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HEALTH SYSTEM PERFORMANCE COMPARISON
Constance Hope Clark
,Walden University
COURSE IM3003: Clinical Data Evaluation
The Johns Hopkins Hospital and Cleveland Clinic
Health is clearly one of the precious treasures things that people have.
Studies show that health systems are not the main origin of our health, though they play integral role in helping people improve and maintain their own health.
Thus, that’s why it is very important to ensure that health systems perform at their epitome or best. Besides, for an excellence performance, it is necessary for one to understand how these systems work and their goal in performance assessment.
The Johns Hopkins Hospital is on of the best hospitals in United States with explicit health services in nose, throat and ear.
In terms of operations, the Johns Hopkins Hospital and its medicine schools are considered as the main founders of modern American birthplace and medicine.
Cleveland Clinic on the other hand is known for its explicit medical breakthroughs such as bypass surgery and coronary artery (Scott, 2017).
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Potential Factors for Differences in Performance Measures
Cost and resources used
According to White, Dudley-Brown & Terhaar, (2019), different hospitals have different charges on services that they offer. This in turn validate a consistent outcome that can be measured for quality purposes. The available resources also determine that patient outcome thus can be evaluated for quality purposes.
Affordability and access
Affordability and access to Johns Hopkins Hospital makes it more suitable for standard services as compared to the latter which has certain inhibitions to be considered for a consistent and stable outcome. Rationally, how access Johns Hopkins Hospital is makes it lucrative and liked by many.
Nursing-sensitive care
The Johns Hopkins Hospital has standard indicators and measures that processes, restructures and validates the nursing outcomes. The measures reflect the effect of nursing care.
Potential Factors for Differences in Performance Measures
Population health
According to population health refers to the health outcomes obtained from individual groups and their distributions. In the John Hopkins Hospital the focus here is to promote explicit patient engagement. The hospital as compared to Cleveland Clinic focuses on empowering patients so that the can manage their health adequately.
Patient safety
According to White, Dudley-Brown & Terhaar, 2019), patient safety is the prevention of harm that can be implicated to patients. The emphasis is based on the care delivery system that has the ability of preventing errors and building safety culture which is unified. In the Cleveland Clinic the rationale is prevalent and the success of most of their operations and services are dependent on this factors. The renewed version is evident in the John Hopkins Hospitals with vast surgencies seen in other associated correspondences.
Impact of Performance Measures to Nursing Practice
In John Hopkins Hospital
First, the difference in performance measures between John Hopkins Hospital and Cleveland Clinic will distinguish what appears to be taking place in the centres and what is really happening. As a result, they can be used to validate practices that are valuable for the success of the hospitals.
Additionally, the differences in performance measures will determine the decisions made in nursing practices of the two hospitals especially on important initiations that need t be put in place to verify the health outcomes.
Moreover, they will allow easy comparisons of different performance across sites while monitoring changes for sustained improvements. In terms of reflective measures of the patient flow process, the performance measures will help the hospital achieve similar nursing practice benefits while evaluating its targets, businesses, and performances for clinical outcomes (Frymoyer & Wiesel, 2014).
Impact of Performance Measures to Nursing Practice
In Cleveland Clinic
According to Scott (2017), the difference will establish a baseline; that is, an explicit measures that is initiated before any forms of improvements are initiated. The end result will validate the significances and values of all the initiated practices and their values towards the success of the health practices and other associated correspondences that can be seen in them.
It also improved infrastructure and data collection for improved quality in nursing practices. Studies reveal that in the department of Zielony Institute where performance measures facilitates the improvement of outcomes in health services as well as promote nursing care quality.
Additionally, they assure patient satisfaction through ensuring implementation of focused patient’s rounding operations within the hospital as well as establishing proper pain education program that will be used to address pertinent issues.
Hospital Quality Measures
Performance measurements affects nursing practices in hospitals, directly or indirectly due to the following initiative;
Early identification of the needs of patients for standardisation of education.
According to Lindenauer et al. (2017), electronic medical records initiatives for corporation of education templates for the enhancement of medication reconciliation process.
Development of major measures on education for health professionals while sharing best practices associated with increased care practices.
Implementation of focused hourly patient practices across all hospitals and establishment of pain education programs for boosting the educational programs that will be of great value in planning for better and quality services.
