This document discusses the ethical considerations and guidelines for quality improvement (QI) projects in healthcare organizations. It outlines several key principles: 1) healthcare organizations should ensure that QI activities adequately protect patient rights and interests while not excessively burdening the QI process; 2) clear responsibility for ethical conduct of QI should be defined; 3) QI activities should produce benefits that outweigh risks and burdens to patients; and 4) policies should respect patient privacy, self-determination, and distribute projects fairly across patient groups. References on ethics in healthcare quality improvement and research are also provided.
Strategic Management of Healthcare OrganizationsMBA ASAP
Health Care costs have been growing at an unsustainable rate. Reaching an estimated 17.3 percent of gross domestic product (GDP) in 2009, according to the Centers for Medicare and Medicaid Services (CMS), representing the largest one-year increase in history when the nation itself was in the midst of the “great recession.” Predictions are for health care costs to be 19.3 percent of GDP in 2019 (four times the 5.1 percent of GDP in 1960). Despite the high cost of health care, gaps and inequities persisted, leading to health care reform. The 2010 Patient Protection and Affordable Care Act (PPACA), or commonly Affordable Care Act (ACA) is attempting to change the US health care system from a volume-based to a value-based model.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Dear Students
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Registered nurse positioned in an emergency room (ER); responsible for assessing patients,
initiating emergency treatment and
determining their level of need
medical assistance.
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
Strategic Management of Healthcare OrganizationsMBA ASAP
Health Care costs have been growing at an unsustainable rate. Reaching an estimated 17.3 percent of gross domestic product (GDP) in 2009, according to the Centers for Medicare and Medicaid Services (CMS), representing the largest one-year increase in history when the nation itself was in the midst of the “great recession.” Predictions are for health care costs to be 19.3 percent of GDP in 2019 (four times the 5.1 percent of GDP in 1960). Despite the high cost of health care, gaps and inequities persisted, leading to health care reform. The 2010 Patient Protection and Affordable Care Act (PPACA), or commonly Affordable Care Act (ACA) is attempting to change the US health care system from a volume-based to a value-based model.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Dear Students
We can help you to write total dissertation/project report.
Our 9 step method of project writing:-
Step 1) Helping you in Selection of topic.
Step 2) Group discussion / conference call with in team of professors.
Step 3) Helping you in Preparation of Synopsis/ proposal & sent to project guide
Registered nurse positioned in an emergency room (ER); responsible for assessing patients,
initiating emergency treatment and
determining their level of need
medical assistance.
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
This Slideshare presentation is a partial preview of the full business document. To view and download the full document, please go here:
http://flevy.com/browse/business-document/Total-Quality-Management-TQM-152
Total Quality Management (TQM) is a holistic approach to long-term success that views continuous improvement in all aspects of an organization as a process and not as a short-term goal. It aims to radically transform the organization through progressive changes in the attitudes, practices, systems and structures.
By teaching this presentation, employees will understand the importance of making a personal commitment to quality, focus on satisfying both internal and external customer requirements, and working as a team to improve quality.
This training presentation includes quality philosophies from key quality leaders such as W. E. Deming, J. M. Juran and Philip Crosby, and provides a summary of process management, steps for TQM implementation, key tools and techniques for total quality as well as the key business excellence and quality management models.
Visit www.shakehandwithlife.in to buy this Book. This E-Book on 7QC tools is complete training workshop for Junior, Middle and Senior quality quality professionals. The USP of this workshop is the text and graphics in the book for understanding the tools while applying to solve the practial problems. Illustrative worked examples , Construction of tools in Excel like Histogram, Pareto Chart, Scatter Diagram, Control charts are beautifully explained in step step manner. A newcomer in the area of quality can easily understand how the tools be used and applied.
EMPHNET-PHE course: Module03 ethical issues in surveillance, screening and ou...Dr Ghaiath Hussein
This is a series of presentations I gave in the Eastern Mediterranean Public Health Network (EMPHNET)'s Public Health Ethics (PHE) that was held in Amman in June 2014.
This presentation outlines the ethical issues related to surveillance, screening, and outbreak investigation.
The clinicalaudit.ie website is dedicated to improving patient care standards by providing information for anyone interested in clinical audit. Please download a copy of this PDF for offline viewing.
Summary Needs Statement
Demographics:
· Age-27
· Sex-Females
· Family available-Yes
· Family involvement-Yes
· Social network-Yes
· Income-Yes
· Housing-Yes
· Working-Yes
Presenting Problem – What brought person to agency?
Medical Status - Summary of what is known from assessment
· The physical disability or illness the client reports
low self-esteem issues
· Medical issues identified whether treated or not treated
· What specific ways it effects the client’s social and occupational functioning and activities of daily living.
