BUSI 511 Liberty University Quality Improvement in Healthcare Paper.pdf

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

Quality Improvement in Healthcare

BUSI 511

Group 2

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

Thesis Statement: The participation in healthcare quality improvement is essential to the

achievement of goals for health systems.

Question(s)/Issues Being Addressed: (500 – 750 words)

a. Why is quality improvement important in healthcare?

b. What are the current requirements of healthcare quality improvement?

c. What are the advantages and disadvantages of implementing quality improvement

methodology in the health care setting?

d. NEED A QUESTION HERE?

e. NEED A QUESTION HERE?

f. NEED A QUESTION HERE?

I. Introduction. (500 – 750 words)

a. Defining what is quality improvement in healthcare

b. Present the questions to be addressed

c. Describe how quality improvement is utilized in healthcare

d. Provide an overview of research conducted

e. Introduction of thesis statement

II. Why is quality improvement importance in healthcare? (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

III. What are the current requirements of healthcare quality improvement?(750 – 1250

words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

IV. What are the advantages and disadvantages of implementing quality improvement

methodology in the health care setting? (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

V. Question “D” here. (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

2. Supporting facts (cite resource)

VI. Question “E” here. (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

VII. Question “F” here. (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

VIII. Conclusion/Recommendations. (500 – 750 words)

a. Conclusion statement 1.

b. Conclusion statement 2.

c. Conclusion statement 3.

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

References

Aibar, L., Aibar, L., Rabanaque, M. J., Rabanaque, M. J., Mozas, J., Mozas, J., Aibar, C.

(2014). Improving patient safety by detecting obstetric care-related adverse events:

Application of a new screening guide. Archives of Gynecology and Obstetrics, 289(5),

945-952. 10.1007/s00404-013-3077-4

Alhazme, R., Haque, S., Wiggin, H., & Rana, A. (2016). The impact of health information

technologies on quality improvement methodologies’ efficiency, throughput, and

financial outcomes: A retrospective observational study. BMC Medical Informatics and

Decision Making, 16(1). 10.1186/s12911-016-0395-z

Allen, D. (2016). The importance, challenges, and prospects of taking work practices into

account for healthcare quality improvement. Journal of Health Organization and

Management, 30(4), 672–689. 10.1108/jhom-04-2014-0062

Bastian, N., Munoz, D., & Ventura, M. (2016). A mixed-methods research framework for

healthcare process improvement. Journal of Pediatric Nursing, 31(1).

10.1016/j.pedn.2015.09.003

Batalden, P. (2018). Getting more health from healthcare: Quality improvement must

acknowledge patient coproduction. An essay by Paul Batalden. British Medical Journal,

362. 10.1136/bmj.k3617

Brandrud, A. S., Nyen, B., Hjortdahl, P., Sandvik, L., Haldorsen, G. S., Bergli, M., & Bretthauer,

M. (2017). Domains associated with successful quality improvement in healthcare - A

nationwide case study. BMC Health Services Research, 17(1).

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

https://link-

galecom.ezproxy.liberty.edu/apps/doc/A509098784/AONE?u=vic_liberty&sid=AON

E&xid=85f920dd

Burstin, H., Leatherman, S., & Goldmann, D. (2016). The evolution of healthcare quality

measurement in the United States. Journal of Internal Medicine, 279(2), 154–159.

10.1111/joim.12471

Goodridge, D., Isinger, T., & Rotter, T. (2018). Patient family advisors’ perspectives on

engagement in health‐care quality improvement initiatives: Power and

partnership. Health Expectations, 21(1), 379-386. doi:10.1111/hex.12633

McGonigal, M., Bauer, M., & Post, C. (2019). Physician engagement. Critical Care Nursing

Quarterly, 42(2), 215–219. 10.1097/cnq.0000000000000258

McHugh, M., Brown, T., Walunas, T. L., Liss, D. T., & Persell, S. D. (2020). Contrasting

perspectives of practice leaders and practice facilitators may be common in quality

improvement initiatives. The Journal for Healthcare Quality, 42(3), e32-e38.

