Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?
- You are going to present data that has been collected to your administrative group. The focus is on outcome measures and the data collected is unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?
- Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?
- Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development
Question 1: Expert Answer and Explanation
Performance Improvement and Quality in Health Care
Format I would choose to Display the Data
I would choose the Continuity of Care Document (CCD) format to display data about unplanned readmission rates. This format of data presentation combines different HL7 technologies that ensure patient and other healthcare information is collected continuously without interruption to the present data flows (Srivastava et al., 2017). The use of traditional patient charts as a method of display is slowly becoming extinct as it has major disadvantages such as being too tedious and poor ability to maintain it (Srivastava et al., 2017). However, for the CCD format of display to be effective in any setup, there is need for proper education of healthcare givers on the best ways of utilizing the health information.
Information I would include in the Data
Among the top categories of information I would include in the unplanned readmissions is the cause of the readmissions. In most of the cases, sepsis and other chronic conditions such as COPD and heart disease is the main cause of unplanned readmissions (Straatmann et al., 2020). Collecting this information would help the healthcare manager to launch specific program changes that would address the main challenge. Collecting the demographic information of patients would also help to categorize the exact disease patterns and guide in the interventions (Huntley et al., 2016). For instance, if older individuals are more prone to the unplanned readmissions, there would be strategies to address the needs of the specific population. Also, I would include other data such as the associated costs of admission.
Huntley, A. L., Johnson, R., King, A., Morris, R. W., & Purdy, S. (2016). Does Case Management For Patients With Heart Failure Based In The Community Reduce Unplanned Hospital Admissions? A Systematic Review and Meta-Analysis. BMJ open, 6(5). Doi: 10.1136/bmjopen-2015-010933
Srivastava, S., Soman, S., Rai, A., Cheema, A., & Srivastava, P. K. (2017, March). Continuity of Care Document for Hospital Management Systems: An Implementation Perspective. In Proceedings of the 10th International Conference on Theory and Practice of Electronic Governance (pp. 339-345). https://doi.org/10.1145/3047273.3047362
Straatmann, V. S., Dekhtyar, S., Meinow, B., Fratiglioni, L., & Calderón‐Larrañaga, A. (2020). Unplanned Hospital Care Use in Older Adults: The Role of Psychological and Social Well‐Being. Journal of the American Geriatrics Society, 68(2), 272-280. https://doi.org/10.1111/jgs.16313
Question 2: Expert Answer and Explanation
Continuous Quality Improvement
Stakeholder reporting is a key issue in the healthcare spectrum as it facilitates accountability and growth of an organization. different agencies for stakeholder reporting are present each focused on the various attributes within the healthcare system. The agencies make up secondary information and are involved with policy development. The two main agency reporting sources are the safety and labor agencies (Christianson et al., 2016). These agencies are focus on the overall outlook of the health care organization including the staffing, and measures taken to ensure proper and continuous development. The labor agencies are focused on the staffing ratios in that the health care organization has to share information concerning the professional counts and their ration against the number of patients or capacity of the organization (Lübbeke, Carr, & Hoffmeyer, 2019). The safety agencies collect reports the measures in which an organization safeguards the interests of both the staff and the patients towards achieving efficient quality improvement
The external reporting groups are essential for contributing o the betterment of the CQI measures. As a matter of first importance, safety agencies can aid in increasing the standards of operations that are associated with internal safety measures. Safety includes measures to safeguard the nurses or other professionals and also the measures put in place to safeguard the patients. This contributes to quality improvement by preventing hospital-acquired illness or patient falls (Petkovicet al., 2020). The labor agencies ensure that the health care organization is offering quality medical treatment by focusing on the number of medical practitioners available compared to the capacity of the organization. This reporting group contributes to the policies that require a predetermined nurse to patient ratios. These measures can improve the overall nature of CQI and foster the quality of health care provision.
Christianson, J. B., Shaw, B. W., Greene, J., & Scanlon, D. P. (2016). Reporting provider performance: what can be learned from the experience of multi-stakeholder community coalitions. Am J Manag Care, 22(suppl 12), S382-S392.
Lübbeke, A., Carr, A. J., & Hoffmeyer, P. (2019). Registry stakeholders. EFORT open reviews, 4(6), 330-336.
Petkovic, J., Riddle, A., Akl, E. A., Khabsa, J., Lytvyn, L., Atwere, P., … & Dans, L. (2020). Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation. Systematic reviews, 9(1), 1-11.
[ANSWERED] Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable).