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In: Nursing

The long-term care center has 225 beds and provides the highest level of patient care, according...

The long-term care center has 225 beds and provides the highest level of patient care, according to on- going 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 facili-
ty 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.

Provide a 250-word executive summary of the research project and recommended plan of action that you will provide to the Director.

Address the following:

Questions:

What is the necessary background information needed to complete your executive summary?Who

are the stakeholders?

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

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

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

What future steps must be taken to accomplish this directive?

Solutions

Expert Solution

Summary:

What is the necessary background information needed to complete your executive summary?Who are the stakeholders? How do the facility’s current Continuous Quality Improvement (CQI) outcomes correspond with the current litigation prevention systems?

Examinations or surveys, are showed by a multidisciplinary squad of nurses, druggists, life security examiners and other specialists. Inspections focus on access, continuity and comprehensiveness of patient care; patient rights; infection control and staffing levels.

In addition, the team might inspect medical records, detect patient care and interview patients. The review can gross one day or numerous. When the examination team quotes shortages, the capability obligation, inside 10 business existences, acquiesce a printed plan of alteration that particulars in what way and when it will right each shortage. If the shortage is thoughtful.

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

The model was stratified by capability kind and private practice, and information have been prejudiced to reproduce their quantity by capacity and isolated practice in the Connotation. Small collections, such as SLPs who exertion in pediatric infirmaries, were oversampled in instruction to contain adequate statistics from these collections in the example. The review was intended to deliver info about health care based facility distribution and to inform and enlarge info collected throughout preceding Health Care Reviews.

What future steps must be taken to accomplish this directive?

Additional than 81.25% of SLPs in SNFs and pediatric hospitals had efficiency necessities. The regular efficiency obligation was 79.35%, fluctuating from 68.93% in pediatric hospitals to 84.12% in SNFs. 40.35% said that assembly the efficiency prerequisite was actual significant at their occupations. 42.18% frequently or continually accomplished certification at opinion of facility. 28.99% of hourly SLPs characteristically achieved off-the-clock effort every day. 81.22% used electronic medical records for scientific documents. 48.88% used a translator or ethnic broker throughout the previous 12 months. SLPs who had an efficiency obligation were requested to use a 5 bar point gauge to degree how significant the output obligation was at their occupation. The mean assessment assumed was 4.2, and the middle was 4.2, where 1 preordained not at all significant and 5 destined very significant.


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