Question

In a total of 250-500 words, respond to the 5 questions about the scenario.

Scenario

The long-term care center has 225 beds and provides the highest level of patient care, according to ongoing Department of Health Services annual surveys. The Director of the long-term center has the overall responsibility of ensuring the continuing high level of quality outcomes while also concurrently keeping the facility as risk free as practical. You and the Director have just returned from an annual Long-Term Care Association symposium where you were both introduced to some new groundbreaking initiatives regarding the differences between risk management and quality improvement.

Earlier in the week, the Director called for a meeting of the center’s department managers, including the Quality Assurance Nurse and the Manager of Risk Management. After briefing them on the symposium talking points, your Director asks you to come up with a working plan and strategy for how the facility will use both of the concepts you have introduced to arrive at a more centralized and standardized approach. Overall, the desired outcomes focus on adopting a new approach to higher quality with fewer risk factors for the organization.

Later that week, the Manager of Risk Management, the Manager of Nursing Quality Assurance, and a representative from Human Resources met to formulate a new plan to reduce the litigation exposure while concurrently increasing the quality of patient outcomes. They set about the complex set of tasks with the expectation that you, as the Director’s designated facilitator, will be closely reviewing their final recommendations.

Questions:

1.What is the necessary background information needed to complete your executive summary?Who are the stakeholders?

2. How do the facility’s current Continuous Quality Improvement (CQI) outcomes correspond with the current litigation prevention systems?

3.What factors within the nursing units are the most critical to consider when examining higher quality outcomes?

4.What factors within the nursing units are the most critical to consider when examining lower litigation adverse actions and operational impact?

5.What future steps must be taken to accomplish this directive?

Answer 1

1. In order to complete the executive summary following back ground information is needed:

a. A brief back ground of long term care center

b. Current practices about the quality assurance and outcome

c. Current practices about the risk mitigation strategy and outcome of this strategy.

Once the current scenario is established they we can formulate the future strategy of quality assurance and risk mitigation as per new initiatives.

2. Facility’s current Continuous Quality Improvement (CQI) outcomes directly correspond with the current litigation prevention systems outcome, because if the CQI have positive outcome then it will help in preventing the legal litigation as the unfavorable incidents will be lower with higher CQI Index.

3. Critical Factors to be considered for higher quality outcome are better quality in each defined parameters of operation and customer satisfaction. All the time line and SOP are being followed.

4. Critical factors to be considered for lower litigation adverse action is following the procedure which meets the legal requirement of the state and compliant with the law.

5. In future care center must take those initiatives which will help in increasing the quality index and will in turn help in reducing the legal litigations which may arise because poor quality in operation of the center.