The document discusses the importance of training healthcare staff in a veterinary practice. It notes that practices that involve staff in compliance issues achieve higher levels of client compliance. Staff need to be trained on and committed to hospital protocols. The document recommends conducting a training needs survey of staff and provides online training resources in areas like products, client service, and veterinary services to empower staff. It also defines S.M.A.R.T. goals for effective training.
Certification against food safety standards like GFSI has several benefits according to a study and observations:
1) User surveys found that over 70% of manufacturers agreed that certification enhanced their ability to produce safe food and reduced corrective actions from audits.
2) Observably, certification improved HACCP systems, factory conditions, and management systems through greater engagement and defined processes.
3) Measurable benefits included acceptance by customers, increased business and sales, and reductions in complaints, recalls, and waste.
Powerpoint presentation featuring the applicability of lean management to an inpatient hospital pharmacy to maximize cost-effectiveness of the healthcare resources.
This document outlines the agenda for a MiPCT Demonstration Project meeting, including: introducing new practice team members, comparing G code billing results between practices, discussing care managers and metrics for 2014. It reviews utilization, clinical quality, and process measures that will be assessed. Learning requirements are outlined for care managers and practice teams, including ICD-10 workshops and a learning collaborative. Participating practice teams are listed and an open discussion is invited.
Sheila Ezeji is seeking a field placement as a microbiology lab supervisor at Teva pharmaceuticals. She has a Bachelor of Science degree in Biochemistry from the University of Lagos, Nigeria. She has relevant work experience as a Quality Assurance personnel at Cadbury Nigeria and as a Medical Laboratory Assistant at Zenith Health Center in Lagos, Nigeria. Her skills include conceptual and analytical abilities, teamwork, problem solving, proficiency in Microsoft Office, and experience using laboratory equipment and analyzing samples.
1. An education intervention was conducted to address high failure rates of activating ADD-Vantage drug delivery systems at a hospital. Pharmacy liaisons educated nurses, who then educated other nurses.
2. Data collected after the intervention showed a significant reduction in failure rates, from 6.92% to 1.01%.
3. The results provide evidence that the education intervention successfully improved activation of ADD-Vantage systems, helping to ensure patients receive full doses of medications.
Outcomes/Effectiveness of revalidation in the UKIAMRAreval2015
Revalidation is a five-year process in the UK that aims to bring all doctors into a clinical governance system, help identify problems earlier, encourage self-reflection, and contribute to safer, higher quality patient care. So far, over 118,000 doctors have been revalidated. Early evidence suggests revalidation is increasing appraisal rates and identification of concerns, while 24,795 doctors have given up their licenses. Responsible Officers report revalidation is central to quality improvement and allows better understanding of doctors' practices. The future of revalidation may see it more integrated with team performance and use more objective data linked to specialist expectations.
The document discusses the importance of training healthcare staff in a veterinary practice. It notes that practices that involve staff in compliance issues achieve higher levels of client compliance. Staff need to be trained on and committed to hospital protocols. The document recommends conducting a training needs survey of staff and provides online training resources in areas like products, client service, and veterinary services to empower staff. It also defines S.M.A.R.T. goals for effective training.
Certification against food safety standards like GFSI has several benefits according to a study and observations:
1) User surveys found that over 70% of manufacturers agreed that certification enhanced their ability to produce safe food and reduced corrective actions from audits.
2) Observably, certification improved HACCP systems, factory conditions, and management systems through greater engagement and defined processes.
3) Measurable benefits included acceptance by customers, increased business and sales, and reductions in complaints, recalls, and waste.
Powerpoint presentation featuring the applicability of lean management to an inpatient hospital pharmacy to maximize cost-effectiveness of the healthcare resources.
This document outlines the agenda for a MiPCT Demonstration Project meeting, including: introducing new practice team members, comparing G code billing results between practices, discussing care managers and metrics for 2014. It reviews utilization, clinical quality, and process measures that will be assessed. Learning requirements are outlined for care managers and practice teams, including ICD-10 workshops and a learning collaborative. Participating practice teams are listed and an open discussion is invited.