10.1097/JHQ.0000000000000223

McPhail-Bell, K., Matthews, V., Bainbridge, R., Redman-MacLaren, M. L., Askew, D.,

Ramanathan, S. (2018). An "all teach, all learn" approach to research capacity

strengthening in indigenous primary health care continuous quality

improvement. Frontiers in Public Health, 6(107). 10.3389/fpubh.2018.00107

O'Rourke, H. M., & Fraser, K. D. (2016). How quality improvement practice evidence can

advance the knowledge base. The Journal for Healthcare Quality, 38(5), 264-274. doi:

10.1097/JHQ.0000000000000067

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

Pflueger, D. (2015). Accounting for quality: On the relationship between accounting and

quality improvement in healthcare. BMC Health Services

Research, 15(1). http://dx.doi.org.ezproxy.liberty.edu/10.1186/s12913-015-0769-4

Rohrbasser, A., Harris, J., Mickan, S., Tal, K., & Wong, G. (2018). Quality circles for

quality improvement in primary health care: Their origins, spread, effectiveness and

lacunae - A scoping review. PLOS One Journal, 13(12). 0.1371/journal.pone.0202616

Rosen, B., Pawlson, L., Nissenholtz, R., Benbassat, J., Porath, A., Chassin, M., & Landon, B.

(2011). What the United States could learn from Israel about improving the quality of

health care. Health Affairs, 30(4), 764–772. 10.1377/hlthaff.2011.0061

Schroeder, P., Parisi, L. L., & Foster, R. (2019). Healthcare quality improvement: Then

and now. Nursing Management, 50(9), 20-25. 10.1097/01.NUMA.0000579004.87116.35

Thorlby, R., Jorgensen, S., Siegel, B., & Ayanian, J. (2011). How health care organizations are

using data on patients’ race and ethnicity to improve quality of care. Milbank

Quarterly, 89(2), 226–255. 10.1111/j.1468-0009.2011.00627.x

Mannion, R., & Davies, H. (2018). Understanding organizational culture for healthcare

quality improvement. British Medical Journal (Clinical Research Ed.), 363.

10.1136/bmj.k4907

Waterman, B., Sutter, R., Burroughs, T., & Dunagan, W. C. (2014). Measurement:

Accounting for reliability in performance estimates. Physician Leadership

Journal, 1(2).

http://liberty.summon.serialssolutions.com/#!/search?bookMark=ePnHCXMwbV1N

T8QgEOWwxtXqXzAkXq0pUKD1ZG1QSWw1XfbgidAP9mpE_7_Dtmv2sBdIYJj

DDJnhAZl3iVaAW6dV5HSTOcATlq3_7zx4fBjMztGaQtaVhcgu0GOjIIB0-

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

9L1D7iq6_dta3T7ggEE4U4BoH3Sb9p8Yt3iD9XBaBNZW7DaGN1URm2u0JkHT0

3XS5-

g7bMy9Wu6kAmkOzh0i1TmQ897yGiCl9MoqS_6oiBDOXiZO0ocp5MYaQYzPZE

D89PoJGO0FJw65p1nCbqd9R5Ctl28HSwRZcnpHu8l6H6WivHdxk3y8-

0Gt_x1B8PEcku2iqiKUkkiJ_PNiQX2WODuSGChpoQmRPAedu43hJP65nxqv-

aiFfZgcfYHoDB0cQ

White, M., Butterworth, T., & Wells, J. S. (2017). Healthcare quality improvement and

'work engagement'; concluding results from a national, longitudinal, cross-sectional

study of the 'productive ward-releasing time to care' program. BMC Health Services

Research Journal, 17(1), 510-511. 10.1186/s12913-017-2446-2

Running head: SECTIONS VI AND VII 1

Sections VI and VII

Student’s Name

Institutional Affiliation

Date

SECTIONS VI AND VII 2

Sections VI and VII

Section V: How does electronic health records (EHR) influence quality improvement in

healthcare?

