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HCA 375 Week 5 Assignment Research Paper

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The Center for Medicare and Medicaid Services C.M.S. began phasing in its value-based purchasing program in 2007. Value based purchasing links payment directly to the quality of care provided. It is one strategy being used by C.M.S. to transform the current payment system by rewarding providers for delivering high quality, efficient clinical care.

There are three aspects to the program: patient experience, hospital-acquired conditions and achievement of expected treatment for specific clinical diagnoses.

Select one of the following hospital-acquired conditions:

1. Surgical site infection

2. Pressure Ulcers

3. Catheter-associated urinary tract infections

4. Harm related to falls

For your Final Paper:

1. Include a brief discussion of the chosen hospital-acquired condition and why it is considered preventable.

2. Explain the legal implications related to a patient developing the condition and the role that disclosure plays.

3. Describe accreditation expectations related to this condition.

4. Analyze the outcomes of continuous quality monitoring consider cost as it relates to quality.

The following questions and/or topics should be utilized in the development of your Final Paper:

Hospital acquired conditions:

1. What is meant by the term “hospital acquired condition”?

2. Is the condition you selected always preventable? Why or why not?

3. How does reducing or preventing this condition indicate quality healthcare practices?

Legal implications:

1. What role does communication between the healthcare team and the patient/family play in preventing this condition?

2. Why might a healthcare provider be reluctant to discuss the development of this condition with the patient and family?

3. What are the potential ramifications of not discussing the development of this condition with the patient and family?

4. How might members of the healthcare team present this information to the patient and family?

5. What, if any, is the link between disclosure and litigation?

Accreditation expectations:

1. The Joint Commission accredits 82% of the hospitals in the United States. Sollecito & Johnson, 2013, p. 516.

2. What expectations does the Joint Commission have with regards to the condition you selected?

3. How is it assessed by surveyors during an accreditation survey?

Outcomes related to cost and quality:

1. What continuous quality improvement strategies might you use to involve members of the healthcare team in planning and implementing improvements related to this issue?

2. Provide examples for each of the following performance improvement levels: localized improvement, organizational learning, process reengineering, and evidence-based medicine. Refer to page 5 in your text if needed.

3. What role does education, research, collaboration, information technology, leadership, and teamwork play in addressing this issue?

4. Of the strategies listed which one do you believe would generate the best outcomes and cost the least to implement? Explain your opinion.


The Final Paper must be eight-to ten-pages excluding title and references pages and should demonstrate understanding of the reading assignments, class discussions, your own research and the application of new knowledge. Your paper must use a minimum of six scholarly, peer-reviewed sources from the Ashford University Library that were published within the past five years and that are referenced according to APA guidelines as outlined in the Ashford Writing Center.

Writing the Final Paper

The Final Paper:

1. Must be eight to ten double-spaced pages in length excluding title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.

2. Must include a title page with the following:

a. Title of paper

b. Student’s name

c. Course name and number

d. Instructor’s name

e. Date submitted

3. Must begin with an introductory paragraph that has a succinct thesis statement.

4. Must address the topic of the paper with critical thought.

5. Must end with a conclusion that reaffirms your thesis.

6. Must use at least six scholarly, peer-reviewed sources that were published within the past five years from the Ashford University Library.

7. Must document all sources in APA style, as outlined in the Ashford Writing Center.

8. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

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HCA 375 Week 4 DQ 1 Medical Errors

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According to Sollecito & Johnson 2013, “Organizations do not suddenly start making mistakes. They tend to slide imperceptibly into a set of conditions that produce medical errors” p. 327. After completing this week’s reading discuss this concept as it relates to quality patient outcomes. Answer the following questions:

a. In your opinion, do you believe that errors in the hospital setting are inevitable? Why or why not?

b. If the most frequent type of error is omitting a step in delivering care Sollecito & Johnson, 2013, p. 312, would it be better to focus on the individual who omitted the step or the system in which they work? Explain your answer.

c. What role could being a “learning organization” play in reducing errors?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources, cited in APA format.

