Preview

Surgical Improvement: Case Study

Good Essays
Open Document
Open Document
954 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Surgical Improvement: Case Study
Texas Health Harris Methodist-Cleburne: A System Approach to Surgical Improvement
Patrice Fleming
Ashford University
February 16, 2015

Texas Health Harris Methodist- Cleburne is one of the leading facilities of Harris Methodist Hospitals and a member of Texas Health Resources, one of the largest non-profit U.S. healthcare systems. Texas Health is in the top 15 % in four clinical areas of the core measures. Texas Health Resources is accountable for some of their success. Texas Health performance strategies were: hospitals within a health system can turn to each other as partners in quality improvement efforts and resources to help solve shared problems, preprinted order sets help standardize practices and improve core
…show more content…
This conference would recognize peers and their efforts in improving quality and safety of care. Texas Health Methodist also participated in projects where there would be demonstrations on how to improve the safety of hospitals and also the quality of the hospital. They also brought together workgroups to resolve problems and implement new processes within the hospital. The health system would also host a monthly Performance Improvement and Patient Safety Council. The council established system-wide educational and training materials to help hospital staff discontinue antibiotics within 24 hours. For the staff, to gain more knowledge, one-on-one coaching was offered and report cards were offered to let staff know what improvements and suggestions could be made. In every organization, there should be some type of structure. Organizational structure is something that is best decided upon internally, through a process of critical thinking and discussion by members of the group. Without organizational structure, there would not be any set rules, obligations, or stature. In this case study, organizational …show more content…
In an organization, in order to have structure, there needs to be someone there to instruct. This is where the leaders come in the organization. Beverly Barton, R.N., the clinical outcome specialist, was responsible for focusing on daily management of core measurement performance. She committed 80% of her time to core measures and spends the rest helping with physician credentialing activities. She teaches new staff about the core measures and their relationship to improving patient care and speaks with other quality improvement staff at monthly staff meetings. Another leader in this case study is Cindy Stepp-Hann, M.S., C.C.C.; she is the director of quality. She believes that communication and feedback from staff are important. This is an important factor when trying to improve core measures. It is better to get feedback from the person who was working directly in the hospital. Hann also believes it is important to look at the facts, the facts are what sets the manner for what changes needs to be made and what improvements are being made. Texas Health Harris

You May Also Find These Documents Helpful

  • Better Essays

    Beverly Barton, R.N is the clinical outcomes specialist which was a new position that was created to focus on the performance of core measures. It was noted that the core measures of the other hospitals were not as great as Texas Health. She was brought in to help with the daily management of core measure performance. The other leader in this case study was Cindy Stepp-Gann, M.S., director of quality. Stepp-Gann is the one who with makes sure there is quality care in the…

    • 1068 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    This course met the DNP Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking. In this course, the following were discussed: principles of business, finance, economics, and health policy to develop and implement effective plans for practice-level and/or system-wide practice initiatives that will improve the quality of care delivery, develop and/or monitor budgets for practice initiatives, analyze the cost-effectiveness of practice initiatives accounting for risk and improvement of health care outcomes, demonstrate sensitivity to diverse organizational cultures and populations, including patients and providers and develop and/or evaluate effective strategies for managing the ethical dilemmas inherent…

    • 107 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    The third solution id Not take care of themselves. The doctor should inspect the patient's nose for any problems, then be must decide if he can perform the surgery or not.…

    • 179 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    According to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the definition of quality exists as the level of health services for populations must be current with real-time professional knowledge providing desired health outcomes (JCAHO 2015). Huntsville Hospital’s strives to provide excellence in health care maintaining a mission to provide quality care that improves the health of the patients we serve (HH 2015). The Quality Assurance program of Huntsville Hospital (HHQA) is an ongoing systemic evaluation of health professionals and the health services serving our patients and community and the impact of those services. The focus of the HHQA continues to be on customers, leadership, and involvement of staff. However, also, visualized as components of the evaluations are structure, process, and outcomes both with internal and external quality assurance and improvement. For example, structure evaluation reveals the hand hygiene system in use, while the process evaluation shows staff performing recommended care based on professional standards of care (Dejonge et al. 2011). Lastly, the outcomes evaluation provides…

    • 1016 Words
    • 5 Pages
    Good Essays
  • Good Essays

    The purpose of the National Patient Safety Goals (NPSG) is to improve patient safety via the application of evidence based practice in areas of medical care that have been identified as high risk for resulting in patient harm (Mascioli & Carrico, 2016). The organization is extremely focused on meeting the NPSGs, however, there has not been a formal assessment of the organization’s culture of safety. The hospital focuses on the individual goals, collects data, and, based on the statistics, puts into place measures to address deficiencies. Executives within the organization are sponsors of specific NPSGs and are required to write action plans for those measures for which the hospital is not meeting the target. Dr. Farber, my preceptor, rounds…

