Quality and Data Base Management Term Paper

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healthcare organizations fail to implement sound quality improvement initiatives? Identify barriers and constraints to QI (quality improvement)

Improving the overall quality of any organization is a challenge -- yet the challenge often seems much greater, given the institutional barriers and constraints faced by the health care industry. First of all, there is the difficulty of measuring quality of care given the financial constraints imposed by insurance. The Institute for Health Care Improvement has suggested health care organizations be publicly profiled and assigned to varying rated tiers on the basis of their performance on quality. But currently, physicians and hospitals are often compensated solely based on the sheer dollar amount of care they provide, which is usually greater depending on the patient's length of stay. This discourages the use of new treatments and therapies that may send patients home sooner.

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Even serious medical errors may be financially rewarded if they justify additional charges. (NCQA, 2003)

Thus one constraint is the insurance compensation structure in the industry. But another formidable barrier is also patient complacence, even when patients are compensated. With many ailments like heart disease or diabetes practitioners know how to treat it but the personal practice of medicine needs to catch up with institutional medical knowledge. "More than….....

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