Reflections and Understanding of Quality Management in Healthcare

2018 ◽  
pp. 153-174
Author(s):  
T. Ray Ruffin
Keyword(s):  
Patient Safety ◽  
Quality Management ◽  
Quality Indicators ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Government Mandates ◽  
Centered Care

Healthcare organizations (HCOs) leadership must be involved with patient safety inventiveness and healthcare strategy. Leadership is essential to implementing and sustaining continuous performance quality improvement for patient-centered care. Quality management is of extreme significance to the United States (U.S.) healthcare industry and patients. Included are an introduction and background of the U.S. healthcare systems as well as the joint commission and government mandates. One of the primary focuses of the chapter is to enhance health literacy by developing a robust lexicon of fundamental healthcare terms and concepts. Healthcare reforms such as Patient Protection and Affordable Care Act (PPACA) are explored. The quality of healthcare delivery, involuntary reporting, patient safety indicators (PSIs), prevention quality indicators (PQIs), and inpatient quality indicators (IQIs) are explained. The chapter culminates with a discussion focusing on transformational leadership and the strategies for quality management implementation, along with a conclusion.

scholarly journals Quality and safety by design

2006 ◽  
Vol 15 (suppl 1) ◽  
pp. i1-i3 ◽  
Author(s):  
J B Battles
Keyword(s):  
Healthcare Delivery ◽  
Clinical Work ◽  
Design Methods ◽  
Quality And Safety ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Framework Design ◽  
Design Attributes ◽  
Centered Care

Rather than continuing to try to measure the width and depths of the quality chasm, a legitimate question is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge rather than as a quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care. Is it possible to actually design in quality and design out failure? A three level conceptual framework design would use the six quality aims laid out in Crossing the quality chasm. The first or core level of the framework would be designing for patient centered care, with safety as the second level. The third design attributes would be efficiency, effectiveness, timeliness, and equity. Design methods and approaches are available that can be used for the design of healthcare organizations and facilities, learning systems to train and maintain competency of health professionals, clinical systems, clinical work, and information technology systems. In order to bring about major improvements in quality and safety, these design methods can and should be used to redesign healthcare delivery systems.

scholarly journals Management strategy of healthcare organizations. PDRQ–9 method

2021 ◽  
pp. 243-248
Author(s):  
Ch. E. Karibdzhanov
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Research ◽  
New Paradigm ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Brief Assessment ◽  
Centered Care ◽  
Physician Relationship ◽  
Care System

The main source of success for a customer-centric organization is the ability to identify its customers, identify their needs, and use that information to develop a customer-centric strategy. In this regard, there is a widespread change in attitudes toward the construction of management in organizations. Whereas previously the competitiveness of an organization could be measured by its financial performance, now the intellectual potential of an organization is at the forefront. As the role of the patient in the health care system has intensified, the importance of patient participation has received increasing attention and has become central to health care research. In this regard, in today’s environment, the foundation of success in the treatment and delivery of professional care in medicine is primarily the degree of patient satisfaction. Patient-centered care acts as a new paradigm for the development of the health care system, which is characterized by a shift in the center of gravity to the patient. In this regard, in the field of health care, the relationship between the patient and the doctor, as perceived by the patient, is one of the main elements of the methodology of scientific research. The purpose of this article is to review and analyze the results of the PDRQ–9, which assesses the patient-physician relationship. The PDRQ–9 provides researchers with a brief assessment of the therapeutic aspects of the patient-physician relationship in the primary care setting. It is a valuable tool for research and practice purposes that includes monitoring the patient-doctor relationship.

Expanding Role of Telephone Systems in Healthcare

2017 ◽  
pp. 564-598
Author(s):  
Jing Shi ◽  
Ergin Erdem ◽  
Heping Liu
Keyword(s):  
Performance Metrics ◽  
Healthcare Delivery ◽  
Patient Acceptance ◽  
Patient Centered ◽  
Healthcare Settings ◽  
Challenges And Opportunities ◽  
Centered Care ◽  
The Cost ◽  
Telephone Systems

The telephone systems in healthcare settings serve as a viable tool for improving the quality of service provided to patients, decreasing the cost, and improving the patient satisfaction. It can play a pivotal role for transformation of the healthcare delivery for embracing personalized and patient centered care. This chapter presents a systematic review of new developments of healthcare telephone system operations in various areas such as tele-health. Current research on topics such as tele-diagnosis, tele-nursing, tele-consultation is outlined. Specific issues associated with the emerging applications such as underreferral, legal issues, patient acceptance, on-call physician are discussed. Meanwhile, the architecture and underlying technologies for healthcare telephone systems are introduced, and the performance metrics for measuring the system operations are provided. In addition, challenges and opportunities related with improving the healthcare telephone systems are identified, and the potential opportunities of optimizing these systems are pointed out.

