IHP 604 Module Ten Presentation PowerPoint
2
Healthcare Improvement Initiative
Veronica Horne
Southern New Hampshire University
March 7, 2022
IHP 604
Selection of Healthcare Organizations
St. Jude Children’s Research Hospital is world renowned and has several locations within the United States. The first hospital was open imn1962 and one of its primary focuses was sickle cell disease and leukaemia, as well as other cancers for podiatric patients. St. Jude’s is well known for the care and treatment of children and ensuring that parents of patients are never billed for the services they provide. This also includes meals and housing for the families of patients during treatment. Within the first year of the hospital year of operation, more than thirty research projects have been instituted, with four completed (St. Jude, 2022).
For this project, a team was put together to monitor the quality and risk management as it pertain to St. Jude Children’s Research Hospital. Data has been collected and analysed to determine what healthcare improvement initiatives can be implemented to improve quality and safety for staff, patients, and patients’ families and any other visitors.
Selection of Public Facing Data
Childhood cancer is something that no family wants to go through for their child, yet it happens all the same for far too many families. The Public Access Data Tables that will be used for this project will show the information collected and analysed from the participants in the Childhood Cancer Survivor Study (CCSS). The information found within the tables will be organized by the type pf cancer, gender, age, years since diagnosis, age of diagnosis and what treatments were given. St. Jude Children’s Research Hospital was chosen due to the enormous amount of work and dedication put into increasing survival rates for podiatric cancer patients, and the amount of information available on their research, past and present.
Selection of Area of Improvement
St. Jude Children’s Research hospital’s area of improvement is the cancer services required for children with cancer. There needs to be efficacy in applying the services through information technology to reduce human errors. The public-facing data that will be utilized will include the Public Access Data Tables, which will show the information collected and analyzed from participants in the Childhood Cancer Survivor Study (CCSS).
Selection of Method of Improvement
The method adopted for improving cancer care is implementing and improving electronic order entry with a system to activate order sets (Dobrozsi et al., 2019). The plan would help notify the health providers in St. Jude of fever or related complications before the patient arrives on the hospital premises.
Selection of Framework to Use in Improvement Initiative Recommendations
Program-wide interventions through process maps will be the utilized method of improvement for cancer care in children. There will be an initiation of a PDSA process in each affiliate program (Coury et al., 2017). Specifically, it will improve timely antibiotic administration for children with febrile neutropenia. Besides, it will also help cancer patients with sepsis.
Discuss your Selections
I selected the area of improvement because diagnosing cancer in a child or young adult is an emotionally overwhelming experience (Morgan et al., 2019). Therefore, the kind of care offered at St. Jude hospital must improve the child’s condition without risking health. The selected method of improvement will help the health practitioners determine the patients with additional complications such as Sepsis and those who require prompt administration of antibiotics. The chosen framework will enable the hospital to use rapid small-step change cycles to implement the intervention.
Report Sections
The report sections to be included in my course project to describe my healthcare quality improvement initiative will consist of the background information where I will identify background on the services offered at St. Jude, the state of cancer patient care, the implemented technologies, and other relevant information. The scope of the study section will describe the purpose and objective of the report. The literature review will provide research information on the issue. The methodology section will describe the application of the intervention. The conclusions and recommendations section will be the last segment of the report.
Recommendations
I recommend all procedures and collection of data to be monitored and closely updated at the following intervals. This is at one month, then 3, 6, and 12 months. Ongoing monitoring allows the facility and management to see how information has changed, what areas have improved and at what rate, or have not failed to improve. This would allow management and the healthcare team to allow for modifications as needed, to ensure that it continues to improve, and if some areas do not, as to why. This can be failure of staff following sanitary protocols, such as using PPE equipment, or failing to input all data electronically.
A facility such as St. Jude’s that is world renowned, and relies heavily on donations, cannot afford to make costly errors that potentially can be avoided if all protocols are followed. Additionally, staff need to maintain an impeccable image for not just themselves, but for the entire organization as a whole. It should be considered an honor to work for such an organization, and for their cause, which is to save children with cancer or other life-threatening illness such as leukemia or other blood disorders. Maintaining a constant eye on how to continue to improve healthcare and safety is imperative.
References
Coury, J., Schneider, J., Rivelli, J., Petrik, A., Seibel, E., & D’Agostini, B. et al. (2017). Applying the Plan-Do-Study-Act (PDSA) approach to a sizeable pragmatic study involving safety net clinics. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2364-3
Dobrozsi, S., Tomlinson, K., Chan, S., Belongia, M., Herda, C., & Maloney, K. et al. (2019). Education Milestones for Newly Diagnosed Pediatric, Adolescent, and Young Adult Cancer Patients: A Quality Improvement Initiative. Journal Of Pediatric Oncology Nursing, 36(2), 103-118. https://doi.org/10.1177/1043454218820906
Morgan, J., Deyo, J., Cox, J., Fasipe, F., Mohamed, A., & Russo, C. (2019). Quality Improvement Interventions across a Network of Pediatric Hematology-Oncology Clinics. Pediatric Quality & Safety, 4(2), e149. https://doi.org/10.1097/pq9.0000000000000149
St. Jude Children’s Research Hospital (2022). Timeline: From Dream to Reality. Retrieved from https://www.stjude.org/about-st-jude/history/timeline.html?sc_icid=our-history-timeline
St. Jude Children’s Research Hospital (2022). Public Access Data Tables. Retrieved from https://ccss.stjude.org/content/dam/en_US/shared/ccss/documents/data/data-bk-brief-symptom-inventory-18-basejb.pdf