Combine all three parts of the QI plan into one document, making sure to include instructor feedback. Organize the plan as you would present it to the organization’s board of directors for approval. Use the QI Plan Template as a guide. (950-word)
In the QI Plan Template, complete the following:
Evaluate various data collection and display tools used in performance measurement.
Evaluate tools used to measure and report data.
Analyze various improvement methodologies for integrating quality improvement strategies into performance measurements.
Analyze the impact of information technology applications on performance measures.
Analyze the use of internal and external benchmarking and milestones in managing the utilization of quality indicators.
Evaluate criteria and tasks for developing quality improvement plans.
Analyze how performance and quality measures are aligned to the organizations mission, vision, strategic and operational plans.
Evaluate strategies for meeting regulatory and accreditation standards within health care organizations.
Evaluate measures used to monitor and revise quality program implementation.
Evaluate barriers that can interfere with the implementation of quality measures.
Evaluate strategies to ensure successful implementation of quality measures.
Write a 600-word executive summary related to your QI plan which includes an evaluation of the following:
Evaluate the current state of QI at the organization, its organizational and operational QI structure, authority, mission, methodology, and tools used.
Recommend how the organization will achieve its objectives over the long term.
Evaluate challenges that may impact the future of health care quality improvement.
Evaluate effect of health care quality improvement on operational and financial performance.
Format your paper according to APA guidelines.
Cite 6 peer-reviewed, scholarly, or similar references to support your paper.
Running head: QI PLAN PART 1
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QI PLAN PART 1
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QI Plan Part 1
The increase utilization of technology in the health care arena has made it necessary to implement quality improvement initiatives toward patient’s safety. The measures of the quality of health care through observation of its processes, outcomes, as well as structure, are significant in the measurement of quality. A renowned healthcare institution like Davis Health Care is dedicated towards the provision of excellent patient care experience. This paper will discuss data collection tools, data display, measurement and reporting focusing on patient safety Comment by Lawrence Fergus: Brief and effective lead-in to the body of your plan.
Data Collection Tools
The quality improvement plan often focuses on the data collected and how it can be used to improve quality (Hughes, 2008). Over the years, health care facilities have not had any quality improvement plan. With increased competition, health care facilities like Davis Health Care must strive to have well-defined data collection tools that would focus on improvement of patient safety.
These data collection tools should be mirrored from techniques of other industries. Thus, it must consider “total quality management (TQM) that promotes constancy of purpose and the systematic analysis as well as measurement of process steps that relates to outcomes and capacity (Hughes, 2008)”. It is worth noting that even though TQM model does not have data collection tools to support, it helps the health care facility to have an organized approach that entails teamwork, systematic thinking as well as measurement and changes that creates an environment for improvement (Hughes, 2008). Therefore, the quality improvement plan should be incorporated TQM with the aim of committing the health care facility to improve their quality and achieve desirable results (best patient safety). Comment by Lawrence Fergus: Quotation mark?
The quality improvement should have a continuous quality improvement that is interchanged with TQM. The Continuous Quality Improvement must be used to improve and develop better clinical practices and identify opportunity for improvement in the quest for better patient safety in the organization (Hughes, 2008). The plan must ensure that all the regulatory measures are factored in and thus, fundamental processes like documentation, the study of credentialing processes and review of oversight committees.
Another pillar of quality improvement plan would be the Clinical Practice Improvement (CPI). “The clinical practice improvement ensures the safety of the patient through a multidimensional outcomes methodology that would have a direct application to the management of the clinics and individual approach (AHRQ, 2014)”. It denotes better understanding of the health care delivery system and its complexity, the purpose, collects data, assess the findings as well as interpretation of the findings for better patient safety. Comment by Lawrence Fergus: Include page or paragraph number with quotes – see APA Manual v6 or UOP APA site material.
The quality improvement plan should be significant since “it helps the healthcare facilities to have a systematic and yet data-guided activities to design and bring immediate improvement in the delivery of health care setting (AHRQ, 2014)”. This quality improvement plan ensures that intervention founded by data collection tools are aimed at the reduction of the quality gap for patients encountered in the routine practices. Therefore, the data collected would be used to make a significant decision about the quality improvement in the healthcare facility. The source of the data should be primary so that the health organization can count on the results to improve the quality of the patient safety (AHRQ, 2014).
