Managing Health Care Quality During The 21st Century

Management is important in any environment, but especially so in the healthcare field.  As the health care system continues to evolve, sound management is critical to the survival of health care institutions (Johnson, 2005). The management team in a healthcare environment must always aim to improve the efficiency of the day to day activities and constantly plan for ways to improve the productivity and efficiency. Every manager’s main duty is to succeed in helping the organization achieve high performance while utilizing all of the organization’s human and material resources. On a daily basis health care managers must recognize performance problems and

As a management team it is suggested to always be aware of not only individual organization but also occurring changes in organizations across the nation. By staying informed, the organizations and managers can always promise that there is a constant awareness of potential improvement found in all forms of health care across the nation, ensuring that a problem faced or benefit gained at another facility will never be overlooked.

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

The "Duke University Medical Center" (2005) website defines “quality improvement as a formal approach to the analysis of performance and systematic efforts for improvement”. Quality improvement programs are found in a variety of industries and are constructed differently. The medical field tends to use quality management to focus on patient and staff safety, reducing medical errors, and avoiding or decreasing morbidity and mortality rates. Health care organizations have been attempting to improve the quality of care for as long as “the nineteenth-century when obstetrician, Ignaz Semmelweis introduced hand washing to medical care, and Florence Nightingale who determined

Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be

My experience in both my previous career in nursing and human resources has dealt with approaches in quality improvement in patient safety and different metrics in the turning up organizational behavior as well as up swinging the operations of the organizations respectively. We live in a rapidly changing world, and healthcare industry is not exempted from it. Because I will be playing an indispensable role in the future, I am very interested on the concept of quality improvement and what not and identify possible future challenges and draw lessons from healthcare organizations that has spearhead innovative changes to providing healthcare by pursuing the triple dimensions of the improvement of healthcare in general that is Improving the patient experience of care (including quality and satisfaction); Enriching the health of populations; and Reducing the per capita cost of health care.

The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.

The Modesto Medical Center of Modesto board of directors is responsible to make sure that the workers practice quality services at all times. The board of directors support and guide the implementation of quality improvement activities. The board of directors is responsible to review, and approve the system to eliminate and approve the quality improvement plans. The board of directors is responsible in monitoring the staff’s quality improvement that improve patient care and reduce risks of liability claim. The executive leaders in the organization supporting the medical staff and to comply with the Joint Commission accreditation, and executive leaders guide staff within the organization, communicate, problem solver when organization face any issues, responsible in sharing visions and goal, and review quality improvement committee’s progress in the organization (Nemeth, 2003).

To facilitate quality improvement initiatives in Ontario, Health Quality Ontario (HQO) has developed a comprehensive Quality Improvement Framework (2013) that brings together several QI science models and methodologies including the Model for Improvement, as well as traditional manufacturing quality improvement methods such as Lean and Six Sigma. Health Quality Ontario grounded their framework in Deming’s System of Profound Knowledge to ensure that the suggested processes could be applied to any quality improvement initiative, in any health care sector. Health Quality Ontario’s QI Framework consists of six phases. Each of the phases is iterative and designed to build on knowledge gained in the previous phase. The phases are:

According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective

The Institute of Medicine defines the quality of care as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (Fos & Fine, 2005, p. 188). The institution must demonstrate to patients and to the community at large, a commitment to quality care in response to the recent TB outbreak.

Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage

The healthcare system is very important in maintaining the health status of various individuals. The quality of health care provided to patients, is relevant in determining the outcome of the patient’s health care.

Quality improvement is another aspect in healthcare that is critical in ensuring hospital organizations employs continuous processes in improving healthcare services. Quality improvement can be one of the competitive advantages a health

There were too much talented and passionate staff members working at the hospital. The quality of the service was good because the staff members were talented and providing quality services. The turnover of the staff was low. The patient satisfaction was very high. There was 90% patient of the hospital were satisfied with the services. Patients recorded the most satisfaction with issues related to the health care providers. Many patients expressed their gratitude for the care they received. They often remarked as saying they would have no way of obtaining health care without the hospital.