Quality Management in a Care Setting

This report discusses the importance of quality management in a care setting and how it helps in achieving the best outcomes for service users. It also critically analyzes the performance of teams in managing continuous quality improvement. The report further evaluates strategies, systems, and structures used in health and social care practice to promote the rights, responsibilities, and diversity of service users.

QUALITY MANAGEMENT IN
A CARE SETTING

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Question 1: Use specific examples from own practice to support discussion. Explain how care
setting accomplish best possible outcomes for user of service in care........................................3
Question 2: With use of team development and motivation theory critically discuss
performance of teams in managing continuous quality improvement in care setting.................6
Question 3: Evaluate strategies, system and structure that used in health and social care
practice to promote rights, responsibilities and diversity of service users................................11
CONCLUSION..............................................................................................................................12
REFERENCES................................................................................................................................1

INTRODUCTION
Quality management within health sector plays crucial role as this seeks to improve
effectiveness of treatments and enhance patients satisfaction with service (Mackean, Withall and
Wilson, 2020). It is framework that assist hospital organisation to communicate, monitor and
continually improve the all aspect of healthcare delivery. This is significant term that improves
quality of healthcare and includes the accountability of health practitioners and managers.
The present report is based on topic as to bring quality management in care setting.
Furthermore, study will critically analyse the need for care setting that helps to accomplish the
best outcomes for service user. Also, report will critically discuss the performance of team for
bringing continuous quality improvement in care setting. Lastly, reflection will be conducted on
strategies that develop, maintain and evaluate system to promote rights, responsibilities and
diversity of service user in care setting.
MAIN BODY
Question 1: Use specific examples from own practice to support discussion. Explain how care
setting accomplish best possible outcomes for user of service in care.
Outcomes based care termed out as the system that focus on reducing variation in how to
treat wide variety of disease and conditions. Health and social care be termed out as an ever
changing environment. With help of having access to information, current and historical support
providers stay agile and continue to grow. In addition to this, an outcome is result and progress
of care delivery (Bogren, Erlandsson and Osman, 2020). This is term that offers person centred
care with involvement of the service user and this also diligently manage the whole process
within health and social care setting. Thus, one of main purpose of outcome based care is about
to put customer at the centre of the care and deliver them best possible service. In term to render
the outcome based care to patients, the teamwork and communication plays vital role to ensure
quality improvement. An outcome can be termed out as result and progress of care deliver to
patients. In the present era, the heath care providers are taking steps towards to embrace the use
of digital revolution. This is needs to be done in terms to deliver health care, to bring
improvement in patients outcomes and shapes the future research in systematic manner. Thus,
outcomes approach is mostly driver as this leads to lower prices of services to patients. It is
method that has the innovation that can benefits the patients and also supports health system
sustainability.

The outcome based care is effective way to render care as this based on capturing and
tracking outcomes. In addition to this, delivering outcome focused care requires providers to
actively monitor each service user level of attainment towards that belongs to the outcomes
defined within care plan. So, this can be stated that the value of outcome oriented care is
immense. Therefore, outcome based approach must be used to in response to increasing
challenges and pressure healthcare system across the world that can be considered as ways to
commission and deliver better services.
Advantage and disadvantage of outcome based care setting-:
The one of the main benefit to health system is to pursuing the outcome based healthcare
in which patients are on centred focus to deliver best care facilities (Solari-Twadell, and Brown,
2020). Therefore, one of main approach is to consider over to reducing variation in how they are
treating if they are suffering from some disease and condition.
Potential benefits of outcome based care-:
Delivering health and care service that meets out patients needs-:
 The services are focused on outcomes of delivery that are meaningful to carers. It aids to improve the patients and service user experience with help of promoting
services integration and also support to reduce fragmentation.
Improving healthcare service through innovation, integration and collaborationist-:
 This facilitates the culture of collaboration and integration between providers across the
health and social care economy. It assist to deliver better value, sustainable services and remove barrier to the more
integrated approach (Santhirapala, Peden and Mellin‐Olsen, 2020).
Realising efficiency in system-:
 Outcome based care setting is very effective as this assist to reduce duplication and
transaction across the organisation.
 This aids to reduce number of Key performance indicators to those that are crucial with
focus on outcomes.
Disadvantage of outcome based care-:
This has been identified that surrogate outcomes mostly fails to correlated with real
outcomes. Henceforth, there is no patients centred and distracting from the patients centred care.