· Perceived overall health status:
· Medications
Intellectual & Mental Health Status - Summary of what is known from assessment
· Mental functioning:
· Describe the client’s mental functioning.
The client’s functioning habits are up and down. Our goal is to have the client in a safe environment, we want to client to feel comfortable at all times.
· Has Mental health diagnosis been completed - results
· Cognitive functioning:
· Ability to think and reason?
· Able to participate and make decisions?
Yes the client is able to participate in the program with no issues and also at their work place. The decision making has gotten a lot better from where we started.
Social & Environmental Factors - Summary of what is known from assessment
· Open to outside help?
The client has been very open to outside help. The client’s close cousin has been willing to help more and more and they also have seen a big improvement in the past few weeks. I can see where the client loves to see when people of the family cares, it help them relax and get through the week.
· Impairment prohibits functioning?
· Supportive work environment?
· Social support:
· Neighbors? Friends? Community?
· Family support:
· What support, or help can be expected?
· Ethnic/religious affiliation:
· Membership? Help or hindrance?
Functional Status – Summary of what is known from assessment.
Specific Needs to be addressed in the care or treatment plan
An intraorganizational model for
developing and spreading quality
improvement innovations
Katherine C. Kellogg
Lindsay A. Gainer
Adrienne S. Allen
Tatum O"Sullivan
Sara J. Singer
Background: Recent policy reforms encourage quality improvement (QI) innovations in primary care, but
practitioners lack clear guidance regarding spread inside organizations.
Purpose: We designed this study to identify how large organizations can facilitate intraorganizational spread of
QI innovations.
Methodology/Approach: We conducted ethnographic observation and interviews in a large, multispecialty,
community-based medical group that implemented three QI innovations across 10 primary care sites using a new
method for intraorganizational process development and spread. We compared quantitative outcomes achieved
through the group_s traditional versus new method, created a process model describing the steps in the new
method, and identified barriers and facilitators at each step.
Findings: The medical group achieved substantial impr.
ethical committee, needs of nursing ethics, code of ethics, purposes of code of ethics, laws , types of laws, torts , laws in nursing , responsibility of nurses in law , classification of torts
HANUMAN STORIES: TIMELESS TEACHINGS FOR TODAY’S WORLDLearnyoga
Hanuman Stories: Timeless Teachings for Today’s World" delves into the inspiring tales of Hanuman, highlighting lessons of devotion, strength, and selfless service that resonate in modern life. These stories illustrate how Hanuman's unwavering faith and courage can guide us through challenges and foster resilience. Through these timeless narratives, readers can find profound wisdom to apply in their daily lives.
The Good News, newsletter for June 2024 is hereNoHo FUMC
Our monthly newsletter is available to read online. We hope you will join us each Sunday in person for our worship service. Make sure to subscribe and follow us on YouTube and social media.
What Should be the Christian View of Anime?Joe Muraguri
We will learn what Anime is and see what a Christian should consider before watching anime movies? We will also learn a little bit of Shintoism religion and hentai (the craze of internet pornography today).
The Chakra System in our body - A Portal to Interdimensional Consciousness.pptxBharat Technology
each chakra is studied in greater detail, several steps have been included to
strengthen your personal intention to open each chakra more fully. These are designed
to draw forth the highest benefit for your spiritual growth.
The PBHP DYC ~ Reflections on The Dhamma (English).pptxOH TEIK BIN
A PowerPoint Presentation based on the Dhamma Reflections for the PBHP DYC for the years 1993 – 2012. To motivate and inspire DYC members to keep on practicing the Dhamma and to do the meritorious deed of Dhammaduta work.
The texts are in English.
For the Video with audio narration, comments and texts in English, please check out the Link:
https://www.youtube.com/watch?v=zF2g_43NEa0
Exploring the Mindfulness Understanding Its Benefits.pptxMartaLoveguard
Slide 1: Title: Exploring the Mindfulness: Understanding Its Benefits
Slide 2: Introduction to Mindfulness
Mindfulness, defined as the conscious, non-judgmental observation of the present moment, has deep roots in Buddhist meditation practice but has gained significant popularity in the Western world in recent years. In today's society, filled with distractions and constant stimuli, mindfulness offers a valuable tool for regaining inner peace and reconnecting with our true selves. By cultivating mindfulness, we can develop a heightened awareness of our thoughts, feelings, and surroundings, leading to a greater sense of clarity and presence in our daily lives.
Slide 3: Benefits of Mindfulness for Mental Well-being
Practicing mindfulness can help reduce stress and anxiety levels, improving overall quality of life.
Mindfulness increases awareness of our emotions and teaches us to manage them better, leading to improved mood.
Regular mindfulness practice can improve our ability to concentrate and focus our attention on the present moment.
