Health and Social care management

1. QUALITY IN HEALTH AND
SOCIAL CARE
A A R P ADIAKRI
31242

2. Stakeholder roles in relation to quality and standards
in Health and Social Care settings.
• Stakeholders in Health and Social Care.
Stakeholders in healthcare are an individual or organisation that has an interest in decisions made in the healthcare
industry and its subsidiaries including health promotion organisations and health and social care. They have ability
and interest in making changes and proposals within the healthcare sector.
In a hospital setting – Management
Doctors
Nurses
Patients
and all the related parties are stakeholders

3. Contribution of stakeholders to health and Social care
Stakeholders contribute to health care by funding and supporting, directing the system strategically, providing
solutions to the problems and completing the health care related duties and many other ways.
The most important stakeholders in health care are patients, providers ( professionals), policy makers.
Patients - Are the stakeholders which keep running the health and social care system. Without patients no
use of having health care facilities. In a metaphorical way patients are the stakeholders who do the
funding for the running of the health care system.
Providers- Professionals are the people who ensure quality service. They contribute to the system by charring
out patient care services.
Policy makers – Policy makers are contributing by introducing and altering policies to carry out quality and
efficient service for the general public.

4. Role of external agencies in setting and maintaining
standards
 Regulate the Health care practitioners qualifications to ensure the safety of the patients.
 Regulate the quality of the health care facilities to ensure best service for the patients.
 Regulate the quality of medicines which are given to patients and via that ensure patients’ safety.
 Introduce new policies and regulatory requirements which are timely needed.
 Take necessary actions against patients’ complains and malpractice.
 Provide consultation expertise for the betterment of the organization.

5. Impact of poor quality and standards on health and
social care.
Impacts on the institute ( service provider)
 Reduction of the efficiency of the organization.
 Destruction of the brand name of the institute.
 Due to the reduction in customer satisfaction, disruption of the client tail.
 Have to face with legal actions taken by the regulatory bodies.
Impacts on the patients ( service receivers)
 Patient’s safety is not assured.
 Possibility to get misdiagnosed.
 Unable to get the best available medical care.
 Uncomfortable stay at the hospital.

6. Methods for evaluating health and social care quality
of service provision
There are many methods to evaluate the quality of Health and Social care provisions.
 Through patients’ feedbacks.
 Through the healthcare workers’ feedbacks.
 Through the evaluations done by the internal management on the institute.
 Through the evaluations conducted by the external agencies.
 By comparing the national policies with international policies.
 Analyzing the ratios such patients per doctor, patients per nurse etc.
 By the parameters such as Mortality, Readmissions, Timeliness of Care etc.

7. Measuring the quality in health and social care
Quality measures are standards for measuring the performance of healthcare providers, in caring out care
for patients and populations.
 By evaluating the qualifications of Health Care providers.
 By evaluating the medical facilities and infrastructures of the facility.
 Through the quality of the health services carrying out.
 Through patients’ feedbacks.
 Evaluating the accordance with the guild lines of the regulatory bodies.
 Confidentiality of the patients’ data.
 By analyzing the number of readmissions.

8. Approaches to implementing quality systems
Quality system consists of written and controlled guidelines and procedures which form a foundation for all
procedures. In well established system, steps for key processes are well defined and guild lines to prevent
failures are defined precisely. Quality systems are introduced to protect the brand, organization processes,
and the patients’ safety.
In implementing a quality system
 Proper internal and external evaluation should be carried out.
 Should identify the weakness and strengths of the organization.
 Get the experts’ opinions on setting up the quality system.
 Legal provisions for implementing the quality system.
 Studies on similar, successfully running quality systems.
 Time to time evaluation on the system.
 Patients’ and healthcare workers’ feedbacks on the system.
to be considered.

9. Barriers to delivery of quality health and social care
services
There are many barriers in the delivery of quality health care such as physical barriers, financial barriers,
psychological barriers, geographical barriers.
Physical barriers
 Poor infrastructure facilities.
 Lack of advance equipment.
 Less number of beds ( not enough facility for inward care).
 Lack of staff.
Financial barriers
 Less competitive salaries for employees will decrease the retention.
 Lack of funding for developing infrastructures.
 Lack of funding to purchase modern equipment.
 Difficulty in cost covering with the inflation.

10. Psychological barriers
 Psychological fears ( Eg: Fear Covid 19 booster)
 Mythologies ( Eg: infertility due to covid vaccines)
Geographical barriers
 Due to the geographical barriers health care services can not be carried out properly.
For an example the people who live in Everest mountains, can not be expected to have the same quality health care that the
people are in New Delhi having due to geographical barriers.

11. References
1. Kimberley, 2021. Who are the Stakeholders in Healthcare?. [online] Swift Digital. Available at: <https://www.swiftdigital.com.au/blog/stakeholders-
healthcare/#:~:text=Stakeholders%20in%20healthcare%20play%20a,to%20the%20overall%20healthcare%20industry.> [Accessed 20 March 2022].
2. Locusassignments.com. 2022. Unit 3 Managing Quality in Health Social Care Assignment – Locus Help. [online] Available at:
<https://www.locusassignments.com/solution/unit-3-managing-quality-health-social-care-assignment> [Accessed 20 March 2022].
3. Health Catalyst. 2022. The Top 7 Healthcare Outcomes Measures. [online] Available at: <https://www.healthcatalyst.com/insights/top-7-healthcare-outcome-
measures/> [Accessed 21 March 2022].
4. Contributor, N. and Contributor, N., 2022. Barriers to managing and improving quality | Nursing Times. [online] Nursing Times. Available at:
<https://www.nursingtimes.net/roles/nurse-managers/barriers-to-managing-and-improving-quality-02-03-2012/> [Accessed 21 March 2022].
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Hebrew. PMID: 22519258.
6. Mittermayer R, Huić M, Mestrović J. Kvaliteta zdravstvene zastite, akreditacija nositelja zdravstvene djelatnosti i procjena zdravstvenih tehnologija u Hrvatskoj:
uloga agencije za kv alitetu i akreditaciju u zdravstvu [Quality of health care, accreditation, and health technology assessment in Croatia: role of agency for
quality and accreditation in health]. Acta Med Croatica. 2010 Dec;64(5):425-34. Croatian. PMID: 21692267.
7. Quentin W, Partanen VM, Brownwood I, et al. Measuring healthcare quality. In: Busse R, Klazinga N, Panteli D, et al., editors. Improving healthcare quality in
Europe: Characteristics, effectiveness and implementation of different strategies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems
and Policies; 2019. (Health Policy Series, No. 53.) 3. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549260/

12. Thank you……………….