Quality Healthcare Delivery Guidebook
Name: ____________________
Contents Page
Purpose and ObjectivesBackground InformationSteps and guidelines to quality healthcare improvementUseful measurement and evaluation toolsImplementation processProject Case StudyReferences
Quality Healthcare Delivery Guidebook
Purpose and objectives
XXX XXXXXXX of XXXX document XX to XXXXX as a guidebook for XXXXXXXXXX XXXXXXXXXXXXX to improve XXX quality XX care and delivery XXXXXX XXXXX organisations. XXXX document XXXX XXXXX XXX background XXXXXXXXXX XX quality healthcare XXXXXXXX, steps and guidelines for effective XXXXXXXXXX delivery, useful XXXXXXXXXXXX and XXXXXXXXXX tools, implementation processes, and a XXXX study XX XXXXXXX healthcare XXXXXXXX.
X practical XXX XXXXXXXXX XXXXXXXX for quality XXXXXXXXXXX XXXXXXXXXXX in XXXXXXXXXX XXXXXXXX is important XX continue XX ensure a consistent XXX rigorous standard XX healthcare for XXXXXXXX globally, in order XX XXXXXX healthy XXXXX XXX XXXXXXX well-XXXXX XXX XXX ages, as XXXXXXXX in XXX X.N. sustainable development XXXXX. (World Health XXXXXXXXXXXX, XXXX)
Background information
As XXX XXXXXXXXXX XXX XXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXX, XXX as the global population XXXXXXXXX XX XXXX, healthcare XXXXXXXXXXXXX XXX organisations are increasingly under strain XX XXXXXXXX XXXXXXXXX quality XXXXXXXXXX XX XXXXX patients and constituents. XX XX important XXXX XXXXXXXXXX practitioners such XX XXXXXXX XXX XXXXXX XXXX access XX a XXXXXXXXX guide XX improve the XXXXXXX XX XXXX XXX delivery within XXXXX organisations, in terms XX guidance, implementation, manuals, XXXXXXXXXX, frameworks, XXXXXXXX XXXXXXXX and XXXXXXXXXX. (XXXXX Health XXXXXXXXXXXX, XXXX)
XXXXXXXXXXXX in XXXXXXX XXXXXXXXXX XXXXXXXX XXXXX to a XXXXXXX XX areas, XXXXX include XXXXXXXXX XXXXXXXXXX and control, XXXXXXXXX room XXXX, community engagement, patient XXXXXX, hospital XXXXXXXXXX, XXXXXXXXXX care, XXXXX XXXXXX XXX primary XXXX. XXXXXXXX these XXXXXXXXX areas of healthcare and XXXXXXX practice XXXX XXXXXX needs, XXXXXX XXXXXXXXX to XXXXXXX XXX quality XX XXXX XXX delivery of organisations in XXXXXXXXXX XXXXXXXX in XXXXX XXXXX XXX be XXXX. (XXXXX Health Organization, XXXX)
XXXXXXXXXX of Quality Healthcare
Generally, XXXXXXX XXXXXXXXXX delivery XX governed by XXX following XXXXX principles of XXXXXXXXXXXXX, safety, people-centricity, XXXXXXXXXX, equity, XXXXXXXXXXXXXX and efficiency. (XXXXX Health Organization, 2018)
XXXXXXXX, quality healthcare XXXXXXXX XXXXXX XX XXXXXXXXX, in providing XXXXXXXX-XXXXX XXXX to XXX patients XXX require XXXX most. XXXXXXX XXXXXXXXXX should XXXX be safely conducted, XXX minimise or XXXXXXXXX harms XXXXXX to helathcare. XXXXXX-XXXXXXX XXXXXXX healthcare XX XXXX key, and healthcare XXXXXXXXXXXXX XXXXXX XXXXXX XX XXXXXX XXXXXXXXXXX, XXXXXXXX XXX XXXXXXXXXXX XXXX a XXXX respect for specific XXXXXXXX norms. Healthcare XXXXXXXX should XXXX XX XXXXXX, equitable, integrated XXX XXXXXXXXX XX the furthest extent XXXXXXXX, XXX seek XX administer fair XXXXXXXXX without XXXXXXXXXXXXXX XX background, XXXXX minimising wait XXXXX and XXXXXXXX XXX inefficiencies.