Thus, there are main three challenges that make the switch outcome based care setting. These are
outlined as-:
Limited analytical capabilities- In order to get succeed in outcome based healthcare, there is
need of health system data and analytics capabilities to make data actionable. In addition to this,
system required the ability to measure out performance against objectives of outcomes (Alsdurf
and Menzies, 2020). Thus, lack of analytics and resulting inability to undertake evaluation and
processes can be termed out as barriers to heath system.
Limited access to information- The one of the main challenge that can affect the outcome
based care approach is that front-line staff has limited access to information. Therefore,
clinicians needs to access to right information to proactively and effectively render best possible
care to patients.
Inappropriate organisation structure- Without an effective organisation structure, the health
care organisation cannot able to offer outcome based care to patients. In order to render the
effective care to patient this is crucial to know crucial information of patients.
Use of example to show outcome based approach-:
From the last some time, I have been working with patients who are suffering from
mental illness and I am stuck with very effective outcome based approach to deliver effective
care to patients. In this, I have undertaken the various steps towards to address growing number
of people with psychological distress. For this, I have constructed the online mental health
community so that I can provide them support on managing their care from clinician and family
members etc. Thereafter, I have found out some person who belongs to rural area. To offer them
effective care I have set up a care home in which they can get treated. I came to know that
accessing the outcomes of interventions in mental health care is both crucial and challenging. By
use of this approach, I have undertaken the accurate diagnosis and treatment algorithms that aids
to improve outcome to patients. I also felt that this approach aids me to improve the outcomes
with help of providing the greater transparency.
Over the last few months, I have developed outcome based approach to provide effective
mental health services to patients. To cope with mental illness of people, I took steps towards to
established multidisciplinary team that is inclusive of physician nurse and experts. This team was
responsible for provide the outcome based care to all patients who are suffering from mental
illness. By developing the approach of outcome based care, I have analysed that this is crucial to

connect with patients first and with help of putting their needs first aids to build home
environment rather than clinical environment. To cure the patients this is crucial to undertake
patients centric approach. Thus, development of e-health and health informatics is crucial to
make outcome based healthcare is reality at scale. The outcome based is defined as an approach
in which doctor and patients comes face to face undertake solution to their issues. This is
approach that also allows patients to be more informed about their health conditions and
improvement. In this, service provider put their major focus on the needs of individuals so that
effective care can be given.
With application of outcome based approach to working with clinicians and stakeholders
around the health care economy. This engage the service user to identify that what outcomes is
appropriate to risk provider. I have rendered the services that are focused on voluntary outcomes.
to patient who are suffering from mental illness. With this approach, the different relationships
with public and patients are involving in terms to maximising the value. I have analysed that
outcome based service is smart suit of the services that can be use yo building performance data
that focus on maintenance of activities which needs more improvement in areas such as
operational efficiency, maximising up time with the latest offering and to improve the integrity
of security system. With help of this approach, I put my whole focus on treating patients and
treat them with listening their needs.
So, this can be stated that outcome based approach is one of effective term as this helps to
bring out sustainable healthcare practices. With the help of using this approach, the healthcare
system must focus on delivering the health outcomes rather than to delivering the intervention.
Question 2: With use of team development and motivation theory critically discuss performance
of teams in managing continuous quality improvement in care setting.
Team based health care can be defined as provision of health services to individuals,
families and their communities by at least two health providers who work collaboratively with
patients and caregivers. In addition to this, team work in heath care needs to have better
communication skills and effective care coordination (Joumard, André and Nicq, 2010).
Therefore, team development has one main goals which engage team in the process of self
examination to gain awareness. Team development helps to create captivating atmosphere with
help of encouraging teamwork, co-operation, interdependences and also build trust among team
members. In addition to this, patients safety agrees that communication and teamwork skills are

