2.1 Performance Improvement Tools This section covers the following: • performance improvement tools • quality improvement teams • improving patient safety • utilization management • culture of quality Creating a Quality Improvement Plan Competency 703

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2.1 Performance Improvement Tools
This section covers the following:

performance improvement tools
quality improvement teams
improving patient safety 
utilization management
culture of quality

Creating a Quality Improvement Plan
 Competency 7034.1.2 — The graduate develops a quality improvement plan in a healthcare environment in order to promote patient-centered care, build effective work teams, and influence organizational change.
Objectives

Manage customer satisfaction surveys and results in an      HIM department.
Analyze how quality indicators are used as performance      measures quality improvement to meet organizational goals and comply with      external standards for a given healthcare situation.
Compare the use of surveys with that of interviews when      measuring customer satisfaction in a given situation.
Describe how the elements of the patient care process      cycle may influence the overall implementation of care in a given      situation.
Explain how the work of the ORYX® initiative of the      Joint Commission on Accreditation of Healthcare Organizations impacts      outcomes review in a given healthcare organization.
Describe how Joint Commission standards have impacted      the use of seclusion, restraints, or protective devices in a given      healthcare setting.

Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 7: “Measuring Customer Satisfaction”
Chapter 17: “Implementing Effective Information Management Tools for Performance Improvement”
Supplemental Resource
Read the following from Introduction to Healthcare Quality Management:
Chapter 6: “Performance Improvement Tools”
2.2 Quality Improvement Teams
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 14: “Developing Staff and Human Resources”
Additional Resources
Read the following article from Agency for Healthcare Research and Quality:
Creating Quality Improvement Teams and QI Plans
2.3 Improving Patient Safety
Supplemental Resource
Read the following chapter in Introduction to Healthcare Quality Management:
Chapter 8: “Improving Patient Safety”
Additional Resources 
Read the following article from The Joint Commission: 
Facts About Patient Safety
Read the following article from AHIMA: 
HIM Functions in Healthcare Quality and Patient Safety
Visit the following website to learn more about records:
“Reconciling Records”
After reading the author’s commentary, provide a brief analysis of their opinions on the use of technology as it relates to medication errors and quality improvement. Do you agree or disagree? Submit your response for feedback from the course mentor.
2.4 Utilization Management
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 8: “Refining the Continuum of Care”
2.5 Culture of Quality
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 3: ”Identify Improvement Opportunities Based on Performance Measurement”
Supplemental Resource
Read the following from Introduction to Healthcare Quality Management:
Chapter 11: “Organizing for Quality”
2.6 Management of Quality Improvement Programs
Objectives

Describe how the health information management      professional leads quality improvement projects in the health information      management department (HIM) of a given organization.
Describe how the observance of specific elements of the      survey process of the Joint Commission on Accreditation of Healthcare      Organizations can influence quality improvement initiatives in a given      situation.
Assess how adherence to the Centers for Medicare and      Medicaid Services Conditions of Participation influences a given      organization’s quality improvement initiatives.
Evaluate the effectiveness of specified components of a      given quality improvement (QI) program.
Explain how the differences between accreditation,      licensure, and certification in a given healthcare organization influence      its daily operations.
Explain how application of a specified change      management technique can influence the outcome of a quality improvement      (QI) project in a given situation.
Evaluate whether a given healthcare organization has      complied with specific legal requirements for implementing a quality      improvement (QI) program.

Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 9: “Improving the Provision of Care, Treatment, and Services
Chapter 16: “Navigating the Accreditation, Certification, or Licensure Process”
Chapter 18: “Managing Healthcare Performance Improvement Projects”
Chapter 19: “Managing the Human Side of Change”
Supplemental Resource
Read the following from Introduction to Healthcare Quality Management:
Chapter 10: “Managing the Use of Healthcare Resources”
3.1 Quality Improvement
This section covers the following:

quality and quality improvement
performance measurement
evaluation and continuous improvement

Creating a Quality Improvement Plan
Competency 7034.1.2 — The graduate implements quality improvement initiatives in a healthcare environment in order to promote patient-centered care, build effective work teams, and influence organizational change.
Objectives

Select appropriate types of data to support a quality      improvement (QI) initiative in a given situation.
Identify the common areas of focus for quality      improvement (QI) in a given healthcare organization.
Differentiate between process measures and outcomes      measures in a given healthcare organization.
Compare the roles that specified teams play in      implementing quality initiatives in a given situation.
Describe the qualities of an effective quality      improvement team in a given type of healthcare organization.
Differentiate how skills each team member brings to a      work group will influence the work of the group.
Select a data collection tool to facilitate quality      data collection for a given quality improvement (QI) task.
Select a data display tool that can accurately show the      meaning of a specified type of data.
Present performance activities or recommendations to a      given healthcare organization’s administrative group.
Develop an organization-wide quality improvement (QI)      process in a given healthcare organization.

Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 2: “Defining a Performance Improvement Model”
Chapter 15: “Organizing for Performance Improvement”
3.2 Quality
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 9: “Improving the Provision of Care, Treatment, and Services”
Supplemental Resource
Read the following from Introduction to Healthcare Quality Management:
Chapter 2: “Quality Management Building Blocks”
3.3 Measuring Performance
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 3: “Identifying Improvement Opportunities Based on Performance Measurement”
Supplemental Resource
Read the following from Introduction to Healthcare Quality Management:
Chapter 3: “Measuring Performance”
Additional Resources
Visit the Illinois Department of Public Health’s “Cancer in Illinois” website and complete the following:

Click on “State by Race.”
Where it says “years” you will select individual years,      not ranges, when you are ready to gather your data.
Select a cancer site of your choice.
Select “all” for Race.
Now choose years beginning with 2007, and work back      each year to 1998.
Select the number for “Male Count” and the number for      “Female Count;” you will use those numbers for your spreadsheet.
After gathering all the numbers, compile the results in      a spreadsheet, showing the male and female counts separately for each      year.
Create a graph illustrating the trend in the cancer      cite you selected: you should have two columns of data (male and female)      for each year.

Submit your work and receive feedback.
3.4 Evaluation and Continuous Improvement
Read
Read the following from Quality and Performance Improvement in Healthcare: Theory, Practice and Management:
Chapter 20: “Evaluating the Performance Improvement Program”