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BSAD 8910 Health Care Analytics Question: An evaluation of the issues that would be the focus on need for quality improvement. An analysis of existing problems/issues based on data/resources provided. Answer: Introduction: Through the columns of your widely circulated daily I would like throw light upon the issues and challenges faced while striving to improve population health in the community in Springfield. The population of the town is approximately 1000,000 and the prime health care unit responsible for addressing the health needs of the population is the Memorial hospital. The several issues in public health include absence of cardiac surgeons and sedentary lifestyles of the individuals. Serious concerns arise as many residents seek and obtain health care services at settings other than the Memorial hospital, making its existence weak. I would hereby put forward an evaluation of the issues that are important for bringing about a quality improvement. An analysis of the issues would be done on the basis of the resources. I would also like to recommend strategies for addressing the quality improvement issues. It can be straightforwardly said that quality improvement is required immediately at the Memorial Hospital for ensuring that optimal quality care is provided to the healthcare consumers. Though the hospital has an adequate staff of nurse practitioners, primary care physicians and general surgeons, along with one cardiologist, it is lacking a cardiac surgeon. This is crucial issue since the community of Springfield has mostly factory workers who are of old age that is 60 years or older. In addition, the hospital serves as the facility for nurse’s clinical rounds from nearby community college. Though this aids in their education it is a fact that patient safety is a key concern in this regard. The community is sedentary and prevalence of smoking is high. Attention is also to be given to these two aspects for better addressing the care needs. From the HCAHPS data it is indicated that the hospital is behind its competitors in care service quality. The issues that arise in this setting encompass poor communication of nurses, ineffective communication of physicians, and inadequate helping approach of the service providers, proper pain control intervention delivery, and unhygienic environment. Upon receiving feedback from the health consumers it has been noted that patients give a low score to the hospital in terms of their satisfaction level.  Moreover, they do not strongly recommend this hospital to others. From the Springfield Healthy People Data it can be stated that the community is far away from reaching the 2020 Goal set by the concerned authority. The changes have been tracked since the past ten years in the domains of overall cancer rate reduction, lung cancer death rate reduction, reduction of colorectal cancer death rate and reduction of diabetes death rate. It is imperative that appropriate steps are to be taken for improving the conditions arising due to multiple flaws in the system. Firstly, the staffing mix of the system needs to be improved by recruiting a cardiac surgeon. Since the majority of the population is aged and are at risk of suffering cardiac complications, the presence of a cardiac surgeon would ensure that the patients consider receiving their care from this hospital and not others (Harvey& Kitson, 2015). Communication skills of care professionals are crucial and therefore appropriate steps are to be taken. Regular sessions are to be conducted by the care leaders who would instill the zeal to communicate effectively and in a transparent manner. Sessions might be conducted by experts to address the challenges faced by the professionals. Consultants can be hired who would guide them in improving personal relationships and demonstrating sympathy and affectionate while caring for the patients. Continual professional development and learning are to be encouraged for the professionals and a reward system would be advantageous in this regard (Grol et al., 2013). Since hygienic environment is needed at the earliest, the hospital must implement rigorous routines and procedures for handling hygiene hotspots such as toilets. Clear guidance is to be included on the appropriate products. Completing audits for maintaining high standards is essential and areas for improvement are to be identified. It is further recommended that for appropriate pain control intervention deliverynursing knowledge is increased through practical based teaching approaches. Consultation of the nurses with the pharmacists and collaboration between two would ensure that pain management techniques are implemented as and when needed. Through these strategies it is expected that betterment can be achieved within a short span of time (Anwar et al., 2017). It is therefore apparent that there is an urgent need of bringing about quality improvement changes for better public health of the community. I hope that the concerned public health authority would acknowledge the issue and view the matter seriously for providing solutions. A collaborative approach between the care authorities and individuals of community would ensure that public health outcomes are better in future. References Anwar, F., Yousafzai, A., & Niazi, M. A. (2017). The value of systems and complexity sciences for healthcare: a review. Grol, R., Wensing, M., Bosch, M., Hulscher, M., & Eccles, M. (2013). Theories on implementation of change in healthcare. Improving Patient Care: The Implementation of Change in Health Care, Second Edition, 18-39. Harvey, G., & Kitson, A. (2015). Implementing evidence-based practice in healthcare: a facilitation guide. Routledge.

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