Slide 4: Benefits of Mindfulness for Physical Health
Research has shown that practicing mindfulness can contribute to lowering blood pressure, which is beneficial for heart health.
Regular meditation and mindfulness practice can strengthen the immune system, aiding the body in fighting infections.
Mindfulness may help reduce the risk of chronic diseases such as type 2 diabetes and obesity by reducing stress and improving overall lifestyle habits.
Slide 5: Impact of Mindfulness on Relationships
Mindfulness can help us better understand others and improve communication, leading to healthier relationships.
By focusing on the present moment and being fully attentive, mindfulness helps build stronger and more authentic connections with others.
Mindfulness teaches us how to be present for others in difficult times, leading to increased compassion and understanding.
Slide 6: Mindfulness Techniques and Practices
Focusing on the breath and mindful breathing can be a simple way to enter a state of mindfulness.
Body scan meditation involves focusing on different parts of the body, paying attention to any sensations and feelings.
Practicing mindful walking and eating involves consciously focusing on each step or bite, with full attention to sensory experiences.
Slide 7: Incorporating Mindfulness into Daily Life
You can practice mindfulness in everyday activities such as washing dishes or taking a walk in the park.
Adding mindfulness practice to daily routines can help increase awareness and presence.
Mindfulness helps us become more aware of our needs and better manage our time, leading to balance and harmony in life.
Slide 8: Summary: Embracing Mindfulness for Full Living
Mindfulness can bring numerous benefits for physical and mental health.
Regular mindfulness practice can help achieve a fuller and more satisfying life.
Mindfulness has the power to change our perspective and way of perceiving the world, leading to deeper se
In Jude 17-23 Jude shifts from piling up examples of false teachers from the Old Testament to a series of practical exhortations that flow from apostolic instruction. He preserves for us what may well have been part of the apostolic catechism for the first generation of Christ-followers. In these instructions Jude exhorts the believer to deal with 3 different groups of people: scoffers who are "devoid of the Spirit", believers who have come under the influence of scoffers and believers who are so entrenched in false teaching that they need rescue and pose some real spiritual risk for the rescuer. In all of this Jude emphasizes Jesus' call to rescue straying sheep, leaving the 99 safely behind and pursuing the 1.
Lesson 9 - Resisting Temptation Along the Way.pptxCelso Napoleon
Lesson 9 - Resisting Temptation Along the Way
SBs – Sunday Bible School
Adult Bible Lessons 2nd quarter 2024 CPAD
MAGAZINE: THE CAREER THAT IS PROPOSED TO US: The Path of Salvation, Holiness and Perseverance to Reach Heaven
Commentator: Pastor Osiel Gomes
Presentation: Missionary Celso Napoleon
Renewed in Grace
The Book of Joshua is the sixth book in the Hebrew Bible and the Old Testament, and is the first book of the Deuteronomistic history, the story of Israel from the conquest of Canaan to the Babylonian exile.
3. When an outcome of a process or system
does not meet the necessary or desired
quality.
To identify areas/processes that are causing deficit to a
final outcome.
To test and implement positive change.
To monitor progress of outcomes.
4.
5. Reduce harm and Ethical QI projets Is it justified and
Goal of QI ?
waste implications delayed/cancelled neceiessary?
6.
7. Health care organizations should recognize
that QI cannot always be meaningfully
differentiated from other activities that occur
in the clinical arena, notably treatment and
research
8. Health care organizations should ensure that
the rights and interests of patients involved
in all health care activities – including QI – are
adequately protected.
9. Health care organizations should take care
that efforts designed to protect patients do
not unnecessarily encumber the QI process.
10. Health care organizations should clearly
define the locus of responsibility for the
ethical conduct of QI.
11. Health care organizations should proactively
promote the ethical conduct of QI.
12. QI activities should produce benefits that
outweigh their potential burdens or risks.
13. QI activities should respect each patient’s
right to self-determination.
14. QI activities should preserve patients’ privacy
and confidentiality.
15. QI activities should be fairly distributed
across patient groups.
16. Health care organizations should develop
specific policies and procedures that fit their
unique circumstances and needs
17.
18. Baily, M., Bottrell, M., Lynn, J., & Jennings, B. (2006). The ethics of using QI
methods to improve health care quality and safety. Garrison, NY: The Hasting’s
Center.
Barclay, L. (2007). Guidelines issued for ethics of quality improvement. Annals of
internal medicine, 146, 666-673.
Gensler, H. (2011). Ethics. New York, NY: Routledge.
Jennings, B., Baily, M., Bottrell, M., & Lynn, J. (Eds.). (2007). Health care quality
improvement: Ethical and regulatory issues. Garrison, NY: The Hastings Center.
