Improving Quality of Health Care Services

Improving spirit of wellness C atomic number 18 service The U. S. leads the way in m any(prenominal) aras into the future of economy, wealth and civilization. America spends to a greater extent on heath c be than any other nation with case and safety being a key steering. Nevertheless, evidence of betterment of decreased misconducts is limited. We lack answers to financial stability and providing tone health apportion to altogether (Becher & Chassin, 2001). Nation eachy, everyone is engaged in improving the type and safety of healthc ar.We need to be awakened to preventing errors and providing safer care (Laureate, 2009). The purpose of this paper is to discuss the initiative to improve type and safety of health care with the Six Dimensions of Goodness in health care. A quality and/or safety initiative healthcare facilities are engaging in the prevention of medical errors and providing better care. Many institutions are implementing process approach focused on vi key dimensions to erect the quality and safety in their healthcare setting (Laureate, 2009).The six dimensions are Safety-to avoid injury to affected roles from the care that is intended to help them Time landmarkss-to reduce waits and pestilential delays Effectiveness-to endure services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit (avoiding overutilization and underuse, respectively) Efficiency-to avoid waste Equitability-to provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographical location, and socioeconomic status and Patient centeredness-to provide care that is respectful of and responsive to individual enduring preferences, involve, and values (Madhok, 2002). Reasons for the initiative The Institute of Medicine (IOM) has a maturation extend to about medical errors. The IOM report Crossing the Quality Chasm, asked for a radical cha nge, recommending that the delivery of health care be based on six key dimensions. We wel strike an interaction between the errors of individuals and system flaws that need to be prevented. We need to change our defense systems (Madhok, 2002). The report, To Err is Human estimated that 44,000 Ameri brooks die per form as a result of medical errors.More deaths occur in a given year from medical errors than from motor vehicle accidents, breast cancer, or AIDS. National costs of preventable medical errors were estimated between $17 million $29 billion (Madhok, 2002). healthcare institutions are embracing new initiatives for safer care based on the six dimensions. Healthcare systems are implementing the six dimensions as a basic initiative to improve quality. The IOM states that American healthcare must(prenominal) make vast changes to have clinically safe and quality care (Madhok, 2002). The six dimensions can influence and direct the overall process of improvement (Laureate, 20 09). Payment systems such as Pay for Performance are cause facilities to incorporate the six dimensions.Pay for Performance initiatives advocate financial rewards to hospitals demonstrating outstanding antifertility and care giving employs (Sultz & Young, 2011). Poor outcomes with medication errors, skin breakdown, long-suffering falls, isolation procedures, and drug protocols can effect payment to hospitals (Laureate Education Inc, 2009). High quality medical care at an affordable cost is a growing goal for healthcare institutions. Effective, safe, and affordable health care leads to higher patient satisfaction (Quality Initiatives, 2004). Strengths and limitations of the initiative The six dimensions encourage a strong focus on health care quality and error prevention.They encourage policymakers, purchasers, regulators, health professionals, health care trustees, management, and consumers to commit to a national system level of process improvement for quality health care. The y encourage a divided up agenda to pursue safer care (Madhok, 2002). This can cause facilities wanting independency limitations. Overuse of fee-for-service has been associated with higher rates of variety of health services. Americans are mesmerized with technology and often want something done whether it is the best choice of care. Health care providers accommodate consumers. A more unified system could provide better care. It could decrease spending and limit the freedom to choose any type of care one desires (Becher, & Chassin, 2001).A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). The six dimensions promote a high level of performance guide to better quality performance and a process of care measures. Healthcare is raising the bar for better care with enhanced collaboration, benchmarking, and facility menu goals to support the dimensions (Jiang, 2010). Quality goals such as Zero central line infecti ons & zero sepsis is encouraging a higher level of care quite of being satisfied with average outcomes of care (Jiang, 2010). Role of nursing Health care is a team sport. nurse needs to be break away of the team and be actively involved in preventing harm to patients (Laureate, 2009).Effective leaders with health care change needs to come from those engaged in providing health care to patients (Becher & Chassi, 2001). Nursing should be a part of identifying the error cause, convention data, and making goals to prevent subsequent errors (NCC MERP, 2002). Nursing can be more aware and involved in prevention. Nursing can contract higher standards and have an attitude of prevention concerning errors. Patients should not ever get out a health care facility in a coach worse than they arrived. U. S. health care must improve their standards of care (Laureate, 2009). Nursing can be a part of better communication and handoffs. The patient has often been the communication link to give r eport to the next caregiver (Becher, E. & Chassin, M. , 2001).Bedside nurses need empowerment to provide care and be involved in creating policies for better care. Nurses need more education, to get more involved in National groups that can affect policy, and to participate in research. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Summary 10 point The scrap IOM report Crossing the Quality Chasm, asked for a fundamental change, recommending that the delivery of health care in the 21st century be based on six key dimensions (Madhok, 2002).The key dimensions are safety, effectiveness, patient centeredness, timeliness, efficiency, and equitability (Laureate, 2009). Healthcare systems are implementing the six dimensions as a basic initiative to improve quality and safety and d irect the overall process of improvement of care (Laureate, 2009). We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). Nurses can be a large part of implementing the six dimensions. Nurses have a great responsibility for safe healthcare.They have an opportunity to make a difference (Laureate, 2009). The six dimensions of goodness can assist the U. S. to improve quality and safety in the healthcare system. References Becher, E. & Chassin, M. (2001) Improving quality, minimizing error Making it happen. Health Affair(20)3 68-81. Retrieved on February 5, 2011 from http//content. healthaffairs. org/content/20/3/68. full. pdf Becher, E. & Chassin, M. (2001). Improving the quality of health care Who will lead? Health Affairs, 20(5), 1-6. Retrieved from Walden University Library website http//web. ebscohost. com. ezp. waldenlibrary. org. Jiang, H. (2010). Enhancing quality oversight.Healthcare administrator (3) 80-83. Retrieved from Walden University Library website http//web. ebscohost. com. ezp. waldenlibrary. org. Laureate Education, Inc. (Executive Producer). (2009). The context of healthcare delivery. Baltimore Author. Madhok, R. ( 2002). Crossing the quality chasm lessons from health care quality improvement efforts in England. 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