Quality 101: What Every Audiologist and Speech-Language Pathologist Should Know But Is Afraid to Ask

2011 ◽  
Vol 7 (1) ◽  
pp. 4-7
Author(s):  
Tamala S. Bradham
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Quality Management ◽  
The United States ◽  
Management Program ◽  
Market Place ◽  
Improvement Program ◽  
Quality Health Care ◽  
Speech Language Pathologist ◽  
Quality Health

The United States has the highest per capita health care costs of any industrialized nation in the world. Increasing costs are reducing access to care and constitute an increasingly heavy burden on employers and consumers. Yet as much as 20 to 30 percent of these costs may be unnecessary, or even counterproductive, to improved health (Wennberg, Brownless, Fisher, Skinner, & Weinstein, 2008). Addressing these unwanted costs is essential in the survival of providing quality health care. This article reviews 11 dimensions that should be considered when starting a quality improvement program as well as one quality improvement tool, the Juran model, that is commonly used in the healthcare and business settings. Implementing a quality management program is essential for survival in today’s market place and is no longer an option. While it takes time to implement a quality management program, the costs are too high not to.

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

Workers' compensation: Poor quality health care and the growing disability problem in the United States

2014 ◽  
Vol 58 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Gary M. Franklin ◽  
Thomas M. Wickizer ◽  
Norma B. Coe ◽  
Deborah Fulton-Kehoe
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Poor Quality ◽  
Workers Compensation ◽  
Quality Health Care ◽  
Quality Health

Application of Quality Management in Promoting Patient Safety and Preventing Medical Errors

2017 ◽  
pp. 91-112
Author(s):  
Ali Mohammad Mosadeghrad ◽  
Abraha Woldemichael
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Management ◽  
Medical Errors ◽  
Health Professionals ◽  
Quality Health Care ◽  
Near Misses ◽  
Management Framework ◽  
Quality Health ◽  
Health Institutions

The combination of healthcare professionals, processes and technologies bring significant benefits for patients. However, it also involves an inevitable risk of adverse events. Patients receiving health care in health institutions have the potential to experience some forms of medical errors. The word medical error commonly encompasses terms such as mistakes, near misses, active and latent errors. This signifies the complexity and multidimensional nature of the error. The consequences can be costly to the patients, the health professionals, the health care institutions, and the entire health care system. The costs may involve human, economic, and social aspects. Thus, ensuring quality health care can contribute to patients' safety by reducing potential medical errors in practice. This chapter aims to introduce a quality management framework for improving the quality and effectiveness of services, reducing medical errors and making the healthcare system safer for patients.

scholarly journals Strengthening Capacities of Ward Development Committees to Promote Health in Nigeria: A Case Study of Osun State

2021 ◽  
Vol 9 (3) ◽  
pp. 149-158
Author(s):  
Helen U. Ekpo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Services ◽  
Capacity Building ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Quality Health Care ◽  
Roles And Responsibilities ◽  
Quality Health ◽  
Quality Health Services

Unsatisfactory health indices characterize Osun State Nigeria Primary Health Care facilities and poor operational conditions. Residents patronize private health facilities with attendant payment of huge out-of-pocket medical bills. Implementation of the Basic Health Care Provision Fund (BHCPF), a mechanism to increase access to quality health care for all its citizens initiated by the state government, commenced in 2018. The study sought to determine the extent to which capacity building/training of Ward development committees (WDC) in BHCPF supported PHCs has contributed to the provision of quality health services in the BHCPF supported facilities. The study was qualitative in design and used three focus group discussions held in three BHCPF implementing LGAs with thirty-five (27males, 8 females) consenting trained WDC members. Prior to the BHCPF training, the majority of the WDCs were not actively involved in the management of their PHCs, as political appointees and were unclear about their roles and responsibilities to the health facilities in their wards. After the training, most of the trained WDCs engaged with their PHC staff to debrief, review the quality improvement plans for their health facilities, identified immediate needs to address, approached influential people in the community, and mobilized local resources to address identified gaps. Electricity and water supply were restored in most of the facilities, hospital beds and basic equipment for were procured for PHCs, building, and equipping of the laboratory were completed. Building the capacity of the WDC on their roles and responsibilities strengthened them to contribute to the provision of quality health services in their communities. Keywords: Access, capacity building, quality improvement, Universal Health Coverage, Ward development committees.