Section VI: What roles do nurse training play in attaining quality improvement standards

in healthcare?

Nurses play a considerable role in influencing the level of care that is offered to patients.

Since they spend most of their time with the patients, they are trustworthy and effective to handle

multifaceted situations. The ability to improve patient care is centered on the duties of healthcare

providers. There is increased demand for better healthcare by keener competition, further

healthcare regulations, and personnel competence as ways that nurses can exercise the delivery

of care that is safe and efficient (Zurlo & Zuliani, 2018). Nurse training is dictated by the quality

of infrastructure, personnel competence, and operational system efficiency. Having a patient-

oriented system depends on the extent of nurse training in addressing patient needs both

efficiently and satisfactorily.

Trained personnel deliver high-quality care to patients since these professionals

understand patient needs and the significance of satisfying them (Morley, & Cashell, 2017). The

outcomes eventually become desirable because of the commitment and passion that trained

personnel have towards their duties. The challenge of hiring poorly trained personnel in

healthcare systems should be resolved by developing a clear recruitment plan of all that is

needed. An increase in training programs and the improvement of already existing programs

should be prioritized. As such, having a consistent curriculum for all trained nurses helps in

SECTIONS VI AND VII 3

attaining standardization that ensures the quality of care that is administered is high and meets

patient needs.

Competent nurses are a valuable resource that ensures the improvement of quality

healthcare (World Health Organization, 2018). These nurses depend on the right instruments,

suitable medications, and new technologies. These three aspects are crucial in facilitating and

supporting the skills and knowledge of a nurse. The instruments for use in everyday operations

should be of good quality and available at low costs. Having proper inventory systems ensures

that healthcare systems can lower costs and attain better outcomes. The appropriate medications

help to achieve quality improvement because patients desire the best care at low costs.

Telemedicine is dominating the healthcare sector today and it is a vital component of

nurse training that ensures the administration of care to patients meets the high-quality criteria

(Greene, Farley, Amy & Hutcheson, 2018). Patient care is improved in a dynamic process that

should be at the core of the perceptions of medical care professionals. Patient sensitivity is

incorporated when designing healthcare delivery plans so that patient expectations are

adequately addressed. The consideration of quality in every aspect of administering patient care

is helpful for improved quality in medical and non-medical fields. Healthcare professionals,

particularly nurses must embrace autonomous practices when serving client needs. In so doing, it

simplifies the decision making aspect of the best care for a patient. Nurses thrive in environments

that emphasize managerial support because of the team building programs and awards for best

performance. These programs boost employee morale and improve the quality of care that they

administer to patients.

The medical industry is fast evolving and patient satisfaction through constructive care

experiences is placed at the core of healthcare systems (Aase, Schibevaag & Waring, 2017). An

SECTIONS VI AND VII 4

understanding of the roles of various clinicians is crucial in determining the extent to which

quality care is administered. Nurse training influences these outcomes because of the

preparedness and willingness to administer the required care. Nurses spend most of the time with

patients, something that implies they are highly influential in the patient’s recovery process. The

training encompasses better care quality as well as experiences that define their role in healthcare

systems.

Nurses have the power to transform patient experiences, mainly through empathic and

effective communication (Morley, & Cashell, 2017). The time that nurses spend with patients

indicates their commitment to ensuring that patients are entitled to the best care. The nurses

engage patients in education programs about the best ways to maintain good health and their

safety. The patients can also establish confidence to deal with their illnesses especially in

situations of despair. They establish a rapport with patients which most nurses agree is the best

approach to solve patient needs and obtain sensitive information for better delivery of care.

Nurses establish relationships at personal levels, which enhances patient satisfaction.

