An estimated 32,000 people die in US hospitals each year as a result of preventable medical errors (Zahn and Miller, 2003). Also, 57,000 people in the US die because they are not receiving appropriate health care because common medical conditions such as high blood pressure or elevated cholesterol are not adequately controlled (National Committee for Quality Assurance, 2003). Risk-adjusted morality rates vary high in numbers for plenty of Medicare patients. Deaths and injuries are caused by preventable medical errors such miss diagnosis and prescribing incorrect medication. The legislation of this policy is to identify the factors that are contributing to quality problems and what can be done to elevate to resolve the issues. Quality problems are usually underuse, misuse, or overuse. The goal of health care delivery is to elevate the health industry by providing high quality care and encourage people to stay healthy and live as long as possible. Components of high quality care include access to health care, adequate scientific knowledge, competent health care providers, separation of financial and clinical decisions, and organization of health care institutions to maximize quality. Problem/Issues Addressed
Access to Healthcare is having the ability to receive medical treatment and services when needed either by the ability to pay or the availability of health care personnel and location of the facility. It is not fair if a pregnant woman is denied prenatal pills due to the fact that her insurance is Medicaid and results being that her baby is born underweight with health problems. Also, Adequate scientific knowledge must exist in order to give directions on what to do with a patient’s problem. Quality can be compromised if the scientific knowledge fails to be effective. Physicians and health care providers must be skilled and competent when diagnosing problems. If a patient complains that she is wheezing and having shortness of breath the prescribing physician must be competent to delivering the correct medication. In this case prescribing albuterol inhaler without a competent skill could result in a misdiagnosis of the patient having asthma instead of CHF (Congestive Heart Failure). It is common that in many states medical licensing boards have been lax in disciplining and revoking licenses of incompetent or impaired physicians (Morrison and Wickersham 1998). Medical negligence is another issue in quality. Physicians must be able to meet the standard of practice of an average qualified physician practicing in the same specialty. An example of negligence is a physician distributing a medication to a patient without asking the patient if they have allergic reactions to certain medications. Another issue is the separation of finance and clinical decision-making. Of course finances are important in receiving care but a patients care and treatments should not be determined or affected by the cost. Some patients are not being treated effectively or efficiently due to the fact that their insurance pays a low reimbursement. These issues are what cause the increase in morality rates. Quality and quantity are inextricably interrelated and too much or too little could lead to serious injuries. Like I said earlier, treatment should be done effectively and efficiently. Maximizing quality in health care organization can really save a life. Having a well-organized institution has a major impact on health care outcomes. An example of a well organized institution is: administering medications on time, physician rounds and nursing meetings, having tests done accordingly without interference of other studies that need to be done, and making the patient feel comfortable and informed of all his procedures. Studies showed that when physicians provide continuous patient management on site or remote telemonitoring methods, morality drops by 20% (Rosenfeld et al., 2000). Being competent is not necessarily the basis for...
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