Continuous Quality Improvement Worksheet

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Continuous Quality Improvement Worksheet

HCS/451 Version 8

Continuous Quality Improvement Worksheet

Quality improvement in health care has continuously grown throughout the years. Health care

team members frequently ask themselves, “How are we doing?” and “Can we do it better?”

Complete Parts A and B.

Part A: Continuous Quality Improvement Timeline

Research 4 events that have influenced changes in quality improvement.

Complete the timeline below by listing each event and writing a 75- to 125-word summary

discussing each event. Be clear and concise, use complete sentences, and use your own words.

Continuous Quality Improvement in Health Care Timeline

Date

Event and Significance

1965

Enactment of Medicare and Medicaid Program

During the tenure of President Lyndon B Johnson, he signed into law

the Medicare and Medicaid programs since there were inadequacies in the

medical welfare care initiative which was placed under the public assistance.

There was the need of ensuring improvement in efficiency and quality of

medical care distribution in the United States which led to the establishment

of Medicare program which offered medical insurance to the elderly and

disabled individual in the society to receive hospital insurance and

supplementary medical insurance (Grabowski, 2017). Through the Medicare

and Medicaid programs of President Johnson, it improved the quality of

health care since millions of Americans health was protected leading to

saving of lives and improving the economic security of the country. The

programs also required specific rules to be ascertained by the American in

ensuring that they receive quality medical care.

1968

Healthcare Quality Improvement Act (HCQIA

The introduction of the Healthcare Quality Improvement Act (HCQIA)

of 1986 came after many malpractices suits occurred in the United States

health care industry during the 1970s and 1980s which prompted the

Congress to engage in enacting the HCQIA to ensure there is the quality,

efficient and reliable distribution of health care services. Before enactment of

the HCQIA, the healthcare industry lacked a physician, tracking system

which was not held medical practitioners accountable for the services that

they provide to their patients (Horner, 1990). Before the act, many physicians

engaged in incompetence and malicious activities which have adverse effects

on many patients leading to the poor-quality distribution of healthcare in the

industry. The act led to the establishment of peer review boards which were

mandated to sweep the industry. Through the peer-reviewed boards, they

Continuous Quality Improvement Worksheet

HCS/451 Version 8

Part B: Continuous Quality Improvement Reflection

engaged in reviewing the negligence of the physicians in the industry and

provided recommendations on the actions that would be taken against the

physician's misconducts which helped to improve the quality of healthcare

services offered by physicians in the industry.

2002

Quality Improvement Organizations

In 1983 there was the establishment of the Peer Review Organization

(PROs) which led to the development of Quality Improvement Organizations

(QIOs) which engaged in defining the numerous proactive ways that would be

integrated into the health care industry to improve the quality of patient care.

QIOs was a regulatory body established by the federal government with the

intention of improving the quality of care for Medicare recipients together

with safeguarding the integrity of the Medicare Trust Fund (MTF). The

integrity of MTF was ensured through ascertaining that the payments which

are made by Medicare are only utilized for the stipulated purpose (Snyder &

Anderson, 2005). The QIOs towards ensuring there is an improvement in the

quality distribution of medical care engaged in addressing the Medicare

which recipients' complaints and overseeing the Emergency Medical

Treatment and Labor Act violation. QIOs also engaged in advancing

programs of the federal government which led to the improvement of the

quality of health provided in the community. The QIOs have also engaged in

collaborating with centers of Medicare and Medicaid towards improving the

quality of health care.

2004

The Affordable Health Care Act

The implementation of ACA also known as Obamacare led to

improvement in the quality distribution of health care since it made health

care to be accessible to all the citizens at affordable rates. The ACA also

improved the access of medical care apart from improving the quality of care.

ACA improved the quality of care in the industry since there were fewer

readmission rates and fewer infections which were caused within the hospital

walls which led to greater clinical outcomes, safety, efficiency, and patient

satisfaction. Many individuals through ACA the elderly individuals, children,

and the poor were able to access medical care at affordable rates and the

physicians were able to provide them with reliable and quality care thus, the

quality of care in the country increased (Koh & Sebelius, 2010). Previously

many individuals in the country were not able to access medical services due

to the high cost of medication; therefore, their quality of life was

deteriorating.

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Continuous Quality Improvement Worksheet HCS/451 Version 8 1 Continuous Quality Improvement Worksheet Quality improvement in health care has continuously grown throughout the years. Health care team members frequently ask themselves, “How are we doing?” and “Can we do it better?” Complete Parts A and B. Part A: Continuous Quality Improvement Timeline Research 4 events that have influenced changes in quality improvement. Complete the timeline below by listing each event and writing a 75- to 125-word summary discussing each event. Be clear and concise, use complete sentences, and use your own words. Continuous Quality Improvement in Health Care Timeline Date Event and Significance 1965 Enactment of Medicare and Medicaid Program During the tenure of President Lyndon B Johnson, he signed into law the Medicare and Medicaid programs since there were inadequacies in the medical welfare care initiative which was placed under the public assistance. There was the need of ensuring improvement in efficiency and quality of medical care distribution in the United States which led to the establishment of Medicare program which offered medical insurance to the elderly and disabled ind ...
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