Utilization of Quality Management in Health Care in Support of Quality Provided Services

Topics: Health care, Health care provider, Healthcare Pages: 8 (2384 words) Published: March 19, 2014


Utilization of Quality Management in Health Care in Support of Quality Provided Services. Wayne D. Slaughter
Texas A & M Corpus Christ

Utilization of Quality Management in Health Care in Support of Quality Provided Services The Patient Protection and Affordable Care Act of 2010 established regulations that require the quality improvement in “the delivery of health care services, patient health outcomes, and population health” (The Henry J. Kaiser Family Foundation, 2011, p. 10). The national quality strategy section of this law further required the Secretary of the Department of Health and Human Services to develop a National Strategy for Quality Improvement in Health Care (the National Quality Strategy) which will stimulate the establishment of quality health care serving the needs of patients, families, and communities by setting priorities in a strategic plan to guide both the providers and payers (U.S. Dept of Health, 2011, Exec. Sum). The requirements further established an Interagency Working Group to help develop the National Quality Strategy. This group, composed of representatives from 23 Federal Health Care responsible agencies, is to ensure cooperation between both the Federal and private sector. This group developed a draft plan which was then provided to over 300 health care industry entities and the general public for comment on the draft principles and priorities. The combined effort came up with a strategic plan that is composed of three aims, six priorities, and ten principles (Working for Quality, 2011, About the National Quality Strategy). Section III of the National Strategy for Quality Improvement in Health Care will have the greatest impact on a health care organization’s quality management efforts since it addresses ten areas that establish the foundation for several quality improvement measures including payment, public reporting, quality improvement, certification, measurement of care processes and evaluation and feedback (U.S. Dept of Health, 2011, Polices and Infrastructure Needed to Support Priorities). Additionally, the quality management organization that is established by the health care provider will have to annually review the list of proposed new measures that will be imposed the following year by the Centers for Medicare and Medicaid Services (CMS) to ensure their quality program has effective measures established and in place to comply with new statutory requirements (Working for Quality, 2011, Multi-Stakeholder Group Input on Quality Measures). Understanding and implementing the quality measures that are imposed by the Patient Protection and Affordable Care Act of 2010 (ACA) will be the foundation for an effective quality management unit within the health care organization. The quality requirements of the Patient Protection and Affordable Care Act will require many health care organizations to examine their existing quality programs in order to adjust them to accommodate the new requirements, or in some cases, will cause the health care organization to implement a new department or unit to ensure that a quality management system is in place in order to comply with the law. The use of Deming’s fourteen points for management to make improvements in industrial environments is well known and it is only natural that health care providers would turn towards this proven technique to improve health care quality. Total Quality Management techniques have already been implemented in various health care organizations, where over time, they have moved from Quality Assurance (QA), to Quality Improvement (QI), to Quality Management (QM) (which incorporates parts of both QA and QI (Carefoote, n.d. n.p.). There are ten characteristics of a successful Quality program: Clear Mission Goals, Active Leadership, Defined Structure and Accountability, Coordinated Activities, Effective Planning, Comprehensive Scope of Services, Focus on...

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