Timely and Effective Care
Similarities
In both John Hopkins Hospital and Cleveland Clinic are timely and effective. Nurses in these sectors are motivated for a competitive and interactive health services.
The delivery of health services are based on their urgencies and usefulness to the patients. Nurses control the ability of other health providers to obtain the needed technologies and performances. The majority of operations are done within specified time frame.
In both Cleveland and John Hopkins Hospital, health care is valued and treated with in-depth focus and attention. Factors in the sectors are used for the improvement of early disease detection and screening as well as other management practices that are aimed at creating sound outcomes.
The Medicare coverage in the two is approximately 13% of the population, while the Medicaid is 11% of the entire population in both hospitals.
Access to both insured and uninsured care services are affected by cost sharing and copayments requirements.
Timely and Effective Care
Differences
Johns Hopkins medicine is diverse and inclusive as compared to Cleveland Clinic. It educates healthcare professionals, students and scientist as well as conduct several biomedical researches that are valuable for timely and effective care systems.
Secondly, Cleveland Clinic implores multiple approaches in treating different disease and responding to them as compared to Johns Hopkins Hospital that only use such approaches in specific diseases. Teamwork is embraced in the latter as the only way to address key issues and variables to be discussed.
Publicly Reported Data on the Quality and Safety
Cleveland Clinic
Safety and quality indicators in the hospital include;
Communication openness
Teamwork
Staffing
Management support for safety
Error reporting and prevention
Transitions and handoffs
Continuous improvement and organizational learning
Publicly Reported Data on the Quality and Safety
John Hopkins Hospital
At Johns Hopkins Children’s Center, safety and quality are our the main important priorities.
The research outcome from nineteen studies carried out between 1999 and 2015, reveal that the errors in the hospital has adversely reduced as seen in the administrative database.
Of the twenty-one measures and research conducted it is evident that safety and quality standards are based specific nursing guidelines.
Approximately, eighty percent of health practices are based on new inventions that are geared towards attainment of quality services and nursing practices.
Overall, the certificate programs in John Hopkins Hospital are open to all people who are trying to peruse further studies for safety and quality services to their patients. The minimum operational knowledge for all practices are dependent of how nurses ascertain their goals.
Cornerstone for Good Outcomes
Teamwork and organized body
The rate of hospital-acquired infections or surgical complications.
Safety standards
Healthcare timeliness
Healthcare effectiveness
Healthcare efficiency
Healthcare equitability
Healthcare patient-centeredness
Conclusion
Quality and safety improvements in hospitals and other associated healthcare sectors play significant role in enhancing efficiency, safety, and effectiveness in the hospitals. Redesigning these aspects in healthcare sectors across the world has seen most nursing practices turning to be of great value for the success of the inhibited health goals. In Johns Hopkins Hospital and Cleveland Clinic the inhibition of teamwork, modem technologies, robust health practices, and efficient health practices, significant improvements have been evident as they focus in boosting their operations to make them the best in the world.
References
Frymoyer, J. W., & Wiesel, S. W. (Eds.). (2014). The adult and pediatric spine (Vol. 1). Lippincott Williams & Wilkins.
Lindenauer, P. K., Remus, D., Roman, S., Rothberg, M. B., Benjamin, E. M., Ma, A., & Bratzler, D. W. (2017). Public reporting and pay for performance in hospital quality improvement. New England Journal of Medicine, 356(5), 486-496.
Scott, E. (2017, March). Chemo hormonal therapy in metastatic hormone-sensitive prostate cancer. Sweeney CJ, Chen YH, Carducci M, Liu G, Jarrard DF, Eisenberger M, Wong YN, Hahn N, Kohli M, Cooney MM, Dreicer R, Vogelzang NJ, Picus J, Shevrin D, Hussain M, Garcia JA, DiPaola RS. Department of Medicine; Department of Biostatistics and Computational Biology; Dana-Farber Cancer Institute, Boston; Harvard Medical School, Boston; Johns Hopkins University, Baltimore; University of Wisconsin Carbone Cancer Center; School of Medicine .... In Urologic Oncology: Seminars and Original Investigations (Vol. 35, No. 3, p. 123). Elsevier.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company.