Assignment: Measuring Quality
The role that the health care worker have in determining quality care is very important in not only a hospital setting but in any health care setting. A physician may make assessments and diagnosis, but the nurse, physician’s assistant, or other health care worker is the one who is able to closely monitor and observe treatments given, as well as note the patient’s response to changes in medicines, therapy routines, and dietary restrictions. A healthcare worker’s duty is to allow a patient to have quality care and to be able to live.
Measuring the quality of hospital care is a thorny business. Health care is complex, and links between clinical practice and patient outcomes are often tenuous and distant. These types of challenges have not prevented the pursuit of simple indicators that identify the good and the bad hospitals. The measurements should identify hospitals where more patients die than would be expected on the basis of their cases, the hospital with fewer deaths than expected are the good hospitals.
Most hospitals now report process measures as a requirement for full Medicare payments, these measurements are based on compliance with well established processes of care. The two companies that do these measurements are Hospital Quality Alliance (HQA) and Joint Commission on Accreditation of Healthcare Organizations (JACHO.) Since 2004, nearly all acute care hospitals have participated in one of these two measurement companies. Hospital Quality Alliance and Joint Commission on Accreditation of Healthcare Organizations are a public-private partnership that encourages collection and reporting of data on quality of care. The Centers for Medicare and Medicaid Services (CMS) now links participation in these programs to yearly Medicare payments increases, providing a financial incentive for hospitals that report data. One way that hospital performance...
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