Sheila Ezeji is seeking a field placement as a microbiology lab supervisor at Teva pharmaceuticals. She has a Bachelor of Science degree in Biochemistry from the University of Lagos, Nigeria. She has relevant work experience as a Quality Assurance personnel at Cadbury Nigeria and as a Medical Laboratory Assistant at Zenith Health Center in Lagos, Nigeria. Her skills include conceptual and analytical abilities, teamwork, problem solving, proficiency in Microsoft Office, and experience using laboratory equipment and analyzing samples.
1. An education intervention was conducted to address high failure rates of activating ADD-Vantage drug delivery systems at a hospital. Pharmacy liaisons educated nurses, who then educated other nurses.
2. Data collected after the intervention showed a significant reduction in failure rates, from 6.92% to 1.01%.
3. The results provide evidence that the education intervention successfully improved activation of ADD-Vantage systems, helping to ensure patients receive full doses of medications.
Outcomes/Effectiveness of revalidation in the UKIAMRAreval2015
Revalidation is a five-year process in the UK that aims to bring all doctors into a clinical governance system, help identify problems earlier, encourage self-reflection, and contribute to safer, higher quality patient care. So far, over 118,000 doctors have been revalidated. Early evidence suggests revalidation is increasing appraisal rates and identification of concerns, while 24,795 doctors have given up their licenses. Responsible Officers report revalidation is central to quality improvement and allows better understanding of doctors' practices. The future of revalidation may see it more integrated with team performance and use more objective data linked to specialist expectations.
Stoke-on-Trent PCT Health Improvement TeamRowan Purdy
Stoke-on-Trent Primary Care Trust conducted a whole team assessment of mental health in the workplace. They developed their existing mental health policy, reviewed sickness absence policies, and raised staff awareness of available support. Managers received training on addressing mental well-being and a checklist was issued to staff to help identify risks to mental health at work. The bottom-up team approach to the assessment provided a realistic picture and generated achievable actions that staff were responsible for implementing.
Society for the Prevention of Uneducated Physiciansguestbf9e39
CME is seen as vital for physicians' lifelong learning and keeping up with advances in medicine. Physicians highly value CME and strongly support continued industry funding of CME programs. Studies show that CME positively impacts physicians' treatment and diagnosis decisions, brings value to patients, and participation in CME has grown significantly in recent years.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
This document discusses quality management and risk management in healthcare. It defines key terms like continuous quality improvement, total quality management, and quality assurance. It also outlines the six steps of the quality improvement process: identify needs, assemble team, collect data, establish outcomes, select and implement plan, and evaluate. The document then presents a case study where a hospital unit sees an increase in patient falls. It walks through the risk management and quality improvement processes the unit would take to address the problem, like assembling an interprofessional team, collecting fall data, establishing outcomes to reduce falls, and creating and evaluating a fall prevention plan.
- This study evaluated the impact of the 2004 UK Quality and Outcomes Framework (QOF) on clinical quality in primary care over time using longitudinal data from 42 practices between 1998-2005.
- The results showed that quality of care was already improving before QOF, but the rate of improvement was significantly higher than predicted for diabetes and asthma under QOF.
- There was no significant difference found between incentivized and non-incentivized quality indicators under QOF, suggesting it improved care broadly rather than just for incentivized areas.
- Overall, QOF was found to improve the rate of increase in quality for some conditions, but did not damage professional values as some had feared.
INC Research is a global consulting firm that provides advisory and implementation support services to the biopharmaceutical industry. They help clients with development, regulatory, quality and compliance, pharmacovigilance, and market development. Their team of over 50 consultants uses therapeutic expertise and consulting frameworks to deliver strategic solutions and help clients achieve their business goals.
This document discusses the evolution of quality in nursing care from the past to present. In the past, quality focused on inspection and detection of defects. It later evolved to include statistical process control and quality assurance programs. Today, quality emphasizes total quality management through continuous improvement, innovation, error prevention, and staff development across all levels and divisions of an organization. The goal is to consistently meet and exceed customer needs and improve patient services and outcomes.
