Joint Commission’s Role in Quality Healthcare

Reflect upon the patient experience, patient safety, and healthcare cost as well as Joint Commission’s role in quality healthcare. Write a paper that addresses the following questions:

How would you apply the principles of the Triple Aim initiative to improve quality, safety and satisfaction in the acute care or long-term care setting?

Reflect on your current role (Registered Nurse) in healthcare. How you would you, in the role of director of nursing or healthcare administrator contribute to improving cost effective quality care, patient satisfaction, and patient safety?Joint Commission’s Role in Quality Healthcare

What practices would you apply to minimize medical errors among front-line nursing staff?

Please include an intro and a conclusion.

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Joint Commission’s Role in Quality Healthcare

The Principles of Triple Aim Initiative

            Triple aim initiative is the context established by IHI (Institute for Healthcare Improvement) describing the appropriate method towards enhancing the performance of the healthcare system. The institute for healthcare improvement believes designs to promote the quality of health must be developed to simultaneously pursue triple aim through rejuvenating the population health, improving the patient experience as well as decreasing healthcare cost. Communities and organizations that follow the principles of triple aim are healthier since the designs implemented help in the identification of the underlying health problems (McCarthy e al, 2019). In addition, the communities and the organization get solutions to their underlying health principle through implementation of the triple aim principles. Patients experience less burdens of illnesses and also experience more coordinated care through triple aim principles. Consequently. The per capita cost of care is stabilized thus giving populations to be healthier and more competitive.Joint Commission’s Role in Quality Healthcare

Triple Aim Initiative to Improve Quality in the Acute and Long-Term Care Setting

Reduction of preventable hospitalization is one fundamentals of triple aim of improving the quality of care in the long-term and acute care setting. The new initiatives by the federal government that push for reduction of preventable hospitalizations are implemented through the triple aim principle. The new initiatives use quality measures that define the preventable hospitalizations (McCarthy e al, 2019). Reduction of the preventable hospitalizations will benefit the chronically ill and older adults requiring long-term care. The chronically ill and old patients experience negative effects of hospitalization like loss of functional abilities and hospital acquired conditions because by low quality of care. Conversely, a reduction of hospitalization will translate to the satisfaction and more safety to the patients requiring acute and long-term care. Additionally, triple aim will help in address the deficits in healthcare that require the quality of care in long-term and acute care settings. Through triple aim, health of population and individuals has improved leading to equity of care as well as experience of care that is concentrated on clinical quality.

Triple Aim Initiative to Improve Patient Safety in the Acute and Long-Term Care Setting

Triple aim initiative has elements that help in pushing for the safety of the patients to improve patient outcome and achieve a healthy population. Predictive modeling is used to identify the patients with intensive services needs that can be proactively met to prevent more complications in the future. In addition, through the principles of triple aim, healthcare facilities have redesigned the primary care services including using health coaches and health risk assessments to manage complex health problems and making appropriate care services available. Avoidable use of emergency care is also reduced by addressing and understanding the needs of the patients who frequent the emergency department (McCarthy e al, 2019). Triple aim has a prototype that is working towards overcoming the privacy issues that prevent coordination in the dispersed care sites that would jeopardize the safety of the patients. Additionally, the prototyping work of triple aim is matching demand and capacity without insisting on the supply driven care. Eventually, a robust, team based primary café model that includes patient-centered medical home but has not been limited to has been developed to improve the safety of the patients.Joint Commission’s Role in Quality Healthcare

Triple Aim Initiative to Improve Patient Satisfaction in the Acute and Long-Term Care Setting

            Patient satisfaction is the degree to which patients are comfortable and happy with the healthcare services given to them both outside and inside the clinician’s consultation room. Furthermore, patient satisfaction is tool to measure the quality of care by giving insights to different aspects of medicine including empathy levels and effectiveness of care. One of the primary goals of triple aim is to improve patients experience when interacting with the healthcare system (McCarthy e al, 2019). The healthcare systems therefore is required to assess the overall mortality and also identify any existing areas of risks and concerns to effectively achieve patient satisfaction. In addition, the health care system has adopted initiatives that help the patients to navigate the medical procedures easily by improving their communication skills towards improving the satisfaction of the patients. The healthcare systems has embraced the use of managed care organizations, electronic health records as well as patient-centered care coordination that focus on improving the patients experience and satisfaction.