National Centre for Ethics in Health Care. (2006). Recommendations for the ethical
conduct of quality improvement. Retrieved from
http://www.ethics.va.gov/docs/necrpts/NEC_Report_20020501_Ethical_Conduct_
of_Quality_Improvement.pdf
U.S. Department of Health & Human. (2011). Report to congress: National strategy
for quality improvement in health care. Ontario: Queen's Printer.
World Health Organization. (2000). Operational guidelines for ethics committees that
review biomedical research. Geneva, Switzerland: Author.
World Health Organization. (2012). Ethics. Retrieved from
http://www.who.int/topics/ethics/en/
Editor's Notes
Image taken from Clipart.
Ethics is about questioning morality, what is right and what is wrong (Gensler, 2011).We can divide the questions surrounding these morality issues into 2 categories; metaethics, which considers the nature and methodology of moral judgements, and normative ethics, which questions the chosen principles that people chose to live by (Gensler, 2011).For example, “What is good?” , “What does good mean?” and “How do we know something is good?” are all questions considered under the metaethics branch of ethics (Gensler, 2011).Questioning how we ought to apply those metaethics to everyday life in order to maximise benefit for all is a feature of normative ethics. “What are the basic virtues and rights?”, “What would make a just society?” are questions that cover this characteristic (Gensler, 2011).
Quality improvementin healthcare is a cyclical process employed to improve a process or a system (U.S. Department of Health and Human, 2011). While this process is efficient in improving patient care outcomes, it can come under fire when considered from an ethics point of view (Jennings, 2007).Groups such as the World Health Organisation have outlined specific guidelines regarding the ethical treatment of human beings involved in research, including their right to information, right to choice and causing them no harm (WHO, 2000).Ethical issues arise in QI because attempts to improve the quality of care for some patients may sometimes inadvertently cause harm, or may benefit some at the expense of others, or may waste scarce health care resources. Ethical issues also arise because some activities aimed at improvement have been interpreted as a form of medical research in which patients are used as subjects (Baily, Bottrell, Lynn & Jennings, 2006). If this interpretation is correct, QI would be subject to the same complex review and regulatory requirements that have been set up to govern biomedical and other types of human-subjects research. But is this type of regulation necessary, given what QI involves (Jennings, Baily, Bottrell & Lynn, 2007)?
Clinical research is governed by this set of ethical principles.____________________________________The growing amount of research into the ethics of quality improvement is suggesting that these principles be applied to all quality improvement projects as well.Image retrieved from http://www.thehastingscenter.org/uploadedImages/Publications/Briefing_Book/clinicaltrials_requirements.gif
The overall goal of a QI effort is to improve the experience and care that the patient receives, by reducing harm and waste, in terms of wasting ideas, money, clinician time, and patient time. Both clinicians and patients have an ethical responsibility to participate in QI activities that adhere to specified ethical requirements (Barclay, 2007). The current environment surrounding the ethical management of quality improvement is resulting in quality improvement projects being delayed or made impossible by the process of review adopted to limit risks to human subjects of research (Barclay, 2007). Given that the goal of QI in health care is so focused on bettering the patient experience, can this type of regulation be considered really necessary? Is it the most effective and reasonable way to regulate QI to ensure that it is carried out in an ethical fashion? These questions are important conceptually and practically. Thus far, however, relatively few attempts have been made to address QI from an ethical perspective, and the interface between research and quality improvement has not been adequately explored or defined (Barclay, 2007).
The research that has been carried out in the field of quality improvement and its relation to ethics has concluded that recommendations should be followed when quality improvement projects are implemented.Image taken from Clipart.
The line between QI activities and non-QI activities are not always clear. This may be aided by the employment of the ‘Common Rule’ of research:Research is defined as “a systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.” (National Center for Ethics in Health Care, 2006).
Licensing standards, accreditation requirements, and statutory and case law ConfidentialityBest interests of the patient
Ensure that increasing patient protection does not impede quality improvement efforts (National Center for Ethics in Health Care, 2006).
A nominated person must be clearly responsible for the correct ethical conduct during a QI project, to make sure that ethical standards are followed and upheld. This recommendation ensures that the judgement of ethical dilemmas stays constant and there is no opportunity for bias (National Center for Ethics in Health Care, 2006).
It is unacceptable to impose any burden on patients unless a project can reasonably be expected to be valuable. QI projects should be well designed and the measures they use should be reliable and valid. To increase the likelihood of benefit, QI projects should be conducted by well-supervised personnel with adequate training or access to consultative advice (National Center for Ethics in Health Care, 2006).
AutonomyInformed consent
Fairness is a central principle of the ethical conduct of research (National Center for Ethics in Health Care, 2006).
Different institutions have different ethical considerations.
Basically, it is a responsibility of hcw’s to participate in QI to continually improve care, while at the same time protecting the rights and best interest of the patient. The ethical dilemma exists in where to draw the line between protection and the need for improvement.
