HCS/451 - Health Care Quality Management and Outcomes Analysis Monday February 18th, 2013
Quality Management Assessment Summary
A quality management plan is employed by an organization to define how processes are conducted, organize how procedures that make up processes are done, and evaluate past performance to determine what should be done differently to enhance future performance and outcomes. The process of an evaluation helps to ensure that the highest potential is reached in each set of circumstances. A quality management plan should pursue to oversee how complications are dealt with and to reassess such impediments afterwards to ascertain if alterations or modifications to policies and procedures are called for to avert such potential obstacles in the future. This definition is echoed in the perspective of Sollecito and Johnson (2013), “Quality management is a systematic and continuous development that organizations use to deliver products, services, and to distribute merchandise that will meet or exceed consumer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care as well as to address problems in patients’ outcomes.” All organizations use various buzz words specific to their company, and often common in the specific profession, to define the archetype of quality management. Often these buzz words, slogans, and mottos are a way to simplify and illuminate the mission statement of the program and outline the organization’s goals. Quality management seeks to engage everyone to work progressively towards delivering better results. However, risk management only assists to regulate and control losses to prevent or reduce exposure to various risks and liabilities. Although they are distinctive from one another in basic objectives, quality management’s and risk management’s fundamental goals are frequently similar to each other within the organization. For this reason, the two programs are often created, implemented, and developed together. The Objective of a Quality and Risk Management Program
As expressed by Shannon (2012), “Risk Management is the process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events. Historically, risk management in the health care setting and in health care organizations managed risks in a reactive manner which means each department worked independently to resolve its own issues.” Risk and quality management as a practice progressively changes and adjusts to new environments, circumstances, and individuals. In the health care industry this is intensely valid as the skills, regulations, and personnel are constantly fluctuating. To accomplish the mission within a specified set of benchmarks processes, training, and the administration within the organization must be adjusted and improved to mirror the changes within the health care industry.
One of the primary principles of risk management in a health care organization is to diminish liability. As affirmed by Shannon (2012), “Risk Management was introduced into the health care industry in response to the “malpractice crisis.” As an organization grows and expands its scope within its industry the capacity for risk and lawsuits increases as well. Hospitals are characteristically the largest organizations within the health care industry. Compared to smaller health care organizations hospitals have a greater potential for increased lawsuits and have more to lose in legal proceedings such as status, licensure, and money. To counteract this increased potential for loss, quality and risk management set policy, oversee execution of standards, and assess performance to make adjustments as needed. Key Concepts of Quality Management:
a.Determine and institute policy and procedures