Nurses are responsible for safeguarding patient safety, an aspect that is crucial in

achieving quality improvement in healthcare (Dandoy, Hilden, Billett & Mueller, 2017).

Increased patient satisfaction indicates the increasing role of nurses in building relationships with

patients that is aimed at addressing their needs. Nurses play a critically significant role compared

to any other healthcare professional. They monitor patients, detect errors, and understand care

processes, all of which are components of their training. Well-trained nurses are competent and

understand their role in delivering patient-centered care. Nurses are attentive to patient needs and

are focused on ensuring the recordings are usually positive scores. These indicate a patient’s

progress and the commitment and qualification of a nurse to administer quality healthcare.

SECTIONS VI AND VII 5

Section VII: How does quality improvement reduce medical errors and readmission rates?

Healthcare facilities have had to withstand the challenge of elevated medical errors and

readmission rates. These aspects are costly to operations and tend to interfere with the roles that

medical professionals to ensure the best care is delivered to patients (Upadhyay, Stephenson &

Smith, 2019). The quality of patient care can decline due to medication errors, the use of medical

devices, and data reporting. Healthcare professionals must demonstrate their abilities, skill, and

experience to ensure they can effectively manage an illness. There have been rampant hospital

readmissions, which is a concern of quality improvement because of the financial obligations and

an increase in patient complications.

Quality improvement defines the standards of care that should be administered to patients

to attain positive outcomes (Zurlo & Zuliani, 2018). However, these standards are usually not

met because of incompetent professionals in healthcare systems. Nurses can only deliver quality

care when managerial support exists. Moreover, having a positive working environment

increases the possibility of patient satisfaction. Notably, working conditions as well as nurse

satisfaction have a considerable impact on the care quality of patients in terms of satisfaction and

safety. Patients expect that medical professionals will deliver the best quality care whenever they

seek services. However, this is not usually the case because of the widespread medical

negligence among healthcare professionals. Medical errors occur because healthcare

professionals are not committed to their tasks and are unable to adhere to medical standards

when administering treatment to patients to avoid compromising the safety and wellbeing of

individuals. Quality improvement emphasizes the value of collaborative care that ensures other

medical professionals can contribute effectively to the needed care.

SECTIONS VI AND VII 6

Readmissions are reduced by improved discharge processes and ensuring they are

patient-centered. The special concern of medical professionals is to ensure medical

reconciliation, improved coordination of the patient with providers in the community as well as

self-management capabilities (Ruggiero, Smith, Copeland & Boxer, 2015). These are effective

strategies aimed at eliminating readmission rates, which have in recent times increased because

of limited attention that is given to patients following discharge. Quality improvements

guarantee an improved procedure that ensures discharge is not the need for interacting or

assessing the patient. Discharge processes should only be the beginning of presuming full

recovery among patients. Healthcare personnel, especially nurses should portray dedication to

follow up a patient’s progress and determine any need for further care or declare a recovery.

Medical errors occur because healthcare personnel do not consider it as their responsibility to

routinely monitor a patient after discharge. Quality improvement in healthcare necessitates an

overhaul of prevailing systems and introducing systematic approaches and procedures that work

towards a specific goal.

Medical errors and readmission rates are a challenge to quality improvement initiatives in

healthcare (Yousef & Yousef, 2017). A lack of integration in healthcare organizations that

entails hospital and community-based providers interfere with how well care is administered.

Healthcare systems that do not commit resources to lengths of patient stay in hospitals and lacks

properly coordinated care hinder the success of service delivery. Healthcare facilities that invest

adequately in inpatient care through prolonging hospital stays are more likely to obtain positive

outcomes. Patient-centered care involves placing the patient at the core of care and assessing the

extent to which it is effective. A majority of patients are usually unaware of their illness or

condition during discharge. As such, they mistakenly discontinue essential medications and fail

SECTIONS VI AND VII 7

to attend to appointments and referrals. The patients in such categories are difficult to monitor

and determine whether the medication was effective or not. These patients end up with the

intervention of community providers. As a result of high self-management expectations, reduced

length of stay in the hospital, and increased awareness renders more patients highly susceptible

to readmission.

