This report addresses the need for quality and safety improvement in the healthcare sector in Australia. It discusses the Australian health system, standards, and assessment. It also analyzes the strengths, weaknesses, opportunities, and threats in the sector.
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Runninghead: QUALITY AND SAFETY IN HEALTHCARE 1 Quality and Safety in Healthcare Student’s Name Intuitional Affiliation
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QUALITY AND SAFETY IN HEALTHCARE2 Introduction Many firms and sectors in the world are striving to meet the need of their customers. A firm that is offering quality good and services to its customer is likely to perform better compared to those who don’t offer quality and safe services and goods. The quality of a commodity is the degree to which a good or a service meets the needs of a customer. Safety is the assurance of no risk when using a particular commodity. In healthcare, quality means the acting of delivering the best possible services to the patients using the appropriate resources and knowledge while safety is the act of reducing risk due to medical error or medical to a minimum acceptable level. The objective of this report is to address the need for quality and safety improvement in the healthcare sector in Australia using theoretical concepts of quality and safety to a health setting. I will also include strengths, weaknesses and challenging issues in the Australian healthcare sector and recommend a new course of action.
QUALITY AND SAFETY IN HEALTHCARE3 Australian Health System. In Australia, healthcare is provided by universal health care and private providers. The main health care services are offered publicly in the primary health care and public hospitals while the private sector provides the remaining services such as dental and physiotherapy and private hospitals. Medicare Australia is in control of administering health care. Medicare its mainly concerned with payment of nursing staff and doctor and the funding of state-run clinics and hospitals. In the year 2005/2006, Australian statistic data on health sector showed that the country had one doctor per 322 people and one clinic bed per 244 patients (Cormie et al.,2015). The statistics also show that the country currently has 70,200 medical specialist that includes the doctors and other specialist and 257,200 registered nurses. Despite growth in the workforce in the healthcare sector in the country, there is still a deficiency of health professionals. Standards in the Australian health system Australian commission of safety and quality sets the rules that control and guide the scope of practice in the healthcare sector. In every three years, the commission accredits health care services in the country against National Quality Health services (NSQHS) standards. The process of accreditation involves quality assurance methods and checking whether the systems are working effectively to offer the expected standards of quality and safety. The commission provides accrediting resources to aid staff who are ready and preparing for the assessment on its standards. These resources provide the necessary health policies and supporting procedures that are used by staff or students to meet the
QUALITY AND SAFETY IN HEALTHCARE4 principles within the commission’s rules. I have covered two standards in this essay, the “Clinical Governance and partnering” and “Partnering with consumers.” The Clinical Governance and partnering standard state the heads of health services firms are accountable and responsible to their customers by improving the quality and safety of their services by making sure they are safe, effective and patient-centered. The partnering with consumer standard states that the heads of the health services firms should design, implement and uphold systems to work with consumers needs and expectation (O’Brien et al.,2015). These partnerships are a concern with the planning, developing, delivery, measurement and assessment of services offered by healthcare firms. Assessment of the Australian Health System The primary objective of the Australian healthcare system is to meet and address the need for quality and safety demands of its stakeholders. I used the SWOT analysis to help in assessing the health care system in the country and address the need for quality and safety improvements in the sector of health care (Laver et al.,2016). The SWOT analysis will aid in identifying the strengths, weaknesses, opportunities and threat in the sector. The following are the results of the SWOT analysis of the Australian Health System that includes its strengths, weaknesses, opportunities and threats.
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QUALITY AND SAFETY IN HEALTHCARE5 Strengths Medicare Medicare is a world-class system in the healthcare sector in Australia that oversees the operations of the public hospitals in the country. The system has enabled public patients to receive free treatment from the public hospital. They receiving free treatment from the public hospitals has enabled all citizens in the country the chance and right to receive medical services. The Medicare also covers 85% pay fee when a patient from a public hospital is scheduled to visit a doctor outside the public hospitals (Carney,2015). Medicare through the Australian commission of safety and quality sets the standards that control and guide the scope of practice in the healthcare sector. For example, ‘Clinical Governance and partnering standard’ ensures that the leaders in health care sectors ensure that their firms meet the necessary standards by having the qualified employees and equipment while the ‘partnering with consumer standard’ ensures that there is a good relationship between the health care firms and their consumers. Pharmaceutical Benefits Scheme The pharmaceutical scheme in the country aids in assessing medicines in the country to ensure they meet the necessary standards (Quatela et al.,2017). The scheme also ensures that all Australian resident has access to the appropriate and lifesaving medicines at the right time with a favourable price. The scheme enabled the citizens in the country to have the right medicine which is lifesaving which makes the citizens satisfied with the health sector in the country.
QUALITY AND SAFETY IN HEALTHCARE6 Private Health sector A more significant percentage of the Australian are members of private insurance fund on health. The private system complements the public sector and gives its customers a variety of choice in health care services such as choice of specialist (Koch, & Jones, 2018).Private sector insurance also provides services that are not covered by Medicare such as dental and podiatry services. Weaknesses Although the health sector in the country is well controlled and governed, it has some weaknesses such a having a complicated structure. For example, the funding of public hospital is shared among the territory, federal and state government (Bar-Zeev et al.,2017). The following are challenges facing the health sector in the country. Equity issues The health outcomes in Australia have a bigger improvement in the past decade which has resulted in lowering death rate, improved life expectancyand better ailment control. However, these outcomes are not enjoyed equally to all groups in the country. There is a huge gap within the health care treatment where rich people receive better services compared to the lessaffluent(Healy, & Walton, 2016)These equity issues also are available in other sectors while the rich always have the best in the market as they can pay the specialist in any given sector. The government should improve its services in the public hospitals to ensure the less affluent have better access to better services.
