quality mangment in Health care organizatiom
please help me with this assignment here are 2 case study beter to assigne 5 pages to each case study
A 250-bed governmental hospital providing all medical care services except open heart and oncology services. There are 30 ICU beds and 10 ICU Pediatric beds. The number of outpatient clinics is 120 clinics distributed over 4-storey building.
The Board of the hospital requested a “Health Consultant Company” to assess the “Quality of Services” provided. The report submitted by the Consultant Company indicated the following issues:
1. The building of the hospital is old and it requires continuous maintenance;
2. Several of the diagnostic equipments including radiology and laboratory medicine are out of date and some are not working;
3. There is no well-developed “Human Resources Department” and all files of staff are not well-organized;
4. “Information Technology Department” is under-developed and it requires major improvement;
5. No “Total Quality Management Department”;
6. There are problems with staff satisfaction and retention;
7. Poor “Parking” facilities for outpatient areas;
8. Lack of biomedical preventive maintenance;
9. A lot of safety incompliance have been noticed;
10. The number of staff is more than 2,500 with insufficient number of nursing staff.
You have been appointed to lead a Team to develop a “Strategic Plan” for the next 5 years to improve on the quality of care and the environment of the hospital to achieve CBAHI Accreditation Standards and to deal with all the issues raised by the report of the external consultant.
Answer the following questions in relation to above case:
1. Describe the membership of the individuals you need to have in your Team from the Hospital staff available.
2. Using SWOT analysis, identify the Strengths, Weaknesses, Opportunities and Threats as part of the environment situational analysis for the above Hospital.
3. Based on your SWOT and future objectives of the Hospital, suggest six (6) strategies that you have developed and used as part of the action plan to develop a strategic plan for the next 5-year for the above Hospital.
You have been appointed as an Acting Chairman of Performance Improvement Committee in a new 150-bed hospital. The number of staff of this new hospital includes 60 consultants, 200 nurses and technicians, 35 administration staff. A total of 300 patients are seen at the OPD clinics with an occupancy rate of 48% for inpatients.
Answer the following questions.
1. What are the main functions of your committee in relation to TQM program within the hospital?
2. Who are the expected members on your committee? List by function/department.
3. How frequently does your PIC have to meet?
4. With the aid of a diagram, show the position of the TQM Department in the hospital organization chart?
5. How do you identify quality issues for the first 2 years of your quality activities within the hospital?
Explain whether or not the current system can or should be maintained.
Review each of the following video cases:
Health IT Success Story: Portal Enhances Patient-Centered Preventative Care (https://www.youtube.com/watch?v=N9knYwhbuss&feature=share&list=PLgYydErB9VCc_Wc804kKCEtK4tjpU3kc3 )
Health IT Success Story: Using IT to Fight Care Fragmentation ( https://www.youtube.com/watch?v=bP4iRjCMsk8&list=PLgYydErB9VCc_Wc804kKCEtK4tjpU3kc3 )
Health IT Success: Quality Measures for Interoperable Electronic Health Records (https://www.youtube.com/watch?v=bP4iRjCMsk8&list=PLgYydErB9VCc_Wc804kKCEtK4tjpU3kc3 )
Select one of these cases and address the following questions in your paper:
Analyze the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition.
Address the major concerns, and provide alternatives to alleviate these concerns.
Analyze whether or not value was added to health care information systems through acquisition.
Analyze how the system might advance or devalue patient care delivery.
Explain whether or not the current system can or should be maintained.
Explain what the literature states about this type of implementation/acquisition.
Explain who the gatekeeper(s) are in this type of acquisition.
Describe how cost is impacted with this system.
Describe the initial reaction to the system implementation/acquisition.
Describe whether or not the quality implementation/acquisition impacts your chosen topic for your Final Proposal and Final Presentation. This response needs to be one paragraph in length
What facts are good/bad for Local Bank? Are any external considerations shaping your recommendations?
Wells Fargo, one of the nation’s largest banks, has admitted to opening 3.5 million unauthorized accounts on behalf of its customers. Wells Fargo employees faced intense pressure to “cross-sell” customers new products and had mandatory sales goals to meet. The news of the unauthorized accounts came not from regulators but from an investigation conducted by the Los Angeles Times in 2013. Only after the Times broke the story did the L.A. city attorney launch an investigation. The city attorney sued Wells Fargo in 2015. Federal regulators did not bring charges until later. In late 2017, CFPB settled with Wells Fargo for a $100 million fine, although the CFPB may have been able to fine Wells Fargo $5,000 for each unauthorized account.