Quality improvement projects in healthcare facilities help to curb increased readmission

rates and medical errors (Montreuil, Martineau & Racine, 2019). Medical professionals ought to

have guidelines that inform their decisions whenever they serve clients. These decisions should

be consistent with the standards of practice and care. Notably, the decisions that medical

professionals make have a huge impact on a patient’s process of recovery after or before

discharge. As such, every decision should be thoroughly evaluated to ascertain its suitability in

particular treatment contexts. Quality improvement projects seek to improve the process of

discharge and enhance the coordination of care besides encouraging patients to maintain self-

management. Patients that obtain quality healthcare are less likely to be readmitted or complain

of medical errors and negligence. As such, the healthcare team should be committed to reducing

readmissions by monitoring readmissions for a month besides availing patient information for

medications. These strategies guarantee the quality of care that is administered and the

effectiveness it will have on the patient as the recovery is monitored.

SECTIONS VI AND VII 8

References

Aase, K., Schibevaag, L., & Waring, J. (2017). Crossing Boundaries: Quality in Care

Transitions. In Researching Quality in Care Transitions (pp. 3-29). Palgrave Macmillan,

Cham.

Dandoy, C. E., Hilden, J. M., Billett, A. L., & Mueller, B. U. (2017). Quality Improvement and

Patient Safety Resources. In Patient Safety and Quality in Pediatric

Hematology/Oncology and Stem Cell Transplantation (pp. 361-368). Springer, Cham.

Greene, J., Farley, D., Amy, C., & Hutcheson, K. (2018). How patient partners influence quality

improvement efforts. The joint commission journal on quality and patient safety, 44(4),

186-195. Retrieved from https://doi.org/10.1016/j.jcjq.2017.09.006

Montreuil, M., Martineau, J. T., & Racine, E. (2019). Exploring ethical issues related to patient

engagement in healthcare: patient, clinician and researcher’s perspectives. Journal of

bioethical inquiry, 16(2), 237-248. Retrieved from https://doi.org/10.1007/s11673-019-

09904-6

Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of medical imaging and

radiation sciences, 48(2), 207-216. https://doi.org/10.1016/j.jmir.2017.02.071

Ruggiero, J., Smith, J., Copeland, J., & Boxer, B. (2015). Discharge time out: An innovative

nurse-driven protocol for medication reconciliation. MedSurg Nursing, 24(3), 165.

doi:10.1016/j.gerinurse.2010.

Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on

hospital financial performance: a study of Washington hospitals. INQUIRY: The journal

SECTIONS VI AND VII 9

of health care organization, provision, and financing, 56, 0046958019860386.

https://doi.org/10.1177/0046958019860386

World Health Organization. (2018). Delivering Quality Health Services: A Global Imperative for

Universal Health Coverage. World Health Organization.

Yousef, N., & Yousef, F. (2017). Using total quality management approach to improve patient

safety by preventing medication error incidences. BMC health services research, 17(1),

621. Retrieved from https://doi.org/10.1186/s12913-017-2531-6

Zurlo, A., & Zuliani, G. (2018). Management of care transition and hospital discharge. Aging

clinical and experimental research, 30(3), 263-270. Retrieved from

https://doi.org/10.1007/s40520-017-0885-6

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

Thesis Statement: The participation in healthcare quality improvement is essential to the

achievement of goals for health systems.

Question(s)/Issues Being Addressed: (500 – 750 words)

a. Why is quality improvement important in healthcare?

b. What are the current requirements of healthcare quality improvement?

c. What are the advantages and disadvantages of implementing quality improvement

methodology in the health care setting?

d. How does electronic health records (EHR) influence quality improvement in

healthcare?

e. What roles do nurse training play in attaining quality improvement standards in

healthcare?

f. How does quality improvement reduce medical errors and readmission rates?

