Quality Assurance Interview With Doug Smith

Since CMS implemented the Physician Quality Reporting Initiative (now known as the Physician Quality Reporting System (PQRS) under the Tax Relief and Health Care Act of 2006 (TRHCA), there have been several changes in participation sanctions, reporting mechanisms and eligibility for incentives and bonuses. During the first two years, the program was technically a temporary, renewable initiative that sought to improve the quality of both delivery and coordination of care. The initiative became permanent when the Medicare Improvement for Patients and Providers Act (MIPPA, 2008) was enacted. The Centers for Medicare and Medicaid Services (CMS) believes the sanction-based initiative will empower consumers and providers to make better informed decisions

In the case, “Finale–Just Desserts”, the owner Paul Conforti has just implemented a new survey system in his restaurants. This survey system gathering data directly from their customers, rather than collecting data from a third party investigator. The information is gathered through the consumer’s mobile device while they are still in the restaurant. Felicity Klass, a data analyst was assigned to review this new data and determine if there were flaws in the great results they were receiving. Although the owner, Paul Conforti is the final decision maker, Klass is currently in a decision making position.

The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is

Beat the Streets Philadelphia (BTSP) is the local chapter of a soon-to-be national non-profit organization. The original chapter was started in New York by Mike Novogratz and was originally known simply as Beat the Streets. The mission for each Beat the Streets chapter remains true to the original – which is to, “…develop the full human and athletic potential of the urban youth and to strengthen the culture of…wrestling.” [1]. Those who have participated in the sport of wrestling credit the sport with all manner of self-development outcomes and subsequent successes.

Analyze two or more defining characteristics of the U.S. health care system. Main Characteristics of the U.S. Health Care System According to Merriam-Webster dictionary, health care is defined as maintaining and restoration of health by the treatment and prevention of disease especially by trained and licensed professionals (as in medicine, dentistry, clinical psychology, and public health) According to Shi & Singh (2015) the combined interaction of economic development, technological progression, social and cultural values; physical environment, population characteristics, such a s demographic and health trends; and global influences make up the characteristics of the United States health care system.

Many people in the company need access to data to help them do their job better. The main questions revolve around who needs what data, and who chooses what data gets to be shared. Looking at all the pieces, as well as the IT and information assets, the governance of the data belongs to a data owner (Khatri & Brown, 2010). The main questions to be answered must include who is the data owner? Who is responsible for data quality?

The text described the dimensions and level of patient involvement in great detail using the M-APR model. The “M” stands for micro, meso, and macro; then across two dimensions the “APR,” which stands for active/proactive and passive/reactive involvement. These dimensions suggest that patient, family, and public involvement and feedback into CQI can be attained through a variety of mechanisms (Sollecito, Johnson, Pages 210-216). According to the text, passive involvement perceives services and system drawings on more removed, yet still useful, sources of patient feedback.

Their role is to register care providers, monitor, inspect and rate healthcare services. The CQC has a role in publishing views of the major quality issues and performance ratings to enable consumers to choose care in health and social care. The Commission ensures the quality and safety of care in hospitals, dentists, ambulances etc. The CQC is sponsored by the Department of Health. Governance, Accountability and Staff

Succeeding in value-based care; Building a sustainable clinically integrateed network. Retrieved from http://hsgadvisors.com Sayles, N. (2013). Health Information Management Technology (Fourth ed.). Chicago, IL: AHIMA. Suter, E., Oelke, N., & Adair, C. E. (2009).

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.

A. Goal: Work on assessing areas for Quality Improvement in the organization by attending various meetings related to quality 1. (Specific) Attend Quality Improvement Meetings (Measureable) (Areas are being identified by scores either higher or lower) to learn about areas that are in need of improvement in the organization. (Achievable) This is achievable, because areas of improvement is the essence of the meeting.

The garbage can and willful choice decision-making models act as strategies for healthcare leaders to assess problems and deliver solutions. The concepts focus on a rational view (willful choice) and realistic view (garbage can) of decision making amongst organizational chaos. While both exist to support the decision process, there are stark differences in methodology. The purpose of this essay is to define both models in a healthcare context with a focus on the pros and cons of each along with an analysis of the core similarities and differences. Willful or rational choice is a decision-making model that emphasizes order and an analytical approach in determining solutions.

1. When using IQ tests, the evaluator needs to make sure they cover the areas of concern, which would be the reasons the student was referred for evaluation. 2. Researchers should not rely totally on IQ tests, but they should use other assessment tools to provide a complete overview of the student. 3.

The Importance of the Six Aims of Quality Patient Care (STEEEP) Since the addition of Crossing the Quality Chasm six aims of quality patient care was created by the Institute of Medicine (IOM), there has been a significant change in the effectiveness and condition of patient care. Before this report came out in 2001, health care providers did not realize that they were not providing proper care to patients in addition to disorganization and complexity of standards of care. The IOM was able to determine that, “failure of system processes, poor communication, and unhealthy work environments contribute to medical errors, ineffective delivery of care, and stress among health professionals” (Winterbottom 2012). It is essential for patients to feel

Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,