Even before the small fine was announced, several Senators from across the political spectrum were disappointed that Consumer Financial Protection Bureau (CFPB) did not discover and stop Wells Fargo’s wrongdoing sooner. For example, at a hearing on the matter on September 20, 2016, the Chairman of the Committee on Housing, Banking, and Urban Affairs, Richard C. Shelby (R-AL) said:
I have often said that banking is based on trust, and that trust was broken at Wells Fargo. While much has been written about these events, I believe there are several questions that warrant answers. First, when did this conduct start at Wells Fargo and why were the regulators unaware of this growing problem? Second, when did Mr. Stumpf and his senior management become aware of these activities and how did they respond? Third, have all of the appropriate Wells Fargo employees been held accountable and to what extent? Finally, where were the Federal regulators while certain Wells Fargo employees were taking advantage of unsuspecting customers over a period of many years? Here is what we do know: Wells Fargo’s internal review only covers unauthorized accounts dating back to 2011. News reports and court documents suggest these problems might have existed long before then. The 2013 Los Angeles Times articles led to the LA City Attorney’s Office investigation into Wells Fargo’s sales practices. Thousands of man-hours by a dozen dedicated LA City Attorneys culminated in a lawsuit filed against Wells Fargo in May of 2015. This timeline begs the question: Where were the Federal regulators during those years? If the OCC and the CFPB were aware of these issues before the LA City Attorney’s lawsuit, why did they wait until 2016 to bring an enforcement action? Why did it take a Los Angeles Times reporter to uncover what should have been uncovered by Wells Fargo’s regulators? If there were ever a textbook case where consumers needed protection, this was it. How many millions of unauthorized accounts does it take before the CFPB notices? And while the Bureau is billing this as the largest settlement in its history, it is unclear whether it had any significant role in discovering or investigating the bank’s conduct. Just as it is fair to ask Mr. Stumpf what he knew, when he learned it, and what he did about it, it is also fair to ask those same questions of Wells Fargo’s regulators. These are simple facts-and-circumstances
The CFPB has reason to believe that the same practices that occurred at Wells Fargo happened at other banks, including LocalBank, a regional bank that serves the working-class suburbs of San Francisco. LocalBank has managed to remain independent notwithstanding a long trend towards bank consolidation. Indeed, only two other banks conveniently serve its customers. While LocalBank is in good financial shape given its size, it would likely have to sell itself to a larger bank if it faced any significant unexpected expenses. It’s unclear how any potential merger would impact LocalBank’s employees.
LocalBank has quietly cleaned up its practices and refunded affected customers but has not publicly disclosed its prior wrongs. When it refunded customers, it explained the refund as “due to a prior, one-time error in your account” without more detail. LocalBank has not made any personnel changes as a result of the wrongdoing. In deciding not to fire management when it learned of the scandal, the Board reasoned that any high-level turnover would draw unwanted attention. Moreover, it believed the CEO was sincere when he explained that “industry standards have changed making our prior cross-selling practices incompatible with new norms.” LocalBank’s employees are relieved to be free from the high-stress sales practices and most appreciate the renewed focus on customer service.
Option 1: You are an attorney with the CFPB tasked with investigating LocalBank for potentially opening unauthorized accounts. You have confirmed that LocalBank opened accounts without customers’ permission from 2010-2016. Some customers incurred fees as a result of these accounts, but LocalBank has preemptively refunded all potentially affected customers. Write a memo describing what you will weigh when considering an enforcement action against LocalBank and make a preliminary recommendation for how to proceed. What do you need to know? What facts are good/bad for Local Bank? Are any external considerations shaping your recommendations? Please use specific references to the relevant sources and explain how that source shapes your ultimate recommendation.
Option 2: You are a high-level manager of LocalBank. You suspect that a disgruntled employee is about to become a whistleblower. What should the company do and why? What should you do and why? Please use specific references to the relevant sources and explain how that source shapes your ultimate recommendation.
Critical analysis of a research article that underpins an element of nursing practice
Articulate the meaning of evidence based practice(EBP) and analyze differing forms of evidence.
2)Critically discuss different forms of knowledge used as evidence.
3)Identify how differing philosophical standpoints might affect the methods used to obtain and use evidence.
4) Critically discuss the strength and weakness of different research methodologies.
5) Utilize a questioning approach tool to examine practice
6) Evaluate strategies for developing evidence based inter-professional practice in the workplace.
7)Review frameworks for implementing EBP