Answer: Promoting Safety and Quality.
Standards and regulations are vital in ensuring consistency in the provision of quality of care by nurses in any healthcare facility. The existence of CMS and TJC suffices as an efficient backup for the generation of nursing regulations and standards, which are meant to monitor and uphold the quality of care in any medical facility. The existence of a ‘never event’ in any hospital facility is known to require additional special care for a patient as it might involve their transition from one department to another, a move that might expose them to increased risk. A ‘Near Event’ which will be analyzed in this scenario will be Heart Failure and its associated fatalities (American Organization of Nurse Executives, 2016). The existing standards are programmed so as to facilitate the prompt follow-up on any patients; previous medical records, expressed preferences, addressed problems, and also information obtained by medical practitioners. These standards are meant to greatly reduce the probability of error which might facilitate the occurrence of a ‘Near Event’ which might be fatal. The CMS has played an active role in the implementation of the Affordable Care Act, which conducts research on the most appropriate community-based intervention so as to reduce re-hospitalization cases while also improving the final quality of patient care in a medical facility. Requiring the accreditation of hospitals by the TJC is vital as it ensures that hospitals pass through the existing validation standards before receiving funding from the CMS (Centers for Medicare & Medicaid Services, 2016). The total elimination of readmission cases of patients, however, should also involve the continuous implementation of awareness programs on nurses so as to ensure that they completely master the techniques of disease management; This might be achieved through the existence of training programs to address these problems. The joint commission (TJC) also should develop measures that monitor the performance of hospitals in specific areas, which they have to comply (The Joint Commission, 2016). Discharge procedures for Heart Failure patients should, therefore, be standardized to ensure there are no miscalculations in the discharge. Documentation is also a necessity so as to ensure the existence of accountability and transparency on discharge procedures of a Heart Failure patient. The TJC also requires Heart failure patients to be discharged with the following; an analysis of their activity levels, their expected future diet, medications to be taken after discharge and also the scheduled date for a doctor’s appointment for continued follow-up. These standards developed by the TJC ensure that there exists some aspect of performance improvement in healthcare organizations. The TJC should also ensure that hospital staff has valid certifications to undertake certain procedures so as to guarantee their eligibility to provide quality patient care. Promoting Safety and Quality. Promoting Safety and Quality.
Nurses constitute an integral part of the care provision system. For any nurse to care provision for the best clinical outcomes, they must have the required basic skills of care provision. A nursing practitioner must, therefore, have the capacity to provide the basic needs of a patient under any conditions and this might involve; assessing a patient’s current medical status. Another effective role of nurses is to master the art of effective communication with the patient and colleagues as a requirement for the provision of a better quality of care. The capacity to consistently monitor multiple patients at a go is also essential for any nurse as they will find themselves in scenarios where multiple patients need immediate care and thus should be able to withstand such scenarios. Attention to detail and the capacity to react to distress calls are also vital as they position such nurses in a mode of preparedness in case of an emergency (American Organization of Nurse Executives, 2016). The capacity of a nurse to sustain the detailed roles is, therefore, a surety of provision of quality patient care. Promoting Safety and Quality. Promoting Safety and Quality.
Nurse-specific challenges that influence change in quality improvement requires constant evaluation and control so as to ensure that they do not interfere with the provision of quality patient care. They include; inadequate staffing, meeting the expectations of patients, technological advancements and also inevitable hazards on the job. All hospitals should be completely aware of nurse-specific challenges and they should also have an existing risk management mechanism that will ensure the risks do not interfere with the normal running of any medical facility. Promoting Safety and Quality.
For an organization to achieve its strategic agenda, all processes must completely integrate with each other so as to ensure that they all advocate for the provision of quality patient care. Understanding nurse-specific challenges are essential as the hospital management will develop counter mechanisms which will effectively manage the occurrence of such risks and their interference with the provision of quality patient care (American Organization of Nurse Executives, 2016). Hospitals should also ensure that they comply with TJC standards as a step that will guarantee the achievement of their strategic agenda. Promoting Safety and Quality.
American Organization of Nurse Executives. (2016). Retrieved from http://www.aone.org
Centers for Medicare & Medicaid Services. (n.d.). Quality of care center. Retrieved August 11, 2016, from http://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center.html?redirect=/center/quality.asp
The Joint Commission. (2016). National Quality Forum (NQF) endorsed nursing-sensitive care performance measures. Retrieved from http://www.jointcommission.org/national_quality_forum_nqf_endorsed_nursing-sensitive_care_performance_measures/
Question: Promoting Safety and Quality
Discussion: Promoting Safety and Quality
In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered. Promoting Safety and Quality.
Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes. For this Promoting Safety and Quality.Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care. Promoting Safety and Quality.
To prepare for this Discussion:
- Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources.
- Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.
- Conduct an Internet search for either a Never Eventor a core measure, and select one to address in your post. Promoting Safety and Quality.
By Day 3
Respond to the following:
- How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Events your response.
- What is the impact of the nurse’s role in clinical outcomes for the organization?
- Discuss nurse-specific challenges in influencing change in quality improvement.
- How does this influence the ability of the organization to achieve its strategic agenda?
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.
Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.
Submission and Grading Information Promoting Safety and Quality.
Grading Criteria Promoting Safety and Quality.