HMGT 320 Week #2 Response. Need a response to each post (Discussion). There are 4 post total. I have also attached my origanal post that requires a reponse back to my instructor. My original post will be last, with the question my teacher proposed. The postings that require my peer response are listed first.. These post are very lengthy, I apologize. You may put your response on a different sheet of paper but please ensure you put the “name” of the person’s discussions you are responding to. Just give one general overall response, not a response to each article. A response should be about 5-10 sentences. Don’t over do it.
Alexander Wright posted Jan 30, 2016 10:47 PM
1. Article 1…. Quality Chasm
a. Explain the role of electronic health records in in implementing quality as described in the article.
Electronic Health Records provide an opportunity for ease of access for medical history of a patient. The electronic medical record can saved and available via online, allowing instant access to medical professional during times of immediate need. Also, the medical record can be reviewed and updated by the owner (patient), allowing additional information to be entered which might not be normally be entered by an examining official or PCP.
Adopting electronic health records can also lead to a savings in care costs and reduce medical errors.
http://content.healthaffairs.org/content/24/5/1103.full
2. Article 2…Intro to Quality Improvement Methods.
a. Explain the Deming PDSA model
The Deming PDSA model is a multistep process which consists of stages for: planning, doing, studying, and acting in relation to quality improvement methods. The never-ending cycle works to continuously modify any processes completed based on results to guarantee the goals are met.
https://www.deming.org/theman/theories/pdsacycle
b. As a Healthcare Administrator, provide an example (from experience or research) as to how this model can be implemented in your facility. Illustrate use of the four steps in your example.
Implementing the Deming PDSA model as a Healthcare Administrator would involve identify each step and how it would relate to the overall chosen goal. For example if the goal was patient weight reduction the following steps might be outlined:
Plan – (identify the goal) – the patient will lose 25 lbs over 6 months, through healthy eating choices and moderate exercise.
Do – (the process) – the patient will reduce calorie intake to 2500 a day, with reduced sugar intake, and a goal of 45 minutes of exercise 3 times a week.
Study – (monitor for results) – the food intake and exercise will be monitored for compliance to the goals and plan set. A weigh-in will be completed ever 2 weeks of the patient, with a food and exercise diary review weekly.
Act – (review of results, learning period) – review results and learning from outcomes, adjusting process if needed to meet the goal originally set.
3.Article 3…. Total Quality Management
a. Define TQM as it relates to healthcare organizations.
Total Quality Management (TCM) in relation to healthcare organizations is the review of patient, provider, network, insurance, and programs satisfaction.
Respond to Alexander here
• Jammie Reedy posted Jan 24, 2016 9:06 PM
1. Article 1…. Quality Chasm
a. Implementing electronic health records will allow patients’ needs to be met quicker than with paper records and at a lower cost. Electronic health records help to improve the quality of care patients receive. Errors can be reduced and information can be shared more easily among other healthcare providers.
Reference: The executive summary of “Crossing the Quality Chasm.” http://www.iom.edu/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf
2. Article 2…Intro to Quality Improvement Methods.
a. The Deming PDSA model is a systematic series of steps. The purpose of the model is to gain valuable knowledge for continual improvement of a process. The model begins with the “Plan Step” which involves identifying a goal and putting a plan into action. The next step is the “Do Step”, this is where the plan is put into play. Next in the model is the “Study Step”, this is when outcomes are monitored to evaluate the plan for progress, success, or problems. The “Act Step” is the last step in the PDSA model. During this finally step all that has been learned from the model is evaluated and any adjustments to the goal are made. All steps are repeated to ensure continual improvement.
b. “Plan Step”: The goal is to get patients to schedule their next dental cleaning at the time of their visit. “Do Step”: When patients come in for their cleaning suggest that they schedule their next appointment before they leave the office because the schedule usually books up 3 months in advance. “Study Step”: Some patients are scheduling their next appointment but many are asking for an email to be sent closer to when they are due to schedule their next appointment “Act Step”: Only half of the patients are scheduling their next appointments while they are in the office. The other half wishes to receive an email when they need to schedule. With this valuable information we can now ask s to schedule so they will be on the schedule and let them know that they will receive an email reminder 2 weeks before their appointment to confirm whether or not it still works for them. This way more patients will schedule while in the office.
Reference: Introduction to quality improvement methods http://www.who.int/patientsafety/education/curriculum/who_mc_topic-7.pdf
3. Article 3…. Total Quality Management
a. Total Quality Management (TQM) as it relates to healthcare organizations focuses on patient satisfaction, continuous improvements, teamwork, process management, systematization, organization structure, and commitment for management & leadership.
b. Patient satisfaction can be obtained by providing online registration to patients prior to their visit. This makes the registration process easier for patients when they arrive at the hospital
Reference: Best Practices of Total Quality Management Implementation in Health Care Settings. http://eds.b.ebscohost.com.ezproxy.umuc.edu/eds/detail?vid=2&sid=7e8cefb2-5e48-4c2d-a6e2-1795c719eca8%40sessionmgr110&hid=104&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=bth&AN=63884405
Respond to Jamie here
• Crystal Gault posted Jan 27, 2016 10:38 PM
1. Article 1…. Quality Chasm
a. Explain the role of electronic health records in in implementing quality as described in the article.
