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Higher death rates at Community hospital may be cause for alarm. People often do not want to see negative statistics that may infer lower quality care. However, does higher death rates mean lower quality care or can it be something else? Something like this may be brought up because the logical conclusion would be that low quality care brought on by potential problems within the hospital such as understaffed departments or lower quality medical tools, could lead to the higher mortality rates. Still, it may be randomly attributed, and these higher rates of death could be from chance rather than quality of care.
Looking into the past, a 1990 article shows how higher rates of death may indeed be random variation along with potential area-specific chronic diseases. “Although death rates in targeted hospitals were 5.0 to 10.9 higher, 56% to 82% of the excess could result from purely random variation. Differences in quality of the process of care could not explain remaining statistically significant differences in mortality” (Park, 1990, p. 484). Therefore, if some of these deaths may be attributed to random variation, what then should determine quality of care? The article provides some past knowledge on this subject. Nevertheless, new research may either support or refute...
When nurses demonstrated limited skill, the negative markers increased, attributing to erosion of safety and quality of hospital care, even contributing to hospital nurse shortages (Aiken et al., 2016). While the higher death rates are not necessarily a marker for poor quality care, increased mortalities can exist within hospitals with signs of lower quality care, especially pertaining to lower skilled nurses.
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Senior health policy makers can and should remove the free market pricing model. Drugs and medical services within the United States can be marked up to the point where insurances and out-of-pocket patients pay thousands of dollars for something potentially worth 1-10% of the determined value. For example, anti-cancer drugs can be very expensive. Companies like Bristol-Myers Squibb would set the price of their Yervoy course of therapy at $120,000 (Howard, Bach, Berndt, & Conti, 2015).
The government has done little to protect patients and hospitals from these inflated prices. In fact, government-mandated price discounts could have…
Lean on Me The protagonist of Lean on Me is Joe Clark, an African-American male in his early forties. The film, based on a true story, shows how Clark, played by actor Morgan Freeman, used unorthodox methods to bring about much-needed change at Eastside High School in Paterson, New Jersey. Although Clark is in almost every scene in the film, the audience sees only the professional side of this character. We
Sigma methodology to help lower patient length of stay while simultaneously improving financial and patient health outcomes. This paper first discusses the theoretical basis for this, outlining the Six Sigma methodology. Its history in health care and its use specifically to lower patient length of stay are both covered in the literature review section. The next section looks at the different measures that should be used to guide the
When the job can be done consistently, then improvement can be made. The scientific methodology is the driving force to quality. The challenge is the need to implement FDA's risk approach. Process analytical Technology (PAT) is a scientific risk-based framework to help pharmaceutical companies design, develop, and implement new efficient tools for use during product manufacture and quality assurance while maintaining or improving the current level of product quality assurance
Lean Manufacturing and JIT JIT Evaluate three of the main elements of both lean thinking and JIT. How can these concepts be used for effective planning and control of an operation? How are these two concepts different? How can the differences in each concept be overcome to achieve maximum efficiency benefits of both lean thinking/JIT systems? Lean thinking was introduced to improve the traditional 'batch-and-queue' manufacturing process. One of the core principles of
Though there are an increasing number of manufacturers who are successful in implementing lean principles to the factory floor, using them to the rest of the organization has a long way to go. (Moving lean beyond the factory floor) To conclude, History has established that Lean Manufacturing is here to settle. The query is, "Will your company adopt Lean Manufacturing and make it an enduring company strategy and eventually a
Lean Production is an innovative production technique of Japanese origin that aims at bring efficiency in production. The system comprises of various different techniques, all focusing on ensuring best quality and maximum levels outputs in minimum inputs. Minimum inputs here, not only refer to minimum in terms of materials, but also in terms of time and cost thus ensuring minimum wastage (Stevensons, 2008). Methods that are part of Lean Production