scholarly journals Paradigmatic perspective for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (2) ◽  
pp. 89 ◽  
Author(s):  
Hans Justus Amukugo ◽  
Julia Paul Nangombe
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Health Care Facilities ◽  
Ministry Of Health ◽  
Quality Health Care ◽  
Health And Social Services ◽  
Quality Health

This article focuses on the paradigmatic perspective facilitate the development of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia. The study of this nature requires a paradigmatic perspective; this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific. Assumptions are useful in directing research decisions during the research process.The study adopted a constructivism and interpretivism approach, since it involved understand the current situation of quality health care/service delivery at health care facilities, and explore and describe the of the health professionals; experiences at the health care facilities. The study was based on the specific information that was accepted as true, as obtained from those lived the experiences of challenges and constraints of providing quality health care at the health care facilities.The paradigm perspectives in this study include Meta – theoretical assumption which consisted ontological, epistemological, axiological, methodological and rhetorical assumptions. Theoretical basis of the study includes Dickoff (1968), Practice Oriented Theory; Programme development by Meyer and Van Niekerk; Kolb’s Theory of experiential learning; Demining’s model of quality improvement, Quality improvement policy of the Ministry of Health and Social Services (MoHSS) and Centre for Diseases control (CDC) framework for programme education.

scholarly journals Promoting Health Equity through De-Implementation Research

2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 93-96 ◽  
Author(s):  
Christian D. Helfrich ◽  
Christine W. Hartmann ◽  
Toral J. Parikh ◽  
David H. Au
Keyword(s):  
Health Care ◽  
Implementation Strategies ◽  
The United States ◽  
Double Jeopardy ◽  
Socioeconomically Disadvantaged ◽  
Medical Overuse ◽  
Quality Health Care ◽  
Patient Race ◽  
Quality Health ◽  
Expected Benefits

 Ensuring equitable access to quality health care historically has focused on gaps in care, where patients fail to receive the high-value care that will benefit them, something termed unde­ruse. But providing high-quality health care sometimes requires reducing low-value care that delivers no benefit or where known harms outweigh expected benefits. These situations represent health care overuse. The process involved in reducing low-value care is known as de-implementation. In this article, we argue that de-implementation is critical for advanc­ing equity for several reasons. First, medical overuse is associated with patient race, ethnic­ity, and socioeconomic status. In some cases, the result is even double jeopardy, where racial and ethnic minorities are at higher risk of both overuse and underuse. In these cases, more tra­ditional efforts focused exclusively on underuse ignore half of the problem. Second, overuse of preventive care and screening is often greater for more socioeconomically advantaged pa­tients. Within insured populations, this means more socioeconomically disadvantaged pa­tients subsidize overuse. Finally, racial and eth­nic minorities may have different experiences of overuse than Whites in the United States. This may make efforts to de-implement over­use particularly fraught. We therefore provide several actions for closing current research gaps, including: adding subgroup analyses in studies of medical overuse; specifying and measuring potential mechanisms related to equity (eg, double jeopardy vs thermostat models of over­use); and testing de-implementation strategies that may mitigate bias.Ethn Dis. 2019;29(Suppl 1):93-96; doi:10.18865/ed.29.S1.93.

Ivana Krajcinovic, From Company Doctors to Managed Care: The United Mine Workers' Noble Experiment. Ithaca: ILR Press, 1997. ix + 212 pp. $37.50 cloth.