crucial for providing better and quality health care facilities to customers. Continuous
improvement is inclusive of incremental initiatives and innovation to accomplish best practices.
Quality is mostly termed out as buzz word within field of heath-care. In addition to this, the term
health care is termed out as to given individuals on the basis of requirements and at the lowest
cost in heath services (Busse, Riesberg and Buetow, 2020). Evidence of team effectiveness in
heath-care can be termed out as an integrated approach and diverse field in which clinical audit,
evidence based practice, risk management, setting of clinical standards and assist to build
continue professional development to build better practices. Effective team works with shared
purpose.
Team development theories-:
The team development theories such as Tuckman, woodcocks etc. assist to bring better
coordination among team and this also supports to accomplish one common goal. In addition to
it, building team needs one effective teaming strategy that ensures all members who are clear
about the role and purpose of the team.
Tuckman team development-: It is theory that defines that Tuckman theory on linear stage and
this goes through a life cycle-from stage such as forming, storming, norming and performing etc.
In addition to this, these are outlined as-:
 Forming- Team members takes initiatives in this to determine their place within group at
this stage with the procedure and rules of the team (Healthier future: The case for
outcomes-based, sustainable healthcare. 2018.). There is high dependence on leaders for
guidance and direction. Thus, roles and responsibilities of the leaders are unclear. To
bring out the effective health care facilities, the all team members need to allocate
different roles and responsibilities take steps towards to help them to accomplish one
particular goals. To render the quality care the effective team needs to build and steps
must be taken to render best quality care to patients.
 Storming- At this stage, the team members compete with one another for the acceptance
of ideas. Therefore, issues can be occurred as this creates conflict within team. Thus,
different people within team has different opinion and this leads to face difficult
conditions. Therefore, team leader needs to coach and must provide training facilities so
that effective team performance can be carried out.

 Norming- At this stage, this has been analysed that team members must focused on
developing way or working together. In addition to this, they must take initiatives to
respect each other opinion and value the differences. Therefore, team leaders needs to
initiatives significant process. In addition to this, greater self direction assist to resolve
issues and conflict as a group. However, team leader must take initiatives to render best
and effective training facilities.
 Performing- At this stage, the team leaders are involved in decision making , problem
solving and other activities that inclusive of day to day work of the team. To promote
better care practices, this is crucial to monitor the progress of team and must served as
gate way at time when decision needs to be reach at the higher level.
 Adjourning- At this phase, the working towards the team may coming to an end. It is
stage that looks over the team from the perspective of the well being of team rather than
from perspective of managing team effectively and efficiently (Porter, 2010). Therefore,
the final outcome can be analysed at this stage.
Woodcock team development stage-:
Effective team supports to maintain effective level of interaction among people. Thus,
four stage team development model can be defined in following contexted as are-:
 The undeveloped team- At this stage, the people are usually undeveloped and they do
not perform their task effectively and efficiently. Individual within this team are often
unhappy and they do not perform at their best. This creates the hurdle situation for others.
To provide the effective quality in heath sectors, it is crucial to build effective team.
 The experimenting team- At this stage, the team can face challenges and issues at the
wider aspect. In order to bring out the better working, the leader tries to implement
change so that things can be conducted effectively. Changing situation may leads to
create ineffective working environment.
 The consolidating team- At this stage, the team members becomes more consolidates
with one another. Therefore, team decides to adopt the more methodical approach by
considering over rules and procedures. At this stage, team decided to look over the
interpersonal barriers and takes initiatives to resolve it out. This way of performance
tends to be more systematic, targeted against clear objectives and this all results from
careful planning.

