Quality Improvement Process

 

 

 

 

 

 

 

Quality Improvement Process

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Quality Improvement Process

The revolution of the health care industry concentrates on client satisfaction through excellence and safety. Consequently, Centers for Medicare and Medicaid seek to reduce treatment costs by offering financial support. However, one recurring challenge is the readmissions of patients that expose health institutions to penalties from this organization. An upsurge in the cases of post-discharge admittance in national hospitals makes them receive fewer payments from Medicaid and Medicare (Rau, 2016). The quality improvement process is thus indispensable in solving such problems.

The step-wise process includes a facility having prior knowledge of the demographics of the populations. Factors like the social-economic status of individuals may make them more apparent for readmissions (Rau, 2016). After prioritizing the issue, the facility should collect data on the problem they seek to rectify, how they will solve it, and evaluation mechanisms to monitor their progress in managing the issue. In this case, the hospital should invest in a readmission prevention program that includes patient follow up. There is a need to update the patient data software as it will guide the institution’s call process. The initiative must also monitor the client’s capacity for self-care. Their home should also be free of any hazards that may enhance the patient’s risks. Lastly, the patient requires emergency contact with the hospital, especially when they lack family care.

The readmission prevention program serves as a quality indicator. This improvement will encourage discharged patients to report their health status before they need readmissions. As such, there will be savings of health care costs for use in other critical areas. In my nursing experience, quality improvement interventions like patient engagement improved the nurse-patient relationship. As such, there was better service delivery, improved safety of the patient, and participatory decision making. The institution recorded fewer deaths and readmissions.

 

 

Reference

Rau, J. (2016, July 28). Half Of Nation’s Hospitals Fail Again To Escape Medicare’s Readmission Penalties. Kaiser Health News. https://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/.