RW healthcare assignments

Please complete all parts

Part 1

Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Since publication in 1998 of the seminal report from the Institute of Medicine (IOM), “To Err Is Human: Building a Safer Health System by L. T. Kohn, J. M. Corrigan, and M. S. Donaldson on the issue of medical errors and adverse events, much focus and effort by government and private institutions has been to improve patient safety and quality of care.

Since publication of “To Err is Human”, several other important reports were published:

  • The Urgent Need to Improve Healthcare Quality by M. R. Chassin and R. W. Galvin.
  • Crossing the Quality Chasm: A New Health System for the 21st Century by the Committee on Quality Health Care in America
  • National Healthcare Quality Report by the Agency for Healthcare Research and Quality

Complete the following for this assignment:

  • Choose one (1) of those reports published since “To Err is Human.”, and describe its impact on the quality of health care in the United States.
  • How could you use the concepts of the report that you chose to assess and subsequently improve the quality of health care in your health care organization?

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years in addition to the chosen report.

Part 2

3-4 pages

Health care costs in the United States continue to increase. Despite the high cost of care for health care in the United States, quality indicators and outcomes lag behind other countries when compared to certain dimensions of performance.

For this assignment, analyze and discuss the relationship between quality and cost in health care in the United States, and research and identify how the Patient Protection and Affordable Care Act (PPACA) attempts to reduce costs and improve quality. Based on your research of the PPACA, provide an argument for whether the PPACA has been a success in reducing costs and improving quality. The paper will be 3-4 pages, excluding cover page, abstract page, and reference page.

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

Part 3

Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Complete the following for this assignment:

  • Research and explain the concept of patient-centeredness, an evidenced-based practice, as it relates to health care quality. Describe how providers, patients, and insurers may differ in their definition of patient-centeredness.
  • What metrics would you select and use in a health care organization to measure patient satisfaction? Explain your rationale.

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

Part 4

3-4 pages

Health care organizations (HCOs) often struggle with performance improvement and with effectively communicating performance improvement results to their internal and external stakeholders. It is equally important to communicate your successes externally for marketing and internally to continue to build on your successes. The messaging to these two groups, however, is very different.

For this project, write a paper of 3-4 pages, excluding cover page, abstract page, and reference page and discuss the following:

  • Describe specific initiatives, laws, and accreditation standards that can be leveraged to improve health care quality and enhance performance improvement.
  • Develop a communications strategy to achieve effective and efficient communication of performance data and performance improvement initiatives.
  • Include a plan for strategic messaging in communications to employees (to effect change) and communications to the general public (for marketing purposes).

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

Part 5

Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Reliable data are needed for administrators to make the best decisions to improve quality and performance in a health care organization. Complete the following:

  • Choose 2 methods of data collection, and examine how each can be used measure quality and performance in a health care organization.
  • Discuss the advantages and disadvantages of each method.

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

Part 6

3-4 pages

The balanced scorecard (BSC), which was first introduced by Kaplan and Norton in 1992 has been gradually adopted by health care organizations (HCOs) as a tool to drive performance (Kaplan & Norton, 1992). This balanced approach takes into account the multiple variables that determine an HCO’s success without placing a greater emphasis on any one variable.

Complete the following for this assignment in a 3-4 page paper, excluding cover page, abstract page, and reference page:

  • Write a paper evaluating the value of the balanced scorecard as a tool for assessing and improving organizational performance in a health care organization.
  • Discuss the concept of balancing performance across the BSC components to achieve the health care organization’s mission and strategic objectives.
  • After your review of the literature, indicate whether you agree with this approach. Explain your response.

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

Part 7

Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

When an adverse event (e.g., wrong-site surgery or avoidable death) occurs in a health care organization, it can be complex and intense. The media, regulatory agencies, and even government involvement will likely occur.

For this assignment, discuss the following:

  • Why might health care organizations and staff members be reluctant to report adverse events?
  • Explain the financial and nonfinancial implications that a major adverse event may have on a health care organization.
  • What can organizational leadership do to improve the reporting of adverse events?

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

Part 8

3-4 pages

High reliability organizations (HROs) are organizations that have developed methods for achieving safety despite hazardous conditions (e.g., the airline industry). Literature suggests that it possible for health care organizations to also become HROs. For this assignment, research the concept of HROs, and discuss how they can transform health care covering the following topics:

  • Discuss why little progress has been made in health care toward becoming an HRO.
  • Explain what improvements can be made or adopted by health care organizations that strive to become HROs, and discuss the role of the patient, provider, and other stakeholders.
  • Explain the potential interest of the payer in an HRO.

Your paper will be 3-4 pages, excluding cover page, abstract page, and reference page.

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

Part 9

Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Complete the following for this assignment:

  • Research the role of regulation and accreditation, and discuss the role that each plays in holding health care professionals and organizations accountable.
  • Choose 2 of the following types of health care organizations:
    • Acute care hospital
    • Nursing home
    • Home health care
    • Ambulatory care
  • Discuss accreditation as it relates to those organizations.
  • Describe the role that accrediting agencies have in clinical quality improvement and improving health care outcomes.

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

Part 10

5-7 pages

For this project, you are tasked with developing a change management plan that will be designed to improve quality in an acute care hospital in your community. This hospital has a poor Healthcare Effectiveness Data and Information Set (HEDIS) and ORYX quality metrics, and low patient satisfaction. Further, government regulations and Joint Commission accreditation standards are not being met. Financial ruin seems imminent. Your plan will be 5-7 pages, excluding cover page, abstract page, and reference page. When constructing your plan, conduct research using peer-reviewed sources to determine the following:

  • Identify goals and objectives that are expected to be met.
  • Provide an overview of HEDIS and ORYX measures, and describe the importance of those measures to the hospital and how the hospital can improve metrics in both measures.
  • Discuss the role that patient satisfaction plays in reimbursement and how you propose to improve patient satisfaction in the hospital.
  • Determine communication approaches for change management among clinicians and nonclinicians throughout the organization.
  • Identify and explain the quality improvement and evaluation method(s) that will be utilized to determine the progress of the change management plan.
  • Use the U.S. Department of Health and Human Services module to develop a quality improvement plan as a guide for your assignment.

Note: Use APA style to cite at least 8 scholarly sources from the last 5 years.

References

Centers for Medicare & Medicaid Services. (n.d.). HCAHPS: Patients’ perspectives of care survey. Retrieved from http://www.cms.gov/Medicare/Quality-Initiatives-Pa…

Health Resources and Service Administration (HRSA). (n.d.). Developing & implementing a QI plan. Retrieved from the U.S. Department of Health and Human Services Web site: http://www.hrsa.gov/quality/toolbox/methodology/de…

National Committee for Quality Assurance. (n.d.). HEDIS & performance measurement. Retrieved from http://www.ncqa.org/HEDISQualityMeasurement.aspx

The Joint Commission. (2014, October 10). Facts about ORYX® for hospitals (national hospital quality measures). Retrieved from http://www.jointcommission.org/facts_about_oryx_fo…


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