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HCA 375 Week 4 DQ 2 Disclosure and Litigation

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Complete the week’s reading and view the Safe Patient Project video about Linda: Katy,TX, then answer the following questions:

a. What was the errors in the case presented in the video?

b. Why do you think the errors happened? What might the contributing factors be in this situation?

c. Imagine you are this patient's physician and are meeting with the family member to describe what happened. How would you communicate the error?

d. Do you believe there is a link between how the error was disclosed and the actions the family member took afterward? Explain your answer.

Your initial post should be 250-300 words and utilize a minimum of one scholarly source from the Ashford University Library, cited in APA format.
Respond to at least two of your classmates’ posts

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HCA 375 Week 3 DQ 2 The Impact of Nursing

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Never before has nursing been so important to a health care organization. Nurses are responsible for upholding the public’s trust as well as their health care organization’s reputation and its financial viability.

Do you agree or disagree with this statement? Why or why not? Provide at least three specific reasons to support your position.

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format as outlined in the Ashford Writing Center.

Respond to at least two of your classmates’ posts.

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HCA 375 Week 3 DQ 1 Teamwork in Health Care

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According to Sollecito & Johnson 2013, healthcare organizations have moved away from focusing on technical expertise to focusing on clinical teams that focus on patients’ needs and organizational systems thinking.

After completing this week’s reading, answer the following questions:

a. Why are organizations focusing on teamwork as opposed to skill acquisition?

b. How are new health care professionals being trained on systems thinking and teamwork/collaboration? Do you think this will make a difference in quality outcomes? Why or why not?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources, cited in APA format.

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HCA 375 Week 2 DQ 2 Quality and Outcomes

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According to Sollecito & Johnson it is more meaningful to analyze outcomes data, as opposed to structures and processes, because improving outcomes is the end goal of health care services.

After viewing the “Defining Quality”: Aiming For a Better Health Care System video, develop a description of quality as it relates to health care; then answer the following questions:

a. How would one go about measuring outcomes based on your definition of quality? Provide at least three specific reasons to support your position.

b. What role does customer satisfaction play in your definition and outcomes measurement?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources.

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HCA 375 Week 3 Assignment High-Performance Teams

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The health care team is at the “sharp end” of service delivery. Members of the health care team are most qualified to analyze problems, generate solutions, and implement and evaluate change. Teamwork is vital to the success of the health care system. Health care administrators must know how to form highly functioning health care teams.

Consider the following scenario:

Mr. Smith was admitted to the hospital for surgery on his left knee. When Mr. Smith woke up from the anesthesia, he realized that his right knee had been operated on. You have been asked to form a team to analyze this wrong-site surgery.

In light of this situation, write a two-to three-page paper excluding title and reference pages in which you address the questions below. You must include a minimum of two scholarly sources from the Ashford University Library and format your paper according to APA guidelines as outlined in the Ashford Writing Center.

1. Who would you have on your team? Why did you select these individuals?

2. What steps would you take to foster open communication? What team dynamics might exist that could interfere with open communication?

3. Identify two quality improvement tools/strategies you could use to address the wrong-site surgery? Explain why you selected these tools/strategies.

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HCA 375 Week 2 Assignment Customer Satisfaction and Quality Care

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In this competitive health care environment, consumers want and expect better health care services and hospital systems are concerned about maintaining their overall image. There is also attention to ways in which patient satisfaction measurement can be integrated into an overall measure of clinical quality.

To begin, review the Hospital Consumer Assessment of Health Plans Survey H.C.A.H.P.S. available at http://tinyurl.com/4272s7l.

Next, visit the Hospital Compare website http://www.hospitalcompare.hhs.gov, and follow these steps:

1. Type in your zip code

2. Ensure that “general search” is selected for the search type

3. Click on the “Find Hospitals” button

4. Select one of the hospitals by checking the box next to the hospital name and click on “Compare”

5. Review the survey of patients’ hospital experiences

For the selected hospital, identify one satisfaction measurement criteria that you recommend for improvement. In your opinion, how might this customer satisfaction factor relate to quality outcomes? Provide a concrete example that supports your opinion.

