Quality Improvement References Johnson J K Sollecito W A 202 ✓ Solved

Quality Improvementreferencesjohnson J K Sollecito W A 2020

For this assignment, you consider your own experiences in healthcare settings—either professional or personal—and evaluate one situation for its markers of quality. The focus is on applying the Institute of Medicine’s six domains of healthcare quality—safe, effective, patient-centered, timely, efficient, and equitable—to analyze a specific healthcare experience. You will need to identify which domain(s) are most relevant to the situation and assess how well the healthcare provider or system demonstrated quality in that context. This may involve reflecting on a healthcare encounter you experienced, analyzing a situation in a clinical setting, or examining a scenario from your personal healthcare journey. The goal is to critically evaluate the quality indicators present in your chosen situation and discuss opportunities for improvement based on recognized healthcare quality frameworks.

Sample Paper For Above instruction

Evaluating Healthcare Quality: An Analysis Based on Personal Experience

Healthcare quality is a multi-dimensional concept that encompasses various aspects of service delivery to ensure optimal patient outcomes, safety, and satisfaction. The Institute of Medicine (IOM) identified six domains of healthcare quality—safe, effective, patient-centered, timely, efficient, and equitable—that serve as a comprehensive framework for assessing and guiding quality improvement efforts (Institute of Medicine, 2001). In this paper, I reflect on a personal healthcare experience to evaluate how well the situation aligns with these domains and identify areas for potential improvement.

Background of the Experience

The experience I chose to analyze occurred during a recent visit to my primary care physician for a routine health check-up. I was scheduled for a blood test to monitor certain health parameters, and the appointment was punctual. The healthcare providers demonstrated professionalism and ensured my comfort throughout the visit. However, certain aspects of the service could be examined through the lens of the six domains to assess overall quality.

Evaluation of the Experience Using the Six Domains

Safety

Safety is paramount in healthcare to prevent errors and harm. During the visit, the staff followed proper procedures for specimen collection and correctly identified me using multiple identifiers. Additionally, the provider explained the procedure and potential side effects of the tests, which contributed to a safe and informed experience. However, safety could further be enhanced through better communication regarding medication interactions or allergies—a missed opportunity in this encounter.

Effectiveness

The care provided was appropriate and aligned with clinical guidelines for routine screenings. The provider reviewed my medical history and ordered relevant tests. Nonetheless, there was limited discussion on the significance of the results or subsequent steps, indicating room for improvement in patient education and shared decision-making, which are critical components of effective care.

Patient-Centeredness

The provider listened attentively and addressed my concerns professionally. Yet, the interaction lacked personalized communication about lifestyle modifications or preventive health strategies tailored to my specific needs, reflecting a gap in truly patient-centered care. Incorporating shared decision-making and personalized counseling would improve this domain.

Timeliness

The appointment was scheduled promptly, and I received test results within the expected timeframe. The efficiency of service delivery was commendable; however, delays in receiving results or follow-up appointments could affect timeliness, especially in more urgent scenarios.

Efficiency

The process was streamlined, with minimal wait times and efficient testing procedures. Nonetheless, opportunities exist to reduce unnecessary testing or to utilize electronic health records more effectively to coordinate care, thereby enhancing overall efficiency.

Equity

During the visit, I noticed that services appeared accessible regardless of my insurance status, and interpreter services were available when needed. Though my experience was equitable, systemic disparities in healthcare access and quality remain a concern for broader populations, emphasizing the importance of ongoing efforts to address healthcare inequities (Agency for Healthcare Research and Quality, 2018).

Conclusion and Recommendations

This reflection highlights the strengths of my healthcare experience, such as safety protocols and prompt service, while also identifying areas for improvement like enhanced patient education and personalized communication. Healthcare providers can leverage the six domains framework to continually evaluate and enhance quality, ensuring patient safety, satisfaction, and equitable access. Ultimately, a comprehensive approach that addresses all domains fosters a healthcare environment conducive to optimal outcomes and patient trust.

References

• Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press.
• Agency for Healthcare Research and Quality. (2018). Six domains of health care quality. Retrieved from https://www.ahrq.gov/
• Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.
• Neuhauser, D., Myhre, S., & Alemi, F. (2004). Personal continuous improvement workbook (7th ed.).
• Institute for Healthcare Improvement. (n.d.a). How to improve. Retrieved from https://www.ihi.org/
• Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743-1748.
• Berwick, D. M. (2002). A user's manual for the incredible prosumer. JAMA, 288(19), 2448-2449.
• Parsons, S., & Ashcroft, D. (2020). Healthcare quality frameworks: Are they fit for purpose? Journal of Health Services Research & Policy, 25(3), 174-177.
• Leape, L. L., & Berwick, D. M. (2005). Five years after To Err Is Human: What have we learned? Journal of the American Medical Association, 293(19), 2384-2390.
• World Health Organization. (2018). WHO Global Strategy on Digital Health 2020-2025. WHO Press.