摘要:

Patient care executives and performance improvement specialists continually are challenged to make decisions that have far-reaching effects on cost, productivity, and the quality of patient care. With multiple stakeholders to serve, minimal time to consider options, and an overabundance of data, new approaches to assessing and monitoring quality are needed. This article describes a framework and process to assist health care leaders in making informed and timely decisions. Six dimensions of health care-patients, caregivers, the organization, quality, efficiency, and cost-are assessed within the organization's context for overall impact on performance.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Depression is a common cause of illness with significant social, vocational, and economic consequences. As one of the most treatable forms of mental illness, depression often is under-recognized and under-treated. The annual cost of depression to the United States economy is approximately $43.7 billion, with 55 percent (or $23.8 billion) accounting for missed work and lowered productivity. The prevalence rate of depression is estimated at 12-20 percent. The depressed patient utilizes two to three times more health services.1There is little in the literature to demonstrate the care of the depressed person across the continuum in an integrated health care system. This article reviews the development and implementation of the treatment of depression care across multiple sites along the continuum. The care management depression team utilized the principles of performance improvement; Plan, Do, Check, Act framework for the initiative.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

An increase in diversity that has been accompanied by a sharp decrease in white Caucasian "mainstream" culture has made cultural competence a priority in nursing performance improvement. Each culturally diverse group defines health and illness differently. Most have a long and well-established tradition of folk health beliefs and practices, which strongly impact members' reactions to American standards of care-an influence on both patient satisfaction and treatment compliance. This article describes the culture-health care relationship and lists 10 indicators for measuring cultural competency. It presents a practical, systemwide model for the improvement of nursing care quality through enhanced cultural competency and lists resources, which can be used to both support and improve cultural competency throughout an integrated health care system.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The development of diversity awareness at Children's Hospital in Columbus, Ohio, has been a work in progress since the early 1980s. The interface of administration and individual initiatives ("waterfalls" and "geysers") has resulted in projects ranging from major international exchange programs to noontime Spanish language classes. This article recounts the journey from a parochial focus to a consciousness of multiculturalism in virtually all aspects of hospital interaction.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This article presents an overview of processes necessary for effective performance improvement (PI) projects and includes a discussion of methodological issues that affect the quality of PI projects. Issues related to project design, project purpose, selection of a representative population for the project, and issues of sampling are presented. Data collection methods and instruments are analyzed and issues related to connecting the problem, the intervention, and the outcome are described. The final sections address strategies related to data analysis procedures and interpretation.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Performance improvement integration in health care organizations is a challenge for health care leaders. Required for accreditation by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission), performance improvement (PI) can be designed as a sustainable model for performance to survive in a turbulent period. Central Baptist Hospital developed a model for PI that focused on strategy established by the leadership team, delineated responsibility through the organizational structure of shared governance, and accountability for outcomes evidenced through the organization's profitability. Such an approach integrated into the culture of the organization can produce positive financial margins, positive customer satisfaction, and commendations from the Joint Commission.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Coordination of patient care is the goal; the structure to promote the multidisciplinary plan of care is the unit-based outcome facilitation team. The focus of the team is the outcome achievement for the day, which could include patient education, therapies, or discharge planning.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This article describes two performance improvement tools: an affinity map and a relationship diagram. The author suggests when to use them and provides instructions on how to scan the environment of a nursing unit to discover problems, organize ideas about the problem, and find the root cause and effect of the relationship among staffs ideas about the problem. When the main cause and effect of a problem are known, management and staff can decide where to direct their process improvement efforts.

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1999

数据来源: OVID