Discussion Response: Triple Aim Bull’s-Eye
Discussion Response: Triple Aim Bull’s-Eye
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Response Posts:
When responding to at least two of your peers, consider the following:
In what other ways does the initiative reviewed by your peer improve healthcare?
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How is the initiative reviewed by your peer different from or similar to the initiative you discussed?
What other strategies might be used to address the gap?
Additional Support:
Chapter 11: Improving Care Coordination and Reducing Readmissions
Video: Health Care for the Chronically Ill
Crossing the Quality Chasm: A New Health System for the 21st Century
https://www.ncbi.nlm.nih.gov/books/NBK222271/
The IHI Triple Aim
http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx
Video: Ensuring a Healthier Tomorrow
http://www.aha.org/research/reports/healthiertomorrow.shtml
Access to Health Services
https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services
Innovation Models
https://innovation.cms.gov/initiatives/index.html#views=models
Response Posts:
When responding to at least two of your peers, consider the following:
In what other ways does the initiative reviewed by your peer improve healthcare?
How is the initiative reviewed by your peer different from or similar to the initiative you discussed?
What other strategies might be used to address the gap? Discussion Response: Triple Aim Bull’s-Eye
Classmate #1:
Seth Young posted Jan 27, 2021 6:41 PM
For our group discussion, I was assigned the Physician Quality Reporting System (PQRS). Though the name is self-explanatory, the Society of Nuclear Medicine & Molecular Imaging (SNMMI) states:
The Physician Quality Reporting System (PQRS) was a reporting program of the Centers for Medicare and Medicaid Services (CMS)… Starting from January 1, 2017, this program was rolled over into Merit-based Incentive Payment System (MIPS) under the new Quality Payment Program…It gave eligible professionals (EPs) the opportunity to assess the quality of care they were providing to their patients, helping to ensure that patients get the right care at the right time. (n.d.).
Concerning a gap in healthcare, I am going to explain how the initiate-based program addresses quality in the healthcare system. As I am working in retail, with my experience as an associate and member of management, I enjoy learning from customer reviews and how to improve the quality of my interactions with future customers. Though an assumption, I also believe that this opportunity given to providers provides the same level of initiative. Likewise, I also receive incentive pay for my performance based upon customer satisfaction. To further explain the incentive received by providers who volunteered to partake in this program, the individual would receive a 0.5% compensation from their Medicare billings and be exempt from a pay deduction of 1.5%. To obtain the incentive, participating providers must register and report for 22 group measures, with the other 139 quality measures (The Journal of Healthcare Contracting, n.d.). Taking the Triple Aim framework into consideration, I believe the PRQS helps improve the quality of care through reporting on patient experience. Though the program only provides feedback through participating-healthcare professionals, the pay incentive establishes the initiative for EPs and non-eligible professionals. Having to be reviewed by CMS, providers would have to meet improved-quality standards on a frequent basis. Being that every scenario is different, and the times are always changing, this challenges participants to put forth an initiative to obtain the required standards.
Considering my future career, the PQRS plays an established role in creating initiative in any qualified healthcare facility. Despite my future career being focused on healthcare management, implementing initiative is something a leader can do as well. Though I might not be able to offer such an incentive, I can help challenge my medical staff to improve themselves and establish better practices that aid in ensuring the best quality possible with any patient. As we learned in this Module, the three pillars of the triple aim are: improving patient experience, improving population health, and reducing healthcare cost per capita. Through creating, programs/initiatives like the PQRS, healthcare facilities (throughout all levels) can establish at least one of the three principles. Eventually, The Triple Aim can be achieved through proper utilization of these initiatives and help patients have exceptional quality of care. Discussion Response: Triple Aim Bull’s-Eye
References
The Journal of Healthcare Contracting. (n.d.). The triple aim. Retrieved January 27, 2021, from the-triple-aim.html
Society of Nuclear Medicine & Molecular Imaging. (n.d.). Physician quality reporting system (PQRS). Retrieved January 27, 2021, from https://www.snmmi.org/ClinicalPractice/content.aspx?ItemNumber=10453
Classmate #2:
LeeAnn Woodmancy
For my group discussion submission I was assigned National Patient Safety Goals. Patient safety is a huge concern in healthcare. Managing patient safety lowers the hospitals and other organizations operational costs. Some examples of gaps include a nurse having multiple patients who have a lot of needs. The safety of the patient is compromised when the nurse is spread to thin to be able to give adequate care to the patient. A fall could occur if that patient gets up to try to use the bathroom or for another reason. Another example of a gap in patient safety is not charting in real time. When a nurse is doing rounds and does not chart until later, important facts may be forgotten and misdiagnosis may occur. Because of these issues, hospitals could be tied up in law suits do to negligence. According to the NCBI, more technology is in place that has been developed from the gaps of care. (NCBI)
Before I started in the Financial Clearance center, I was an E-Sitter. My position was to watch patients to keep them from falling. Our job was to keep the patient safe while documenting things we seen. We also helped call the nurse for the patient when they were unable to reach their call lights or dropped them. By incorporating this safety feature into our hospital, our falls decreased and our patients stayed safe. Discussion Response: Triple Aim Bull’s-Eye
The joint commission puts out the National Patient Safety goals every year. While certain things change one thing that stays the same is the priority of safety for the patient. According to the Joint Commission, every year they gather emerging patient safety issues so they can develop the National Patient Safety Goals. (jointcommision.org) By continuing to get expert opinions, we are able to develop more technology to keep our patients safe.
References:
Cook, R. I., Render, M., & Woods, D. D. (2000). Gaps in the continuity of care and progress on patient safety. BMJ (Clinical research ed.), 320(7237), 791–794. https://doi.org/10.1136/bmj.320.7237.791
National Patient Safety Goals. (n.d.). The Joint Commission. https://www.jointcommission.org/standards/national-patient-safety-goals/
Discussion Response: Triple Aim Bull’s-Eye
