Welcome back, everyone.
The health care system
is facing significant financial
and operational pressures
with services struggling
to maintain standards of care.
Now more than ever,
local and national leaders
need to focus on improving the safety,
effectiveness and experience of care.
At the heart of these plans
should be quality improvement.
Quality improvement consist
of systematic and continuous actions
that lead to measurable improvement
in health care services
and the health status
of targeted patient groups.
A successful QI program
the following four key principles:
that QI work as systems and processes,
that it has a focus on patients,
a focus on being part of the team,
and focus on use of data.
To make improvements,
an organization needs to understand
its own delivery system and key processes.
A health service delivery system
can be small and simple,
for example, an immunization clinic.
Or it can be large and complex,
a large managed-care organization.
QI can assume many forms
and it's most effective
if it's individualized to meet the needs
of a specific organization's
health service delivery system.
Activities or processes
within a healthcare organization
contain two major components.
It asks, "What is done?"
Meaning, what care is provided?
And, also, "How is it done?"
Meaning, when, where,
and by whom care is delivered?
An important measure of quality
is the extent to which patient's need
and expectations are met.
Services that are designed
to meet the needs
and expectations of patients
and the community,
include systems that affect
evidence-based care provision,
support for patient engagement.
Coordination of care with other parts
of the larger healthcare system,
and cultural competence,
health literacy of patients,
and linguistically appropriate care.
At its core, QI is a team process.
Under the right circumstances,
a team harnesses the knowledge,
the skills, experience,
of different individuals within the team
to make lasting improvements.
A team approach is most effective
when the process or system is complex
No person in an organization knows
all of the dimensions of an issue
The process involves
more than one discipline or work area.
Solutions require creativity
and staff commitment
and buy-in are needed.
Data are the cornerstone of QI.
Data are used to describe
how well current systems are working,
what happens when changes are applied,
and to document successful performance.
That involves the use of numbers
that result in measurable data.
that collect the data
with descriptive characteristics,
rather than numeric values
that draw statistical inferences.
So, remember, when an organization
wants to narrow its focus
on specific data for its QI program,
one strategy is to adopt
standardized performance measures.
Nurses are directly involved
in almost all aspects of hospital quality
including patient care,
bedside and medication management,
assistance with surgeries
and other major operations,
data collection, reporting, and more.
Nurses are directly responsible
for monitoring and assessing patients
and performing immediate interventions
to reduce risk
or prevent medical complications.
Therefore, nurses play a critical role
when it comes
to improving hospital quality.
So in thinking of everything
we've covered today,
I'd like for you to consider
What are four principles
of quality improvement?
That QI work as systems and processes,
a focus on patients,
a focus on being part of the team,
and a focus on use of data.
I hope you've enjoyed today's video
on quality improvement.
Thanks so much for watching.