Quality Improvement Projects
|0||Undergraduate||Writing from scratch||Essay||Needed||5|
Quality Improvement Projects
QUALITY & PERFORMANCE MANAGEMENT & METHODS Evaluating Quality Improvement Programs in an HIM Department – The graduate evaluates quality improvement projects to ensure they comply with both internal organizational processes and applicable standards established by external agencies. Task 1: Quality Improvement Projects Report Introduction: Quality in healthcare can be defined as providing necessary care timely, accurately, and appropriately to achieve the best results. Healthcare organizations strive to provide quality care by using evidence-based medicine in order to save lives in less time. Quality healthcare means different things to different people; however, meeting the needs of the consumer is the main goal of quality care initiatives in any healthcare organization. Scenario: Use the attached “Fielder Medical Center Scenario” to complete this task. Requirements: A. Write a report to the director of health information management (HIM) that analyzes current quality improvement initiatives at Fielder Medical Center by doing the following: 1. Summarize three quality improvement initiatives at Fielder Medical Center and justify why the initiatives are necessary to the center. 2. Evaluate whether each of the three quality improvement initiatives at Fielder Medical Center complies with their internal organizational processes. 3. Evaluate whether Fielder Medical Center’s three quality improvement initiatives comply with applicable standards established by federal external agencies. 4. Evaluate how Fielder Medical Center’s three quality improvement initiatives are in compliance with the necessary federal and state legal requirements. B. Discuss how HIM professionals play a significant role in the quality and patient safety initiatives at Western View Hospital. C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
Here is some additional help to writing the paper. The sources used need to be easy to access… please no books that can not be accessed.
You will need to write about the center in the paper to compare Fielder’s QI initiatives to what you would like to implement at Western View
You are the manager of Western View Hospital’s health information management (HIM) department.
The director of HIM has asked you to research and write a report on HIM quality improvement projects at another hospital in preparation for developing HIM quality improvement projects at your hospital.
Chosen hospital: Fielder Medical Center located in New York
Fielder’s current quality improvement projects:
Rescuing Patients with Severe Sepsis/Septic Shock
Reducing Avoidable Readmissions: Striving for Safe Transitions
Preventing Central Line-Associated Blood Stream Infections (CLABSI)
Preventing Catheter-Associated Urinary Tract Infections (CAUTI)
Preventing Surgical Site Infections (SSI)
Let’s talk about three (3) of the quality improvement initiatives at Fielder Medical Center.
Why are these quality improvement initiatives necessary or important to the facility and the patients that receive care at Fielder?
What are the internal processes for Fielder? What are the two types of care they strive to provide? Do the quality improvement initiatives at Fielder comply with what they intend to provide?
Who are some of the federal external agencies that have established standards for the quality improvement initiatives in place at Fielder?
What are some of the applicable standards established by these federal external agencies regarding quality of care in healthcare? (Name 2 or more)
What are some of the federal and state legal requirements (this pertains to what the law says in addition to other external agency standards)? Who develops those requirements?
How do the three quality improvement initiatives you have chosen comply with those federal and state legal requirements?
Prompt B: How Can HIM Professionals Help?
Now that you have reviewed the quality improvement initiatives at Fielder, how can YOU as the HIM Manager at Western View play a role in making sure your facility implements effective quality improvement initiatives?
Putting it all together:
Make sure you write your report in terms that are both easy to understand and clearly convey your message.
Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized
Fielder Medical Center Scenario:
You are the manager of Western View Hospital’s health information management (HIM) department at your local community hospital located in Boulder, Colorado. The director of HIM has asked you to research and write a report on HIM quality improvement projects at another hospital in preparation for developing HIM quality improvement projects at your hospital. You have chosen Fielder Medical Center located in New York. Listed below are their current quality improvement projects:
High Quality Reliable Care
To assess the quality of our care, we monitor both processes (the way we deliver your care) and outcomes (the results of your care). For instance, one CMS-endorsed process measure focuses on how well we equip heart failure patients to continue their own care once they’ve returned home. In light of this, we’ve paid keen attention to ensuring more thorough in-hospital education about the importance of consistently monitoring symptoms. Fielder Medical Center has access to a robust, real-time database that compares its quality outcomes with those of more than 100 academic medical center peers.