Electronic health records have recently become a more effective way of keeping health records. Not only is it more secure, but it also ensures patients can receive team based care. Sharing information between providers has become easier with the implementation of the electronic health record.
2. Article 2…Intro to Quality Improvement Methods.
a. Explain the Deming PDSA model
The Deming PDSA model is a 4 step process that is a guideline for a researcher. The steps are planning it, trying it, observing, then acting on what is learned.
b. As a Healthcare Administrator, provide an example (from experience or research) as to how this model can be implemented in your facility. Illustrate use of the four steps in your example.
As a Healthcare Administrator I would plan what needed to be done. I would start by making a goal as well as a step-by-step guide on how to achieve this goal. Then I would implement it slowly, using the steps. Once I have completed all the required steps and achieved my goal I would look back and see what I could’ve done to make the process easier or have it be done faster. In the end, I would learn from this and then make the required changes for the next time.
3.Article 3…. Total Quality Management
a. Define TQM as it relates to healthcare organizations.
Total Quality Management (TQM) is ensuring that patients receive the best possible care. In the past it was quality assurance. It focuses in on patient satisfaction, continuous improvements, teamwork, process management, systematization, organization structure, and commitment for management & leadership.
b. As listed in the article, give an example (experience or research) how TQM has been used to obtain ONE of these outcomes listed in the article.
-improved healthcare quality and performance
-patient satisfaction
-reduced operating costs
-employee satisfaction
-patient safety
Patient Satisfaction can be evaluated with surveys. Once a provider or organization knows that there is an issue, then they can fix it. Also, if they know everything is going smoothly, then they know not to change it.
Respond to Crystal here
My original post
Created by Deidra Manning on Jan 27, 2016 1:01 PM
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Quality Chasm
I agree that electronic health records are effective in transforming the quality, safety and efficiency of services offered by health care organizations that have successfully implemented it. They keep records of medications of patients and check problems when a new medication is prescribed. Electronic Health Records detect potential operational problems enabling health providers to identify and correct them quickly and in a systematic way. This will avoid more serious problems thus, lead to the better patient outcome.
Reference
The executive summary of “Crossing the Quality Chasm.” from http://www.iom.edu/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf
Deming PIDSA model
The plan-do-study-act cycle is a model with four systematic steps that is used for carrying out change. It is used when implementing any change, for continuous improvement, when defining a repetitive work progress and when planning, collecting and analyzing data to verify problems.
I can use this model in my facility. For instance, when I want to implement best practices that will prevent pressure ulcers. Firstly, I would plan, whereby, I would identify a goal, develop an appropriate theory and then put the plan into action. The Do step will then follow, where I will make any product that needs to be made for the change to be a success. The Study step is next: here, I will look into the outcomes and test if the plan is valid to check the signs of progress, the problems that should be corrected or what should be improved. The Act step will finally close the cycle: I will try to integrate what I have learnt during the entire process and find out what can be used to adjust the goal or change the procedures.
Reference
Introduction to quality improvement methods, from http://www.who.int/patientsafety/education/curriculum/who_mc_topic-7.pdf
Total Quality Management
Total Quality Management (TQM), is a management approach used to improve quality and productivity in business organizations through customer satisfaction. It states that there is a necessity for constant effort from each in an organization to achieve excellence. In health care organizations, end health results and patient satisfaction is what measures excellence.
Studies by researchers show that the best way to improve health care services and ensure patient satisfaction is by implementing TQM strategies. According to numerous research conducted to look for the relationship between TQM and health sector, it is revealed that TQM leads to better relations between health care providers and patients hence, patient satisfaction. One of the behavior that ensures patient’s satisfaction is doctor’s care. Patient’s satisfaction is determined by how the doctor interacts with the patient and their sensitivity to the patient’s personal experience. I believe that the amount of time that a physician spends with a patient, how and how much information is passed to a patient by a doctor are the most important dynamic attributes toward ensuring patient satisfaction.
Reference
Best Practices of Total Quality Management Implementation in Health Care Settings, from http://eds.b.ebscohost.com.ezproxy.umuc.edu/eds/detail?vid=2&sid=7e8cefb2-5e48-4c2da6e21795c719eca8%40sessionmgr110&hid=104&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=bth&AN=63884405
Response needed to my professor:
• Jerome Bozek
yesterday at 9:15 AM
Deidra,
Article 1…..You mentioned medication ordering within the EHR…this relates to e-prescribe. Deidra, class can anyone address and define e-prescribe, and how this relates to meaningful use standards.
Article 2…..Good overview for PDSA as realtes to pressure ulcers. Again with any quality improvement process, one of the keys is measurement…..before the process 30% of our long term care patients had pressure ulcers. Following the process improvement, 10%.
Article 3….Key is to define how TQM improves patient satisfaction. What is the current interaction/process used for doctors to communicate to patients, and what is the survey score? How will we examine the process/how what changes will we make as result of implementing TQM. Have scores improved as a result?
JB
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