Managing Quality Improvement
August 10, 2013
Abstract
The main purpose of managing quality improvements is to set up a structure by which to measure how the organization is doing out in the public sector. We need a process in place that will drive our improvement efforts when less than optimal results are identified through undesirable trends and benchmarking. They need to be measurable and be the same for all patients in the survey area. This data will assist us in developing the measures necessary to improve performance standards. A team will be organized that will include the Executive Director of our local hospice as well as the Medical Directors (3), that drive our management force. Defining an action plan to implement proper and effective data collection for our Quality Assessment and Performance Improvement (QAPI) program will entail establishing an overall goal first. This can be monitored regularly through weekly meetings of the team members to determine where they are in the process and what their findings have been so far. Managing Quality Improvement
The organization that I work for has an excellent Quality Assessment and Performance Improvement (QAPI) program, not many hospices have a fully functioning program. However, one particular issue needs improved upon, the data collection process now being employed. The company they are using at this time, Deyta, does not seem to be very effective. The manner in which they collect the data using surveys regarding hospice care, appears to be somewhat ineffective in that most people who receive this survey discard it without looking at it and therefore this impacts are ability to improve upon our services with a larger workforce. The data is of no value to us unless it is being used to improve our processes or services.
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We need a process in place that will drive our improvement efforts when less than optimal results are identified through undesirable trends and benchmarking. Our patient data needs to be captured and defined in a way that will allow for consistent and accurate data aggregation. The data that needs to be accurately gathered are the elements related to the aspects of hospice and palliative care. They need to be measurable and be the same for all patients in the survey area. This data will assist us in developing the measures necessary to improve performance standards. A team will be organized that will include the Executive Director of our local hospice as well as the Medical Directors (3), that drive our management force.
Along with these top professionals I would also include members of our case management team, such as, RN’s, Social Workers, Chaplains, and Certified Nursing Assistants in order to make sure that all aspects of patient care are represented. Defining an action plan to implement proper and effective data collection for our QAPI program will entail establishing an overall goal first. The overall goal is to improve the quality of care and services we provide to the consumers and improve satisfaction. By setting up a QAPI committee to “outline a strategic and systematic approach toward monitoring and improving the quality of care for our consumers” we will be able to resolve this issue. The action plan will have these components: Time frame within which each activity is to be achieved.
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Persons responsible for each activity.
Planned monitoring of previously identified issues.
Planned evaluation of the QAPI work plan. .
“The evaluation of the overall effectiveness of the QAPI program gives careful consideration to all aspects of the program” . This can be monitored regularly through weekly meetings of the team members to determine where they are in the process and what their findings have been so far. Then they can further evaluate the effectiveness of their program through patient satisfaction analysis surveys and referral programs.
References
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Optum Health. (2012).
FY2012 Quality Assessment and Performance Improvement
Plan. Retrieved from
http://www.m1.optumhealthslko.com/document/72259/86516/2012/_Optum_SLCO_ QAPI_Plan.pdf