Inpatient Health Quality of Care Case Study

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Mortality prevention is certainly an area where the strongest interventions are most justified.


Bluegrass Hospital Quality of Care

Industry Comparison Quality of Care Standards

("Patient safety and," 2011)


1. Based upon the report card alone, the hospital is deficient in esophogeal resection, pancreatic resection, abdominal aortic aneurysm repair, coronary artery bypass grafts, craniotomies and acute myocardial infarctions. Gastrointestinal hemorrhages were just slightly above the national average and within the standard deviation.


2. As an administrative official, it is prudent to check the internal data charts personally at a departmental level to make sure the data is accurate and was collected correctly and without bias.


3. The QI teams would then determine the specific on site measures needed to rectify the problems and the level of interventions necessary. These interventions would be more stringent with regard to the above factors due to fact that patient mortality could be involved.


4. Recommendations would be as to whether in-service retraining on a departmental level would be sufficient or if personnel changes are necessary. Major interventions would address larger issues additionally such as equipment and organizational effectiveness. Less major interventions would be more narrowly focused on technical issues.


1. What differences did you find between Current Industry Value data that you researched and the values reported in Table 5.5 for each of the 12 Inpatient Quality Indicators you selected to use in your study? The major difference between industry leaders (such as teaching hospitals) is that many of the procedures are bundled together.

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This is for not just administrative purposes, but also for the purpose of insurance contracts with major insurance providers and Medicare. The Medicare bundling standards are becoming more widely applied as the "Obama" care regime in introduced.


2. Explain why the difference between the Current Industry Values data and the values reported in Table 5.5 are either better or worse. Overall, Bluegrass seems to be doing worse than national averages. Much of this again is due to the bundling of data.


3. Why do you think the Current Industry Values are different from what is reported in Table 5.5? The bundling of statistics if becoming a standard procedure. The industry standard now is to streamline treatment, care and quality control in response to government regulation.


Streamlining and standardizing hospital safety has become an industry gold standard. Increasingly, government intervention will be the rule. For better or for worse, interventions to ensure patient quality of care will increase in intensity, in particular the prevention of mortality, To ensure this, an institution wide vision is necessary and the individual department will have to see where it fits in with the entire hospital organization. Without this vision, the organizational focus will not facilitate the proper level of intervention necessary to promote the quality of care necessary.


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