Steps XXX guidelines to XXXXXXX healthcare XXXXXXXXXXX
XXXX document will XXXXX the XXXXXXX XXXXX in XXXXXXX healthcare XXXXXXXX, XXX XXX plan, XX, check XXX act XXXXX (PDCA). However, healthcare organisation management teams may XXXX consider other models, XXXX XX XXXXXXX modes XXX effects analysis, XXX XXXXX, Lean and root-cause analysis to improve XXX XXXXXXX XX XXXXXXXXXX delivery. (Hughes, XXXX)
XXXXXXX steps in XXXXXXX XXXXXXXXXX delivery
XXXXXXX healthcare XXXXXXXX XXXXXX XXXXXX XXXX XXX XXXXXXXXX XXXXX XX XXXXXX XXXXXXXXX delivery.
Foremost, XXXXXX XXXXXXXXXX of XXX healthcare organization should XX XXXXXXXXX XX open XXXXXXX XXX continual XXXXXXXXXXX in the XXXXXXXX XX quality healthcare.
XXXXXXXX, people XXX teams in the XXXXXXXXXX organization should XXXX a XXXXXX XXXXX XX XXXXXXXXX, and XXXXXX be empowered XX continually XXXXXXX various XXXXXXXXX at their own work XXXXXX.
XXXXXXX, XXX XXXXXXXXXX XXXXXXXXXXXX XXXXXX work with XXXXXXXX XXX XXXXXXXXXXX XX XXXXXXX locally XXXXXXXXXX solutions. XX XXXXXXXXXX, a XXXX study XX Bombard et XX found that healthcare organizations XXXX XX empower XXX XXXXXXX patients XXXXXX tokenistic XXXXXXX feedback, in order XX better inform XXXXXXX and provider XXXXXXXX, XXX to XXXXXXX service delivery XXX governance. (XXXXXXX XX XX, 2018)
XXXXXXXX, the XXXXXXXXXX organization’s management team should specifically delineate the roles and XXXXXXXXXXXXXXXX of XXXXXXX team members.
Fifthly, the healthcare organization should XXXXXXXXXXXX measure XXXXXXXXXXXX in various XXXXXXX XXXXXXXXXX delivery XXXXXX and XXXXX XXX organization XXXXXXXXXXX to XXXXX and XXXXXXX XXXX XXXXXXXX.
Finally, XXX XXXXXXXXXX organization’s management team XXXXXX XXXXXXXXX XXXXXXXX XXX incentive policies XX incentivise XXX XXXXXXX XXXXXXXX.
XXXX, Do, XXXXX, XXX Model
The XXXX-XX-XXXXX-XXX XXXXX is a XXXXXX tool XXX improving XXX quality of XXXXXXXXXX delivery, as it allows XXX XXXXXXX XXXXXX XXXXXXXXXX, XXXXXXXXX problem XXXXXXX, XXXXXXXXXX XXXXXXXXXXXX XXX a XXXXXX-centric XXXXXXXX XX healthcare. (XXXXXXX and Yeager, XXXX)
Foremost, XXXXXXXXXX organization XXXXXXXX XXXXXX XXXX for XXX XXXXXXX XXXXXXX, XXXXXXX specific XXXXXXX and outcomes, XXXX XX a decrease in XXXX XXXXX or a decrease in XXXXXXX mortality.
Secondly, the XXXXXXXXXX organization XXXXXXXX XXXXXX XXXXXXXXX a pilot test XX the XXXXXXXX XXXXXX. This pilot test XXXXXX XX a XXXXX-XXXXX trial that allows for XXXXXXXXXXXXXXX in the event of failure, XXXXX also allowing XXX the potential for results to XX XXXXXXXXXX on a larger XXXXX.
Thirdly, XXX XXXXXXXXXX organization XXXXXXXX should check XXXX XXX XXXXXXX XX the XXXXX XXXXXX XXX in XXXX XXXX the expected outcomes.
XXXXXXX, XXX managers should XXX to XXXXX up the XXXXXXX in the healthcare organization XX a XXXXXX XXXXX, and persist in tracking XXX changes XXX XXXXXXXX them XX XXXXXX.
Useful measurement and XXXXXXXXXX XXXXX
The measurement and evaluation XXXXX that XXX XX used XX improve XXX XXXXXXX XX XXXXXXXXXX delivery are patient trials, XXXXXXXXXXXX design, XXXXXXX XXXXX XXXXXX and XXXX XXXXXXXXX.
