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Scenario
You are the Quality Director of a local health system. Your organization has decided to seek accreditation through the Joint Commission. Your first task has been penned by the CEO to prepare for the accreditation process by conducting a literature review on the impact of accreditation on quality of care. The review of literature should include the historical underpinnings of quality initiatives since the publishing of the blockbuster report by the Institute of Medicine – To Err is Human – and an evaluation of the developments in quality initiatives over the past two decades. Upon completing the review of literature, you are asked to compile a report highlighting the history of quality improvement and the significance of quality initiatives on the future of care delivery. Your report should support the organization’s goal of earning accreditation through the Joint Commission.

Instructions
Complete a report that encompasses the history of Quality Healthcare, which focuses on the ways in which quality improvement has changed over time and how past initiatives shape current and future quality initiatives. At a minimum, your report should include:

An assessment of the accreditation process and its role in improving quality of care.
A review of the quality initiatives that have been developed in recent years and the impact of the initiatives on the quality of care delivered.
Support for accreditation based on the review of literature on quality from the historical perspective to future implications.
A discussion on the fundamental changes that have been implemented since the IOM’s report and potential for continuous quality improvement.
Recommendations for your organization to prepare for the accreditation process based on your review of literature and your assessment of the overall process.

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Sample Answer

History of Quality Healthcare

The quality of healthcare has been a concern for centuries. However, it was not until the 20th century that quality improvement initiatives began to be developed and implemented.

One of the most significant events in the history of quality healthcare was the publication of the Institute of Medicine (IOM) report “To Err is Human: Building a Safer Health System” in 1999. This report found that medical errors were the eighth leading cause of death in the United States. The report also made a number of recommendations for improving the quality of healthcare, including the development and implementation of quality improvement initiatives.

Since the publication of the IOM report, there has been a significant increase in the number and scope of quality improvement initiatives in healthcare. These initiatives have been developed and implemented by a variety of stakeholders, including healthcare providers, organizations, and government agencies.

Full Answer Section

Quality Initiatives in Recent Years

Some of the most notable quality initiatives that have been developed in recent years include:

  • Patient safety initiatives, such as the Joint Commission’s National Patient Safety Goals and the Agency for Healthcare Research and Quality’s (AHRQ) Patient Safety Network
  • Pay-for-performance programs, which reward healthcare providers for achieving certain quality targets
  • Quality improvement collaboratives, which bring together healthcare providers and organizations to share best practices and learn from each other
  • Electronic health records (EHRs), which can help to improve the quality of care by providing healthcare providers with access to patient information and by facilitating communication and coordination of care

Impact of Quality Initiatives

Quality improvement initiatives have had a significant impact on the quality of care delivered. For example, a study by the AHRQ found that the Joint Commission’s National Patient Safety Goals were associated with a decrease in the number of patient deaths due to medical errors. Additionally, a study by the Commonwealth Fund found that pay-for-performance programs were associated with improvements in a number of quality measures, such as the percentage of patients who received preventive care and the percentage of patients who were discharged from the hospital with a follow-up appointment.

Accreditation and Quality of Care

Accreditation is a process by which a healthcare organization is evaluated by an external organization to determine whether it meets certain quality standards. The Joint Commission is the most well-known accreditation organization in the United States.

Accreditation has been shown to be associated with a number of improvements in quality of care, such as reduced rates of mortality and patient safety incidents. Additionally, accreditation can help to improve healthcare organizations’ financial performance and reputation.

Support for Accreditation

The review of literature on quality from the historical perspective to future implications supports the organization’s goal of earning accreditation through the Joint Commission.

Historically, accreditation has been shown to be associated with a number of improvements in quality of care. Additionally, accreditation can help to improve healthcare organizations’ financial performance and reputation.

In the future, accreditation is likely to become even more important as healthcare organizations increasingly focus on quality and value. This is because accreditation can help to ensure that healthcare organizations are meeting the highest standards of quality.

Fundamental Changes Since the IOM Report

Since the publication of the IOM report, there have been a number of fundamental changes in the way that quality improvement is approached in healthcare.

One of the most significant changes is the shift from a focus on individual errors to a focus on systems-based errors. Systems-based errors are errors that are caused by problems with the healthcare system, such as poor communication or inadequate training.

Another significant change is the increasing use of data to drive quality improvement efforts. Healthcare organizations are now collecting and analyzing data to identify areas where quality needs to be improved.

Potential for Continuous Quality Improvement

There is a significant potential for continuous quality improvement in healthcare. This is because there are always new ways to improve the quality of care. For example, healthcare organizations can implement new technologies, develop new processes, and learn from other organizations.

Recommendations for Accreditation Preparation

Based on the review of literature and assessment of the overall process, the following recommendations are made for the organization to prepare for the accreditation process:

  • Conduct a self-assessment to identify areas where quality needs to be improved.
  • Develop and implement a quality improvement plan to address the identified areas.
  • Collect and analyze data to track progress on the quality improvement plan.
  • Benchmark performance against other healthcare organizations.
  • Involve all stakeholders in the quality improvement process.

Conclusion

Earning accreditation through the Joint Commission is a significant achievement. It demonstrates that the organization is committed to providing high-quality care to its patients. By following the recommendations above, the organization can increase its chances of successful accreditation.

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