Leading Organizations for Quality Improvement Initiative
DICUSSION response:
MEASUREMENT SYSTEMS AND METHODS
3 years ago
20
MeasurementSystemsandMethods2.docx
WK.5.RESPONSE.LeadingOrganizationsforQualityImprovementInitiatives.docx
MeasurementSystemsandMethods2.docx
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Initial Post: Measurement Systems and Methods
Description of Healthcare Organization
My healthcare organization offers mental healthcare services and telemedicine for those who cannot make it to the clinic. The teleclinic offers ADHD testing, genetic testing, ketamine therapy, and transcranial magnetic stimulation. It also offers psychotherapy-related services such as cognitive behavioural therapy, dialectical behavioural therapy, EMDR, grief counselling, and mindfulness-based cognitive therapy. The healthcare organization treats conditions that include ADHD, autism spectrum disorder, anxiety and stress disorder, bipolar disorder, sleep disorders, personality disorders, and oppositional defiant disorder. The patients who visit the healthcare organization suffer from mental health issues and rely on the care providers for the provision of quality mental healthcare services for the best outcomes for their health. One way the organization ensures that patients' needs are met is by using scorecards.
Measures on Scorecards
Scorecards in healthcare are useful tools that monitor the activities of healthcare providers to identify useful measures and indicators that increase the innovativeness of healthcare organizations, allowing them to improve customer service and patient outcomes and eventually excel in their operations (Amer et al., 2022). My organization uses this tool, applying measures that focus on the patient in the process. These measures are staff-patient relationships, positive feedback from patients and their families, and positive word-of-mouth by patients to others after the provision of service. Gaining the data for these measures involves asking patients if they would spread the good word about the organization and whether they were satisfied with the services they have received in the teleclinic, among other questions. The care organization shares the scores from the surveys with the healthcare staff to boost their morale and make them feel valued if positive or to identify areas of weaknesses or quality gaps if negative.
Goals for Metrics (Establishment and Attainment in Health Organization)
The healthcare organization takes advantage of key indicators to set goals for the metrics in the scoreboards. Abuse (2020) Indicates that healthcare indicators are essential in the identification of processes that allow healthcare organizations to attain their set goals for quality improvement and best care provision. In this case, some of the goals for the organization that relate to the set metrics are increased positive feedback from patients, improved patient-provider relationships, and increased referrals to the clinic of new patients by previous patients. These goals are being attained by the organization and this is evident in the number of patients visiting the clinic and reporting that they have been referred by a patient who had been assisted by the care organization. It is also evident in the positive scores on the scoreboards in terms of quality provision and patient-staff relationship from the feedback gained from patients and their families.
Impact of Attaining Goals
Attaining goals is important for the health care organization as it is important for any other care setting or organization. Attaining the set goals is meaningful for the care providers as this means that they are providing patients with quality services and promoting positive care outcomes for them. For instance, when the organization receives positive scores on the patient-provider relationship it means that the care providers are showing compassion and understanding during their care provision and that the needs and concerns of the patients are being met. Furthermore, when there is an increase in positive feedback from patients and their families, it means that not only are the patients doing well health-wise but also that they are pleased with the way they have received care. Increased referrals benefit the organization by increasing its monetary input and allowing it to make a profit while providing quality care. All in all, the healthcare organization, its staff, and the patients benefit when the organization attains the goals it has set for itself.
References
Abuse, S. (2020). Key substance use and mental health indicators in the United States: results from the 2019 National Survey on Drug Use and Health.
Amer, F., Hammoud, S., Khatatbeh, H., Lohner, S., Boncz, I., & Endrei, D. (2022). The deployment of balanced scorecard in health care organizations: is it beneficial? A systematic review. BMC health services research, 22(1), 1-14.
WK.5.RESPONSE.LeadingOrganizationsforQualityImprovementInitiatives.docx
Leading Organizations for Quality Improvement Initiatives
DICUSSION response:
MEASUREMENT SYSTEMS AND METHODS
Read a selection of your colleagues’ responses and respond to your colleagues by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.
PEER #1
Quennie XSerenity
Main Post
MERRY CHRISTMAS! MALIGAYANG PASKO!
The healthcare organization I selected is the new Baptist Hospital in Brent Lane, Pensacola, FL. We have recently moved hospitals (September 2023), so the building is new. We use scorecards and dashboards in which patient experience and care are measured, tracked, and used to set improvement goals. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) then tells us whether we are at par with the other hospitals in the area. HCAHPS is the first national, standardized, publicly reported survey of patients’ perspectives on hospital care (Centers for Medicare and Medicaid Services, 2020).