A Computational Perspective of Knowledge Empowerment for Healthcare Decision Making

2017 ◽  
pp. 134-155
Author(s):  
Timothy Jay Carney
Keyword(s):  
Public Health ◽  
Computational Models ◽  
Healthcare Delivery ◽  
Research Literature ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Healthcare Decision Making ◽  
Computational Perspective ◽  
Centered Care ◽  
The Relationship

People in a variety of settings can be heard uttering the phrase that “knowledge is power” or the relatively equivalent concept that “information is power.” However, the research literature in particular lacks a simple and standardized way to examine the relationship between knowledge and power. There is a lack operational quantitative definitions of this relationship to adequately support the building of complex computational models used in addressing some longstanding public health and healthcare delivery issues like differential access to care, inequitable care and treatment, institutional bias, disparities in health outcomes, and eliminating barriers to patient-centered care. The objective of this discussion is to present a relational algorithm that can be used in both conceptual discussions on knowledge empowerment modeling, as well as in the building of computational models that want to explore the variable of knowledge empowerment within computer simulation experiments.

scholarly journals Leveraging massive open online courses to expand quality of healthcare education to health practitioners in Rwanda

2019 ◽  
Vol 8 (4) ◽  
pp. e000532 ◽  
Author(s):  
Kirstin Woody Scott ◽  
Theophile Dushime ◽  
Vincent Rusanganwa ◽  
Liana Woskie ◽  
Clint Attebery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Global Health ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Lessons Learned ◽  
Online Course ◽  
Massive Open Online ◽  
District Hospitals

Improving the quality of healthcare delivery is increasingly a global health priority. However, quality improvement training opportunities that provide theoretical foundations and basic skills for patient safety and other quality initiatives have been limited or historically out of reach, especially in low-and-middle income countries (LMICs). To address this gap, the Harvard Initiative on Global Health Quality (HIGHQ) created and launched a massive open online course (MOOC) in 2014 focused on patient safety and quality of care using the edX platform. More than 30 000 students from across 195 countries registered for the online course. This paper summarises an innovative educational partnership between the course team and one of these countries, Rwanda, to develop a blended-learning model to bolster participation in this new course among Rwandan healthcare professionals. Although a small country, Rwanda was among the top performing countries for attracting course registrants and was the leading country for the proportion of enrollees who ultimately completed the course. Further, half (21 of 42) of Rwanda’s district hospitals opted to appoint a PH555x course facilitator at their site to help lead regular meetings and discussions about the course content at their facility. The majority of Rwandan enrollees were health professionals (63%) and 81% reported that PH555x was their first experience taking an online course. Among those participating in the ‘flipped’ component at hospital sites, 94% reported that the course helped them to think of specific ways to improve healthcare quality at their facility. In this paper, we describe this innovative public–private educational model, challenges to implementation and lessons learned that may be helpful for future MOOC developers who wish to augment learning opportunities among healthcare professionals in LMICs.

scholarly journals Opportunities and Challenges in Data-Driven Healthcare Research

2018 ◽  
Author(s):  
You Chen
Keyword(s):  
Good Practice ◽  
High Volume ◽  
Health Data ◽  
Healthcare Research ◽  
Care Quality ◽  
Data Driven ◽  
Unplanned Readmission ◽  
Patient Centered ◽  
Smart Healthcare ◽  
Centered Care

Health information technology has been widely used in healthcare, which has contributed a huge amount of data. Health data has four characteristics: high volume; high velocity; high variety and high value. Thus, they can be leveraged to i) discover associations between genes, diseases and drugs to implement precision medicine; ii) predict diseases and identify their corresponding causal factors to prevent or control the diseases at an earlier time; iii) learn risk factors related to clinical outcomes (e.g., patients’ unplanned readmission), to improve care quality and reduce healthcare expenditure; and iv) discover care coordination patterns representing good practice in the implementation of collaborative patient-centered care. At the same time, there are major challenges existing in data-driven healthcare research, which include: i) inefficient health data exchanges across different sources; ii) learned knowledge is biased to specific institution; iii) inefficient strategies to evaluate plausibility of the learned patterns and v) incorrect interpretation and translation of the learned patterns. In this paper, we review various types of health data, discuss opportunities and challenges existing in the data-driven healthcare research, provide solutions to solve the challenges, and state the important role of the data-driven healthcare research in the establishment of smart healthcare system.

scholarly journals 2183 Balancing patient-centeredness and patient safety in the hospitals: The case of pain care and patient satisfaction

2018 ◽  
Vol 2 (S1) ◽  
pp. 79-79
Author(s):  
Olena Mazurenko ◽  
Basia Andraka-Christou ◽  
Matthew Bair ◽  
Areeba Kara ◽  
Christopher A. Harle
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Hospitalized Patients ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Bargaining Process ◽  
Pain Medications ◽  
Centered Care ◽  
Complex Decision Making ◽  
Pain Care

OBJECTIVES/SPECIFIC AIMS: This study seeks to understand the relationship between opioid prescribing and patient satisfaction among non-surgical, hospitalized patients. As part of this study, we qualitatively examined challenges in delivering safe and patient-centered care through voices of physicians’, and nurses.’ METHODS/STUDY POPULATION: We collected data through in-person interviews using semi-structured guides tailored to the informant roles. Study participants came from 1 healthcare system located in a mid-Western state. Each interview lasted 30–45 minutes, was audio-recorded with consent, and transcribed for analysis. Two researchers each coded 17 transcripts for discussions around patient-centeredness (including patient satisfaction, patient experiences), and patient safety for hospitalized patients experiencing pain. Analysis followed a general inductive approach, where researchers identified themes related to the research questions using an open coding technique. They discussed and reached consensus on all codes, and extracted several preliminary themes. The analysis was supported by NVivo software. RESULTS/ANTICIPATED RESULTS: The following themes emerged: (1) complex decision-making process to prescribe opioids for hospitalized patients; (2) the role of objective findings in prescribing decisions; (3) bargaining process in prescribing opioids; (4) balancing patient-centeredness and patient safety for selected populations; (5) opioids are the predominant medications for pain care. DISCUSSION/SIGNIFICANCE OF IMPACT: Clinicians’ decision to prescribe opioids for nonsurgical hospitalized patients is based on multiple factors, including patient’s condition, patient’s preference for pain medications, or standard hospital’s pain care regimen. Interventions that improve clinicians’ ability to prescribe opioids may be needed to improve delivery of patient-centered and safe pain care.

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