Impact of accreditation on the healthcare - Myassignmenthelp.Com

Question: Discuss about the Impact of accreditation on healthcare. Answer: Introduction The quality of the healthcare being provided in the institutions is failing to maintain quality and standard in Saudi Arabia. Assumption of this issue is attributed to the degradation of the patient safety culture in the organisation, which now creates the need for an improvement program that will help improving the current scenario. This change management project is attributed for identification of the challenges in the care giving process and the hospital management and provides solution for improving the situation. Problem Description The possible problem as identified in the chapter is the degradation in the safety culture of the organisation. This is leading to significant degradation in the quality of the healthcare being provided, which ultimately leading to the fall in patient flow. Background of the organisation The organisation has been operational more than 50 years and now and has expanded over time. The number of staffs working in the organisation has exceeded 2000 as well as the area of service being provided since its initiation days. The hospital follows a mission of providing quality and efficient healthcare services and healing environment by availing effective healthcare facilities to the community children and their families with the believe that they deserve good health conditions. However, some problems have emerged within the organisation that will be discussed and solved in the following report. The vision of the organisation is to mitigate the problems faced by the children and the adults being the members of the society. Rationale for carrying out the Project As identified by Almalki, FitzGerald and Clark (2011) a large number of hospitals are currently facing trouble in providing quality healthcare to their patients and meeting the safety requirements. Moreover, the numbers of chronic illness from demographic factors are considerably increasing over time. Some of these illnesses are occuring due to the eating disorder, life style, social environment and age. Furthermore, as stated by Ahmed et al (2014) the shortage of bed had been major issues in the hospitals of Saudi Arabia since 1970s. The government of Saudi Arabia and the Ministry of National Guard Health Affairs now aims to improve the quality of the health care services by implementing the safety system and developing safety culture in the public hospitals in the region. Hence, to improve the quality of the service, it is important to increase the knowledge of the staffs and other employees and to aware them about their roles in the organisation. Hence, it falls under the responsibility of the quality management specialist to increase the knowledge and prepare them for JCI review of safety management in the hospitals (Wang et al 2011). Details of Intervention The primary aim of all the healthcare organisations is to ensure the patients safety during the treatment procedure. In other words, purpose of the concern about patient safety standard is to avoid the accidents and non-desired situations that can occur during treatment procedure being implemented. Negligence in the case can result into critical end results such as permanent disability or even death. Hence, the role of the quality management authority is to ensure the safety and well-being of the patients for increasing the value proposition and customers perceived value. Current Situation The significant fall in the affectivity and efficiency of the patient care culture in the organisation has resulted into a considerable declination of the patient flow. The declined quality can be attributed to a number of factors which includes poor patient management, use of outdated technology, poor employee management and ineffective safety culture. The patients in the organisation often undergo medication errors that are results of some unethical disputed cultures (Bah et al 2011). The patients are often diagnosed by the nurses of the organisation, or undergo ineffective examination or even surgical complications. This described unsustainable situation needs modification in order to attain the safety culture in the organisation. Desired Situation It is expected for the project that the implementation of new strategies and improvement of the existing ones will facilitate in increasing patient safety in the organisation. Furthermore, the project is also expected to improve the communication process and structure in the hospital. Additionally the increased knowledge and skills of the employees providing healthcare in the organisation will facilitate in changing the safety culture develop the relationship with the patient. Introduction of advanced technology will also support the cause of patients safety along with the other developments and contribute in increasing the patient flow. Process of intervention The project focuses on providing a quality improvement plan for increasing the efficiency of the organisation and to develop patient safety culture. This will be attained by forming risk management teams and patient safety unit, performance improvement team, information management team and JCI accreditation readiness team. JCI is the Joint Commission International that extends its efforts to the healthcare organisations of the international market for improving the safety and quality (Day et al 2013. The process incorporates the offering education, publications, advisory and internal accreditation and certification. Patients safety unit will be accountable for keeping record of daily harm report and good catch program. Risk management team on the other hand will be forming mortality review committee. The responsibility of the review team will be to record the unfortunate events that take place in the organisation