Role of Director of Nursing or Healthcare Administrator in Improving Cost Effective Quality Care, Patient Satisfaction and Patient Safety

Healthcare administrator or director of nursing play great role in overseeing the day-to-day operations in the hospital’s administration as well as other health facilities. The healthcare administrators have a professional requirement of supervising and planning for all medical services offered to the patients (Im & Aaronson, 2020). The healthcare administrators should also ensure that the patient outcome is desirable and positive to help in the improvement of patient satisfaction, patient safety and cost effective quality care. The director of nursing plays a great role in maintaining a healthy population by developing integrated and intelligent solutions. The integrated and intelligent solutions in healthcare include improving the employees’ engagement, leveraging innovative technology, evaluating entire care terms and using patient satisfaction as a balance of measure.

Engagement of the employees in healthcare will have a great impact on the patient experience. Healthcare administrators embracing the engagement of the employees by training them and introducing engagement initiative have experienced satisfied employees as well as happy patients. Engaged staff also make data driven decisions as well as a culture dedicated to Triple Aim achievement thus improving the quality of care, patient safety and patient satisfaction (Rodziewicz & Hipskind, 2018). The healthcare administrators have also leveraged innovative technology to revolutionize patient experience as well as patient satisfaction. Technology helps in improving the patient flow and also by reducing the patients waiting time thus promoting patient satisfaction and safety as well as improving the quality of care.Joint Commission’s Role in Quality Healthcare

The director of nursing also evaluates the entire care terms by conducting surveys that capture the entire patient experience. Data is captured as a whole as opposed to asking individuals questions to ensure all the patients receive quality care. Analyzing the factors that influence the entire patient experience scores in healthcare facilities communication becomes more predictive leaving no chance for negligence (Im & Aaronson, 2020). Therefore, evaluating entire care teams promotes patient safety, quality of care as well as patient experience. Lastly, the healthcare administrators use patient satisfaction as a balance of measure to improving patient outcomes. Balance of measure helps in empowering the health systems thus making significant quality of care, patient and patient satisfaction.

Practices to Minimize Medical Errors among Front-Line Nursing Staff

The main role for the front-line nurses is to administer medication to the patients. The accuracy and safety of medication in healthcare administration is determined by the front-care nurses who have pharmacologic critical thinking skills, decision making and knowledge. In the current healthcare setting, administering drugs to patients is high risk task (Panagioti et al, 2018). Therefore, there is high possibility of an occurrence of medication errors during the medication process including dispensing, monitoring, transcribing, prescribing and also reporting. Medical errors have costly consequences like death, serious harm, increased patients lengths of stay and additional medical interventions. Therefore, proficiency in drug calculations is very significant to ensure there is safe drug administration to the patients.

The nurse educators should implement education plan for the front-line nurses to ensure proficiency in medication calculation is maintained. In addition, the front-nurses should focus on improving their knowledge on pharmacology as well as keeping up with the new drugs (Rodziewicz & Hipskind, 2018). There is a continuous pharmacologic education that updates the nurses about the new use of drugs including patient monitoring, patient teaching, documentation as well as drug to drug interaction. Healthcare facilities should also adopt interventions that will decrease the distractions that limit patient safety.

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            When administering analgesics to patients, the front-line nurses should assess the level of the pain, then administer the analgesic drug with the right strength in relation to the pain. Thereafter, the front-care nurses should monitor for any adverse reactions as well as evaluating and documenting patient’s therapeutic response (Panagioti et al, 2018). The front-line nurses should also educate the patients about therapeutic effects, desired outcomes and potential adverse effects. The use of technology like bar code-assisted medication administration (BCMA) and smart pumps will help in decreasing the drug dosing errors. Additionally, the front-line nurses can use the BCMA to scan the medication codes and patient wristband before administering the drugs.Joint Commission’s Role in Quality Healthcare

According to Rodziewicz and Hipskind (2018), reporting medication errors will help the healthcare system and the front-line nurses to identify the medication processes and also preventing further incidents. The risk managers use the information in reported medication errors to understand the root cause of the errors as well as developing procedures and policies to prevent any future threat. Lastly, hospitals should embrace the use of electronic reporting systems that will provide a platform for reporting errors electronically.

References

Im, D., & Aaronson, E. (2020). Best Practices in Patient Safety and Communication. Emergency             Medicine Clinics, 38(3), 693-703.

McCarthy, B., Fitzgerald, S., O’Shea, M., Condon, C., Hartnett‐Collins, G., Clancy, M., … &       Savage, E. (2019). Electronic nursing documentation interventions to promote or improve      patient safety and quality care: A systematic review. Journal of nursing management,             27(3), 491-501.

Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., … &     Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA             internal medicine, 178(10), 1317-1331.

Rodziewicz, T. L., & Hipskind, J. E. (2018). Medical error prevention. Joint Commission’s Role in Quality Healthcare