2000 ◽  
Vol 57 ◽  
pp. 173-175
Author(s):  
Michael Nash
Keyword(s):  
Health Care ◽  
The United States ◽  
Quality Health Care ◽  
Quality Health ◽  
United Mine Workers ◽  
Retirement Funds ◽  
The Many ◽  
Company Doctor ◽  
United Mine ◽  
Mine Workers

For much of the first half of the century the United Mine Workers (UMW) was the largest, most important, most powerful, and most progressive union in the United States. Among its many accomplishments was that it was one of the first to bargain for and win employer-financed health benefits. Health care was critically important to miners, many of whom were seriously injured on the job and by middle age were often disabled by black lung disease. In the isolated, rural mine patches, quality health care was rarely available. In the days before the organization of the UMW's Welfare and Retirement Funds, many miners found that the only health care that was available came from the company doctor. This medical practice was usually substandard and was one of the many ways the operators exercised power over the life of the miners, discouraging union and political organizing.

Learning While Caring

2016 ◽  
Author(s):  
Samuel B. Hellman
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
The United States ◽  
Quality Health Care ◽  
Health Security ◽  
Us Economy ◽  
Major Subject ◽  
The Us ◽  
Quality Health ◽  
Developed World

Learning While Caring is about what the author has learned during his half-century career as a cancer doctor. During this time, medicine has changed greatly. It has become more scientifically based, more institutionally located, and now comprises almost one-fifth of the US economy. Despite these changes, much remains the same, especially the primary obligation of the doctor to the patient. Also during this period, most of the developed world has recognized health care as a right for all its members. This has been resulted in greatly improved care for many, but not for all. For the last 25 years the United States has been experimenting on how this should be achieved, beginning with the proposed but not enacted Clinton Health Security proposal and currently with the Affordable Care Act. While efficiency and cost control are essential, cost cannot be the only parameter of success. Access to high-quality health care must be made available to all. Proper education for an informed public must include an understanding of the general principles of biology, while that of a doctor must result in a familiarity with the humanities and social sciences. An academic physician has three responsibilities: patient care, teaching, and research. These latter two, while essential, must not conflict, compromise, or limit the doctor-patient relationship. This book is about the author’s activities in all three endeavors. Since his specialty is oncology, this is the major subject, but most of the information is applicable to all caring physicians.

James Lawrence Cabell, One of the Most Influential of America's Early Surgeons

2015 ◽  
Vol 81 (4) ◽  
pp. 331-335
Author(s):  
Joseph Dubose ◽  
Curt Tribble
Keyword(s):  
United States ◽  
Health Care ◽  
American Medical ◽  
The United States ◽  
James Madison ◽  
Quality Health Care ◽  
National Board ◽  
Quality Health ◽  
The University ◽  
The 19Th Century

Dr. James Lawrence Cabell was one of the most important, farsighted, and influential surgical educators and leaders in the United States in the 19th century. He was appointed as Chair of Surgery and Physiology at the University of Virginia by Thomas Jefferson's successor as Rector of the University, James Madison, and held that Chair for over 50 years, the longest tenure of any American medical academician. He was a founding member of the American Medical Association, the American Surgical Association, and the National Board of Health. He is best remembered as an articulate, incessant, and early proponent of public health and the delivery of quality health care in the United States. His legacy and that of his protégés has continued to influence health care in this country, especially in the realm of the prevention and treatment of infectious diseases, even into the present time.

Public Interest Report No. 7: Rx: A Healthy National Organization for American Physicians

1973 ◽  
Vol 4 (1) ◽  
pp. 75-79
Author(s):  
Robert N. Butler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Interest ◽  
The United States ◽  
Professional Organization ◽  
Institute Of Medicine ◽  
American Public Health Association ◽  
Quality Health Care ◽  
Health Association ◽  
Quality Health

The American Medical Association, like all organizations, is not guaranteed a permanent life. The AMA has shown serious signs of obsolescence after years of poorly representing both doctors and their patients. AMA membership has fallen below 50 per cent of American physicians. It is possible that the AMA might be revamped and become a major force for constructive change. It is also possible that a new professional organization will emerge along with unionization. Specialty groups have evolved. An Institute of Medicine has gained considerable status. Various socially-conscious groups like the Medical Committee on Human Rights and the American Public Health Association have made important contributions toward the ultimate goal of providing quality health care in the United States.

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