Performance Improvement Plan For The John Hopkins Hospital The John Hopkins Hospital Patient Care and Safety

I. Purpose and Quality Statement:

II. Patient safety can be defined as the measures to prevent errors and negative effects that often arise from healthcare actions (WHO, 2017). The healthcare sector has seen lots of changes and improvements in technology use, accompanied with effectiveness in service provision. There are new medicines and treatments in use too. Healthcare facilities handle older patients who show high level co-morbidities that call for hard decisions to be made regarding priorities in healthcare. Exerting more pressure on healthcare facilities economically results in healthcare settings that are overstretched.

Purpose of a quality plan (Tovey, Uren & Sheldon, 2015):

· Provides a comparison avenue with the performance system of an organization

· Postpones the action of disciplining staff as it gives them time to right their wrongs and improve their practice performance issues

· It is evidence to the world that the management is reasonable and fair in handling staff when there is need for change in behaviour

· Provides flexibility of action needed to deal with employees who need to change their behaviour and thus gives the management a chance to avoid action that could cause disenfranchisement among the employees.

· It facilitates a scenario where everyone gains from the work experience by focusing on the problems at hand and creating standards while promoting information sharing

· It supports the view that employees can differentiate what is right from what is wrong

· It fosters communication and focuses on the issues at hand, its solutions and consequences

· Records and documents the resources used for training and guidance as supplied by the management.

The Importance of quality plan

Accreditation is done through a voluntary participation. Reviewers evaluate the compliance status and rank it, based on set standards of performance (Alkhenizan & Shaw, 2014). Alkhenizan (2014) sought to find out how programs of accreditation influence healthcare service quality.

The above study showed that accreditation programs enhance service delivery (Alkhenizan & Shaw, 2014). Therefore, the programs should be encouraged.

Patient Care and Safety commitment at John Hopkins

The institutions mission statement and core values guide the care practice embraced by its staff and how they attend to their patients. It is geared towards provision of world class healthcare service. The mission statement also provides the foundation for the institution’s strategic plan. The mission statement outlines

Vision: to push practice boundaries of discovery, enhance medical practice education, transform healthcare provision and give humanity hope.

Mission: to improve community health and the world in general by anchoring its practice in set standards of excellence. John Hopkins provides education to medical students, healthcare professionals, scientists and the general public. It runs biomedical research programs and offers medicine that is patient centred in its procedures of diagnoses, prevention and treatment.

I. Core Values

II. Discovery and Excellence: aim to be the best by promoting discovery, creativity and information search to develop solutions that are innovative

III. Integrity and Leadership: mentor others as a role model and pursue the right course of action courageously

IV. Inclusion and Diversity : Accept varying opinions, backgrounds and experiences

V. Collegiality and Experience : learn to appreciate the unique skills and knowledge by others(John Hopkins Medicine, n.d.1)

VI.

VII. The major players in the patient care and safety plan at John Hopkins

Providers

Payers

Employers

Patients

Source: Patient Safety-Quality Improvement (2016)

QI Department: makes use implementation of strategy, the main analysis process, follow up and reporting as part of the QI process

Areas of focus: Making use of best practice standards and national measures, the Quality Improvement Program makes sure that the members in the plan are provided with the best service (John Hopkins Medicine, n.d.2). Data is analysed to develop the quality improvement programs and focuses on improving these areas:

· Service excellence

· Member safety and care quality

· Organizational quality

Initiatives for quality improvement are crafted after carefully considering of the potential positive service effects on members of the plan (John Hopkins Medicine, n.d.2). The QI projects and processes are evaluated regularly and updated. There is an annual evaluation of all the quality programs so as to establish any trends. The objectives for the forthcoming year are informed from the outcomes of the evaluation of the previous year’s programs (John Hopkins Medicine, n.d.2).

John Hopkins Accreditation Status

Statement of Accreditation

The John Hopkins University School...

