HITT208 Healthcare Quality Improvement

Question: Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week’s Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry. To Prepare: Review this week’s Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report “Crossing the Quality Chasm: The IOM Health Care Quality Initiative.” Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization’s achievement of these aims? Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed. Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization’s efforts to realize the IOM’s six aims for improving health care? Where has inter-professional collaboration been lacking? By Day 3 Post a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six “aims for improvement” are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area. Answer: The ultimate objective of the United States healthcare is improving health to everyone. However, the healthcare system faces significant challenges. Crossing the quality chasm in improving the quality of healthcare described broader quality issues and defines six aims in which the care should be. These aims include effective, safe, patient-centered, efficient, timely and equitable healthcare (Briere, 2001). Regarding this aims, however, there have been significant improvements that have been encountered in the healthcare. In a healthcare organization, they have made significant progress toward achieving the outlined aims of the six aims. This includes safe healthcare for the patient. They have achieved this by ensuring there are minimal injuries to the patients. It is facilitated by putting more focus on improving patient safety by reducing medical errors. Furthermore, in terms of patient-centeredness, the organization has created a platform enabling the interaction between the patient and the professionals (Dzau 2016). Moreover, they have encouraged personnel trait that comprises the quality of service that includes compassion, empathy and respect to the patient. Also, the institution has encouraged actions that demonstrate the appropriate quality of service that includes appropriate information to the patients. However, there are still areas that present challenges to the healthcare in the achievement of this aims. In regard to providing impartial care for patients has been a challenge. This is due to biases that still exist in relation to ethnicity, race, income, ethnicity or gender (McClellan, 2013). The bias is manifested by discrimination targeted to the population that is restricted to accessing healthcare. Furthermore, the most evident patient receives differential treatment based on their personal characteristics. This poses a major major challenge in delivering quality healthcare. Additionally, the healthcare systems face challenges in terms of timely and efficient healthcare. Although there has been a significant improvement in the quality of healthcare regarding the two aims there have been various challenges. Meanwhile, there have been barriers in regard to avoiding wastage in the organization. There has been wastage of equipment, ideas, supplies and energy in the organization (Kaushal, Bates & Landrigan, 2001). There has been wastage of time that has resulted in harmful delays for both patient and the caregiver. Meanwhile, as a nurse leader, I could campaign for effective teamwork between the health care professional who delivers care to the patients. This is by motivating them to accomplish the desired goals and objective of ensuring there is quality healthcare to the patients. Thus, when every member works towards ensuring this goal will lead to improving the organization’s achievement of these aims. Meanwhile, the healthcare organization faces safety issues. This includes drug and medical shortage supply. The organization is forced to delay major operation and treatment due to the shortage of drugs. This, in turn, threatens the safety quality to the patients. However, there should be adequate drug supply and in relations to the crossing the chasm six aims, this can be addressed through timely care. It comprises of ensuring that there adequate manufacture of drugs and delivery to the patients. Inter-professional collaboration has significant in improving the quality and safety of care. It has helped the organization deliver quality healthcare. The collaboration of healthcare professionals has assisted in reducing medical errors in the organization (Bosch & Mansell 2015). Moreover, improving the quality of care and meeting the diverse population needs. Meanwhile, there has been a limitation in inter-professional collaboration. This is due to the lack of functioning sufficiently as a team. Thus, it is essential to point out the IOM’s six aims provides a useful framework for improving and advancing healthcare. References: Bosch, B and Mansell, H. (2015). Interprofessional collaboration in health care. Retrieved from: https://www.medscape.org/viewarticle/857823 Briere, R. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC. Dzau V, J. (2016). Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration. Retrieved from: https://www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf Kaushal R, Bates DW and Landrigan C. (2001). Medication errors and adverse drug events in pediatric inpatients. Retrieved from: https://psnet.ahrq.gov/resources/resource/2146/Medication-errors-and-adverse-drug-events-in-pediatric-inpatients– McClellan, B, M. (2013). Improving Health Care Quality: The Path Forward. Retrieved from: https://www.brookings.edu/testimonies/improving-health-care-quality-the-path-forward

HITT208 Healthcare Quality Improvement

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