1 / 27

Supporting Quality Care

Supporting Quality Care. NURS 274 Nursing Leadership Darlene LoPresto, BSN, RN,C Graduate Student FSU. Standards of Care. Structural Process/Performance Outcome. Nursing Specific Standards.

gustav
Télécharger la présentation

Supporting Quality Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Supporting Quality Care NURS 274 Nursing Leadership Darlene LoPresto, BSN, RN,C Graduate Student FSU

  2. Standards of Care Structural Process/Performance Outcome

  3. Nursing Specific Standards

  4. MICHIGAN LEGISLATURE  95th Legislature Regular Session Michigan Compiled Laws Complete Through PA 169 and includes 172-184 and 204 of 2010 PUBLIC HEALTH CODE (EXCERPT)Act 368 of 1978 Part 172 NURSING Section 333.17201SectionDefinitions; principles of construction. Section 333.17208SectionLicensed practical nurse; health profession subfield. Section 333.17209SectionRenewal of license to practice as trained attendant; eligibility; “practice as a trained attendant” defined; original license prohibited; licensed psychiatric attendant nurse considered licensed practical nurse. Section 333.17210SectionRegistered professional nurse; issuance of specialty certification; qualifications. Section 333.17211SectionPractice of nursing or as licensed practical nurse; license or authorization required; use of words, titles, or letters. Section 333.17212SectionRegistered professional nurse; ordering, receiving, or dispensing complimentary starter dose drugs. Section 333.17213SectionLicensure as registered professional nurse; graduate of nurse education program located outside of United States; requirements. Section 333.17221SectionMichigan board of nursing; creation; number and qualifications of members; terms. Section 333.17224, 333.17225SectionRepealed. 1989, Act 201, Imd. Eff. Oct. 23, 1989. Section 333.17231SectionHonorary license; "advanced illness" defined; name of section. Section 333.17241SectionNursing education program; application to conduct; evidence required; evaluation; inspection; report; approval; continuation of existing programs; accreditation by national board or organization; education program for psychiatric attendant nurses or trained attendants prohibited. Section 333.17242SectionInspection of approved nursing education program; report; notice of deficiency; removal from list of approved programs; hearing.

  5. Accrediting Agency Standards

  6. committed to improving health care safety continuously improve quality of care accreditation of health care organizations accreditation is a risk-reduction activity reduce the risk of adverse outcomes

  7. HFAP determines a facility’s ability to deliver high quality patient care by using our CARE methodology. This process includes an in-depth review of both open and closed patient records as well as direct observation of care provided.

  8. http:www.ahrq.gov Clinical Information • Clinical Practice GuidelinesCurrent and archived Clinical Practice Guidelines — beta blockers practice advisory — treating tobacco use and dependence • Tobacco CessationU.S. Public Health Service Clinical Practice Guideline: Pathfinder page links to materials that help tobacco users quit.Surgeon General Reports: The latest information to help people quit smoking, and to help health care professionals treat tobacco use and dependence.

  9. Public Transparency • Broad scale quality initiative • Consumers compare facilities • Informed choices • Better public information

  10. Public Transparency • www.healthgrades.com • www.mihospitalinform.org • www.hospitalcompare.hhs.gov • www.hospitalconnect.com • www.wedmd.com

  11. Public Transparency http://www.healthgrades.com/hospital-directory/michigan-mi/patient-safety-HGSTA7662386230092

  12. TheConsumer Assessment of Healthcare Providers and Systems (CAHPS): Health care organizations use CAHPS results to: Assess the patient-centeredness of care; Compare and report on performance Improve quality of care. standardized surveys of patients' experiences http://www.hospitalcompare.hhs.gov/hospital-compare.aspx?hid=230037&lat=41.8933451&lng=-84.6269824&stype=GENERAL&&stateSearched=MI

  13. Quality Improvement

  14. Benchmarking • A benchmark is a specific quantitative standard for an outcome with which you compare your own institution. (Ellis & Hartley, 2009)

  15. Sources of Date Key Indicators QA (Incident Reports) Audits Surveys

  16. QI/PI Process

  17. Sentinel Event

  18. Risk Management Policies, procedures, & practices involved in identification, analysis, assessment, control, and avoidance, minimization, or elimination of unacceptable risks. (www.businessdictionary.com)

  19. RM Focus • Studies QA findings and trends • Think ahead about defense strategies • Proactive identification and elimination of risk areas institution wide • Patient and family are informed

  20. Incident Report Process Root Cause Analysis: Goal = Answer: What happened? Why did it happen? What do you do to prevent if from happening again?

  21. Incident Report Process: Five Why’s Technique Example: Problem Statement: You are on your way home from work and your car stops in the middle of the road. • Why did your car stop?   - Because it ran out of gas. • 2. Why did it run out of gas?   - Because I didn't buy any gas on my way to work. • 3. Why didn't you buy any gas this morning?   - Because I didn't have any money. • 4. Why didn't you have any money?   - Because I lost it all last night in a poker game. • 5. Why did you lose your money in last night's poker game?   - Because I'm not very good at "bluffing" when I don't have a good hand.

  22. Incident Report Process: Systems Focus • Not one person’s fault • Involves people and/ or processes • System failure results in error

  23. Never Events: • Effective October 1, 2008 • No reimbursement • Must note if ‘Present on • Admission” • Requirements of ‘Never Event’ • occurs: • -Report event • -Root cause analysis • -Waive costs • -Apology

  24. Recognition of nursing excellence 14 Forces of Magnetism Goals Benefits Magnet Status

  25. Michigan Magnet Status • Beaumont Hospital Troy MI  2009 • Bronson Methodist Hospital Kalamazoo MI  2009  • Children's Hospital of Michigan Detroit MI  2008  • DMC Huron Valley Sinai Hospital Commerce Township MI  2009  • Detroit Receiving Hospital and University Health Center Detroit MI  2009  • Holland Community Hospital Holland MI  2007  • Munson Medical Center Traverse City MI  2006  • Oaklawn Hospital Marshall MI  2009  • Sparrow Hospital Lansing MI  2009  • Spectrum Health-Blodgett Hospital Grand Rapids MI  2009  • Spectrum Health-Butterworth Hospital Grand Rapids MI  2009  • Spectrum Health-Helen DeVos Children's Hospital Grand Rapids MI  2009  • William Beaumont Hospital Royal Oak MI  2004 

  26. Questions? As the professional nurse You make the difference!

More Related