The health care quality management responsibilities are to evaluate care that is provided to patients and make sure that these patients receive quality health services. The quality management helps give understanding and awareness to the organization policies and goals. Having risk management in the organization helps reduce any potential of negative impacts that could be placed on any of the patients’, staff and also the organization itself. In hospitals this is a challenging and complex process which payers and participants require that health organization should engage in efforts to evaluate the validity ensure their relevance in quality.
One of the basic concepts of quality management is continuous quality improvement which is forever ongoing effort to enhance improvements or process of approach. Throughout time you will use a cycle step develop with a plan by identifying what needs to be changed and establishing a plan, then you have the action of do which is putting the plan to work by implementing the new changes, the other concept is check use data to analyze results and try to see if it made a difference, lastly is act upon plan. The term is interchangeable also called continual improvement and continuous improvement.
Another concept of quality management is called total quality management takes a look at overall quality, the design and development which is what the continuous quality management does. Total quality management job is to make sure that they customer expectations of service are met with high quality. Total quality management are associated with the production requirements, creation of plans, prevention of cost and training preparation of the process put in place. All the names of how they address quality management just depends on the industry which makes the name vary from one organization to the next but all means the same thing.
The performance management is different because this is a continuous process of communication and clarifying one’s job responsibilities, priorities, to make sure there is mutual understanding between the supervisor and employee. A performance management encourages development and feedback also fosters teamwork among the employees, resolves performance problems, recognizes quality performance and provides decisions on promotions and pay for performance.
The performance improvement is somewhat similar to performance anagement because both descriptions implementing interventions for improvements, identifying the problem, encourage employees, offers feedback about performance, educate about job expectations, and offers incentives for performance. Where I work at the hospital we use quality management and they help by reviewing policies and procedures for the organization and for each department. Monthly meetings with the quality management to make us aware of the feedback they get about the quality of service or if they are educating us on new change.
Over the years the hospital sets new goals to achieve and want to eliminate poor performance, unnecessary readmissions that cause a financial burden on the organization, so the new implementation of principles will help everyone make this happen. The hospital would like to offer the patients larger role in their health, treatment and hospital experience. The long term goal is to be an anchor of health in the community that helps improves the access, quality, lower cost, and efficiency.
We utilize case managers to evaluate admissions to prevent costliest episodes of care which is that unnecessary readmission; this is a short term goal which will not take long to revise. This is informing this team that they are decision makers and this requires the team to help organize what the appropriate protocol is for unnecessary readmission. Another long term goal is the communication across the board for the continuum of care should be improved and need to be building a foundation to help one another coordinate care.
Short term goal the hospital needs to rely in a shared belief in evidence based medicine. If there is a protocol in place but the provider detours and does something that they know will work this is information that will need to be shared and documented, to help quality management review and could possibly make revisions in the protocol. This is a plus if we can see patients benefit from this evidence based medicine, and if it is not reported than this means everyone is doing their own thing and not sharing the information to get everyone on the same page.
Past experiences impact decisions making and can be positive result because the avoidance is making same decisions as before. External and Internal influence in marketing, health quality initiatives have a huge impact on the hospital. Influence is through developing the right supportive culture, attracting and keeping the right employees to promote quality, updating an in house quality process and furnishing the right tools to their jobs.
Having high quality comes from physicians, nurses, administrators and ancillary staff to give high quality care and have effective improvements in order to be successful. It is everyone job to be a team player and participate in helping the hospital achieve the goals. The right supportive culture reflects good leadership and involvement with the hospital by reporting performance indicators, improvements proofs by results, and also promoting a safe environment for everyone. If you don’t have the right support staff then the hospital will be incompliant facing many fines for violations.
Developing effective in house outcomes and cost shows the quality of the hospital. This part of the hospital is trained to facilitate the problem solving process with physicians and other employees. Effective problem solving leads to evidence based on the protocols put in place to enhance efficiencies for instance reduce turnaround time in the emergency room or turn around time for test results. The negative impact of this not being successful is that it could ruin the hospital reputation; word of mouth is why majority of the patients’ come.
It is very important that the staff of the hospital has the right tools to do their jobs this allows all staff to give high quality care on daily basis and will help identify problems when they do surface, being that the right tools will not be one of them. Not having the right supplies could cause some safety problems with patient care and environmental which could lead to many lawsuits. All hospitals want to improve the quality of care and patient safety because they are taking on the challenge to move forth.
What distinguishes the hospital from others is that addressing the issue is not the only thing that needs to be done but back up what is implemented with concrete actions and research more deeply to identify the root causes, providing a solution and being accountable for it. The fundamental qualities which are important and implemented are data quality assessment, data quality measurements and operation data quality improvements. The data quality assessment is the information needed when treating patients and physicians have been made aware of poor data quality ffects the hospitals operation.
By quantifying the gap in the value the practitioner can review and determine a cost effective and also the speed the quality improvements. For instance, when a package that was intended for someone else goes to the wrong address that increases mailing and shipping cost because of the incorrect address. Data quality measurements are the results from the data quality assessment in which the data quality analysts synthesize that information and also concentrate on the elements.
This is reported with a scorecard showing units of measures and thresholds for example, with the packing going to the incorrect address this can be defined by using quality validation rules for the each address and the information can be all gathered of all incorrect addresses in the system to show why the increase cost. Operational data quality improvement is used to identify data quality rules and this is approved through data stewardship procedure. Clinical and administrators get assistance from both quality management and risk management to improve clinical practice and organization systems.
Risk management and quality management collaboration will improve patient overall care, improving external compliance, shielding the hospital from all other risk. Risk management can ensure a flow of information between staff, departments to get better results on patient care also keeping in mind protecting hospital from any exposure of statutes. The unity of risk management and quality management the hospital will benefit and enhance patient safety and minimize the harm of the patient. There will be less duplication, improve communication, coordination of activities through the organizational policy.
Courtney from Study Moose