Star ratings reflect HCAHPS surveys completed from July 2014 through June 2015, released on May 4, 2016. According to the President and CEO of Baptist Health Care, patient satisfaction is reviewed monthly to ensure we stay on top of our performance expectations. The ratings are based on 11 publicly reported measures in the HCAHPS survey (Baptist Health Care, 2023). The DNV recently surveyed our hospital, and we were told we passed with flying colors. On my floor, we measure performance according to our numbers of patient falls, hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections (CAUTI), and central line-associated bloodstream infections (CLABSI).
It is important to score low in these nurse-sensitive indicators as they can also impact hospital-wide scores. The impact of not meeting these metrics for my healthcare organization can be disastrous. “What we had previously assumed to be consistently high-quality care was now revealed to be frequently unreliable and inadequate in meeting patient needs” (Nash et al., 2019, p. 233) until the publication of To Err Is Human and Crossing the Quality Chasm. As the healthcare system is now moving away from fee for volume of services to fee for patient-centered care or services, the surveys are defined by what actually happens from the source of that information: the patients.
References:
Baptist Health Care (2023). Baptist Health Care Hospitals Score High, Gulf Breeze Hospital earns perfect five-star rating in latest CMS Hospital Compare Website Update. Baptist Health Care | eBaptistHealthCare.org. https://www.ebaptisthealthcare.org/news/baptist-health-care-hospitals-score-high-gulf-breeze-hospital-earns-perfect-five-star-rating-in-latest-cms-hospital-compare-website-update
Centers for Medicare and Medicaid Services. (2020). HCAHPS: Patients’ perspectives of care survey Links to an external site.Links to an external site. . https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
PEER#2
Ernestina Serwaa Bonsu
Main post-week five discussion
Brief Description of Healthcare Organization: The chosen clinical setting is a 557-bed level 1 trauma center with emergency services, 23 operating rooms, 32 intensive unit beds, 18 cardiovascular critical unit beds, 12 neurology intensive unit beds, several step-down and standard unit beds, and a women and children's pavilion.
Summary of Scorecard or Dashboard Measures: Scorecards and dashboards are tools for tracking and displaying critical data and indicators related to patient care experiences. They visually represent vital parameters, allowing healthcare organizations to monitor and evaluate performance in this area (Khanhhai et al., 2022). These scorecards or dashboards often include information on patient satisfaction, communication effectiveness, staff responsiveness, and other elements contributing to the overall patient experience. Healthcare organizations may discover areas for improvement and make data-driven decisions to improve patient care quality by having this information readily available. To measure a scorecard or dashboard related to patient outcomes, healthcare organizations collect data from various sources. These include patient surveys, feedback forms, complaints and compliments, and other feedback mechanisms. The data collected is analyzed and transformed into meaningful metrics and indicators that reflect different aspects of the patient's experience (van Elten et al., 2022). My organization establishes goals for these metrics and regularly reviews them. We are meeting or exceeding our goals in most of these areas. It shows that we are providing a positive experience and delivering high-quality care. We continuously strive to improve and provide the best possible experience for our patients.
Implications for Meeting or Not Meeting the Scorecard Metrics: Being able to meet or not to meet these metrics has significant impacts on our healthcare organization. Meeting these metrics means we deliver high-quality care and provide a positive patient experience, which can lead to positive outcomes such as higher patient satisfaction scores, build a strong reputation for our organization, which can lead to increased trust and loyalty among patients, and lastly, meeting the score care metrics can boost staff morale and engagement as they see the impact of their work on patient outcomes. On the contrary, not meeting these metrics can have negative consequences, such as decreased patient confidence, leading to patients seeking care elsewhere. It could also harm our organization's reputation. Negative patient experiences can spread through word-of-mouth and online reviews, impacting our ability to attract new patients and retain existing ones. Lastly, it may indicate underlying issues in the quality of care provided (Amer et al., 2022).
In a nutshell, measuring patient experience scorecards or dashboards involves collecting data from sources like surveys and feedback forms. This data is analyzed to generate metrics reflecting the patient's experience. Regular tracking helps to identify areas for improvement and enhance patient care.
Reference
Amer, F., Hammoud, S., Onchonga, D., Alkaiyat, A., Nour, A., Endrei, D., & Boncz, I. (2022,
June 10). Assessing patient experience and attitude: BSC-Patient Development,
translation, and Psychometric Evaluation-a cross-sectional study. International journal of
environmental research and public health.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223066/
Khanbhai, M., Symons, J., Flott, K., Harrison-White, S., Spofforth, J., Klaber, R., Manton, D.,
Darzi, A., & Mayer, E. (2022, February 3). Enriching the value of patient experience
feedback: Web-based Dashboard Development using co-design and Heuristic
Evaluation. JMIR human factors
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855286/ Links to an external site.
van Elten, H. J., Sülz, S., van Raaij, E. M., & Wehrens, R. (2022, February 22). Big Data Health
Care Innovations: Performance Dashboarding as a process of collective sensemaking.
Journal of medical Internet research.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905474/
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