Compare and contrast quality measures that are appropriate for what you’re looking to improve. Which measure did you select for your quality improvement and why?
A review of the HCAPHS score for Glendale Memorial Hospital and Health Center (GMHHC) reveals that the performed poorly in two areas. The first area is quietness at night around the patients’ rooms where the patients noted high noise levels that interfered with their night rest and healing progression. The second area is discharge education and instructions whereby the patients reported that they did not understand the home care needs and requirements even as they left the facility. Quality Improvement: Action Plan In this case, quality is defined as the capacity of the facility to offer medical services that increase the probability of achieving the desired care outcomes and are congruent with the current professional standards and knowledge. For that matter, there is a need to apply quality improvement.
There are two quality measures that can be applied to the present situation. The first quality measure is standardization that entails systematization and alignment. Systematization ensures that all input achieve an anticipated outcome within the boundaries of certainty with little to no randomness. Alignment ensures that practice is matched with evidence (Meyer, 2016). Quality Improvement: Action Plan The second quality measure is PDSA (plan-do-study-act) that entails the use of a series of steps to identify the system, process and patient aspects linked with the problem. Through repeating the PDSA cycle, it is possible to achieve the desired outcome with the focus on process and structure. For the present case, PDSA is more appropriate since the two quality problems are concerned with process and structure. The process aspect includes human capital in terms of training and education, as well as knowledge capital in terms of standard operating procedures. The structure aspect includes the facility culture, leadership and physical assets (Cotton, 2016). In this respect, PDSA is the more appropriate quality measure since it facilitates good decision-making that improves the possibility of good results and reduces the likelihood of unforeseen adverse results Quality Improvement: Action Plan.
What changes can you make that will lead to improvement?
The quality improvement action plan identified two areas of focus. The first focus area seeks to eliminate the irritating night noise over the next six months to ensure that there is quietness at night to facilitate night rest and facilitate the healing process. The specific actions to be undertaken include revising the facility plan to ensure that wards and patient rooms are located away from noisy areas, applying noise suppression technologies, repairing and replacing noisy equipment with quieter equipment, and soliciting support from other facilities in close proximity to ensure that they suppress noise and do not interfere with the facility activities Quality Improvement: Action Plan.
The second focus area is seeking to improve discharge education and instructions so that patients are better prepared to understand their medical care needs even when at home. The specific actions to be undertaken include revising the discharge education and instruction approaches to ensure that they are more comprehensive, educating medical personnel on how best to apply discharge education and instruction for the desired care outcomes, including family members and home-care givers as part of the audience, and creating a telephone-based and internet-based information support system that complements discharge education by addressing the patients’ concerns while at home Quality Improvement: Action Plan.
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