 The mature team- At this level, the leader to the team tends to become flexible, pushing
aside protocol and develop individual roles within and without the tea that makes more
responsive. It helps to become team more effective and efficient.
Continuous quality care in health care setting and implementation of PDSA-:
Continuous quality within healthcare can be termed out as structured organisation process that is
inclusive of physicians ans other personal in context to planning and executive the strategies that
aids to build effective care setting. By help of undertaking ongoing proactive improvement in
processes of care aids to offer the quality heath-care outcomes. Therefore, health care system are
continually taking steps towards to improve quality care in hospitals and better outcomes are
framed out to promote quality care. In addition to this, the continuous quality programme look
over wide range of process within heath care enterprises.
In the health care setting, quality improvement termed out as framework that
systematically takes steps towards to improve the way of care that is delivered to patients. CQI
put their focus over process as measured, analysed, improved and controlled. QI takes
continuous efforts that accomplish stable and predictable process result and reduce process
variation and improve the outcomes for both patients. With help of accomplishing sustained QI
needs commitment from the entire organisation and particularly from the top level of the
management.
In order to render the best care to patients, this is crucial to follow PDSA that is termed
out out Patient self determination act and this refereed as feral law. This is the purpose of
patients rights to self determination within health care decision needs to communicated and
protected. PDSA is that act that encourages all individuals to make choices and decision of
facilitating effective medical care to patients. Therefore, PDSA is approach that is based on
scientific method and moderates the impulse to take immediate action that helps to bring better
quality procedures in heath care setting. With use of PDSA act the patinets gets informed of the
rights in relation to decison toward their own medical care. In the complex social system of
heathcare, the flexibility and adaptability of PDSA can be defined as significance approach that
support adaption of intervention to work along with local setting. Henceforth, the more complex
quality improvement process are inclusive of following and these as are-:
 Continuous quality improvement- It is termed out as overall management philosophy
in which enterprise take steps towards to reduce waste, erroes and enhanced efficiencies

in their processes. Lean- It is termed out as quality improvement process that defined
value based on what the customer needs to focused on. This is defined as model that
focus on reducing activities that do not add value. It constantly reduce the waste in the
process.
 Six sigma- This is termed out as the quality improvement model that works as to improve
efficiency with help of minimizing variability in process and then finding ways that assist
to correct errors.
 Total quality management- It is defined as process that put consideration on quality
improvement that is ingrained within organisation culture and management system.
Henceforth, this can be concluded that PDSA approach take steps towards to identifying
execution challenges and optimizing the implementation of evidence based intervention into
practice. It is defined as four stage problem solving model that can be used for imroving process
and to carry out change.
Motivation theories-:
Vroom expectency theory- This is defined as motivational theories. It is inclusive of variables
such as expectency, instrumentality and valence. These are outlined as-:
 valaence- This is termed out as the emotional orientation individual hold in relation to
outcomes (Solari-Twadell, and Brown, 2020). With help of undertaking better approach
the team can performed better in anner to have continue quality improvement.
 Instrumentality- Managers to the enterprise needs to take initiatives that ensures the
promises that rewards are fullfilled and employees needs to be aware of it.
 Expectancy- It is termed out as idea that is increasing the amount of effort and also
enhance the performance of team members. This approach looks forward to hire the
skilled employees to do job. So, they can understand the PDSA model to bring continue
improvement and also supports to bring better care facilities to individuals.
Application of Tuckman team development theory for managing CQI and PSDA-:
This is significant model as this aids to identify the fact that groups do not start off the
fully formed and functioning. It is one of the crucial factor that can be effectively used to build
and develop small groups (Bogren, Erlandsson and Osman, 2020). In addition to this, this is
model that develops maturity, ability and relationship that change the style to leader to perform
the working enterprise. It is one of the effectivge team development theory that assist to group of

individuals, to cohesive and task focused teams. This leads to define each build the strong team
at each stage. Also, provide effective guidlines to face up challenges, to tackle issues and to
identify solutions to plan work and to deliver the better results. With help of encouraging team
members at each stage this can be possible to manage CQI and PDSA so taht better working and
performance can be conducted.
Question 3: Evaluate strategies, system and structure that used in health and social care practice
to promote rights, responsibilities and diversity of service users.
Integrated health system can be termed out as one of considered part of sustaining heath-
care system. Thus, healthcare professional are widely considered as to provide superior
performance in terms of quality and care as a result of effective communication. In addition to
this, system analysis can be used to bring improvement in the overall performance of system
with multiple objectives (Mackean, Withall and Wilson, 2020). Healthcare organisations faces
serious issues that has enhanced difficulty in termed to render quality care to patients. Quality of
care can be termed out as the key component of the right to health and route to equality and
dignity for women and children. In terms to accomplish heath coverage, this is essential to
deliver the effective health services that aids to meet out the quality criteria.
In the recent years, the healthcare landscape has begun to shift towards value based care
model. This place great emphasise on value based care model that leads to improve patients
outcomes at the lower cost. Therefore, healthcare organisations regularly measure out quality of
care and also maintains efforts to get proactively engage with patients and physicians. In addition
to this, the most of the health care organisation are takings steps towards to use organisation
structure that is of para-mid-shaped hierarchy. This aids to render the better delivery of health
care and also benefits the patients by enhancing their satisfaction and also improved the accuracy
of diagnosis and prognosis.
Kolb's model of Experiential learning-:
It is model that aids to given the major focus on experimental learning with help of
including reflection on learning process. Therefore, it is outlined in following context as-:
Stage 1- Concrete experience- Once, I got involved myself into the patient confrontation and
the patients was unhappy with the hospital stay and wanted to discharged home. She was feeling
this way as she felt that the behaviour of nurses is not cooperative and hospital do not have

