Discuss about the association between cost and quality

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Question: Comment 1: During the analysis conducted with my mentor, we believe that from the clinical point of view the results obtained from the patients will be positively impacted through the implementation of the EBP, and the application of the knowledge acquired from the planned educational proposal. The professionals who participate in the educational project will be able to learn the importance of the application of EBP in the daily routine and this will result in better health care provided to patients. This increase in positive results is synonymous with quality, therefore the organization will benefit from providing their patients with a high-quality service which will make the standards of the same, stay above what is required. All the aforementioned, makes the financial cost of implementing the educational project is not noticed. In any case, the expenses are expected to be minimal, but the benefits that the plan will bring will make disappear the possible economic barrier that could represent the implementation of the proposal for the administration of the organization. Healthcare expenditures must be correlated with high quality and efficiency in the delivery of services to improve health outcomes. In a very good study carried out by Hussey, Wertheimer, and Mehrotra, 2013, they point out that "One possibility is that improvements in quality will require increases in cost (or conversely, cost reductions could reduce quality). In reality, the association between cost and quality probably falls between these 2 extremes, that some types of health care costs are associated with high quality and others with poor quality. The effect depends on where the money is spent".

Comment 2: Evidence-based practice is associated with higher quality care and better patient outcomes than care that is steeped in tradition. However, the integration of evidence-based practice implementation into daily clinical practice remains inconsistent, and the chasm between research and bedside practice remains substantial. Practice changes most of the time requires an upfront investment of time and resources. These investments are designed to create an improvement in outcomes, whether clinical (e.g., reduced infections), organizational (e.g., shorter length of stay), or fiscal (e.g., reduced unplanned readmissions, which helps the organization avoid Medicare penalties). Any of these may have cost implications. Some EBP improvements may not create cost savings but may achieve an equally valuable outcome (e.g., patient satisfaction) that helps fulfill the organizational mission.

Reference no: EM132194167

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