Strategies, Assessment, Tools and Outcomes in QI

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STRATEGIES, ASSESSMENT, TOOLS, AND OUTCOMES IN QI

Assignment Overview

Quality is an immense part of a healthcare organization’s mission and vision. The overall health of a healthcare organization depends on sustaining a high level of quality. As a healthcare professional, part of your multifaceted role is to enhance healthcare quality improvement strategies, assessment, and outcomes.

Case Assignment

Dr. Hughes has outlined five quality improvement strategies (3-2 through 3-8):
https://www.ncbi.nlm.nih.gov/books/NBK2682/pdf/Bookshelf_NBK2682.pdf

Using the chart below, compare and contrast the following five quality improvement strategies: (1) PDSA, (2) Six Sigma, (3) Toyota/Lean Production System, (4) Root Cause Analysis, and (5) Failure Modes and Effects Analysis. Identify at least one advantage and one disadvantage for each strategy.

For each entry, your response should be detailed and written in complete sentences.

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your comparison.
2. Support your report with peer-reviewed articles, using at least 2-3 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

PART2

Outcome measures (mortality, readmission, patient experience, etc.) are the quality and cost targets healthcare organizations are trying to improve. There are a vast array of outcome measures, likely in the hundreds. However, the seven outcome measures the U.S. Centers for Medicare & Medicaid Services (2016) uses to calculate hospital quality are some of the most common in healthcare: (1) general information, (2) survey of patients’ experiences, (3) timely & effective care, (4) complications, (5) readmissions & deaths, (6) use of medical imaging, and (7) payment & value of care. Outcome assessments are tools used for collection and analysis of evidence about the achievement/attainment of a certain measure for the purposes of improvement and to determine or demonstrate its effectiveness.

U.S. Centers for Medicare & Medicaid Services. (2016). Hospital compare. Retrieved from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospitalqualityinits/hospitalcompare.html

You have been selected to be a part of the Assessment Team at Trident International Hospital (TIH). TIH has recently remodeled and restructured the emergency room (ER) department. The team will be conducting a quality assessment to see if wait time in the ER has been reduced as a result of the changes. As part of the preliminary development of the assessment process, you have been asked to research and provide two outcome assessment tools that can be used as a part of this process.

In a 10-slide PowerPoint presentation (10 slides not including title or reference slide), explain the two tools that were selected, identify why they would be beneficial to use in the assessment process, and describe how the tools would be ideal in demonstrating whether or not wait time has been impacted based on the changes. In addition, discuss the reliability and accuracy of each selected tool.

SLP Assignment Expectations

Conduct additional research to gather sufficient information to justify/support your training.

1. Limit your response to a maximum of 10 slides (title and reference slide is not included in page number count).
2. Support your report with peer-reviewed articles, using at least 2-3 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

Reference:

Required Reading

Centers for Medicare & Medicaid Services. (2018). Quality measures. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html

Families USA. (2014). Measuring health care quality: An overview of quality measures. Retrieved from https://familiesusa.org/sites/default/files/product_documents/HSI%20Quality%20Measurement_Brief_final_web.pdf

Ferguson, J. (2017). The who, what, and how of health outcome measures. Health Catalyst. Retrieved from http://www.healthcatalyst.com/wp-content/uploads/2016/09/Who-What-and-How-of-Health-Outcome-Measures.pdf

Hughes R. G. (2008). Chapter 44: Tools and strategies for quality improvement and patient safety. Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2682/

Institute for Healthcare Improvement. (2018). Tools. Retrieved from http://www.ihi.org/resources/Pages/Tools/default.aspx

Schupbach, J., Chandra, A., & Huckman, R. S. (2016). A simple way to measure health care outcomes. Harvard Business Review. Retrieved from https://hbr.org/2016/12/a-simple-way-to-measure-health-care-outcomes

Tinker, A. (n.d.). The top 7 outcome measures and 3 measurement essentials. Health Catalyst. Retrieved from https://www.healthcatalyst.com/The-Top-7-Outcome-Measures-and-3-Measurement-Essentials

U.S. Department of Health and Human Services Health Resources and Services Administration. (2011). Quality improvement. Retrieved from https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/qualityimprovement.pdf

Videos

IHI: Institute for Healthcare Improvement. (2016). Dr Mike Evans: An illustrated look at quality improvement in health care. [Video]. Retrieved from https://youtu.be/nPysNaF1oMw

IHI: Institute for Healthcare Improvement. (2017). WIHI: Seven popular improvement tools – How (and when) to use them. [Video]. Retrieved from https://youtu.be/WH5JTFQ7-Ks

Optional Reading

Sullivan, G. M. (2011). A primer on the validity of assessment instruments. Journal of Graduate Medical Education, 3(2), 119–120.