Health Care and Life Sciences

Question 1
The best quality and service performance at the best price wins the business. Quality improvement teams are essential to meet this crucial improvement. What are the differences between quality control, quality assurance, and quality management?

Select one of these quality parameters, explain why it is most useful to a healthcare organizations?

Research, reference, and cite specific examples according to APA guidelines.

Question 2
What quality process do we utilize for serious errors? There are many modalities to determine a quality issue for performance improvement. For really serious errors, a Root Cause Analysis (RCA) is initiated.

Explain the process and give an example of how it is used in health care organizations. Research, reference, and cite your sources according to APA guideline.

Question 3
Role of the Middle Manager in Program/Performance Evaluation

The middle manager has multiple roles, and a very important role is evaluating the performace of the department/unit for which they are responsible and accountable. Health care organizations have numerous agencies that provide oversight to their performance and outcomes on a regular basis.

Regulatory, licensing, and accrediting agencies are intended to help with the provision of health care standards for performance. Select one of the agencies listed, explain how it interacts with the health organization . Research, reference, and cite your sources using APA guidelines.
 The Joint Commission (TJC)
 National Patient Safety Goals
 U.S. Department of Health and Human Service (DHSS)
 Health Insurance Portability and Accountability Act of 1996 (HIPAA),
 Center for Medicare and Medicaid Services (CMS)
 Core Measures
 Agency for Healthcare Research and Quality (AHRQ)

Question 4

There are five management functions that are inherent in a manager’s responsibilities and accountabilities. They include planning, organizing, leading, coordinating, and controlling. For non-service organizations, the process of controlling very often has great emphasis on finances. However, budgets and fiscal management are important in health care organizations, there seems to be greater emphasis on the measurement of patient/customer satisfaction, which drives the $$$$.

Select one of the four components of the controlling function. Explain and give an example of how controlling is used in a health care organization. Research, reference, and cite your source using APA guidelines.

 Standards
 Measurements
 Comparison
 Actions

Question 5
The Joint Commission (TJC) is an accrediting agency, which is a private enterprise, that provides accreditation services. These services are requested by the health care organization and a fee for these services is required.

Accreditation services provided include various modalities of care as listed below. Select one type of accreditation services/modality and explain what is included in the survey/evaluation. Research, reference, and cite examples using APA guidelines.
 Hospitals
 Home care
 Nursing care center
 Behavioral health care
 Ambulatory care
 Laboratory

Question 6

Review the ASQ website and discuss your thoughts click link to view http://asq.org/about-asq/who-we-are/index.html

Question 7
The National Committee for Quality Assurance (NCQA) is another private agency that provides services to health care organizations. Under the auspices of NCQA is the Healthcare Effectiveness Data and Information Set (HEDIS), which is a widely used set of performance measures in the managed care industry.

There are controls placed on products and services to assure customers that the quality of the services meet set criteria for quality throughout all areas of the processes. This is where you monitor, measure, collect, evaluate and analyze data, and make improvements to systems and processes based on the results.

NCQA/HEDIS includes various modalities of care as listed below. Select one type of services/modality and explain what is included in the measurement/evaluation. Research, reference, and cite examples using APA guidelines.

 Ambulatory Care
 Inpatient Utilization
 General Hospital/Acute Care
 Alcohol and Other Drug Services
 Mental Health Utilization
 Antibiotic Utilization
 Plan All-Cause Readmissions

Question 8

Review the Baldrige Performance Excellence Program section of the NIST website. Discuss your thoughts. Click on the link http://www.nist.gov/baldrige/

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