Describe the program’s quality improvement model.

SLP: Final Part

This is the final part of applying information that you gained in your interview of a healthcare manager. Please answer the following questions:

1.    Describe the program’s quality improvement model.

2.    Discuss with your interviewee procedures used to address quality assurance in the healthcare program.

3.    Discuss what issues have impacted quality of services (e.g. economics, human error, technology, etc.)

4.    Determine how accountability for quality assurance services is assessed.

5.    What measures are in place to ensure that quality services are provided by employees of the program?

You may also want to include other themes that were presented in this module related to quality assurance and accountability. Please summarize how conducting this interview helped you understand the role of the healthcare manager in being responsible for the delivery of effective and efficient healthcare services.

 

Assignment Expectations

1.    Be sure to conduct additional research to gather sufficient information to familiarize yourself with the facts of the case and be sure to justify/support your position.

 Limit your responses to a 2-3 pages. Times new roman font 12 pt.  DS. Please use sub headings.

2.    Please support your discussions with scholarly support (3-5 references). Be sure to properly cite all references in text citations and reference page

3.    Apply critical thinking skills to the assignment component.

 

Module 5 – Background

Quality Management and Accountability

Required Readings

Kennedy, D., Caselli, R., Berry, L., & Mishra, P.. (2011). A Roadmap for Improving Healthcare Service Quality/PRACTITIONER APPLICATION. Journal of Healthcare Management, 56(6), 385-400; discussion 400-2.

James, B., & Savitz, L.. (2011). How Intermountain Trimmed Health Care Costs Through Robust Quality Improvement Efforts. Health Affairs, 30(6), 1185-1191.

Chassin, M., Loeb, J., Schmaltz, S., & Wachter, R.. (2010). Accountability Measures — Using Measurement to Promote Quality Improvement. The New England Journal of Medicine, 363(7), 683-8.

Larson, J. S. & Muller, A. (2002). Managing the Quality of Healthcare. Journal of Health and Human Services Administration. Harrisburg: Winter 2002/2003. Vol. 25, Iss. 3/4; p. 261.

Miller, N. (2000). Seeking accountability. Nursing Economics; Pitman; Mar/Apr 2000.

Nat Natarajan, R. (2006). Transferring best practices to healthcare: opportunities and challenges. The TQM Magazine. Bedford: 2006. Vol. 18, Iss. 6; p. 572.

Robinson, P. (2004). Master the steps to performance improvement. Nursing Management.Chicago: May 2004. Vol. 35, Iss. 5.

Scott, G. (2001). Accountability for service excellence. Journal of Healthcare Management; Chicago; May/Jun 2001.

Weeks, Brenda, Helms, Marilyn M, & Ettkin, Lawrence P. (1995). A physical examination of health care’s readiness for a total quality management program: A case study. Hospital Materiel Management Quarterly, 17(2), 68.

Optional Readings

Griffith, J. R., White, K. R., & Bernd, D. L. (2005). The Revolution in Hospital Management. Journal of Healthcare Management. Chicago. Vol. 50, Iss. 3

 

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Heart failure clinic care plan paper

 Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic. 

  Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services: Evaluate and maximize proper medication therapy. Conduct regular diet, exercise, and stress management classes for the patients. Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs). Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to: Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge. Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning). Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan: Develop an evidence-based plan for health care delivery. Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course. What are the components of an evidence-based education plan? How will you know that patients will understand what to do? What modalities will you use to deliver information? How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds? Identify specialized and supplementary material needs. Apply professional and legal standards in support of a care plan. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards. Describe the accountability tools and procedures used to measure effectiveness. How will you know if the patient education plan is successful? What are the indicators of success or effectiveness?

A Discharge Education Plan: Develop an evidence-based plan for health care delivery. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress. How will you know that patients understand what to do? What modalities will you use to deliver information? How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds? Apply professional and legal standards in support of a care plan. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards. Describe accountability tools and procedures used to measure effectiveness. How will you know if the discharge plan is successful? What are the indicators of success or effectiveness?

