Paper on Health Care Quality Model
Paper on Health Care Quality Model
To write your reflection paper; find an article on one of the health care quality model that we have discussed in class (see the power point. week 4)
1. Identify the main theme.
2. Summarize your understanding of the article
3. In your own ideas or experience, how the model affects health care practice?
Healthcare Quality at the Organization and Microsystem Level
Systems Thinking
“…A view of reality that emphasizes the relationships and interactions of each part of the system to all the other parts” (McLaughlin & Olson 2012, 23).
–
McLaughlin, D.B., & J.R. Olson. 2012. Healthcare Operations Management, 2nd ed. Chicago, Health Administration Press.
A systems thinking approach to quality management
The interconnected system model
The three core process model
The Baldrige performance excellence program framework
Socioecological framework
Interconnected system level
Divided into four levels:
Environment level
Organization level: is a critical level of change in the health care system because it can provide an overall climate and culture for change.
Microsystem level
Patient level
Three core process model
Clinical, Medical, and Technical process: are critical process because they are the main reason why clients seek health care assistance.
Operational or patient flow process (registering patient, scheduling): enable clients to gain access.
Administrative process (decision making, communication, resource allocation, and performance evaluation)
The improvement in any one of these process has the potential to increase the value of the service provided.
Three Core Process Model
Outcomes
Clinical outcomes
Cost
Satisfaction
Functional status
Clinical/Medical/Technical Processes
Operational/Patient & Client Flow Processes
Administrative Decision-Making Processes
Administrative Decision-Making Processes
Source: Kelly, D. L. 2017. Applying Quality Management in Healthcare, 4th Edition. Chicago: Health Administration Press.
Baldrige Performance Excellence Program Framework (BPEP)
The model describes essential elements of organizational effectiveness
The model shows the importance of alignment in the organization
www.nist.gov/baldrige
Source: www.baldrige.gov.
Socioecological Framework
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- The is a great resource
A transdisciplinary systems perspective on promoting health and wellness that uses and reflects theory from multiple fields; medicine, public health, behavior and social science.
Emphasis on multilevel and recognition of the complexity of human environment
Provide a more expansive view of the nature of health and wellness
Help to understand interventions designed to improve the quality and safety of services.
Maybe used to better understand smoking behavior and drinking
Socioecological Framework: Determinants, Interventions, Evaluation
https://www.cdc.gov/cancer/crccp/sem.htm
| Interconnected System Model | Three Core Process Model | Baldrige Performance Excellence Program Framework | Socioecological Framework |
| Places the patient at the center of healthcare delivery Fosters feed back mechanisms that reinforce or balance system performance Encourages awareness of linkages between major elements affecting patient care Illustrates the wave effect of changes in the environment | Encourages concurrent improvement of inter-dependent processes Aligns processes around patient/client/customer needs Values all provider/ employee groups Views administrative role as a process not a function | Shows how the components of organizational effectiveness are related Recognizes the context in which the organization operates Promotes alignment of all organizational activities, including performance measurement Illustrates essential links in the system | Broadens and expands the manager’s view Addresses community and policy influences on health outcomes Illustrates the interrelationships among multiple levels involved in improving health outcomes Encourages interrelated, multilevel interventions |
Source: Kelly, D. L. 2006. Applying Quality Management in Healthcare, 2nd Edition. Chicago: Health Administration Press. Reprinted with permission.
11
Where do data on health care quality come from?
Administrative data
Medical records
Qualitative data
Disease registries
Data availability and validity are key elements to consider when selecting appropriate quality and resource use measures.
How are quality measures used?
Public reporting: CMS provides quality performance data for hospitals in the Medicare program on its Hospital Compare website, also, data for the Medicare program on nursing homes, home health agencies, and Medicare Advantage plans.
Provider incentive programs: For example, rather than paying providers for the volume of care they deliver, payers can link all or part of a payment to the quality of care that is delivered. (ACOs) use quality measurement as a critical method of allocating payments to participating providers.
Accreditation and certification: ACA requires all qualified health plans to be accredited.
Discussion Questions
Identify 1-2 activities a manager in St. David’s HealthCare did to advance organizational excellence in each of the following Baldrige framework categories:
Strategy
Customer
Workforce
Operations
Summary
Quality measurements can be grouped into four categories: 1. clinical quality including process and outcomes, 2. financial performance, 3. patient, physician, staff satisfaction, 4. functional status.
System models help managers identify the elements and connections between those elements in their organizations and the environments in which they functions.
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