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patient_safety_improvement_implementation_plan_2.docx

Running Head: PATIENT SAFETY IMPROVEMENT IMPLEMENTATION PLAN 1

PATIENT SAFETY IMPROVEMENT IMPLEMENTATION PLAN 2

Patient Safety Improvement Implementation Plan

Carrington Sherman

Health Care Policy HCS/550

November 14, 2016

Dr. Midge Elkins

Criteria and Tasks

Implementation of patient safety at Davis Health Care will not be an easy task as successful implementation is dependent on many factors going in the right manner. Following the proper criteria and allocating every person the necessary tasks required for successful implementation will be key for the plan to pull through. The board of directors of the health care facility will be responsible in ensuring that critical decisions are made pertaining to the implementation. They need to make decisions such as when is it best to start the implantation process.

They are responsible for appointing the executive leadership that will see through all of the implementation plans. They also need to assess the current situation of the healthcare so as to determine the best method to use to ensure quality improvement of the facility. The board needs to hold constant meetings throughout the time period of the implementation plan. The purpose of this meetings is to keep up to date on the current progress of the implementation plan. Any challenges that require their immediate attention will also be addressed during such meetings.

The executive leadership selected by the board is responsible for ensuring that plans are implemented successfully. They are the ones to guide the rest of the staff and team working on the implementation. The executive leadership has a responsibility to allocate duties and assign tasks to the most qualified personnel. They should also be aware of all parts taking course of the implementation process. They need to check regularly for progress updates from the personnel assigned to implement the necessary plans (Vincent, 2010).

The executive management is responsible for leading the rest of the personnel in the right direction. They also act as informants to the board of directors as to the progress of the implementation plan. The quality improvement committee is appointed by the executive leadership. These are the actual persons at the site implementing various patient safety improvement methods. They assess the progress as well as any risks that may occur during implementation and report these to the executive leadership. Their sole task is on quality improvement.

The medical staff are very crucial in the quality improvement plan. The executive leadership needs to ensure it has highly qualified medical staff who can deliver services to patients in the right way. Theirs is to actually follow the new changes that have been set by the management for successful implementation. Middle management also plays a role in the implementation process. They are responsible for any improvements done in their jurisdiction. They assist executive leadership in overseeing the implementation process. They are held accountable for the work taking place under their supervision. Department staff are also included in the implementation of improvement methods. They report to middle managers as to their progress on the tasks appointed to them by the same.

Communication

Effective implementation of improvement methods will require top notch communication among all persons involved in the implementation process. This is all the way from the top, the board of directors to the department staff. Poor communication will lead to failure of the implementation process as personnel are not working united. Communication has to be from top level management to the workers and vice versa. Every personnel responsible in any way of the implementation process needs to communicate their progress to their direct supervisors. This is mainly the middle level management.

The middle level managers then need to compile a progress report for the executive leadership. Executive leadership will then communicate this with the board. Any changes that the board makes will be directly communicated to the executive leaders who are responsible for ensuring that all other personnel get the updated changes. The medical staff are tasked with communicating any changes that the patients need to be aware of when they are serving the patients. They should also relay any comments or complaints made by the patients in regards to the improvements. Executive leadership is, however, tasked with communicating properly to patients and getting feedbacks from them.

Education

Educating the staff will be important so as to bring all members of staff on board. All staff need to be educated on what changes are going to be implemented as well as how these changes will be implemented. All staff will be given a general guide of the plan through mandatory meetings. Since this is a health care facility where staff work at different hours including at night, the executive leaders need to hold at least two such meetings at different times to try and capture all staff (Rowley & Waring, 2011).

The executive leaders are responsible for giving the general layout of the plan as well as a summary of what is expected. Middle level managers such as department heads are then tasked with educating the staff more on requirements of their specific department. The manager will distribute duties and tasks accordingly and explain to each staff member what is expected of them and why they are the most fit for the given task. Department heads will have been given this information by the executive leaders as to what is expected of their departments and how to go about handling the staff in the departments in terms of task allocation.

Monitoring and Revising

Monitoring and evaluation is key to any successful plan. Constant checks as to progress of the plan ensures that challenges are foreseen in advance and rectified before they can cause serious ramifications to the plan. A good monitoring system will also help detect any impending risks. This will give the leaders enough time to act on how to manage the risks. Annual evaluation of the plan will require annual progress reports from each department.

All methods put in place for the implementation process will take time to take hold. An annual evaluation helps to compare these progress and also detect any setbacks that may have occurred within the year. Some of the elements that can be monitored annually are such like implementation of the six sigma method. To see if the method is successful, sometime has to elapse for it to be evaluated. After a year, the leaders can order an evaluation of the entire health facility to check if the six sigma tool was effectively and correctly implemented (Panesar, Carson-Stevens, Salvilla, & Sheikh, 2014).

Despite the annual evaluation, the leaders need to monitor the effect brought about by the changes that have been implemented. Department heads are then tasked with the challenge of monitoring the plan’s progress constantly. They need to evaluate if the staff working under them are able to deliver on their given tasks. They also need to monitor any challenges that may have occurred during the plan’s implementation. Where need be, the executive leaders may have to change the way some part is being done so as to ensure the plan flows smoothly.

Regulatory and Accreditation

Adhering to regulations is probably one of the most critical parts of any health organization. The set out regulations ensure that health facilities are being maintained in the right standards to offer health services as well as deal with human lives. Failure to meet out any of the set out regulations attracts heavy penalties as well as increasing chances of closure of the facility. Government agencies such as doctors and nurses associations are external factors that could influence how the facility works. These agencies mainly step in when there are grievances from the staff or from patients about the working conditions or the healthcare levels provided at the facility.

The CMS is probably the largest body in charge of overseeing the regulations of the entire health care system. It also offers some medical incentives and subsidies to institutions to ensure that minimal charges are incurred on patients. These are such like free medical care for the elderly or special insurance covers for children. The U.S Department for health and human services is responsible in ensuring that facilities are meeting set out standards in the US. Investors of the health care facility may also be interested in whether the facility is following the set out regulations as they would not want to lose out on their investment due to foreclosure of the healthcare facility (Farley, 2007).

In conclusion, successful implementation of any methods to improve quality at Davis Health Care will require the entire team from the board of directors to the department staff to work together. Patient safety is key for any health facility and they should take this into consideration keenly. The methods implemented to improve on patient safety will need to be evaluated regularly and any necessary adjustments made. A positive feedback from the patients on the safety standards of the healthcare will mean that there is actual progress in the plan’s implementation. A negative feedback would mean that there is still much that needs to be done to ensure improved patient safety. Following the set out regulations may not just be enough for the facility, but going beyond these stipulations will give the facility an edge.

References

Farley, D. (2007). Assessment of the AHRQ patient safety initiative. Santa Monica, CA: RAND Health.

Panesar, S., Carson-Stevens, A., Salvilla, S., & Sheikh, A. (2014). Patient Safety and Healthcare Improvement at a Glance. Hoboken: Wiley.

Rowley, E. & Waring, J. (2011). A socio-cultural perspective on patient safety. Surrey, England: Ashgate.

Vincent, C. (2010). Patient safety. Chichester, West Sussex: Wiley-Blackwell.