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Read about the Model for Improvement in Chapter 16 and in the Quality Improvemen

ID: 128998 • Letter: R

Question

Read about the Model for Improvement in Chapter 16 and in the Quality Improvement and PDSA Cycle Self-Learning Packet (PDF) before answering the following questions (3 paragraphs total in MS Word):

The first step in the Model for Improvement is to answer the question, “What are we trying to accomplish?” Think of a healthcare problem or issue and formulate an answer to that question as though you were on a healthcare improvement team. Your answer must be crafted in such a way that your team will ultimately know whether they were making progress toward their goal.

Discuss the role of leadership in facilitating quality improvement.

How do process improvement and culture change contribute to process improvement?

Read the Resolve Relationship Conflicts vignette in Chapter 17 and Table 17-1 Troubleshooting Actions for Healthcare Teams before answering the following question (2 paragraphs in MS Word):

Which troubleshooting action would you take to resolve the relationship conflict between Dr. Reyerson and Mr. Balcerzak? Provide your rationale.

note : Without writing by hand or pictuer

Explanation / Answer

Trying to accomplish: The accomplish can indicate if it is a first or second order change and it requires detailed study on current situation, conditions, mapping process, interviews and discussions with team leads for better and proper understanding of problems/issues they are facing in the existing system.

Change is an improvement: Improvement refers to enhancing productivity, effectiveness, monetary or value related benefits from the previous process. There should be a visible positive outcome through change. Taking the case of healthcare industry changes can be from process optimization, improving customer relationship management, increase the hit ratio on curability of diseases or satisfaction of patients through recovery, improving the facilities through equipment upgrading or information system upgrading. There should be a process map to evaluate the effectiveness on real time basis. (Which can show As Is process (Current or the newly designed) and the previous process (old process), benchmarking analysis, analytics models to brings out the change in the system and how effectively it has made in place.

Performance improvement: It can be done through various stages such as

A. Revenue transition:

Updating revenue management capabilities

Evaluation of current cost and revenue alignment

Identifying project for cost cutting measurements

B. Clinical transformation:

Interdisciplinary care coordination

Engagement activities between physicians and patients

Reduce care variations

Proactive case engagement

C. Operational excellence:

Maintain governance with data

Align the organizational structure

Establish balance objectives

D. Scale and integration of various processes:

Define and design delivery and assumption of growth

Integrate all non clinical operations

Design and implement all delivery models.

Process improvement and culture change contribute to process improvement:

Process improvement and culture change contributes towards process improvement by ensuring that everyone is conscious of any activities they are in charge of in any process. It involves making small incremental changes and having the right attitude to ensure that the process goes seemingly. For example, workers in a production process may create a culture change that involves eliminating small bottlenecks in the process such as ensuring that they are available during the process to overcome delays. Process change may also include utilizing latest technologies and ensuring that the system is free of any defects to overcome potential losses. Definitely, these processes requires a different kind of thinking and a culture change that tolerates minimal mistakes and encourages individuals to be mindful of how their decisions could affect the entire process.

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