Health Care Quality Management And Outcomes Analysis

Health Care Quality Management And Outcomes Analysis

Week 1:

Overview of Risk Management and Quality Management in Health Care Worksheet

Resource: Overview of Risk Management and Quality Management in Health Care Worksheet Grading Criteria

Conduct research to provide you with an introduction to the health care disciplines of risk management and quality management and their roles in and influences on organizational performance.

Complete the University of Phoenix Material: Overview of Risk Management and Quality Management in Health Care Worksheet located on the student website.

Week 2:

Risk Management Assessment Summary

Leaders in a health care organization have identified risk management as an opportunity for improvement for the upcoming year. The organization has hired you as a consultant to help assess the organization’s current status and define the future plan for addressing risks.

Resource: Risk Management Assessment Summary Grading Criteria and Sample Executive Summary located in the Center for Writing Excellence

Navigate to the Center for Writing Excellence in the University Library.

Under Writing Resources, click Tutorials & Guides.

Under Samples, click Sample Executive Summary.

Select an organization type in the health care industry as the basis for this assignment. The organization may be your employer or a health care organization of particular interest to you. Types of health care organizations include, but are not limited to, the following:

Hospital, nursing facility, physician office, emergency medical services, managed care organization, home health care, community health department or provider, pharmacy, laboratory, drug manufacturer, medical device manufacturer, durable medical equipment supplier, and electronic medical records software suppliers

Research the key concepts of risk management in health care and the factors that influence risk management for your chosen type of organization.

Write a 1,050- to 1,400-word executive summary in which you complete the following:

Describe the purpose of risk management in health care organizations in general and in your chosen organization in particular.

Explain key steps this organization may take to identify and manage their risks.

Identify three typical or actual risks in your chosen organization. Describe how each risk might negatively affect your organization and its stakeholders.

Summarize the types of education, training, or policies that would help this type of organization mitigate these risks.

Include at least four sources, two from the University Library and two from either the course textbooks or this week’s Electronic Reserve Readings. Prepare a reference list of all resources and websites used in your research.

Format the executive summary and reference list consistent with APA guidelines.

Week 3:

Quality Management Assessment Summary

Post in Assignment

Notebook. Write a 1,400- to

1,750-word executive summary in which you complete the following:

Describe

the purpose of quality management in health care

organizations in general and in your chosen organization type in particular.

Explain

three to five key concepts of quality management.

Comment briefly on why there are so many other names and terms used to describe

quality management—continuous quality improvement, total quality management,

performance management, and performance improvement—and if these distinctions

are important. Explain the terminology your chosen organization type uses and

why your organization uses them.

Outline

at least three of the organization type’s typical

long-term goals and at least three typical short-term goals.

Week 4:

Organizational Performance Management Table and Paper

Collaborate to complete the University of Phoenix Material: Organizational Performance Management Table located on the student website.

Collaborate to write a 1,400- to 1,750-word paper in which you address the following points:

o Address the similarities and differences among the types of organizations.

o Propose how each organization will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance.

o Describe ways each organization will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies.

o Determine how compliance with the regulations and development of risk-management and quality-management systems for each type of organization contribute to the organization’s overall performance-management system.

Include at least four sources, three from the University Library and one from either the course textbooks or this week’s Electronic Reserve Readings. Prepare a list of all resources used in your research.

Format the paper and reference list consistent with APA guidelines. Include the Organizational Performance Management Table as an appendix to the paper.

Week 5:

Tools and Decision Making for Ongoing Performance Management

Select one organization type from the various organizations your Learning Team analyzed as part of your Week Four assignment and build on your knowledge acquired from all previous assignments to complete the final Learning Team presentation.

Conduct research about decision-making processes in risk management and quality management in health care, including the following:

Common problems encountered by your chosen organization type

How to acquire relevant information required for decision making

Common tools used to enhance decision making

Challenges that may be encountered in making risk-management and quality-management decision

Outline your organization’s decision-making processes that will be used to address risk-management and quality-management issues. A 1-page list of steps, a flow chart, or a decision tree format is suggested. This information should be included in the Speaker’s Notes.

Complete the University of Phoenix Material: Tools and Decision Making for Ongoing Performance Management Scenario Worksheet located on the student website. Submit the worksheet to your facilitator separately from the presentation materials.

Create a 15- to 20-slide Microsoft® PowerPoint® presentation, including detailed speaker notes

Discussion Questions:

Which relationship between performance management systems and quality and risk management do you consider most critical? Explain your answer. What is it about some tools that might not work for you or your organization?

Consider the decision-making process for risk management and quality management and answer the following questions:· Which step in the decision-making process do you think is most underutilized or difficult to complete? What would you do to change it or make it easier? Which information would you say is most overlooked when making risk- and quality-management decisions? What do you think is the cause of this? How would you remedy it?

Consider a health care organization that is unable to meet all of its relevant regulatory requirements. Answer the following questions about this organization: What short- and long-term actions should they use to come into regulatory compliance? Is one regulation more important than another? Explain your answer. What criteria could the organization use to prioritize its efforts?

Which components of performance-management systems does your learning team think are most important and least important? Why?Explain which components link most closely to risk-management and quality-management systems and provide specific examples to support your answer.

What common threads do you see between risk management and quality management?

Review the following broad definition of health care quality and answer the questions that follow: Health care quality occurs when patients can access a continuum of appropriate care and service in a timely manner, patients are educated and actively participate in the planning and delivery of their care and service, clinical outcomes are achieved with excellence, patients achieve their care goals and optimum quality of life, patient satisfaction outcomes are delivered with human dignity and compassion, staff satisfaction outcomes reflect pride of achievement, and cost/utilization outcomes demonstrate social responsibility. · What are your thoughts on this definition of quality? What do you like? What do you dislike? What would you change?· What is included in this definition that is not found in many other definitions of health care quality? What is not included in this definition of quality?· Is this definition of health care quality realistic and feasible? Explain your answer.

How does risk assessment conducted by an organization correspond with the factors influencing risk management?

Why is risk management important in organizations? What benefits are gained by implementing a risk-management program? Describe challenges you see in obtaining buy-in and support from staff. What are the barriers to implementing a risk-management program? What would you recommend to help overcome these barriers?

Review the scenario below and answer the questions that follow:ABC Hospital is a small, privately owned community hospital. It has been struggling to survive financially, as reimbursement rates have declined and consumers are being drawn to the larger state-of-the-art hospital facilities in urban areas that are perceived to have better quality. ABC Hospital was built in 1960 and has been operating in the same manner for many decades. The hospital meets legal and regulatory requirements but has not kept pace with some of the newer technologies and patient conveniences becoming more prevalent in the health care industry.· What strategies can the organization take to survive, improve its performance, and compete with other hospitals over the next 5 years?· What are some advantages or disadvantages of these strategies? Provide specific examples to support your answers.

Review the scenario below and answer the questions that follow:XYZ Health Department provides services to county residents. Budget cuts have forced the department to cut back on some services and lay off several staff, increasing the workload of other staff. Morale among staff has declined, and county residents have complained that they are not treated with dignity and respect and are not receiving high quality care and service.· What strategies can XYZ Health Department implement to provide high quality care and services to the county residents and to help increase customer satisfaction?How can these strategies help minimize risk and improve quality? Provide specific examples to support your answers.