Care Coordination Plan: Develop an evidence-based plan for health care delivery. Develop a procedure for coordinating services. Consider the needs of “outliers.” For example, someone with lung disease may need extra resources. Who should be on the team? When would the team be activated? How would it be activated? What is the time frame required to coordinate services? How would the intervention plan be monitored for effectiveness? Apply professional standards in support of a care plan. Explain the alignment to the most recent heart failure guidelines and specific professional standards. Describe accountability tools and procedures used to measure effectiveness. How will you know if the care coordination plan is successful? What are the indicators of success or effectiveness? How will information be collected or communicated? Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: The report should be 3-4 pages in content length, double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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Threaded Discussion

You are the auditor with final responsibility for an audit of a Fortune 500 company, which is about to start. As required by SAS 99, you are required to brainstorm among the audit team “about how and where they believe the entity’s financial statements might be susceptible to material misstatement due to fraud, how management could perpetrate and conceal fraudulent financial reporting, and how assets of the entity could be misappropriated.”

For the discussion posting, you are required to select one of the following companies to discuss:

Technology – Google, Facebook
Design/Manufacturing – Apple, Nike
Finance/Banking – Goldman Sachs, HSBC
Insurance – GEICO, United Health
Retail – Walmart, CVS
Communication – AT&T, British Telecom

Using the company you selected, answer the following questions:

1. If fraud were to occur in our organization, where would it most likely happen?
2. Which of our employees are in the best positions to commit fraud against the company?
3. If each of these possible frauds were to occur in our company, what kinds of symptoms would they generate?

Please review the SAS #99 document, paragraphs 14 – 18, to obtain an idea of what is required for brainstorming. The document is attached.

The fraud must be specific to the company or industry you selected. It cannot be a broad list of red flags or frauds. Within your brainstorming posting, you must provide your logic behind the type of fraud(s) that you believe will mostly likely occur given the company or industry. The more details the better.

There is no specific requirement for the # of sources and they all can be from the internet.

 

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applying ethical decision making models to guerrilla government 3

As mentioned in previous weeks, Cooper’s ethical decision-making model and Waldo’s Map of Ethical Obligations assist responsible public administrators in assessing and addressing the ethical dilemmas that they will confront during their careers. Public administrators must consider all underlying factors of a dilemma and the potential solutions in order to ensure the most proper outcome. Sometimes the chosen outcome may involve actions that serve to work against the wishes of superiors in the organization.

For this Assignment, review the case study in the text, “Guerrilla Government in EPA’s Seattle Regional Office.” Identify an ethical issue within this case study. Consider the competing obligations and responsibilities that these individuals faced and how they determined whether their actions were right. Also, think about the impact of guerrilla government on the political appointees, organization, and public policy.

The Assignment (3–4 pages in APA format): Your paper should include the following:

  • A description of the ethical issue you identified in the “Guerrilla Government in EPA’s Seattle Regional Office” case study
  • A description of the issues the political appointees faced in this case and an explanation of federal ethics law violations
  • An explanation of why you think the career employees were motivated to use guerrilla tactics as a solution despite the risks to their careers (e.g., competing obligations) and whether their choice of guerrilla action was ethical
  • An explanation of how these actions affected the organization and public policy
  • A description of the actions leaders within the EPA might have taken to manage guerrilla government and an explanation of how those actions might have changed the outcome of the situation
  • An evaluation of the potential lessons for public administrators and the importance of these lessons

Note: If you are more familiar with life in a nation outside of the United States, explain the potential lessons for public administrators in that nation.

Support your Assignment with specific references to all resources used in its preparation. Provide a reference list with all resources included in the paper.

Your Assignment must demonstrate both breadth and depth of knowledge and critical thinking appropriate to graduate-level scholarship. It must follow APA Publication Manual guidelines and be free of typographical, spelling, and grammatical errors. The assignment should be 3–4 pages in length (double-spaced), not including the title page, abstract, and references.

Required Readings

O’Leary, R. (2014). The ethics of dissent: Managing guerrilla government (2nd ed.). Washington, DC: CQ Press.

  • Chapter 3, “Guerrilla Government in EPA’s Seattle Regional Office”
  • “Second Interlude: More Stories of Guerrilla Government”
  • Chapter 6, “Managing Guerrilla Government: Ethical Crusaders or Insubordinate Renegades?”

USDA Office of Ethics. (2000).
A brief wrap on government ethics. Retrieved from
https://www.ethics.usda.gov/science/docs/briefwrap…

U.S. Office of Government Ethics. (n.d.). Retrieved April 4, 2016, from https://www2.oge.gov/

Note: At the https://www2.oge.gov/ website, click on the “Laws and Regulations” tab and then the drop-down box for “Statutes.” Next, scroll down to “Other Statutes” and click on the “Compilation of Federal Ethics Laws” hyperlink. This will take you to “OGE Publishes Updated Compilation of Federal Ethics Laws” where you can access the link to a PDF version.

 

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