A Toolkit to Improve Diversity in Patient and Family Advisory Councils: A New Method to Advance Health Equity

2019 ◽  
Vol 25 (2) ◽  
pp. 176-181
Author(s):  
Kendra Jones ◽  
Teddie Potter
Keyword(s):  
Health Care ◽  
Health Equity ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Formal Method ◽  
Care Quality ◽  
Institute Of Medicine ◽  
Advisory Councils ◽  
Essential Components ◽  
Pervasive Health

The Institute of Medicine (2001) identifies equity as one of six essential components of health-care quality. However, many health-care organizations lack a formal method to deeply understand and evaluate diverse patient and family experiences. Understanding care experiences of patients and families from minority racial and ethnic groups is essential to improving pervasive health disparities and to making health care more equitable. This article describes the creation of a toolkit aimed at strengthening health-care organizations' abilities to advance health equity through patient and family advisory councils (PFACs). This resource, cocreated with representatives from diverse PFACs, identifies and promotes strategies to recruit and retain diverse representation in advisory councils.

Hemodialysis Unit at Renfrew Victoria Hospital

1995 ◽  
Vol 8 (2) ◽  
pp. 5-10
Author(s):  
Randy Penney
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Care Quality ◽  
Hemodialysis Unit

In June 1994, the Renfrew Victoria Hospital was selected as the first-ever recipient of the Health Care Quality Team Award in the “Small and Rural Provider” category. This award, offered by the Canadian College of Health Service Executives and 3M Health Care, was established to recognize health care organizations that have sustained measurable improvements in their network of services, and have done so through the use of a team. Renfrew Victoria Hospital's entry focused on the establishment of a hemodialysis unit for the residents of Renfrew County. This article summarizes the parameters of this award, as presented in our submission.

The Promise of Equity: A Review of Health Equity Research in High-Impact Quality Improvement Journals

2017 ◽  
Vol 33 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Michael Scott ◽  
Shail Rawal
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Equity ◽  
Health Care Quality ◽  
Resource Scarcity ◽  
Care Quality ◽  
High Impact ◽  
Original Research ◽  
Low Middle Income Countries ◽  
Equity Research

Equity is a core domain of health care quality. This study characterizes equity research in the quality improvement (QI) literature. The data sources were all review articles, methodology articles, original research, and research letters/abstracts published in 5 high-impact QI journals in 2015. Using the Institute of Medicine definition of equity, 2 reviewers assessed the abstracts to identify equity-focused articles. The number of Google Scholar citations and study site were recorded for each abstract. For equity-focused studies, the equity topic was recorded. Of 684 abstracts, 63 (9.2%) investigated equity topics. A weighted average of 7.4% of abstracts examined equity. The most commonly studied equity topics were health care resource scarcity, race/ethnicity, and mental health. Equity-focused articles received equal citations and were more likely to be conducted in low-/middle-income countries when compared with articles unrelated to equity. Few articles published in 5 leading QI journals addressed topics related to equity.

Adjudicating Severe Birth Injury Claims in Florida and Virginia: The Experience of a Landmark Experiment in Personal Injury Compensation

2008 ◽  
Vol 34 (4) ◽  
pp. 493-537 ◽  
Author(s):  
Gil Siegal ◽  
Michelle M. Mello ◽  
David M. Studdert
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Current System ◽  
The United States ◽  
Care Quality ◽  
Tort Liability ◽  
Legal Doctrine ◽  
Medical Injury ◽  
Improve Health Care Quality

Policy debates over medical malpractice in the United States involve a complex amalgam of legal doctrine, public demands to address the problem of medical errors, and the interests of various stakeholder groups. Most parties can agree, however, that the current system for compensating medical injury performs poorly. It falls short of achieving its two main goals: compensation and deterrence. The current system of tort liability is “neither sensitive nor specific in its distribution of compensation:” the vast majority of patients injured by negligent medical care do not receive compensation, yet the system compensates some cases that do not appear to involve negligence. Sometimes, it awards more in noneconomic damages than seems reasonable to many observers. Ultimately, tort liability appears to do little to improve health care quality and safety, yet it spurs costly defensive medicine. Physicians and health care organizations face burdensome insurance and legal costs, leading some to threaten to curtail their services. These concerns about the burden of medical injury and the malpractice “crisis” have sharpened calls for reform.

scholarly journals A Brief History of Quality Improvement in Health Care and Spinal Surgery

2020 ◽  
Vol 10 (1_suppl) ◽  
pp. 5S-9S
Author(s):  
Kevin Hines ◽  
Nikolaos Mouchtouris ◽  
John J. Knightly ◽  
James Harrop
Keyword(s):  
United States ◽  
Health Care ◽  
Quality Improvement ◽  
Spinal Surgery ◽  
Health Care Quality ◽  
The United States ◽  
Care Quality ◽  
Quality Improvement Initiative ◽  
Institute Of Medicine ◽  
Technological Advances

While medical and technological advances continue to shape and advance health care, there has been growing emphasis on translating these advances into improvement in overall health care quality outcomes in the United States. Innovators such as Abraham Flexner and Ernest Codman engaged in rigorous reviews of systems and patient outcomes igniting wider spread interest in quality improvement in health care. Codman’s efforts even contributed to the founding of the American College of Surgeons. This society catalyzed a quality improvement initiative across the United States and the formation of the Joint Commission on Accreditation of Hospitals. Since that time, those such as Avedis Donabedian and the Institute of Medicine have worked to structure the process of improving both the quality and delivery of health care. Significant advances include the defining of minimum standards for hospital accreditation, 7 pillars of quality in medicine, and the process by which quality in medicine is evaluated. All of these factors have affected current practice more each day. In a field such as spinal surgery, cost and quality measures are continually emphasized and led to large outcome databases to better evaluate outcomes in complex, heterogeneous populations. Going forward, these databases will be instrumental in developing practice patterns and improving spinal surgery outcomes.

scholarly journals Patient Safety: A Deep Concern to Caregivers

2019 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
AK Mohiuddin
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Care Delivery ◽  
Patient Safety Culture ◽  
Care Quality ◽  
Care Giving ◽  
Essential Components

Patient safety is a global concern and is the most important domains of health-care quality. Medical error is a major patient safety concern, causing increase in health-care cost due to mortality, morbidity, or prolonged hospital stay. A definition for patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. Patient safety was defined by the IOM as “the prevention of harm to patients.” Emphasis is placed on the system of care delivery that prevents errors; learns from the errors that do occur; and is built on a culture of safety that involves health care professionals, organizations, and patients. Patient safety culture is a complex phenomenon. Patient safety culture assessments, required by international accreditation organizations, allow healthcare organizations to obtain a clear view of the patient safety aspects requiring urgent attention, identify the strengths and weaknesses of their safety culture, help care giving units identify their existing patient safety problems, and benchmark their scores with other hospitals.   Article Type: Commentary

Culture in Health Care Organizations

2016 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies
Keyword(s):  
Health Care ◽  
Culture Change ◽  
Health Care Quality ◽  
Health Care Policy ◽  
Health Care Organizations ◽  
Care Quality ◽  
Quality Health Care ◽  
Wide Range ◽  
Health Care Performance ◽  
Care Performance

Modern health care policy frequently invokes notions of cultural change as a key means of achieving performance improvement and good quality health care. This chapter aims to sharpen thinking around the theory and feasibility of culture change in health care contexts by setting out some of the key conceptual and practical challenges that need to be addressed by policy makers, health care managers, researchers, and by others seeking to understand, assess and change cultures in health care organizations. It begins by introducing some of the sources of ideas, conceptual underpinnings and key concerns with using organizational culture, before considering the evidence on the linkages between culture and health care performance and the wide range of models that have been used to understand culture change and the management of cultural diversity in health care organizations. The chapter closes by arguing that the diverse and contested nature of understanding about culture will necessarily mean that there will be diverse and contested ways of seeking to harness the power of culture to deliver the desired improvements in health care quality and performance. What is clear is attempting to enact culture change to improve health care performance is a difficult, uncertain and risky enterprise and may not always generate the anticipated outcomes. As in many other areas of management we are in need of a more secure evidence base that is underpinned by a more sophisticated understanding of these complex and dynamic organizational phenomena.

Health Care Transparency in Organizational Perspective

2016 ◽  
Author(s):  
Charlotta Levay
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Economic Incentives ◽  
Care Quality ◽  
Future Research ◽  
Health Care Market ◽  
Quality Reporting ◽  
Organizational Perspective ◽  
Health Care Transparency

Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health professionals typically react negatively, even if they also participate in and derive some benefits from transparency efforts. Future research needs to explore systematically the strategies that professionals, patients, and organizations engage in when creating and receiving public quality information.

Evaluating the “Innovativeness Quotient” (IQ) in a Collaborative Model

2010 ◽  
Vol 3 (1) ◽  
pp. 36-42
Author(s):  
Juli C. Maxworthy
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Quality ◽  
Care Quality ◽  
Institute Of Medicine ◽  
Collaborative Model ◽  
Human Patient ◽  
Early Adopters ◽  
Quality And Patient Safety ◽  
Improve Patient

The health care quality and patient safety movement has evolved rapidly during the past 10 years largely as a result of the Institute of Medicine (IOM) report, “To Err is Human.” Patient safety teams are using a collaborative model to improve patient outcomes. Diffusion of improvement-oriented innovations is a major challenge facing health care. Utilizing a tool to measure innovativeness, a 39-hospital patient safety collaborative was evaluated for their “Innovativeness Quotient.” Findings showed that 75.5% of the members of the collaborative who completed the survey were innovators/early adopters compared to 16% as described for the general population. The application and implications of this project are described.

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