MHA624 Week 2 Discussion.

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Nov 24, 2024

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Outcome Measurements and Tools [WLOs: 1, 2, 3, 4] [CLOs: 1, 2, 3, 5, 6] Prior to beginning work on this discussion forum, Read the following: o Chapters 3, 4, and 5 from the course text, McLaughlin and Kaluzny’s Continuous Quality Improvement in Health Care . o The Relationship Between Evidence-Based Practices and Emergency Department Managers’ Perceptions on Quality of Care for Self-Harm Patients Download The Relationship Between Evidence-Based Practices and Emergency Department Managers’ Perceptions on Quality of Care for Self-Harm Patients Practicing Healthcare Professionals’ Evidence-Based Practice Competencies: An Overview of Systematic Reviews Links to an external site. . Watch the following video: Allied Health: Evidence-Based Practice o Links to an external site. Measurements are part of process changes and quality improvements. However, measurements alone do not create improvements. A quality improvement system should include a data collection mechanism, valid and reliable measures of outcomes, and a collection of tools or methodologies with ongoing efforts. It is also vital that the measurement strategies will accurately capture whether the evidence-based care has been delivered to the patients. In your initial post, Describe the role of continuous quality improvement in health care outcomes. Assess the importance of evidence-based practice in improving quality of care. Be sure to provide an example of evidence-based practice. Discuss challenges in collecting and analyzing quantitative data in measuring quality outcomes. Review one quality improvement tool or methodology. Be sure to describe your selected tool or methodology and its applications. Your initial post should be at least 250 words. Support your response with at least two scholarly sources published within the last 5 years. For guidance, review the University of Arizona Global Campus Library resource Scholarly, Peer-Reviewed, and Other Credible Sources Links to an external site. .
Guided Response: Review your classmates’ posts, and provide a substantive response to at least two of your classmates who have selected a different quality improvement tool or methodology. In your response, explain the reason why you are interested in knowing more about your peers’ selected quality improvement tool(s) or methodology(ies). Pose a question or questions that could encourage the application of the discussion topics. Each response must be a minimum of 100 words. You are encouraged to post your required initial post and replies early each week to stimulate more meaningful and interactive discourse in your discussions.
Describe the role of continuous quality improvement in health care outcomes. O’Donnell, & Gupta (2023) define continuous quality improvement as a gradual process. It is a method that requires regular measurements of progress to ensure the appropriate pathway is being executed to achieve defined goals. This process is impossible without feedback from the patients. As seen in the video from Acorn Collaboration (2018), routine measurement of progress + feedback from the patients = better outcomes. The patients are the ones who are directly impacted by the care given, therefore their feedback is imperative to understand what is working and what needs to be improved. Improving and sustaining processes of care leads to better health outcomes (Wells, Tamir, Gray, Naidoo, Bekhit, & Goldmann, 2018). Assess the importance of evidence-based practice in improving quality of care. Be sure to provide an example of evidence-based practice. Evidence-based practice is important in improving the quality of care because it not only provides a basis for incorporating evidence from research and the experiences of providers, but also the preferences of the patient (Albraqouni, Hoffmann, Straus, Rydland Olsen, Young, Ilic, Shaneyfelt, Haynes, Guyatt, & Glasziou, 2018). Allowing the patient to have an active role in their healthcare provides a sense of quality. It shows that the provider cares about the well-being and outcomes of the patient’s health. An example of evidence-based practice can be found in prescribing medications. A patient shows specific symptoms and after the physician asks questions to get a better understanding of when the symptoms started and how they are affecting the patient, the physician not only uses their experience from other patients who had similar symptoms but also incorporates research. The physician takes the evidence and his experiences and presents his case to the patient. Allowing the patient to have a say in whether they agree or disagree with the findings can help set the course of action when it comes to the next steps. Discuss challenges in collecting and analyzing quantitative data in measuring quality outcomes. Quantitative data helps determine responses to questions (such as “what” and/or “how often”) and to test research hypotheses by utilizing surveys (Creswell, & Hirose, 2019). One major challenge in this type of data collection is participation. Since participation is voluntary and at the discretion of the patient, many may not feel it is necessary or want to take the time. In an article by Elite Research (2023), it is advised to ensure anonymity, keep the survey questions short, and provide some type of incentive to encourage participation. When it comes to analyzing quantitative data, one challenge is finding an appropriate tool. Since quantitative data converts to numbers, one simple tool that can be used to help analyze is Microsoft Excel. Excel provides a platform that can incorporate formulas and functions, as well as charts and graphs for visual representation. As mentioned previously, feedback from patients is part of the equation for better outcomes. Without the input of the patients, measuring quality outcomes is impossible. Overcoming challenges when collecting and analyzing data is imperative. This data is needed to ensure that the pathway to providing the best possible health outcomes to the patients is taken.
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Review one quality improvement tool or methodology. Be sure to describe your selected tool or methodology and its applications. A basic tool used in continuous quality improvement (CQI) is the checklist. Although it is not a new tool or even a statistical tool, it is a method that ensures patient safety, which is a primary goal in CQI (Johnson, & Sollecito, 2020, p. 129). A checklist is a list of activities that must be completed in a specific sequence. As each activity is completed, either a checkmark or a team member’s initials are used to indicate completion and ensure accountability (Johnson, & Sollecito, 2020, p. 129). This tool can be utilized in any healthcare setting. In a surgical setting, the checklist includes items that must be completed before the patient enters the room, before the procedure begins, during the timeout, once the procedure ends, and before the patient leaves the room (Agency for Healthcare Research and Quality [AHRQ], 2017). The checklist can be modified at any time to ensure quality improvement in patient safety. -Jeri References Acorn Collaboration. (2018, May 17). Why measure outcomes? [Video]. YouTube. https://www.youtube.com/watch?v=5MW5Gmg2iMI Agency for Healthcare Research and Quality. (2017). Appendix D. Ambulatory Surgery Center Checklist Template – Implementation Guide. Retrieved from https://www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation- guide/app-d.html Albraqouni, L., Hoffmann, T., Straus, S., Rydland Olsen, N., Young, T., Ilic, D., Shaneyfelt, T., Haynes, B., Guyatt, G., & Glasziou, P. (2018). Core Competencies in Evidence-Based Practice for Health Professionals Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Network Open, 1 (2). https://doi.org/10.1001/jamanetworkopen.2018.0281 Creswell, J. W., & Hirose, M. (2019). Mixed methods and survey research in family medicine and community health. Family Medicine and Community Health, 7 (2). https://doi.org/10.1136/fmch-2018-000086 Elite Research, LLC. (2023). What Are Some Data Collection Challenges and How Do You Overcome Them? (Part 1). Retrieved from https://eliteresearch.com/what-are-some-data- collection-challenges-and-how-do-you-overcome-them-1 Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin and Kaluzny’s continuous quality improvement in health care (5 th ed.). Jones & Bartlett Learning. O’Donnell, B., & Gupta, V. (2023). Continuous Quality Improvement. In StatPearls. StatPearls Publishing.
Wells, S., Tamir, O., Gray, J., Naidoo, D., Bekhit, M., & Goldmann, D. (2018). Are quality improvement collaboratives effective? A systematic review. BMJ Quality & Safety, 27 (3), 226. https://doi.org/10.1136/bmjqs-2017-006926