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsInvestnet
Evadiagnostics provides a smart health solution that offers immediate blood testing and actionable patient information to help with triaging. Their clinically validated platform technology connects devices, software, and data to improve patient care through better planning and quality of care driven by new data insights. They were recently recognized as European winners for their award-winning team and significant health economic impact through health solutions that improve patient outcomes.
Sustaining change through a lean management systemTim Winstone
1) This thesis explores the impact of implementing a Lean Management System in the pharmacy department of a large New Zealand public hospital in order to transition from a supply-driven model to one focused on medicines optimization.
2) Participatory Action Research was used to examine the themes of "Relevance" and "Reactivity" before, during, and after the Lean Management System introduction. Data was collected through focus groups, interviews, and reflections.
3) The findings indicate that the Lean Management System had a positive impact on sustainability of change by increasing individual relevance to the pharmacy department and reducing daily reactivity, though this impact was not consistent across all teams. The success also depended on leadership behaviors.
Sebastian Branca of the AIDS Activities Coordinating Office provided this overview of AACO's quality management program to the HIV Integrated Planning Council on May 10, 2018. This presentation includes discussion of secret shoppers, quality improvement plans, and quality management initiatives.
This document discusses the use of performance scorecards to improve healthcare quality and reduce costs. Clinical and claims data from January to November 2016 were analyzed using measures like cancer screening, eye exams, HbA1c levels, medication adherence, and nephropathy monitoring. Physician and practice performance was compared to peer benchmarks and national HEDIS standards. Scorecards reporting these performance results were sent to providers, with the goal of encouraging quality improvement through training for those not meeting benchmarks. The effectiveness of scorecards will be evaluated over time by measuring continued quality improvement.
DAV & SPC Presentation Module 3 - Team 14oenterprises
The document discusses DAV's use of statistical process control (SPC) to monitor and improve the quality of its document processing. It analyzes error rate data from the Policy Extension Group over 30 weeks, finding the process to be out of control with errors ranging from 2-15%. It recommends DAV identify areas requiring high quality, examine low performing groups more closely to understand underlying reasons for issues, and pursue continuous improvement and quality cost reduction through tailored methodology like Six Sigma.
This practicum aimed to help Carolina Advanced Health (CAH) achieve Patient Centered Medical Home (PCMH) recognition by modifying their EHR and workflows to better document self-management support for patients with chronic conditions. A quality improvement team modified the EHR and developed new workflows. Initial results showed improvements in documenting education, goal-setting, self-monitoring tools, and counseling between August and November. Lessons included benefits of a QI framework and ensuring the "spirit" of requirements is met over just metrics.
The document summarizes a curriculum ambassador program where students participated in Kaizen events and workshops at the Kaizen Promotion Office of San Francisco General Hospital. The Kaizen Promotion Office uses Lean principles to eliminate waste and improve processes in various departments. Students helped with events for the Outpatient Pharmacy and the Emergency Department. The Outpatient Pharmacy event introduced new standardized work processes that decreased prescription wait times. A workshop for the Maternal and Child Health unit developed seven priority areas for transitioning to a new hospital, such as shared documentation and integrated patient care. The program provided students experiential learning in quality improvement and developing collaborative skills to identify and address inefficiencies in hospital workflows.
open-eObs at the NHS England Open Source Open DayRob Dyke
Key success factor in healthcare technology projects? Clinical leadership.
How an NHS Nursing Technology Fund award succeeded at a large Foundation Trust.
- The current medication adherence program at The Client pharmacy is ineffective and expensive, with only a 3.75% increase in adherence for non-adherent patients. This results in lost revenue and costs the company approximately $290 billion annually.
- Accenture proposes developing a gamification platform to increase patient engagement and medication adherence in a more cost-effective manner. Game mechanics would appeal to different patient motivations and provide feedback to customize the experience.
- Key benefits would include increased prescription sales, lower program costs, and more patient data to continue improving the platform over time based on measuring various success metrics like adherence rates and time spent on the program.
Evaluating the Impact of Literature Searching Services on Patient Care Throug...Jeff Mason
Hospital libraries must demonstrate the value and impact they have within their organizations. We created a short survey to assess the impact literature searches conducted by librarians have on patient care. This presentation was given at the 2014 Medical Library Association Annual Meeting in Chicago. Preliminary results are discussed.