QUALITY AND SAFETY IN HEALTHCARE7 Technology costs Technology has improved the lives of its stakeholders in the health sector by helping in diagnostics and control of deadly ailments. The technology has also enabled the patients and doctors to communicate while the patients are still at home. However, the technological inventions have some disadvantages as the hospitals will have to use the modern equipment and tools as a result of the introduction of new machines in the hospitals (Mahuteau, Mavromaras, Richardson & Zhu, 2017). The hospitals will also have to dissolve some of the old equipment as they cannot operate with the new technology. Buying new tools and training of staff to know about using the latest equipment costs the government a lot of money (Delany et al.,2015). The technology cost has forced the public hospital to continue using the old equipment while the private hospitals are using modern equipment and technology. Opportunities. The new opportunities in the sector of health care can be used to aid in determining a new course of action to solve weaknesses and threats in the industry. The improved technology is an opportunity that a healthcare sector can use to improve service delivery and customer satisfaction (Degeling et al., 2017). The Australian government should equip the public hospital with the modern equipment to enable the less affluent in society to enjoy better services that the affluent citizens receive from the private hospitals. The health care sector is expecting thousands of graduates from the university per year. By the next five years, the industry will have professional enough both in private and public hospitals.
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QUALITY AND SAFETY IN HEALTHCARE8 Weaknesses and Threats The health sector in Australia is experiencing a shortage of specialist and staff such as nurses. The shortage limits the hospitals to the extent they can deliver services to patients. The hospitals are also experiencing a shortage of modern equipment mostly in the public hospital. Lack of modern equipment is limiting the hospitals to embrace the new technology (Baum et al.,2016). Conclusion The Australian government has invest heavily in the the sector of health care to ensure that its citizen are receiving quality and safe health services (Willis, Reynolds,& Keleher,2016). Through Medicare, the citizens can access free treatment in a public hospital. The Australian should check on the opportunities available in the healthcare sector and work on the weakness to maximize better services delivery. The Australian government should equip the public hospital with modern equipment to ensure that the citizen can receive all services for free from the public hospital and also to meet the need for quality and safety improvement in healthcare in Australia.
QUALITY AND SAFETY IN HEALTHCARE9 References Bar-Zeev, Y., Bovill, M., Bonevski, B., Gruppetta, M., Reath, J., & Gould, G. (2017). Assessing and validating an educational resource package for health professionals to improve smoking cessation care in Aboriginal and Torres Strait Islander pregnant women.International journal of environmental research and public health,14(10), 1148. Baum, F., Freeman, T., Sanders, D., Labonté, R., Lawless, A., & Javanparast, S. (2016). Comprehensive primary health care under neo-liberalism in Australia.Social Science & Medicine,168, 43-52. Carney, T. (2015). Supported decision-making for people with cognitive impairments: An Australian perspective?.Laws,4(1), 37-59. Cormie, P., Atkinson, M., Bucci, L., Cust, A., Eakin, E., Hayes, S., ... & Adams, D. (2018). Clinical Oncology Society of Australia position statement on exercise in cancer care.Medical Journal of Australia,209(4), 184-187. Degeling, C., Johnson, J., Ward, M., Wilson, A., & Gilbert, G. (2017). A Delphi survey and analysis of expert perspectives on One Health in Australia.EcoHealth,14(4), 783-792. Delany, T., Lawless, A., Baum, F., Popay, J., Jones, L., McDermott, D., ... & Marmot, M. (2015). Health in All Policies in South Australia: what has supported early implementation?.Health promotion international,31(4), 888-898. Healy, J., & Walton, M. (2016). Health ombudsmen in polycentric regulatory fields: England, New Zealand, and Australia.Australian Journal of Public Administration,75(4), 492-505.
QUALITY AND SAFETY IN HEALTHCARE10 Koch, K., & Jones, B. (2018). Supporting Parent Caregivers of Children with Life- Limiting Illness.Children,5(7), 85. Laver, K., Cumming, R., Dyer, S., Agar, M., Anstey, K., Beattie, E., ... & Dietz, M. (2016). Clinical practice guidelines for dementia in Australia. Mahuteau, S., Mavromaras, K., Richardson, S., & Zhu, R. (2017). Public–private sector wage differentials in Australia.Economic Record,93, 105-121. O’Brien, K., Bracht, M., Robson, K., Xiang, Y. Y., Mirea, L., Cruz, M., ... & Narvey, M. (2015). Evaluation of the Family Integrated Care model of neonatal intensive care: a cluster randomized controlled trial in Canada and Australia.BMC pediatrics,15(1), 210. Quatela, A., Callister, R., Patterson, A., McEvoy, M., & MacDonald-Wicks, L. (2017, August). Breakfast Cereal Consumption and Obesity Risk amongst the Mid-Age Cohort of the Australian Longitudinal Study on Women’s Health. InHealthcare(Vol. 5, No. 3, p. 49). Multidisciplinary Digital Publishing Institute. Willis, E., Reynolds, L., & Keleher, H. (Eds.). (2016).Understanding the Australian health care system. Elsevier Health Sciences.