As an individual planning and organizing a quality improvement plan, it is fundamental to note that quality improvement plan is more intense by research (Oster & Braaten, 2016). Therefore, data collection tools must be selected carefully to ensure that it suits its purpose. Since the main of the quality improvement is to focus on improvement of patient safety, the data collection tools should be more than just observation as done by the researchers (Oster & Braaten, 2016).
Data Collection Tools: Strengths and Weakness
The data collection tools would assess and define the problem of patient safety that would be seen as helpful in the prioritization of safety and quality problems as well an enhancing of quality (Swanson, 1995). It is also worth noting that some of the data collection tools complement each other so that improvement the quality addressed errors and increased the cost of the collection tool. The quality Improvement plan on patient safety at Davis Health Care would use the following data collection instruments: “Plan-Do-Study-Act (PDSA), Failure modes and effects analysis (FMEA) and Health failure modes and effect analysis (HFMEA) (AHRQ, 2014)”.
The first tool would Plan-Do-Study-Act is a data collection tool or method that aims at making a positive impact in the healthcare process like patient safety by affecting the favorable outcomes. The device is used to medical improvement practices within the organization. Unlike other others, the “PDSA tool is often cyclical in nature since it assesses the changes and accomplishes its purpose in small and frequent steps (Hughes, 2008)”. The goal of this data collection tool is to establish a function correlation between the alteration in the process and the results (Hughes, 2008). The processes could be the capabilities and behaviors of the personnel in charge of security. The data collection tool often starts with the determination of the scope and nature of the problem, changes that should be made, plan for the patient safety changes, quantities that should be measured to understand its change on the changes and finally the strategy to ensure that change does not have a negative impact (Oster & Braaten, 2016).
The second data collection tool is “the failure mode and effects analysis (FMEA). The FMAE tool is used to analyze data that help in the avoidance of insecurity event and improve the quality of care (Oster & Braaten, 2016)”. FMEA is also issued to “identify potential areas of failure when experimental, and characterization of the process at the desired speed of change should be used. Thus, retrospectively to characterize the safety of the process by the identification of potential areas of failure about the patient safety process from the medical staff (Swanson, 1995)”. The data collection method uses flow-chart that analysis the focus of the team. The information obtained from the FMEA is utilized to produce information for the prioritization of enhancement plans that stand as the education and standard for development plans and undertakings. The FMEA is an accurate data collection tool since there is always a failure mode in the systems.
The merits of these systems include the use of systematic error management that is significant to the excellent clinical care in the sophisticated setting and processes. It is also dependent on a multidisciplinary method that integrated error report, decision support, integrated incident, and education of the security personal as well as standardization of terminology (Swanson, 1995). On the other hand, FMEA tends to be cumbersome and hectic. It can be ineffective in places where failure modes are not identified.
Finally, the health failure mode and effects analysis (HFMEA) provides a detailed discussion of the smaller processes that results in a recommendation of the larger process. It is a significant tool since it can be used for the proactive analysis of health care by facilitating a thorough analysis of its vulnerabilities in securing safety of patients. The tool is valuable in the identification of multifactorial nature of errors and potential risk for error.
Conclusion
Unlike research, the quality improvement includes small samples adoption of new approaches that are effective as well as changes of the interventions (Hughes, 2008). As research attempts to assess the source of the problem and address it in generalizable fashion, the quality improvement plan would enable the hospital to improve its practices for the better. Thus, quality improvement plan would apply the research into practices, and its primary audience is the organization (Hughes, 2008). The data collected in the quality improvement plan would help the organization to improve patient safety.
This paper tackled different types of data collection tools and data display as well as elaborated the measurements and reporting systems that are geared towards patient safety.
References
AHRQ. (2014). 5. Improving Data Collection across the Health Care System. Retrieved from Agency for Healthcare Research and Quality: http://www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
Hughes, R. G. (2008). Tools and Strategies for Quality Improvement and Patient Safety:. Retrieved from NCBI: http://www.ncbi.nlm.nih.gov/books/NBK2682/
Oster, C., & Braaten, J. (2016). High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Sigma Theta Tau.
Swanson, R. (1995). The Quality Improvement Handbook: Team Guide to Tools and Techniques. CRC Press.
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