We want you to use our survey to assess your own value! To view a copy please visit:
http://fluidsurveys.com/s/literature-searching-impact-survey-site/
A study compared the efficacy of mechanical oral hygiene using TePe toothbrushes and interdental brushes to a chemical approach using a mouth rinse in over 100 subjects aged 55+. The mechanical approach with TePe products resulted in greater plaque reduction than the chemical approach or control. While both approaches reduced gingivitis similarly, combining the two methods did not further reduce plaque or gingivitis over the mechanical approach alone. The study concluded that mechanical methods reduce plaque more than chemical methods.
Uncover Successful Strategies for Analytics-Driven Alignment Sudeep Debnath
This document discusses strategies for using data analytics to improve physician alignment with quality and value-based care goals. It notes the changing roles of providers and patients with new payment models focusing on quality and value over volume. Analytics can help prioritize measures, identify gaps in care, and target high-risk patients and providers. The document outlines several approaches including empowering office staff, personalized engagement, and automated outreach. It presents a case study showing a data-driven program successfully engaged providers and improved performance on several quality measures.
This document discusses efforts to reduce central line-associated bloodstream infections (CLABSIs) at Rush-Copley Medical Center. An infection control collaborative was established in 2008 using the IHI Central Line Bundle. Despite these efforts, the goal of zero CLABSIs was not initially achieved due to inconsistent practices. Additional measures were implemented from 2008-2011 including education, protocols, product improvements, and monitoring. As a result of these efforts, the CLABSI rate decreased from 1.27 per 1000 line days in 2007-2008 to zero infections from July 2010 to June 2011.
Bernie Harrison - Australian Council Healthcare StandardsInforma Australia
The document discusses using targets to improve healthcare performance and patient safety. It notes that while modern medicine is advanced, healthcare systems still fail to meet their full potential due to issues like clinical practice variation and preventable medical errors. Targets have been implemented, like the 4-hour rule for emergency department wait times, but focusing only on targets can incentivize the wrong behaviors. True reliability and safety require a culture that learns from failures and embraces continuous improvement. High-reliability organizations exemplify principles like preoccupation with failure and deference to expertise. The goal should be zero preventable harm through reliable processes of care.
Stoke-on-Trent PCT Health Improvement TeamRowan Purdy
Stoke-on-Trent Primary Care Trust conducted a whole team assessment of mental health in the workplace. They developed their existing mental health policy, reviewed sickness absence policies, and raised staff awareness of available support. Managers received training on addressing mental well-being and a checklist was issued to staff to help identify risks to mental health at work. The bottom-up team approach to the assessment provided a realistic picture and generated achievable actions that staff were responsible for implementing.
Society for the Prevention of Uneducated Physiciansguestbf9e39
CME is seen as vital for physicians' lifelong learning and keeping up with advances in medicine. Physicians highly value CME and strongly support continued industry funding of CME programs. Studies show that CME positively impacts physicians' treatment and diagnosis decisions, brings value to patients, and participation in CME has grown significantly in recent years.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
This document discusses quality management and risk management in healthcare. It defines key terms like continuous quality improvement, total quality management, and quality assurance. It also outlines the six steps of the quality improvement process: identify needs, assemble team, collect data, establish outcomes, select and implement plan, and evaluate. The document then presents a case study where a hospital unit sees an increase in patient falls. It walks through the risk management and quality improvement processes the unit would take to address the problem, like assembling an interprofessional team, collecting fall data, establishing outcomes to reduce falls, and creating and evaluating a fall prevention plan.
- This study evaluated the impact of the 2004 UK Quality and Outcomes Framework (QOF) on clinical quality in primary care over time using longitudinal data from 42 practices between 1998-2005.
- The results showed that quality of care was already improving before QOF, but the rate of improvement was significantly higher than predicted for diabetes and asthma under QOF.
- There was no significant difference found between incentivized and non-incentivized quality indicators under QOF, suggesting it improved care broadly rather than just for incentivized areas.
- Overall, QOF was found to improve the rate of increase in quality for some conditions, but did not damage professional values as some had feared.
