomes diverse and non conclusive (Campbell, Shield, Rogers & Gask, 2004). The other method is by means of a consensus panel. In this panel, each stakeholder including individual panelists and the panel members have different perceptions regarding this method of defining the quality of health care. This means there is no extensive research regarding the dynamics of this system thus the judgments of the stakeholders becomes hindered (Campbell, Shield, Rogers & Gask, 2004)Leading Health Care Quality Improvement Essay

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Roles of clinicians and patients in QI

Clinicians have a vital role in the implementation of a QI. This is because they are responsible for taking care of the patients and are responsible for improving the levels of health care at local and regional levels (Kongstvedt, 2012). In order to have an effect on a quality QI, clinicians ought to form better alliances with other stakeholders and adequate support in terms of infrastructure, learning programs and strong teams at the local level in order to improve the quality. Engaging clinicians working in every aspect of the health care and supporting them boost their morale thus enabling them to tackle their responsibility for excellent progression in clinical care at ease (Kongstvedt, 2012).Leading Health Care Quality Improvement Essay

Patients have several roles in the improvement of a QI plan. One role is to ensure their safety while being attended to by the clinicians. This ensures the health care staff becomes quite active in serving the patients thereby reducing the rates of morbidity (Kongstvedt, 2012). The other role of the patient is to be at the forefront in advocating for good public reporting. Being good citizens, patients and clinicians ought to be responsible and accountable for everything they do and in the end; the performance of the health system and the hospital improves (Kongstvedt, 2012). By working together with the clinicians, the patients make sure that health care organizations improve the quality of services and safety of the organization.Leading Health Care Quality Improvement Essay

Why is quality management needed in the health care industry?

One advantage of a good quality management is the fact that the patient health care is improved (Kane, Moran & Armbruster, 2010). The improved outcomes extend to include a decrease in mortality and morbidity rates, and an increase in the provision of the recommended screening facilities. The costs of failures, poor outcomes and errors become minimal as the quality management improves. The previous high costs incurred because of nonstandard systems reduce greatly because less expensive and reliable processes have been put into place (Kane, Moran & Armbruster, 2010). The other importance of a good QI in the health care is the improvement of communication systems. This means communication improves with the resources available both within the organization and outside the organization (Kane, Moran & Armbruster, 2010). A successfully implemented QI plan boosts good communication and aids in resolving critical issues.Leading Health Care Quality Improvement Essay

What areas must be monitored for quality?

One of the areas that require monitoring for attainment of quality is the public health care sectors. This includes hospitals both private and public, the regulatory bodies, and the local public health care system.Leading Health Care Quality Improvement Essay

Regulatory and Accrediting associations involved in QI and their roles

The National Joint Commission on Accreditation of Healthcare Organizations, the Federal and State Regulatory Framework and the Public Health Accreditation Board are professional bodies found in America responsible for ensuring quality of health care is accomplished (O’Leary, 2000). The role of the regulatory bodies is to set the basic standards that address the most important functions of an organization and ensure compliance with the standards. These functions include patient assessment, and the use of medication. The health regulatory bodies also encourage the health institutions to comply with their regulations by awarding of accreditation (O’Leary, 2000). An organization with good outcomes is reflected in the standards as opposed to one without good outcomes. The Public Health Accreditation Board is responsible for writing the stringent measures and standards, used to create and sustain the quality of improved health benefits (Kane, Moran & Armbruster, 2010). The PHAB is also responsible for updating, writing and the implementation of a sound Quality Improvement Plan to be used by a health department. The plan alongside the relevant health department’s rules and regulations provides a guide in to aid in implementing a sound and strategic plan (Kane, Moran & Armbruster, 2010).Leading Health Care Quality Improvement Essay

Helpful resources and organizations that affect QI

While operating a health care, coming up with a list of practical resource guides would assist in ensuring quality improvement. The Physician Quality Reporting Initiative Toolkit is handy especially in assisting to come up with reports. It consists of preexisting educational resource materials and step by step worksheets that are designed to guide the user through the reporting process (Kongstvedt, 2012). The Agency of Healthcare Research and Quality, AHRQ provides specified quality health care information for each unique state, which aims at helping state officials understand the quality and disparities of health care within their states (Kongstvedt, 2012). A good AHRQ includes the strengths, opportunities for development and weaknesses of a particular state’s health care.Leading Health Care Quality Improvement Essay

In only a two-year period, United States hospitals saved patients $4.1 billion by improving service delivery. [1] The savings – derived solely from safety enhancements – is one of many operational characteristics hospitals seek to improve. As Healthcare Reform falls into place, producing robust information stores, hospital administrators are taking a closer look at their internal processes using big data innovations that have arrived with perfect timing. With this information and organized teamwork, health care leaders are piloting the sweeping changes desired by many patients and public health advocates. Clarifying Health Care Quality Improvement Caregiving organizations enhance service quality via steady, continuous tasks that produce measurable improvements. [2] They measure their success according to patient and population outcomes and satisfaction produced by current organizational procedures. Organizations continuously change their policies and procedures to improve performance using varying practices, but most employ four core concepts: Data analysis Ongoing quality improvement processes Patient-centered caregiving Teamwork Clearly understanding current policies and procedures makes it easier for organizations to identify improvement opportunities. Health care enterprises evaluate resources in tandem with procedures to accurately measure performance. Organizations vary in size, from small local clinics to national care provider networks. Leading Health Care Quality Improvement Essay

Improving quality expectation for delivery cars Asda can actually hire and train more drivers to handle delivery if you really want to improve quality standards. This is because deliverables are delayed due to lack of drivers. Therefore, investing at least 2 or 3 new drivers is the ideal choice. This means more expenditure, as Asda has to invest in at least one van, but it proves to be beneficial as customers arrive in order on time, without fuss.Leading Health Care Quality Improvement Essay

Administrators of sports and leisure organizations are facing increasing expectations for their services. Due to intensifying competition, increasing consciousness of consumer rights, and improving the quality of service, customer expectations for sports and leisure services are also faced with the risk of losing control. Indeed, the ability to manage customer expectations to keep customer expectations adequate and realistic is becoming increasingly important to the people who manage the industry. To see changing social trends, more efficient and efficient management is required. As the population grows older, the couple sued themselves at the later stages of their birth, tend to sports, family leisure becomes increasingly important, and society is becoming global. It affects programming, marketing, images, and competitive advantage. These changes require “better” control (Mintel, 2009)Leading Health Care Quality Improvement Essay

The concept of quality is developed mainly in response to customers’ expectations and exceeding them. The customer’s needs are constantly changing, and a high-quality need requires a systematic approach to improving quality. The idea of ​​quality control comes from a collection of ideas of various names, not from a single source. According to Lynch (2003), Total Quality Management (TQM) can be defined as a modern strategic approach to quality control. ASQ (2006) points out that the term TQM has lost its hobby and has been categorized as quality management in recent years. Hannagan (2002) can further demonstrate this and they believe that this method can be identified by the title of TQM or strategic quality control. But we can agree that TQM is a strategic approach to the organization to achieve quality and sustainable competitive advantage. Leading Health Care Quality Improvement Essay