Doctors should only claim the commensurate credit in line with the amount of input in the activity (John Hopkins Medicine, n.d.3).
Other Credits

ANCC

ANCC accepts AMA PRA Category 1 Credit TM from ACCME accredited organizations.

AAPA

The above organization accepts AMA PRA Category 1 TM from ACCME accredited institutions

American Academy of Nurse Practitioners and National Certification Program

The above organization accepts AMA PRA Category 1 TM from ACCME accredited organizations

Sibley Memorial Hospital is accredited by The Joint Commission on Health Care Organizations Accreditation and has a license from the District of Columbia, Department of Health (John Hopkins Medicine, n.d.3).

Mammography Units

The American College of Radiology Mammography Accreditation program has certified our mammography services. We are also certified by the Food & Drug Administration agency. We have, on board, qualified and registered radiologists with further certification in mammography. The mammography images are examined and interpreted by the radiologists at Sibley. These radiologists are certified by the American College of Radiology (John Hopkins Medicine, n.d.4).

Oncology Program

The oncology program is an American College of Surgeons and Commission accredited community cancer initiative (John Hopkins Medicine, n.d.4).

The Department of Pathology

We are accredited by the American College of Pathologists. Furthermore, the American Association of Blood Banks(AABB) has accredited out Blood Bank. We are registered by the FDA (John Hopkins Medicine, n.d.4).

Sleep Centre

The Sleep Centre at Sibley Hospital is accredited by the American Academy of Sleep Medicine (John Hopkins Medicine, n.d.4).

Information Management systems at John Hopkins (John Hopkins Medicine, n.d.5)

Your health information is safely guarded by the John Hopkins Hospital. The privacy guarantee is well explained in the Notice of Privacy and Practices at John Hopkins. The information provided on the institution’s website only relates to the confidentiality and privacy of the health information of patients in the USA with regard to The John Hopkins’ activities.

The Notice of Privacy Practices of the hospital provides guidance that the John Hopkins’ care centres may share patient information created or obtained about patients through Health Information Exchanges Participation ( HIEs) and as allowed by law(John Hopkins Medicine, n.d.5). For instance, information regarding past medical care and the medical conditions that affect you at the moment, and the medications can be accessed by the hospital or a primary care centre that you attend or your physician that may not be part of the John Hopkins fraternity ; if they are HIE participants too. Sharing health information may allow for faster access and improved coordination of healthcare services (John Hopkins Medicine, n.d.5).

The Regional Information System at John Hopkins Patients, Inc. (CRISP) is an internet based HIES in the region that allows us to participate (John Hopkins Medicine, n.d.5). We may share patient information via CRISP for payment, treatment, research purposes or healthcare operations. The system allows patients to opt out and block access to health information that relates to them. They can do it by either filling a form to opt out right on the crisphealth.org website or by contacting the CRISP support team via mail or fax John Hopkins Medicine, n.d.5). Other patient information as permitted by law will still be available through CRISP. It is clear that the information management systems at John Hopkins is compliant to required accreditation and rules.

John Hopkins Medicine meaningful-use

Eligible healthcare centres and hospitals can access bonuses if they demonstrate that they are making use of electronic health record systems for purposes of enhancing patient satisfaction, coordination of care, health disparities, safety and a list of other measures (John Hopkins Medicine, n.d.6). The healthcare facilities that flout the regulations are bound for penalties.

The standards of “Meaningful Use” dictate that an electronic health record system tracks a huge amount of listed patient data. Such data ranges from such aspects as important statistics, allergies, smoking status, and prescriptions to office visit records, instructions for discharge and compliance level (John Hopkins Medicine, n.d.6). It is a common trend for clinicians to make use of the electronic medical system standards all data points pointed out by Meaningful Use.

Mr. Peter Green who is the chief officer for medical information at John Hopkins Medicine demonstrates Meaningful Use and its purpose to patients, healthcare systems and providers. From a patient care view, the set standards and regulations for collection of data need seamless information sharing across different information systems (John Hopkins Medicine, n.d.6).…