and the root cause analysis. This will help the management to identify the issue behind the quality degradation in the organisation. The performance improvement team will be focusing on the improvement of the employees by using lean six-sigma and model for improvement PDSA improvement (Cucoranu, Parwani and Pantanowitz 2014; Donnelly and Kirk 2015). These models will provide procedures for improvement required in the organisation to achieve patients safety culture. Finally, the JCI accreditation readiness unit will help will extends its support and facilities for developing safe, high quality health care by meeting and exceeding international quality standard (Alkhenizan and Shaw 2011). Desired Impact A number of notable positive outcomes are expected through the implementation of the change. These interventions are likely to improve patient safety culture standard, efficiency of hospitals management performance, service quality and organisations competitive advantage. The patient safety culture standards are the first expected impact of this project that is likely to improve the overall process of operation within the organisation. Improvement of hospitals performance management will help in communicating better practice within the organisation, which will again facilitate in improving the value proposition. Increase perceived value of the customers will eventually increase the customer flow in the hospital. The service quality on the other hand is expected to increase as per the modification is planned. This in turn will develop the proposed value of the organisation and help it to attract greater number of patients. The above modification on the present and the impacts identifi ed will further help the organisation to position themselves as the best healthcare provider in the target market. The organisation is likely to receive advantage promoting the standard service and culture as the patients will always look for the best healthcare standards available. Aims and Objective Aim The purpose of the project is to establish safety culture management in the hospital. SMART Objectives SMART objectives are those goals set by the companies that are traceable. In other words, the company can identify the level of achievement of these objectives in time. S.M.A.R.T stands for specific, measurable, attainable, relevant and timely. The objectives for the company are: To aware the staffs and develop their knowledge and skills for achieving the hospitals safety culture assessment of 96% by the end of 2018 To attain 95% in hospitals safety healthcare service practice by 2019 To increase the management efficiency to 90% by 2019 To increases the managements efficiency in handling patient safety culture by 2019 Role in the Development Program My responsibility as a Quality Management Specialist is to identify the issues present in current cultural practices. The responsibility further extends in identifying the necessary changes required for attaining the safety in the health care institution. The author will utilize the results identified form the study for supporting the rationale for carrying out the project. It is my duty in the project to ensure the quality improvement in the hospital. My responsibility in the research extends to educating, facilitating, and monitoring the preparation of the team for JCI evaluation. Moreover, the author is liable for ensuring the implementation of the plans and bring modification where required. As a leader of the quality management team, the author will have to keep track of every individuals performance level for ensuring the implementation of the modification. Signpost The following chapters of the report include literature review, organisational development planning process, evaluation of the planning and discussion and conclusion. The literature review chapter of the report will identify the relevant literatures present and discuss the identified concern. The organisational development planning formulates a proper plan for eradicating the issues present in the organisation. Evaluation part scientifically identifies the utility of the plan made. The final part of the report discusses the benefits of the the plan and the report as well. Reference Ahmed, W., Memon, J.I., Rehmani, R. and Al Juhaiman, A., 2014. Outcome of patients with acute kidney injury in severe sepsis and septic shock treated with early goal-directed therapy in an intensive care unit.Saudi Journal of Kidney Diseases and Transplantation,25(3), p.544. Alkhenizan, A. and Shaw, C., 2011. Impact of accreditation on the quality of healthcare services: a systematic review of the literature.Annals of Saudi medicine,31(4), p.407. Almalki, M., FitzGerald, G. and Clark, M., 2011. Health care system in Saudi Arabia: an overview/Aperu du systme de sant en Arabie saoudite.Eastern Mediterranean health journal,17(10), p.784. Bah, S., Alharthi, H., El Mahalli, A.A., Jabali, A., Al-Qahtani, M. and Al-kahtani, N., 2011. Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia.Perspectives in health information management/AHIMA, American Health Information Management Association,8(Fall). Cucoranu, I.C., Parwani, A.V. and Pantanowitz, L., 2014. Lean Six Sigma. InPractical Informatics for Cytopathology(pp. 113-119). Springer New York. Day, S.W., McKeon, L.M., Garcia, J., Wilimas, J.A., Carty, R.M., de Alarcon, P., Antillon, F. and Howard, S.C., 2013. Use of joint commission international standards to evaluate and improve pediatric oncology nursing care in Guatemala.Pediatric blood cancer,60(5), pp.810-815. Donnelly, P. and Kirk, P., 2015. Use the PDSA model for effective change management.Education for Primary Care,26(4), pp.279-281. Wang, H.F., Jin, J.F., Feng, X.Q., Huang, X., Zhu, L.L., Zhao, X.Y. and Zhou, Q., 2015. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.Therapeutics and clinical risk management,11, p.393.