advanced tool and skilled staff. I have encountered at that moment that ineffective facilities and
improper care impacts patients health outcomes.
Stage 2- Reflective observation- It is kind of situation when patients feel that ineffective care of
medical professional and improper advancement leads to worsen their health conditions. This
brings ineffective results and improper care to patients. Henceforth, ineffective medical care
affects the patients mind set. Being medical practitioners, I have encountered that hospital
organisation should hire the skilled medical staff who have good practical knowledge of treating
patients.
Stage 3- Abstract conceptualisation- Being medical practitioner, I have analysed that if
hospital organisation renders the better care and training facilities to nurses then they can able to
render the better care to patients. In addition to this, I have focused on my own behaviour so that
I can treat the patients more effectively.
Stage 4- Active experimentation- In order to bring better care facilities to patients, I must say
that hospital organisation must undertake approaches towards to implement Continuous Quality
Improvement and PDSA so that better healthcare facilities must be given. In addition to this,
continuous quality improvement in health care is defined as structured organisations [process
that inclusive of physicians and other personal in planning and executing proactive
improvements.
CONCLUSION
Hereby, it can be summarized that quality care within health care premises aids to offer
care needs to patients in an affordable, safe and in efficient manner. Quality care mean to
engaging with patients in terms to undertake preventive care. The present report is based on topic
as bring quality management in care setting.
Furthermore, study has covered significance towards team development approaches for bringing
continuous quality improvement in care setting. Lastly, reflection has been conducted on
strategies that develop, maintain and evaluate system to promote rights, responsibilities and
diversity of service user in care setting.

REFERENCES
Books and journals
Mackean, T., Withall, E. and Wilson, A., 2020. Role of Aboriginal Health Workers and Liaison
Officers in quality care in the Australian acute care setting: a systematic review. Australian
Health Review.
Bogren, M., Erlandsson, K. and Osman, F., 2020. Health workforce perspectives of barriers
inhibiting the provision of quality care in Nepal and Somalia–A qualitative study. Sexual
& Reproductive Healthcare, 23, p.100481.
Solari-Twadell, P.A. and Brown, A.R., 2020. Integration of Faith Community Nursing into
Health Care Systems: Stimulating Community-Based Quality Care Strategies. In Faith
Community Nursing (pp. 313-322). Springer, Cham.
Santhirapala, V., Peden, C.J. and Mellin‐Olsen, J., 2020. Towards high‐quality peri‐operative
care: a global perspective. Anaesthesia. 75. pp.e18-e27.
Alsdurf, H. and Menzies, D., 2020. Identifying gaps in the quality of latent tuberculosis infection
care. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, p.100142.
Joumard, I., André, C. and Nicq, C., 2010. Health care systems: efficiency and institutions.
Busse, R., Riesberg, A. and World Health Organization, 2004. Health care systems in transition:
Germany (No. EUR/04/5046928). Copenhagen: WHO Regional Office for Europe.
Campbell, S.M., Roland, M.O. and Buetow, S.A., 2000. Defining quality of care. Social science
& medicine, 51(11), pp.1611-1625.
Porter, M.E., 2010. What is value in health care. N Engl J Med. 363(26). pp.2477-2481.
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Healthier future: The case for outcomes-based, sustainable healthcare. 2018. [Online].
Available through: <https://www.efpia.eu/media/412313/the-case-for-outcomes-
document-17102018.pdf>
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