Quality Improvement Essay Example – Quality Improvement and Accreditation for Health Care Organization

The Quality Improvement Essay Example describes which accrediting body would be most appropriate for your health care organization, summarizes the requirements to obtain accreditation, discusses the performance or quality metrics to focus on for a quality improvement project to present to the accrediting body. The paper also answers the question of how does quality performance financially impacts the organization?

Quality Improvement Essay Example – Quality Improvement and Accreditation for Health Care Organization

Abstract

Quality is considered a significant aspect of the health care industry. Different bodies have been formed to oversee and ensure that organizations operate according to accepted quality standards. The research focuses on the National Committee for Quality Assurance as an organ that accredits quality healthcare institutions’ quality improvement. Likewise, the study discusses healthcare projects of safety and stakeholder engagement as quality improvement projects. The association between quality improvement and its impact on an organization’s finances is also reviewed.

Quality Improvement and Accreditation for Health Care Organization – Quality Improvement Essay Example

The National Committee for Quality Assurance (NCQA) is the ideal organ to accredit our health care organization for quality improvement standards. Started in 1990, the organization has grown over time to accredit more than 400,000 institutions worldwide. The many institutions accredited by the NCQA illustrate the kind of trust firms have placed on the organization as a strategic partner to attain the desired quality recommendations (Greene et al., 2017). Similarly, our organization perceives the NCQA mission and vision statements to align with our objectives. While NCQA’s mission is to “Improve the Quality of Health care,” the organization is also guided by the visionary desire to enhance “Better health care. Better choices. Better health” (NCQA, 2017) NCQA’s task operations in measuring performance and accrediting healthcare organizations will come in handy in improving service quality at our organization. Presenting our institution for accreditation by the NCQA is influenced by understanding its requirements, quality aspects to be accredited, and the financial impacts of quality operations to the firm.

Quality improvement essay example
Quality Improvement Essay Example

Healthcare institutions are supposed to meet several requirements for them to be accredited by the NCQA. An organization has to put in place quality improvement measures. It is up to the organization to assure NCQA that its efforts are geared towards ensuring that services are offered in adherence to the highest quality demands (Henry, Hudson, & Briefer, 2018). Likewise, institutions applying for accreditation should practice utilization management by ensuring that healthcare resources are put to the right use at any time. Access to Medicaid services and benefits is another requirement that must be met. Also, an organization has to illustrate that it has put the right measures to manage its healthcare population, such as the number of patients who visit the institution and their access to better health care services (Richter, & Beauvais, 2018). Besides population, institutions also have to prove that they have ideal network management processes to control movements. Furthermore, organizations should respect its members’ rights and put in place clear guidelines that illustrate the responsibilities each person has in the institution (Richter, & Beauvais, 2018).  

Additionally, healthcare institutions must meet several eligibility conditions. The institutions must be operating under an insurance license such as HMO and PPO. Also, health care institutions should offer and accept insurance contracts for specific populations. The insurance would allow self-insured individuals to access health care services in the facilities. The service delivery system must be organized, for instance, by having functioning healthcare sites and ambulatory functions (Henry, Hudson, & Briefer, 2018). An institution must have a relevant and functioning quality monitoring and evaluation system. The quality evaluation process must detail the organization’s safety standards to protect its stakeholders, for instance, staff and patients, from hazards. Health care organizations must also ensure that they use the Healthcare Effectiveness Data and Information Set (HEDIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) to audit and report their performance (Henry, Hudson, & Briefer, 2018). Moreover, eligibility of the healthcare institutions accredited by NCQA is based on attaining the standard requirements such as quality improvement, population management, and members’ rights.

Quality Improvement Essay Example

The organization will present the NCQA with several projects for quality accreditation. One such quality improvement project is enhancing patient engagement within our institution. The project’s objective is to ensure that customers find it easy to interact with our staff, thus getting to be served appealingly. There should be members of our team ready to attend to the patient’s queries (NCQA, 2018). Communication convenience is depicted as one such way to enhance patient engagement. The organization’s objective is to establish an external website for its stakeholders. Through the website, groups such as suppliers and clients will quickly engage and interact with the institution without the need for a physical presence at its facilities (Gray, Vandergrif, & McCullough, 2016). Likewise, the institution has designated areas where patients and other clients can reach out to in case of inquiries or grievances. The query designated sites will play a significant role in the organization’s network management roles, especially when directing external parties. The improvements will portray our organization as a friendly one that attends to its stakeholders quickly. 

Likewise, the organization seeks to accredit its quality improvement standards through a safety program. While health care institutions are considered ideal destinations for individuals to improve their health, contrary events may occur when safety standards are not followed. Thus, the organization seeks to ensure that safety measures have been adopted to protect its stakeholders from any health hazards (Gray, Vandergrif, & McCullough, 2016). For instance, the institution looks forward to lowering the number of infections among staff and patients by strictly adhering to quality hygiene standards. Similarly, the safety measures entail reducing medical errors within the institution. Mistakes made by healthcare practitioners tend to have financial consequences and may end up in fatalities in some instances.