    • 302 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    The HIM professional can have a direct impact on the quality or compliance of specific operations or employees within a healthcare institution. Healthcare institutions, such as hospitals, can be huge institutions made up of hundreds or even thousands of treatment or operation specific areas operation. This can include anything from the surgeon who performs coronary artery bypass to the neonatal intensive care nurse who directly cares for struggling newborns to the physical plant worker who makes sure all the lights in the building stay on and the operating room is maintained at a certain temperature. As an overall institution the thought of identifying risk and liability within the organization can be quite overwhelming and daunting. The best way to approach this is to break things down into specific issues or areas and focus on one thing at a time, with the overall goal to be improving quality and reducing risk to the institution. This paper will focus on three specific scenarios that represent an area of risk and liability for the institution. These three scenarios will include the safety of blood transfusions within a hospital, dealing with power failure risks within a hospital and using operational checklists to improve employee efficiency, consistency and reducing the human factor of making mistakes.…

    • 3077 Words
    • 13 Pages
    Powerful Essays
  • Satisfactory Essays

    This paper will demonstrate from the perspective of a health care administrator, elaborate on how I would promote collaboration amongst clinical professionals and encourage physician leadership to enhance patient care with quality initiatives that reduce organizational risk and support patient safety.…

    • 712 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    In an organizational and management structures that support the design and implementation of quality-improvement initiatives and create mechanisms for accountability for quality of care. Healthcare organizations are constantly evolution, so organizational design should be considered a variable and evolving tool for improving organizational performance. Healthcare delivery system in the 20th century are adopting a functional model based functional area various clinical departments, nursing, laboratory services that has a manager that reports to higher management levels and eventually to the hospital 's chief executive…

    • 716 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Week 1 Memo

    • 640 Words
    • 3 Pages

    The present memo describes the current state and design of a healthcare organization for providing strategic inputs to improve organization performance in treatment of patients and operational efficiency of medical process.…

    • 640 Words
    • 3 Pages
    Good Essays
  • Good Essays

    A core measure is a care requirement set by The Joint Commission (TJC) and The Centers for Medicaid Services (CMS) that is a vital part in improving the health care delivery process (The Joint Commission, 2016). Core measures are evidence-based, diagnosis specific, and target specific patient groups. They contain requirements covering assessments (things one needs to look, hear, see, and feel on patients), interventions (actions one must take), and documentation (charting requirements that are core measure specific). Core measures range from the outpatient to the inpatient settings. Some of the core measures one will see regularly are for Acute Myocardial Infarction, Stroke, Pneumonia, Heart Failure, and Smoking Cessation (Bay Medical Core Measures, 2016). The number of core measures is always changing and adapting to meet the care requirements set by TJC. Every year new core measures are added and old ones are either retired or modified as new evidence-based research surfaces.…

    • 811 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Managing in a healthcare environment can often be hectic and present many challenges due to a constant change of policies and procedures. In order for any organization to be successful, the organization must identify goals and a plan to reach that goal set. To ensure that the organization is able to work effectively and provide quality care there are several processes available to produce quality care. These processes are strategic planning, performance improvement, and information systems. Each processes feeds directly into the next, when used correctly and simultaneously. These processes can greatly increase the quality of healthcare in an organization.…

    • 1575 Words
    • 6 Pages
    Better Essays
  • Better Essays

    When a group of individuals get together to talk about the health care industries they automatically think of hospitals and it is the first thing that the group thinks of. The hospitals use quality management to accomplish the long and short term goals that will improve the patient’s safety and the quality of care a patient receives. There are different program titles that represent quality improvement. There are a lot of different concepts, policies, and factors that a place needs to have for a successful organization. I will be talking about them within my paper.…

    • 2048 Words
    • 9 Pages
    Better Essays
  • Good Essays

    Having clear, well defined goals can: help business growth, achieve your objectives, improve teamwork and collaboration, and help everyone understand the direction a business is heading (Australian Government, 2016). I chose this principle because goals towards patient-centered measures and outcomes are increasingly important as insurance reimbursement is based on performance. Having well- implemented goals that provide a transformation to a more patient-centered model ensures the highest reimbursement for the facility, this should be the direction healthcare facilities from a business stand point are moving. Moreover, well-implemented goals have the potential to improve the comprehensiveness, coordination, efficiency, effectiveness, cost effectiveness, and value of care, as well as the satisfaction of patients and providers. My institution strives to continuously improve the quality-of-care, with a vision of patient-centered care. They value and promote evidence-based processes and goals that promoted patient-centered care that improves quality and has cost effective outcomes. It is the reason why my department is supporting my capstone for Nursing 4600.…

    • 716 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Excellence In Nursing

    • 939 Words
    • 4 Pages

    The program for instance, dictates that nurses are involved in decision making processes on the quality of care their patients receive the practice of nursing. It also dictates that nurses should have a healthy and safe working environment. A safe environment working environment not only keeps the nurses safe but also the patients thus reducing the number of work related injuries in the organization. A healthcare organization that is designated pathway to Excellence is also required to have systems in place to address patient care and practice concerns. This means that Nurses have an avenue to communicate any concerns they may have which results in effective conflict management in the nursing…

    • 939 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Surgical Care Improvement

    • 1177 Words
    • 5 Pages

    Jeffrey Booth RN, CPA, MBA Evidence-based nursing: The SCIP core measures: A dizzying array of issues, Nursing Management March 2009 Volume 40 Number 3 Pages 10 - 14…

    • 1177 Words
    • 5 Pages
    Better Essays