XXXXXXXX, XXXXXXX trials can be used XX XXXX different parts XX XXX XXXXXXX XXXXXXXXXX delivery process, XXXX as XXXXXXXXX, XXXXXXXXXXXX, treatment plan XXXXXXXXXX XXXXXXX, XXX XXXXXXXXXXXXXXX. XX conducting patient XXXXXX, it is XXXXXXXXX that the XXXXX management team ensure that XXXXXXX safety and XXXXXXXXX is XXXXXXXXXXX, XXX XXXX the trials XXX XXXXXXXXX XXXXXXXXX XXXX XXXXXXX adverse XXXXXX to present healthcare delivery XXXXXXXXX.
XXXXXXXX, XXXXXXXXXXXX XXXXXX XXX XX used to structure XXX XXXXXXXXXXXX XXXXXX the needs XX different stakeholders, such as patients, financial institutions, families and healthcare XXXXXXXXXXXXX. XX particular, it XX XXXXXXXXX XX XXXXX different XXXXXXXXXXXX the XXXXX XX co-lead XXXXXXXXXX XXXXXXXX improvements.
XXXXXXX, patient focus XXXXXX XXX be XXXX to assess XXXXXXX XXXXXXXX XXXXX XXXXXXXXX XXXXXX XXXX issues, and XX determine what are XXX XXXXX XXXX urgent for XXXXXXXX in order XX XXXXXXXXX XXXX XXXXXXXXX healthcare delivery XXXXXXXXXX. In XXXXXXXXXX XXXXX XXXXXX, it is XXXXXXXXX for healthcare organisation XXXXX XX XXXXXXXXX XXXXXXXXX in a XXX that elicits genuine XXXXXXXX XXXXXX XXXX XXXXXXXXXX XXX-XXXXXXXXXX XXXXXXXXX from XXXXXXXX. XXX use of democratic XXXXXX, XXXXX party XXXXXXXXXXXX XXX XXXX XXXXXX XXXX also XXXXXXXX the quality of feedback XXXXXXXX in XXX focus XXXXX process.
XXXXXXX, data XXXXXXXXX in the XXXX of healthcare procedure XXXX, patient survey scores, XXXX XXXXX and other XXXXXXXXX can be used XX XXXXXX XXXXX inefficiencies XXX areas XXX XXXXXXXXXXX are in XXX system. XXX XXX XX predictive analytics and XXXXXXXXXX-XXXXXXXXXXXX XXXXXX systems XXX XXXX XXXXX XXX better XXXXXXXX XXXXXX by XXX XXXXXXXXXX XXXXXXXXXXXX’s XXXXXXXXXX team, as data XXXXXXXXX in XXX healthcare XXXXXXXX process can be XXXXXXXX and XXXX to XXXX better decisions in healthcare XXXXXXX XXXXXX. XXXXXXX, it is important to complement qualitative XXXXXXX with XXXXXXXXXXXX methods in conducting XXXX analysis.
Implementation XXXXXXX
During the XXXXXXXXXXXXXX XXXXXXX, it is important for the XXXXXXXXXX XXXXXXXXXXXX XXXX to ensure XXXXXXXXXXXXXX, safety, and XXXXXXX assurance. Furthermore, XXX XXXXXXXXXXXXXX XXXXXXX should XXXXXXX verifiable and XXXXXXXXXX ways to XXXXX improvements to the quality XX the healthcare delivery XXXXXXX. The XXXXXXXXXXXXXX process must XXXX include ways XXX XXX reformed processes to be changed or adapted, should it be observed XXXX XXX XXXXXXX XXXXXXX XXX ineffective or XXXX XXXXXXXXXX consequences. Healthcare XXXXXXXXXXXXX XXXX XXXX be XXXX XX XXXXXXXX XXXXXXXX assumptions XXX XXXXXXXXX when implementing healthcare delivery XXXXXXX XXXXXX, and to XXXXX on improving XXX quality, efficiency, XXXXXXXX XXX XXX XXXXXX XX healthcare XXXXXXXX, XXXX XXX XXXXXXXXX need XX prioritise some metrics XXXX others in XXX XXXXX implementation. XXXXXXX, healthcare organisation management XXXXX should be XXXXX XX technical XXX XXXXXXXXX limitations, XXXX XX XXXXXX XXXXXXXXXXX, XXXX XXXXXXXXXXXX healthcare XXXXXX, XXX XXXXX or alter the process of healthcare delivery XXXXXX XXXXXXXXXXX XX XX in line XXXX XXXX XXXXXXXXXXX.
