Explain strategic health care quality initiatives

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Reference no: EM132248729

Part 1:

Variations, too much or too little in health care, are an indication of poor quality in medical practice and often raise questions about the quality and efficiency of the use and allocations of resources, and they have important implications for health care and health policy.

In this Discussion, you will conduct an evaluation of the variation of issues affecting Medicare reimbursements to determine warranted or unwarranted variations. You will provide an analysis of those variation issues that may affect reimbursements and recommend ways to overcome the issue(s).

Discussion

In an attempt to figure out why there is a tremendous difference between Medicare reimbursements between states, data were pulled from the top and the bottom of the list that include the following information adjusted for price, age, sex, and race. The 90th percentile group is at or above $10,578, and the 10th percentile group is at or below $7,497.

Must include these references

Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press.

Burton, D. A. (2013). Driving out waste: A framework to enhance value in clinical care. Healthcare Financial Management, 67(6), 94-99.

Moore, K. D., Eyestone, K., & Coddington, D. C. (2013). The healthcare cost curve can be bent. Healthcare Financial Management, 67(3), 78-84.

Sabbatini, A. K., Nallamothu, B. K., & Kocher, K. E. (2014). Reducing variation in hospital admissions from the emergency department for low-mortality conditions may produce savings. Health Affairs, 33(9), 1655-1663.

Part 2

The old adage, "form follows function" describes considering the importance of what you are trying to accomplish before you decide how to get there. It is important to remember that you have to have the will to improve, ideas about alternatives to the status quo, and make it real-execute (Nolan, 2007).

In this Discussion, you will describe strategic health care quality initiatives in two organizations attempting to accomplish their goals and objectives in quality improvement. You will also examine the purpose of the initiatives(s) and share the issues and opportunities for improvement, as well as address any elements crucial to improving quality in your health care organization or one you are familiar with.

To prepare:

Read and review the resources in the Learning Resources section as they relate to initiatives in strategic health care organizations.

Select ONE organization from each of the TWO groups listed:

Group I:

• Agency for Healthcare Research and Quality (AHRQ)

• Institute for Healthcare Improvement (IHI)

• Institute for Safe Medication Practices (ISMP)

Group II:

• ANCC Magnet Recognition Program

• Baldrige Performance Excellence Program

• The Leapfrog Group

The Assignment:

In a 3- to 4-page paper (excluding title page and references):

• Describe strategic health care quality initiatives in two of the organizations. Compareand contrast the purposes of the initiatives.

• Analyze strategic quality issues and opportunities for improvement within the two organizations.

• Evaluatewhich elements of the initiatives are crucial to the quality-improvement opportunities of your health care organization or an organization with which you are familiar.

Must include these refrences

Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration

Griffith, J. R. (2015). Understanding high-reliability organizations: Are Baldrige recipients models? Journal of Healthcare Management, 60(1), 44-61.

May, E. L. (2013). The power of zero: Steps toward high reliability healthcare. Healthcare Executive, 28(2), 16-18, 20, 22.

Reference no: EM132248729

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