INC Research is a global consulting firm that provides advisory and implementation support services to the biopharmaceutical industry. They help clients with development, regulatory, quality and compliance, pharmacovigilance, and market development. Their team of over 50 consultants uses therapeutic expertise and consulting frameworks to deliver strategic solutions and help clients achieve their business goals.
This document discusses the evolution of quality in nursing care from the past to present. In the past, quality focused on inspection and detection of defects. It later evolved to include statistical process control and quality assurance programs. Today, quality emphasizes total quality management through continuous improvement, innovation, error prevention, and staff development across all levels and divisions of an organization. The goal is to consistently meet and exceed customer needs and improve patient services and outcomes.
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsInvestnet
Evadiagnostics provides a smart health solution that offers immediate blood testing and actionable patient information to help with triaging. Their clinically validated platform technology connects devices, software, and data to improve patient care through better planning and quality of care driven by new data insights. They were recently recognized as European winners for their award-winning team and significant health economic impact through health solutions that improve patient outcomes.
Sustaining change through a lean management systemTim Winstone
1) This thesis explores the impact of implementing a Lean Management System in the pharmacy department of a large New Zealand public hospital in order to transition from a supply-driven model to one focused on medicines optimization.
2) Participatory Action Research was used to examine the themes of "Relevance" and "Reactivity" before, during, and after the Lean Management System introduction. Data was collected through focus groups, interviews, and reflections.
3) The findings indicate that the Lean Management System had a positive impact on sustainability of change by increasing individual relevance to the pharmacy department and reducing daily reactivity, though this impact was not consistent across all teams. The success also depended on leadership behaviors.
Sebastian Branca of the AIDS Activities Coordinating Office provided this overview of AACO's quality management program to the HIV Integrated Planning Council on May 10, 2018. This presentation includes discussion of secret shoppers, quality improvement plans, and quality management initiatives.
This document discusses the use of performance scorecards to improve healthcare quality and reduce costs. Clinical and claims data from January to November 2016 were analyzed using measures like cancer screening, eye exams, HbA1c levels, medication adherence, and nephropathy monitoring. Physician and practice performance was compared to peer benchmarks and national HEDIS standards. Scorecards reporting these performance results were sent to providers, with the goal of encouraging quality improvement through training for those not meeting benchmarks. The effectiveness of scorecards will be evaluated over time by measuring continued quality improvement.
DAV & SPC Presentation Module 3 - Team 14oenterprises
The document discusses DAV's use of statistical process control (SPC) to monitor and improve the quality of its document processing. It analyzes error rate data from the Policy Extension Group over 30 weeks, finding the process to be out of control with errors ranging from 2-15%. It recommends DAV identify areas requiring high quality, examine low performing groups more closely to understand underlying reasons for issues, and pursue continuous improvement and quality cost reduction through tailored methodology like Six Sigma.
This practicum aimed to help Carolina Advanced Health (CAH) achieve Patient Centered Medical Home (PCMH) recognition by modifying their EHR and workflows to better document self-management support for patients with chronic conditions. A quality improvement team modified the EHR and developed new workflows. Initial results showed improvements in documenting education, goal-setting, self-monitoring tools, and counseling between August and November. Lessons included benefits of a QI framework and ensuring the "spirit" of requirements is met over just metrics.
The document summarizes a curriculum ambassador program where students participated in Kaizen events and workshops at the Kaizen Promotion Office of San Francisco General Hospital. The Kaizen Promotion Office uses Lean principles to eliminate waste and improve processes in various departments. Students helped with events for the Outpatient Pharmacy and the Emergency Department. The Outpatient Pharmacy event introduced new standardized work processes that decreased prescription wait times. A workshop for the Maternal and Child Health unit developed seven priority areas for transitioning to a new hospital, such as shared documentation and integrated patient care. The program provided students experiential learning in quality improvement and developing collaborative skills to identify and address inefficiencies in hospital workflows.
open-eObs at the NHS England Open Source Open DayRob Dyke
Key success factor in healthcare technology projects? Clinical leadership.
How an NHS Nursing Technology Fund award succeeded at a large Foundation Trust.