Project Case XXXXX
The XXXXXXX case XXXXX of successful XXXXXXX healthcare XXXXXXXX reform XX XXX XXXX XXXXX outlined in XXXXXX XX XX, 2014, entitled ‘Delivery XXX XXXXXXX reform in congestive XXXXX XXXXXXX XX XXX XXXXX XXXXXXXX XXXXXXX.’ In this case study, the healthcare XXXXXXXXXXXX team XXXXXXXXXXXX reformed XXX XXXXXXX and delivery XXXXXX XX allow for a transition from high-intensity, high cost XXXXXXXXX care XX a more holistic XXX XXXXXXXXXX approach of XXXXXXXXXX, coordination and management XX the illness in XXXXXXXXXX XXX primary care XXXXXXXX. The reforms XXXX involved the XXXXXXXX XX alternative payment models XXXX supported XXXX integrated XXXXXXX XXXXXXXXXX, care XXXXXXXXXXXX XXX other ancillary supportive mechanisms that were XXX then XXXXXXXXX in a fee-XXX-XXXXXXX, volume-XXXXX XXXXXXXXXXX payment process system. Hence, the XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX payment XXXXXX XXXX consolidated XXX XXXXXXXX XXXXXXXX in an integrated manner, XXXX XX the Bundled XXXXXXX XXX XXXX XXXXXXXXXXX (BCPI) XXXXXXXXXX and XXX XXXXXXXX XXXXXX XXXXXXX XXXXXXX (XXXX) for Accountable Care Organizations. (XXXXXX XX XX, 2014)
These XXXXXXXX were successful as they incentivised XXXXXXXXXX practitioners to XXXXXXXXXX XXXXXXXXXX XXXXXXXX in multiple delivery XXXXX across longer timeframes, while XXXXXXXX healthcare financiers such XX insurance XXXXXXXXX XX be accountable XXX XXX patient services incurred, both XXXXXXXXX and outpatient. XXXXXXXXXXX, XXXX XXXX financial incentives for XXX XXX XX a more XXXXXXXXXXXXX XXXXX XX healthcare XXXXXXXX XXXXXXX, XXXXX ultimately XXXXXXXX XXX overall quality XX care administered XX XXXXXXXX.
Conclusion
XX covering the XXXXXXXXXX principles of XXXXXXX healthcare XXXXXXXX, steps XXX XXXXXXXXXX XXX effective healthcare XXXXXXXX, useful XXXXXXXXXXXX and XXXXXXXXXX tools, implementation processes, XXX a case study XX XXXXXXX healthcare delivery, this document XXXXXX as an important practical guide XXX XXXXXXXXXX XXXXXXXXX and healthcare practitioners to improve the XXXXXXX and XXXX XX healthcare XXXXXXXX.
XXXXXXXXXX
XXXXXX, X., Pallas, S., Smith, X. L., Curry, X., &XXX; XXXXXXX, E. H. (XXXX). XXXXXXXXX XXX delivery of XXXXXX XXXXXXXX: X XXXXX to choosing strategies.
XXXXXXX, X., XXXXX, X. X., Orlando, E., XXXXXXX, X., Bhatia, X., Casalino, S., &XXX; XXXXX, M. X. (2018). XXXXXXXX patients XX improve quality of XXXX: a XXXXXXXXXX XXXXXX.Implementation XXXXXXX,13(1), 98.
XXXXXX, M., Bencic, S., XXXXXXXX, S., XXXXX, N., &XXX; XXXXXXXX, X. (XXXX, July). XXXX study: XXXXXXXX XXX payment XXXXXX in congestive heart XXXXXXX XX XXX XXXXX academic XXXXXXX. XXXXXXXXXXXX (XXX. X, No. 2, XX. 107-XXX). XXXXXXXX.
XXXXXX, X. G. (XXXX). XXXXX XXX XXXXXXXXXX XXX quality improvement and XXXXXXX XXXXXX. XXXXXXXXX XXXXXX and XXXXXXX: An XXXXXXXX-XXXXX XXXXXXXX XXX XXXXXX. XXXXXX for Healthcare Research and XXXXXXX (US).
XXXXXXX, A. X., & Yeager, K. R. (2004).Evidence-XXXXX XXXXXXXX manual: Research XXX outcome XXXXXXXX in health XXX human services. Oxford University Press.
World Health XXXXXXXXXXXX. (XXXX). XXXXXXXXX XXX quality of health services: tools and XXXXXXXXX.