I. Introduction. (500 – 750 words)

a. Defining what is quality improvement in healthcare

b. Present the questions to be addressed

c. Describe how quality improvement is utilized in healthcare

d. Provide an overview of research conducted

e. Introduction of thesis statement

II. Why is quality improvement importance in healthcare? (750 – 1250 words)

a. Supporting Point One

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

b. Supporting Point Two

1. Supporting facts (cite resource)

2. Supporting facts (cite resource)

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

References

Aibar, L., Aibar, L., Rabanaque, M. J., Rabanaque, M. J., Mozas, J., Mozas, J., Aibar, C.

(2014). Improving patient safety by detecting obstetric care-related adverse events:

Application of a new screening guide. Archives of Gynecology and Obstetrics, 289(5),

945-952. 10.1007/s00404-013-3077-4

Alhazme, R., Haque, S., Wiggin, H., & Rana, A. (2016). The impact of health information

technologies on quality improvement methodologies’ efficiency, throughput, and

financial outcomes: A retrospective observational study. BMC Medical Informatics and

Decision Making, 16(1). 10.1186/s12911-016-0395-z

Allen, D. (2016). The importance, challenges, and prospects of taking work practices into

account for healthcare quality improvement. Journal of Health Organization and

Management, 30(4), 672–689. 10.1108/jhom-04-2014-0062

Bastian, N., Munoz, D., & Ventura, M. (2016). A mixed-methods research framework for

healthcare process improvement. Journal of Pediatric Nursing, 31(1).

10.1016/j.pedn.2015.09.003

Batalden, P. (2018). Getting more health from healthcare: Quality improvement must

acknowledge patient coproduction. An essay by Paul Batalden. British Medical Journal,

362. 10.1136/bmj.k3617

Brandrud, A. S., Nyen, B., Hjortdahl, P., Sandvik, L., Haldorsen, G. S., Bergli, M., & Bretthauer,

M. (2017). Domains associated with successful quality improvement in healthcare - A

nationwide case study. BMC Health Services Research, 17(1).

Running head: QUALITY IMPROVEMENT IN HEALTHCARE

https://link-

galecom.ezproxy.liberty.edu/apps/doc/A509098784/AONE?u=vic_liberty&sid=AON

E&xid=85f920dd

Burstin, H., Leatherman, S., & Goldmann, D. (2016). The evolution of healthcare quality

measurement in the United States. Journal of Internal Medicine, 279(2), 154–159.

10.1111/joim.12471

Goodridge, D., Isinger, T., & Rotter, T. (2018). Patient family advisors’ perspectives on

engagement in health‐care quality improvement initiatives: Power and

partnership. Health Expectations, 21(1), 379-386. doi:10.1111/hex.12633

McGonigal, M., Bauer, M., & Post, C. (2019). Physician engagement. Critical Care Nursing

Quarterly, 42(2), 215–219. 10.1097/cnq.0000000000000258

McHugh, M., Brown, T., Walunas, T. L., Liss, D. T., & Persell, S. D. (2020). Contrasting

perspectives of practice leaders and practice facilitators may be common in quality

improvement initiatives. The Journal for Healthcare Quality, 42(3), e32-e38.

10.1097/JHQ.0000000000000223

McPhail-Bell, K., Matthews, V., Bainbridge, R., Redman-MacLaren, M. L., Askew, D.,

Ramanathan, S. (2018). An "all teach, all learn" approach to research capacity

strengthening in indigenous primary health care continuous quality

improvement. Frontiers in Public Health, 6(107). 10.3389/fpubh.2018.00107

O'Rourke, H. M., & Fraser, K. D. (2016). How quality improvement practice evidence can

advance the knowledge base. The Journal for Healthcare Quality, 38(5), 264-274. doi:

10.1097/JHQ.0000000000000067