Answer one of two questions below:

1. Describe and support the use of monitoring in evaluating an organization or the status of a condition as an evaluation tool. What is the value of collecting and documenting monitoring data over time? Discuss how the lack of monitoring impacts the evaluation of a market based decision? Cite and reference your resources.
2. Explain how health care organizations use quality improvement techniques to guide decision making? Discuss the challenges organizations encounter in applying quality improvement techniques to guide decision making. Cite and reference your resources.

Also in two separate paragraph give your personal opinion to  Nikki Thompson and    Samantha Taylor 

Nikki Thompson 

Quality improvement techniques are used in healthcare setting to determine and prioritize potential areas of improvements and establish a culture of quality in healthcare practices. With quality improvement technique the managers can be able to make informed decisions about a given problem hence effective service provision. Through quality improvement practices management and employee will collect more information about a given problem hence facilitating development of an evidence-based intervention (Cockerham et al, 2016). A high-functioning practice will strive to continually improve performance, revisit the effectiveness of interventions, and regularly solicit patient and staff feedback. This is all attributed to quality improvement strategies within the healthcare organizations. Some of the challenges that may face quality improvement process include lack of effective leadership, sustainability, and poor data collection techniques among others. Any discrepancy on the above stated issue may affect the effectiveness of the given quality improvement method.

References

Cockerham, J. R., Lowe, G. R., Willis, R., Stecks, R. M., & Berlinski, A. (2016). Quality improvement project to improve timeliness between bronchodilator treatments from emergency department to medical wards. Respiratory care, 61(12), 1573-1579.

Samantha Taylor 

Explain how health care organizations use quality improvement techniques to guide decision making? Discuss the challenges organizations encounter in applying quality improvement techniques to guide decision making. Cite and reference your resources.

              “Measuring the quality of health care by observing its structure, processes, and outcomes. Structure measures assess the accessibility, availability, and quality of resources, such as health insurance, bed capacity of a hospital, and number of nurses with advanced training,” (Hughes, para. 7)There is multiple way how health care organizations use quality techniques to help any decision making. There are a lot of steps that must be taken with any decision and must be discussed with others. It is important for any business and health care organization to have on site training for that position. By having health care job training for all employees will help ensure that everyone is on the same page on how everything operates on a daily basis. Ensuring that employees understand the decision-making process help the practice run smoother and more efficiently. Leadership is important to have for each and every employee that to encourage the decision-making process so that everyone feels like their participation in the process counts. Making each employee feel like their voice matters will help the organization and improves communication. In any organization it is vital to remove barriers that may be between departments. By removing the barriers will not only improve the entire decision-making process, but creates harmony in the operations that go on in the organization. In order to create perfect harmony, the data must be accurate, collected correctly, and used with monitoring tools. For the best quality assurance, the decisions must be made correctly and the information must be understood. Quality improvement techniques are important to incorporate in a health care organization in order for success to occur.  Bench marking health care means collaborative discipline of measuring and comparing the key to the process. Putting a huge emphasis on the management staff to have faith in the projects, communicate the purpose, and encourage the staff. Bench marking is important because it helps slow down the process and become careful in the preparation in the process. “Future, with processes and tools n place supporting Continuous Quality Improvement with research and bench marking as critical contributing elements in QI implementation in health organization becomes less challenging (Burs et al, 2011). The Six Sigma strategy ties together the improved metrics and uses a different management philosophy to help decrease errors, which reinforces the organization’s market status while improving the profit margin.

Every day in health care, by measuring the performance, using careful analysis to new approaches, incorporating new approaches to the process, and reassessing the performance to determine if the changes that were made are successful or not. Without a true and efficient leader, and poor data collection techniques, the organization will not be successful. 

Discuss the challenges organizations encounter in applying quality improvement techniques to guide decision making. Cite and reference your resources.

There are many different challenges that may occur when applying quality improvement techniques to guide the decision-making process. Discrimination in the workplace and not having enough staff who getsengaged causes many issues. Disagreements could involve the ones who are involved in the problem-solving process and the overall final decision. Poor leadership that does not cover what problems that may be faced or not having enough information to guide the process may occur. Without having the proper leadership, there will be multiple issues that will come about and the environment will not be such a great place. Leadership is the key to success within an organization. Inefficiency in data collection hence quality improvement is hampered due to the most critical areas not being prioritized. Quality improvement will not happen if the data is not organized and the tasks that should be on top of the list, aren’t. Over- Ambitiousness by the management in the quality Quality improvement techniques are used to help healthcare setting be able to prioritize certain tasks which may need more attention too and helps establish a culture. Managers and employees will be able to communication decisions and that helps with the efficiency. Quality improvement process may lead to the staff feeling as if change is impossible or disregard it all together. Culture change is one of the major challenges that can hold an organization back when they are trying to improve the quality and reduce medical errors.

Burns, L., Bradley, E., & Weiner, B. (2011). Shortell and Kaluzny’s Healthcare Management: Organization Design and Behavior, 6th Edition. [VitalSource Bookshelf version]. Retrieved from http://online.nitalsource.com/books/9781435463950/id/P4-95.

Donabedian A. Evaluating quality of medical care. Milbank Q. 1966;44:166–206.

Hughes, R. G. (n.d.). Tools and Strategies for Quality Improvement and Patient Safety. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2682/.