- The current medication adherence program at The Client pharmacy is ineffective and expensive, with only a 3.75% increase in adherence for non-adherent patients. This results in lost revenue and costs the company approximately $290 billion annually.
- Accenture proposes developing a gamification platform to increase patient engagement and medication adherence in a more cost-effective manner. Game mechanics would appeal to different patient motivations and provide feedback to customize the experience.
- Key benefits would include increased prescription sales, lower program costs, and more patient data to continue improving the platform over time based on measuring various success metrics like adherence rates and time spent on the program.
Evaluating the Impact of Literature Searching Services on Patient Care Throug...Jeff Mason
Hospital libraries must demonstrate the value and impact they have within their organizations. We created a short survey to assess the impact literature searches conducted by librarians have on patient care. This presentation was given at the 2014 Medical Library Association Annual Meeting in Chicago. Preliminary results are discussed.
We want you to use our survey to assess your own value! To view a copy please visit:
http://fluidsurveys.com/s/literature-searching-impact-survey-site/
A study compared the efficacy of mechanical oral hygiene using TePe toothbrushes and interdental brushes to a chemical approach using a mouth rinse in over 100 subjects aged 55+. The mechanical approach with TePe products resulted in greater plaque reduction than the chemical approach or control. While both approaches reduced gingivitis similarly, combining the two methods did not further reduce plaque or gingivitis over the mechanical approach alone. The study concluded that mechanical methods reduce plaque more than chemical methods.
Uncover Successful Strategies for Analytics-Driven Alignment Sudeep Debnath
This document discusses strategies for using data analytics to improve physician alignment with quality and value-based care goals. It notes the changing roles of providers and patients with new payment models focusing on quality and value over volume. Analytics can help prioritize measures, identify gaps in care, and target high-risk patients and providers. The document outlines several approaches including empowering office staff, personalized engagement, and automated outreach. It presents a case study showing a data-driven program successfully engaged providers and improved performance on several quality measures.
This document discusses efforts to reduce central line-associated bloodstream infections (CLABSIs) at Rush-Copley Medical Center. An infection control collaborative was established in 2008 using the IHI Central Line Bundle. Despite these efforts, the goal of zero CLABSIs was not initially achieved due to inconsistent practices. Additional measures were implemented from 2008-2011 including education, protocols, product improvements, and monitoring. As a result of these efforts, the CLABSI rate decreased from 1.27 per 1000 line days in 2007-2008 to zero infections from July 2010 to June 2011.
Bernie Harrison - Australian Council Healthcare StandardsInforma Australia
The document discusses using targets to improve healthcare performance and patient safety. It notes that while modern medicine is advanced, healthcare systems still fail to meet their full potential due to issues like clinical practice variation and preventable medical errors. Targets have been implemented, like the 4-hour rule for emergency department wait times, but focusing only on targets can incentivize the wrong behaviors. True reliability and safety require a culture that learns from failures and embraces continuous improvement. High-reliability organizations exemplify principles like preoccupation with failure and deference to expertise. The goal should be zero preventable harm through reliable processes of care.
Lori Moore joined GOJO Industries in 2013 as a Clinical Application Specialist. In this position, she provided leadership and support to healthcare organizations as they implemented electronic compliance monitoring (ECM) to more accurately measure hand hygiene performance. She has been a trusted partner to hospital key stakeholders in the development, design and implementation of hand hygiene improvement efforts. Areas of expertise include root cause analysis with targeted solutions, just-in-time coaching and ECM software data analytics. In January 2017, she transitioned to the position of Clinical Educator for Healthcare.
She began her professional career in healthcare in 2010 as a registered nurse in the medical intensive care unit at the Cleveland Clinic Foundation (where she continues to work on the weekends). Her passion for patient safety and quality of care sparked her interest in infection prevention, and she worked as an infection preventionist prior to joining GOJO.
Lori has a well-rounded academic background which includes a Bachelor’s of Arts in Management from Malone College, a Bachelor’s of Science in Nursing from the University of Akron, and a Master’s degree in Public Health from the University of Akron. She is a member of the Association for Professionals in Infection Control and Epidemiology, American Society of Professionals in Patient Safety, and the American Medical Writers Association. She has also earned the credential of Certified Health Education Specialist (CHES) and Certified Professional in Patient Safety (CPPS).
