Quality and Safety Management

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In order to evaluate the current state of healthcare and make effective and important improvements in patient quality and safety, it is critical to identify meaningful performance measures. It is important that these performance measures be applied in the same way in similar healthcare organizations, wherever they are. As noted in your course text, there are three types of performance measures used to evaluate healthcare: structure, process, and outcome.
Structural measures give consumers a sense of a healthcare provider’s capacity, systems, and processes to provide high-quality care. Structural measures are features that evaluate a healthcare organization or clinician relevant to its capacity to provide healthcare (Centers for Medicare & Medicaid, 2018). An example of a structural measure is a medication order entry system. Process measures indicate what a provider does to maintain or improve health. An example of a process measure is the percentage of patients receiving preventive services. Outcome measures reflect the impact of the health care service or intervention on the health status of patients. An example of an outcome measure is hospital-acquired infections.
In this Discussion, you will identify structure, process, or outcome measures for a healthcare quality and safety issue. You will also examine quality and safety actions that can be implemented within a healthcare setting.
References
Centers for Medicare & Medicaid. (2018, February). Measures management systems. Centers for Medicare & Medicaid Services | Measure management & you. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Downloads/Structural-Measures.pdf
To prepare for this Discussion:
• Review the Learning Resources, specifically Chapters 3 and 4 in your textbook, Introduction to Healthcare Quality Management. (attached)• Select a healthcare quality and safety issue of your choice (or one you may have experienced).
• Consider the structure, process, and outcome measures for the healthcare quality and safety issue you have selected.
Post a comprehensive explanation of the following:
• Identify at least one structure, process, and outcome measure for the healthcare quality and safety issue that you have selected.
• Provide an explanation for how you might have experienced at least one of these measures in practice.
• Explain how patients measure quality differently from healthcare professionals. Provide an example.

Sample Solution

millionaires club” and commission on gross margin and a specific selection criterion for their new recruits (King, Chung & Hunter, 2014). In spite of this, it is clear that GCS are missing key elements of HR practices which could improve their performance as well as gaining a competitive advantage over the other companies in the market.

Firstly, a recommendation that can give GCS a competitive advantage is to encourage employee voice. GCS currently does not allow a lot of opportunity for employees to have freedom of speech with regards to their workplace and job design. Employee voice will give employees the opportunity to have a say and influence over workplace decisions. This can include: ideas, responsibilities and outcomes of the organisation. (cipd.co.uk, 2018) GCS would be able to adopt either a direct voice, where the individual will be able to have a say about their job and working conditions in a more informal setting, or indirect voice, where the managers will consult and inform employees in a more formal setting. Implementing an employee voice system will allow the employee’s in GCS to be able to voice their opinions to their management, that could potentially lead to an improvement in the job design and therefore the performance of the consultants. In addition, implementing an employee voice system is likely to increase job satisfaction of the staff at GCS as they will feel that their opinions are being valued by senior management. This can be beneficial for GCS as the staff are going to be more motivated within their roles and therefore be likely to decrease the labour turnover and have a positive impact on organisational commitment. Also, higher levels of motivation are more likely that the staff will increase their performance in their roles by ensuring that they provide their clients with a high standard service meeting the operational excellence value proposition, this will also have an impact on the organisational performance helping GCS to achieve their business goal of wanting to be an industry leader. As well as keeping staff within GCS, an employee voice system will also allow the firm to gain a competitive advantage as it will allow the employee’s to have higher levels of employee skill and commitment to the firm. The recommendation will align well with the strategic-fit approach as the system will allow the firm to achieve their business goals and employee voice system will work in harmony with the other HR practices in order to achieve this.

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