Promoting Accountability Through Measures

Promoting Accountability Through Measures– Instructions

 

Overview:

 

In 2–3 pages, design a plan using the plan-do-check-act (PDCA) model to help a hypothetical organization move swiftly on a specified issue.

 

    • Competency: Evaluate the role of quality assurance in the improvement of patient outcomes.
  • Describe the goals of the Affordable Care Act.
  • Describe the quality initiatives developed in the Affordable Care Act (ACA).
  • Explain how the goals of the Affordable Care Act (ACA) will be measured.
  • Assess the educational needs of an organization as related to quality delivery of services.
  • Competency: Analyze the major components of a comprehensive quality assurance and risk management organizational plan.
    • Explain a plan of action to address a problem based upon the quality assurance assessment.
    • Explain how to follow the plan-do-check-act (PDCA) model to solve a health organization problem.

 

 

Suggested Resources (not required):

 

    • American Society for Quality. (n.d.). Plan-do-check-act (PDCA) cycle. Retrieved from http://www.asq.org/learn-about-quality/project-planning-tools/overview/pdca-cycle.html
    • U.S. Department of Health and Human Services (HHS): Office of Inspector General (OIG). (2014). Work plan for fiscal year 2014. Retrieved from
    • eHealth Initiative. (2007). Blueprint: Building consensus for common action. Retrieved from
    • Health Care Compliance Association. (2008). Health Care Compliance Association member survey. Retrieved from
    • Health Care Compliance Association. (2014). Code of ethics for health care compliance professionals. Retrieved from
    • Institute of Medicine (IOM). (2000). Executive summary of to err is human. Retrieved from
    • National Committee for Quality Assurance (NCQA). (2013). Summary table of measures, product lines and changes. Retrieved from
    • Institute of Medicine (IOM). (2009). The learning healthcare system workshop summary. Retrieved from http://www.nap.edu/openbook.php?record_id=11903
    • U.S. Department of Health and Human Services (HHS): Health Resources and Services Administration (HRSA). (2008). Fact sheet on the National Practitioner Data Bank. Retrieved from
    • Office of the Inspector General (OIG), U.S. Department of Health and Human Services (HHS), & American Health Lawyers Association (AHLA). (2011). The health care director’s compliance duties: A continued focus of attention and enforcement. Retrieved from https://oig.hhs.gov/compliance/compliance-guidance/docs/Health_Care_Directors_Compliance_Duties.pdf
    • U.S. Department of Health and Human Services (HHS): Agency for Healthcare Research & Quality (AHRQ). (n.d.). National healthcare quality & disparities report. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/
    • U.S. Department of Justice: U.S. Attorney’s Office: District of Maryland. (2009). Johns Hopkins Bayview Medical Center settles false claims act case. Retrieved from http://www.justice.gov/archive/usao/md/news/archive/JohnsHopkinsBayviewMedicalCenterSettlesFalseClaimsActCase.html
    • Institute for Healthcare Improvement (IHI). (2014). 5 million lives campaign. Retrieved from http://www.ihi.org/engage/initiatives/completed/5MillionLivesCampaign/Pages/default.aspx
  • 5 million lives campaign. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2014. (Available on www.IHI.org)
  • Institute for Healthcare Improvement (IHI). (2014). IHI improvement map. Retrieved from http://www.ihi.org/IHI/Programs/ImprovementMap
    • IHI improvement map. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2014. (Available on www.IHI.org)
  • Association of periOperative Registered Nurses (AORN). (2013). Just culture tool kit. Retrieved from
  • Health Care Compliance Association (HCCA). (2013). Retrieved from http://www.hcca-info.org/
  • Institute for Healthcare Improvement. (2014). Develop a culture of safety. Retrieved from http://www.ihi.org/resources/Pages/Changes/DevelopaCultureofSafety.aspx
    • Develop a culture of safety. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2014. (Available on www.IHI.org)
  • Institute for Safe Medication Practices (ISMP). 2014–2015 targeted medication safety best practices for hospitals. Retrieved from http://www.ismp.org/Tools/BestPractices/default.aspx
  • S. Department of Health and Human Services (HHS): Health Resources and Services Administration (HRSA): National Practitioner Data Bank (NPDB). (n.d.). Healthcare Integrity and Protection Data Bank. Retrieved from http://www.npdb-hipdb.hrsa.gov/
  • S. Department of Health and Human Services (HHS): Office of Inspector General (OIG). (n.d.). Compliance education materials: Compliance 101. Retrieved from http://oig.hhs.gov/compliance/101
  • S. Department of Health and Human Services (HHS): Office of Inspector General (OIG). (n.d.). Corporate integrity agreement documents. Retrieved from http://oig.hhs.gov/fraud/cia/cia_list.asp
  • S. Government Accountability Office (GAO). (2014). 2014 Annual report: Additional opportunities to reduce fragmentation, overlap, and duplication and achieve other financial benefits. Retrieved from www.gao.gov/assets/670/662327.pdf

  • Institute for Healthcare Improvement (IHI). (2014). Reducing door-to-balloon time for AMI patients. Retrieved from http://www.ihi.org/resources/Pages/ImprovementStories/ReducingDoortoBalloonTimeforAMIPatientsatBaptistMemorialDeSoto.aspx
    • Reducing door-to-balloon time for AMI patients. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2014. (Available on www.IHI.org)
  • Centers for Medicare & Medicaid Services (CMS). (2014). Medicare and Medicaid EHR Incentive Program basics. Retrieved from ;
  • National Committee for Quality Assurance (NCQA). (2009). Appendix 2: HEDIS Roadmap. Retrieved from

 

 

 

Instructions:

 

Consider the following scenario:

 

You are the owner and CEO of group homes that serve those with mental impairments. Each group home services six to ten adult residents. Your group homes are located in neighborhoods throughout the community and staffed with caregivers who have been trained as certified nursing assistants (CNAs) or home health aides (HHAs). You employ a Director of Nursing (DON), an RN who is responsible for writing the medical care plans and ensuring the needed medications and treatments are provided for each resident. The medications are given by the caregiver staff of each building.

 

One day, the DON comes to meet with you. The DON reports that the medications at one facility are not being given on time, and some appear to be missing. The DON is particularly concerned about pain medications for one resident with rheumatoid arthritis. This client has been experiencing more pain symptoms and seems to be in tears often later in the day due to pain. The DON is concerned that this resident’s pills have actually been stolen.

 

You contemplate your next steps. How will you follow the PDCA model while moving swiftly on this issue?

 

For this assignment, design a plan of what needs to happen and who may be accountable using PDCA model.

 

Additional Requirements

    • Include a title page and a references page.
    • Include an introductory paragraph and a concluding paragraph.
    • Include a minimum of 3 research resources.
    • Follow APA guidelines for style and formatting.
    • Ensure your finished assessment is contains 2–3 pages, excluding the title page and references page.

 

Last Updated on December 1, 2020 by Essay Pro