This document discusses quality improvement in healthcare. It defines quality improvement and outlines its core principles, including that quality improvement is a cyclical process of planning, doing, studying, and acting. It also discusses strategies for testing and implementing changes. Additionally, it outlines Ethiopia's quality structures, provides guidelines for clinical audits, and discusses defining and measuring quality standards. The overall purpose is to encourage a culture of continuous quality improvement in healthcare facilities and ensure national policies around quality are reliably implemented.
The medical director is responsible for developing, implementing, and overseeing a facility's robust quality assessment and performance improvement (QAPI) program. This includes establishing a multidisciplinary team to regularly review data, prioritize issues, and take corrective actions to improve patient outcomes and safety. The QAPI program must measure and address various clinical areas at minimum, and compliance is determined by reviewing outcomes, records, and interviewing staff.
Clinical Audit is a method of confirming the quality of clinical services and identify the need for improvement. A skill hospital administrator should learn and practice.
This document summarizes a proposed Patient Blood Management (PBM) program at St. Elsewhere Hospital. It identifies issues with current transfusion practices and policies across three pilot areas: post-partum haemorrhage, pre-operative optimization of haemoglobin levels, and deployment of intraoperative cell salvage. The program proposes applying ISO 9001 quality management standards to establish a PBM quality system and governance structure to standardize practices, reduce unnecessary transfusions, and improve outcomes. Key elements include developing a PBM committee, validating all clinical policies, establishing responsibilities and trainings, and deploying alternatives to transfusion like intraoperative cell salvage. The flexibility of ISO 9001 makes it suitable to implement across complex healthcare organizations
hsns09:The Scottish telecare development programme:the evaluation - Sophie BealeIriss
Sophie Beale,York Health Economics Consortium,University of York.
http://php.york.ac.uk/inst/yhec/?q=contact/keycontacts
Connected Practice Symposium,Human Services in the Network Society,Changes, Challenges & Opportunities. The Institute for Advanced Studies, Glasgow 14-15 September 2009.
http://connectedpractice.iriss.org.uk/
NTI 2015 Day 1: Managing Drug Diversion, Non-Invasive Monitoring, Improving R...MD Buyline
Learn about the top trends from NTI 2015 Day 1 including three presentations that highlight the great work that can be achieved by empowering nursing staff to utilize various technologies through nurse-driven protocols and interventions; from the leader in healthcare supply chain management solutions, MD Buyline.
For the full article, visit http://www.mdbuyline.com/research-library/articles/top-trends-nti-2015-day-1/.
The document discusses evidence for and against the use of care bundles to reduce surgical site infections (SSIs). Several studies found that implementing bundles focusing on best practices like proper antibiotic use and maintaining normothermia reduced SSIs in colorectal surgeries by 30-60%. However, other evidence showed that while individual practices reduced SSIs, compliance with bundles alone did not consistently decrease rates. Overall, the evidence suggests bundles can reduce SSIs when components address established risk factors, but variation between hospitals still impacts outcomes.
EVIDENCE- BASED PRACTICE PROPOSAL SECTION A2EVIDENCE- BASED PR.docxSANSKAR20
EVIDENCE- BASED PRACTICE PROPOSAL SECTION A:2
EVIDENCE- BASED PRACTICE PROPOSAL SECTION A:7
Running head: EVIDENCE- BASED PRACTICE PROPOSAL SECTION A:1
Evidence- Based Practice Proposal- Section A: Organizational Culture and Readiness Assessment
Evidence based practice (EBP) should be fundamental in every healthcare setting in the sense that it ensures decisions based on the best evidence integrated with clinical experience and the various expectations of patients within the healthcare setting (Gale & Schaffer, 2009). The main objective and aim in evidence-based practice protocols are to integrate the clinical expertise with the patient’s perspective and the scientific evidence in a bid to provide efficient and high quality healthcare services which are based on the needs, values, interests and culture of the patients served by the healthcare organization in question. It should be noted that evidence- based practice is essential as it does integrate the perspective of the patient, including values and culture in providing higher quality healthcare supported by research and scientific evidence (Gale & Schaffer, 2009). In essence it ensures the provision of quality and reliability of the healthcare services provided within the healthcare setting.