Likewise, the negative image tainted on the institutions due to medical errors may negatively affect their performance. In line with its safety improvement measures, the organization seeks to have its’ rate of medical errors accredited for evaluation purposes (Henry, Hudson, & Briefer, 2018). Various measures have been taken to lower instances of medical errors. The organization has put in place new health care guidelines that the staff ought to follow strictly. The institution has also established a best practice group in every department to guide others on carrying out different tasks effectively.

Moreover, ineffective communication has been established as the leading factor in medical errors (Richter & Beauvais, 2018). The organization has thus set new communication guidelines that should be followed by staff when handling patients. Similarly, new work shifts and durations have been effected to lower fatigue instances among the team, thus leading to accidents. Adopting quality performance standards has much influence on the financial status of healthcare organizations. Initially, healthcare organizations incur many expenses as they focus on improving their quality standards. Attaining quality comes with its costs. For instance, healthcare institutions have to spend a significant amount of capital in purchasing resources to improve service delivery (Richter & Beauvais, 2018). Setting and running a patient interactive website and query offices are some of the quality measures that require some capital funding in our organization.

Healthcare institutions thus experience huge financial burdens during the initial stages of amending the quality improvement measures. However, the situation changes in the long run as the institutions benefit from providing quality services. The organizations register better financial performance compared to those with low-quality services. Improvement in financial performance is linked to the trust that the institutions have developed from their clients (Harwood, McManus, & White, 2017). Clients consider healthcare institutions to have shown exemplary service delivery standards. The positive image due to the provision of quality services attracts many people to the institutions, hence increasing financial performance.

As shown above The Quality Improvement Essay Example describes which accrediting body would be most appropriate for your health care organization.

In conclusion, the NCQA has been highlighted as the best organization to accredit my health institution. My organization’s different requirements to meet to be accredited by NCQA have been highlighted. The organization has identified several quality projects that can be presented to NCQA for accreditation. Improving patient engagement has been highlighted as integral in solving the different queries they have. Also, the accreditation will focus on enhancing safety and lowering medical errors in our institution. The measures are meant to improve the institution’s image as one that adheres to quality standards. Likewise, the financial implication of quality improvements to healthcare institutions has been reviewed. While it is costly for healthcare institutions to adopt and implement quality improvement measures, the situation changes in the long run due to positive financial gains associated with better service delivery. There is no doubt that undertaking a quality accreditation process is the ideal step for the organization as far as positive performance in the long term is expected.

The quality improvement essay example describes which accrediting body would be most appropriate for your health care organization
The Quality Improvement Essay Example describes which accrediting body would be most appropriate for your health care organization

References

Gray, B., Vandergrift, J., & McCullough, J. (2016). Is the National Committee for Quality Assurance (NCQA’s) Patient-Centered Medical Home Practice Infrastructure Score Associated with Cost and Quality of Primary Care? 2016 Interest Groups.

Greene, A. M., Bailey, C. R., Young, M., Wolfgang, E., Tekes, A., Huisman, T. A., & Durand, D. J. (2017). Applying the National Committee for quality assurance patient-centered specialty practice framework for radiology. Journal of the American College of Radiology14(9), 1173-1176.

Harwood, C., McManus, M., & White, P. (2017). Incorporating pediatric-to-adult transition into NCQA patient-centered medical home recognition. Washington, DC: Got Transition.

Henry, M., Hudson Scholle, S., & Briefer French, J. (2018). Accountability for the quality of care provided to people with serious illness. Journal of palliative medicine21(S2), S-68. 

National Committee for Quality Assurance (NCQA). (, 2018). Healthcare Effectiveness Data and Information Set (HEDIS) 2019 Technical Specifications for Health Plans, Volume 2. National Committee for Quality Assurance.

National Committee for Quality Assurance. (2017). NCQA patient‐centered medical home (PCMH) standards and guidelines.

The Quality Improvement Essay Example describes which accrediting body would be most appropriate for your health care organization.

Richter, J. P., & Beauvais, B. (2018). Quality Indicators Associated With the Level of NCQA Accreditation. American Journal of Medical Quality33(1), 43-49.29.

Quality Improvement and Accreditation for Health Care Organization Instructions

Write a 1,250-1,500-word essay about quality improvement. Include the following points in your essay:

  1. Describe which accrediting body would be most appropriate for your health care organization.
  2. Summarize the requirements to obtain accreditation.
  3. Based on your research and experience, what performance or quality metrics could you focus on for a quality improvement project to present to the accrediting body?
  4. How does the quality performance financially impact the organization?

Include at least three references, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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