- Rescuing Patients with Severe Sepsis/Septic Shock
When a patient has an infection, sepsis may occur. Sepsis is an inflammatory response throughout the body caused by chemicals released into the bloodstream to fight the infection. Fielder Medical Center has joined state agencies in working to prevent mortality from severe sepsis and septic shock. In 2013, best practice “bundles” to identify and treat adults and children with sepsis were developed by our teams of doctors and nurses. These bundles were implemented in 2014 and, since then, we have been collecting data to measure compliance with the best practices for each of our patients. These efforts have shown a reduction in mortality related to severe sepsis and septic shock.
- Reducing Avoidable Readmissions: Striving for Safe Transitions
Readmissions place undue physical, emotional, and financial burden on our most vulnerable patients, but national data show that nearly one in five Medicare patients will wind up back in a hospital within just 30 days.
Eager to provide our patients with more effective care—and safer, more seamless transitions back to their home or a skilled nursing facility— Fielder Medical Center continues an ambitious effort to improve the discharge experience.
A key component of this effort involves identifying patients who are particularly at risk for readmission (for instance, patients who’ve been readmitted in the past, or who have certain conditions like congestive heart failure or pneumonia), and then taking extra measures to support their discharges. The program empowers patients and families, providing more robust patient education about medicines (their unique purposes, potential side effects to watch for, etc.).
Exceptionally Safe Care
Fielder Medical Center strives to provide exceptionally safe care by promoting a culture that emphasizes the role of all doctors, nurses, staff, patients, and families in being members of the care team who will speak up to address safety concerns. Teams throughout Fielder Medical Center are now working diligently to prevent three specific types of infections through consistently practiced “bundles” of preventive measures.
- Central Line-Associated Blood Stream Infections (CLABSI)
While central line catheters are life-saving lines that deliver medicine, hydration, and nutrition to patients, historically, they have also been a prime target for bacteria. These dangerous bloodstream infections affect hospitals nationwide, putting patients at risk for potentially avoidable pain, distress, and even death.
Because of our proven track record in creating best-practice care-bundles that dramatically reduced ventilator-associated pneumonias at Fielder Medical Center, another ICU team was tapped to help eliminate catheter-associated bloodstream infections. The team pored over research, working diligently to develop two simple, cost-effective best-practice checklists—one for catheter-insertion, and another for line maintenance. Called “Stop the Line,” this new push to retrain staff in a more careful, consistent approach to catheter insertion and care (the program also empowers every team member, from unit secretary to physician, to speak up if they think the sterile environment has been compromised) was rolled out to all staff via mandatory education sessions. The results were striking—in just 18 months, infections dropped nearly 50 percent, bringing Fielder’s rates below the national average.
- Catheter-Associated Urinary Tract Infections (CAUTI)
Another type of indwelling catheter is often used to remove urine from the bladder when a patient undergoes surgery or is unable to move easily. These catheters may cause a urinary tract infection in the bladder or kidney if germs travel along the catheter. Preventing catheter-associated urinary tract infection is important to help our patients’ avoid unpleasant symptoms, excessive antibiotic use, more serious complications such as sepsis, and extended time in the hospital.
Building on the previous successes with other types of infections related to medical devices used in the hospital, we currently have a team of doctors, nurses, and other caregivers identifying and implementing best practices regarding prevention throughout the hospital. This team has worked in a collaborative with other hospitals to obtain as current information as possible regarding effective strategies to address this complication.
The team has focused on encouraging the use of alternatives to urinary catheters and educating doctors and nurses about the importance of removing the catheter as quickly as possible during the patient’s stay in the hospital. Improvements have been made to ensure that sterile technique is consistently adhered to in the placement and maintenance of the catheters. These efforts are beginning to show success as the number of catheter-associated urinary tract infections at Fielder Medical Center has been decreasing.
- Surgical Site Infections (SSI)
Infections that follow surgery, in the part of the body where the surgery took place, can sometimes be superficial, involving the skin only. Other times, these surgical site infections (SSI) are more serious, harming tissues under the skin, organs, or even implanted materials.
At Fielder Medical Center, the initial focus was on preventing surgical site infections among our cardiac surgery patients. Cardiac care leaders at Fielder have been successfully reducing rates of SSI after coronary artery bypass graft surgery (CABG) since 2008 through a comprehensive program to root out all potential infection sources.