In regards to the healthcare organization I am currently employed by, and would opt for the implementation of EBP in, the organization is ready for the implementation of EBP in the sense that all stakeholders are in support of implementation of EBP protocols in the various units. Considering the fact that my organization is a very small critical access hospital in rural Georgia, with very limited resources, the organization is ready to fully adopt EBP. All stakeholders believe that such implementation is critical and vital for ensuring quality, and reliable healthcare service that is comprehensive and not only meets but exceeds the needs and expectations of our clients.
According to the survey, some respondents were in full support of the implantation of EBP, while others were not. It should be noted that the category scores for the survey varied due to the fact that respondents had a varied degree of preference when it comes to the implementation of EBP, and changes to practice within the facility. Most respondents responded higher in areas pertaining to changes in providing educational strategies according to EBP guidelines (Melnyk & Fineout-Overholt, 2015). Incorporating EBP within the facility basically requires all the organizational stakeholders to develop a culture of openness and inquiry since such implementation provides very clear parameters for quality and efficient care (Melnyk & Fineout-Overholt, 2015). Some of the notable barriers to the full implementation of EBP include lack of managerial commitment to the full implementation, lack of resources due to the size and financial situation of the facility. Above all lack of interest of upper management to assist staff in ...
This document discusses the Transforming Care at the Bedside (TCAB) initiative launched by the Institute for Healthcare Improvement to redesign care on medical/surgical units. TCAB aims to improve safety, patient-centeredness, team vitality, and value through engaging frontline staff in testing changes. The framework focuses on high leverage changes like leadership, teamwork, patient-centered care, value-added processes, and safety. Metrics include adverse events, falls, pressure ulcers, satisfaction, and time spent on direct care.
The document discusses various management techniques that can be used to improve healthcare delivery and lower costs. These include PDCA (Plan-Do-Check-Act) cycle, Six Sigma, balanced scorecard, Lean methodology, business process reengineering, and benchmarking. Case studies are provided that demonstrate how these techniques were used to reduce prolonged hospital stays, delays in lab and ultrasound reports, and surgical infections.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, quality of care, and factors driving attention to quality like limited resources and patient demands. It describes Donabedian's framework for assessing quality, which looks at structure, process and outcomes. Achieving quality requires accessible, efficient and acceptable services. Ensuring quality involves continuous quality improvement approaches like plan-do-check-act cycles and evidence-based medicine. The goal is to provide high quality care through ongoing evaluation and improvement.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, total quality management, and continuous quality improvement. It explains that quality can be assessed based on structure, process, and outcomes. Structure looks at the environment where care is provided. Process examines the care provided by practitioners. Outcomes assess the benefits achieved by patients. Achieving quality requires accessible, efficient, and acceptable services based on current knowledge. Continuous efforts are needed to monitor, assess, and improve healthcare quality.
1) Current state of quality and safety in healthcare is poor, with routine safety processes failing regularly and preventable adverse events occurring commonly.
2) High reliability organizations like commercial aviation have achieved much higher levels of safety through effective process improvement, a strong safety culture, and principles of collective mindfulness.
3) The Joint Commission aims to transform healthcare into a high reliability industry through initiatives like robust quality measurement, establishing accountability criteria for measures, and promoting high reliability principles.
Is healthcare getting safer? Professor Charles Vincent - Patient safety lead, Oxford AHSN
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Maxine Powers, National Improvement Advisor at Department of Health, addresses Why QIPP and why now?, Programme design, National Work stream plans for safety and the role and contribution of AHPs. COT Annual Conference 2010 (22-25 June 2010)
AVA 25th Annual Scientific Meeting, October 3 – 6, 2011
1. A Process Improvement Approach to the Elimination of Central Line Associated Bloodstream Infections Donna Matocha BSN, RN, CNRN Rush-Copley Medical Center Aurora, Illinois