Additionally, use the definitions of structural and process aspects of care from p.156 of your textbook to identify at least three barriers that exist in the health care setting that could have an impact on the customer satisfaction score you selected. Be sure to state at least one structural barrier and one process barrier and describe the barriers you identified.

Finally, review the quality improvement tools presented in Chapter 3 of your textbook. Select a tool that a health care organization might use to study a process barrier related to the customer-satisfaction factor you identified. Explain why you selected the tool and how it could be used.

Your paper should be two- to three-pages excluding title and reference pages and must contain at least two scholarly sources from the Ashford University Library. It should be formatted according to APA guidelines.

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HCA 375 Week 2 DQ 1 Measurement

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According to Berwick 1996, “measurement is only a handmaiden to improvement but improvement cannot act without it” Sollecito & Johnson, p.78.
Do you agree or disagree with this statement? Why or why not? Provide at least three specific reasons to support your position.

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format.
Respond to at least two of your classmates’ posts.

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HCA 375 Week 1 DQ 2 Implementation and Barriers

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Select one of the following organizations and the associated quality improvement initiative:

a. The Joint Commission National Patient Safety Goals

b. Centers for Medicare & Medicaid Services Never Events

Describe the overarching goal of the initiative. Describe key strategies this organization has recommended to improve quality in the healthcare setting. In your opinion, what are the potential barriers associated with implementing this strategy in the healthcare setting?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format.

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HCA 375 Week 1 DQ 1 Management versus Leadership

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After completing this week’s reading answer the following questions:

a. What role does management play in continuous quality improvement?

b. How is managing different from leading?

c. In your opinion, which role is more effective in implementing changes that improve quality outcomes: managing or leading? Why?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format.

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HCA 375 Complete Class

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HCA 375 Week 1 DQ 1 Management versus Leadership

HCA 375 Week 1 DQ 2 Implementation and Barriers

HCA 375 Week 2 DQ 1 Measurement

HCA 375 Week 2 DQ 2 Quality and Outcomes

HCA 375 Week 2 Assignment Customer Satisfaction and Quality Care

HCA 375 Week 3 DQ 1 Teamwork in Health Care

HCA 375 Week 3 DQ 2 The Impact of Nursing

HCA 375 Week 3 Assignment High-Performance Teams

HCA 375 Week 4 DQ 1 Medical Errors

HCA 375 Week 4 DQ 2 Disclosure and Litigation

HCA 375 Week 5 DQ 1 Quality Improvement Organizations

HCA 375 Week 5 DQ 2 Accreditation

HCA 375 Week 5 Assignment Research Paper

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HCA 375 Week 5 DQ 2 Accreditation

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Accreditation is a formal process wherein a health care organization is deemed credible by an external organization. Standards of practice are used to assess the credibility. According to Sollecito & Johnson 2013, health care professionals, “have been known to be skeptical about the purpose, value, and benefits [of accreditation]”. After completing the week’s reading, answer the following questions:

a. In your opinion, why are some health care professionals skeptical about the accreditation process? Explain your answer.

b. What role, if any, does professional certification play in the accreditation of an organization?

c. How could you describe the role that accreditation plays in continuous quality improvement to increase buy-in for the process from members of the health care team?

Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format.

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HCA 375 Week 5 DQ 1 Quality Improvement Organizations

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After completing this week’s reading, answer the following questions:

a. What is the role and function of the Quality Improvement Organization program?

b. In your opinion, has the quality of health care received by Medicare beneficiaries improved or declined over time as a result of the QIO program?

Explain your answers and provide concrete examples. Your initial post should be 250-300 words and utilize a minimum of two scholarly sources from the Ashford University Library, cited in APA format.

Respond to at least two of your classmates’ posts.

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