Quality Management in Healthcare Settings: An Essay

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Quality Management in a Care Setting

Table of Contents
Introduction......................................................................................................................................3
Efficient care settings are required to achieve the best possible outcome for service users........4
Team development and Motivation are factors for continuous quality improvement.................6
Using different models and tools, evaluate strategies, systems and structures used in health and
social care practices to promote the rights, responsibilities and diversity of service users.......10
Conclusion.....................................................................................................................................13
References......................................................................................................................................14

Introduction
Quality management is one of the most important features in any industry as it shows the
operational structure and policies of the organization. This can be seen from the health care
services that the need to maintain quality is very important. The essay will highlight various
policies and frameworks that are being used in the health care sector to deal with these issues in
the future thus making effective changes in the process. The essay will highlight effective
measures to be taken in order to develop effective knowledge about the care setting and the
features associated with them. The essay aims to understand current factors associated with the
care settings and their applications and other future needs to be added in the overall process
associated with the development of a care plan of an individual. The essay will identify the basic
theories and the frameworks adopted by the care providers to maintain the quality and
development of the features.

Efficient care settings are required to achieve the best possible outcome for service users.
As the development of customer expectations are there so has been a need to deliver effective
service to them. There has been a debate to identify old methods or new methods to deal with the
substantial care needs of the people. There has been an increase in a number of hospitals
believing in the development of quality features and values associated with the growth of the
services. They need to identify the quality issues and required services as per the people. There
has been a term named as total quality control that deals with the elimination of all the factors
that have been affecting the overall development and quality based features of the hospital. They
believe in the removal of services rather than developing the quality. To solve that purpose there
is an addition of care settings in the quality management that implies the developmental features
needed in all the services. The aim of quality management is to increase patient satisfaction with
the service and improve current performance effectively. The health care system is comprised of
various factors and entities such as pharmacies, medical clinics, and hospitals, all of them are
needed to be developed and well aligned as per the process. The major features in care settings
include patient focus, leadership, reliability and external environment (Stellefson, et. al., 2013).
While taking care of patient focus the care providers are to satisfy the patient and take care of all
the factors associated with the effective treatment they believe that patients are the only one that
will be judging the effectiveness of treatments and the appropriateness of the service that has
been introduced in care settings. The quality management checks the changes in the patient
needs and expectations from time to time in order to deal with the change in the management and
effective services to be given to the patients and delivering premium services (Singh, et. al.,
2013). This monitoring is based on both objective and subjective ways to deal with the needs and
process associated with the same. there can be examples like judging the patient’s test results and
patient’s opinion on the effectiveness of treatments which will help to judge the quality of the
treatment and the approach of the health care provider. Another factor is the leadership that is
associated with the close cooperation of people that are coming from diverse expertise that has to
be closely monitored and observed by the Quality management in health care. Only when the
superiors adapt leadership goals and needs of the patient they can mutually take an initiative to
agree on the shared goal of providing quality service to the patients (Singh, et. al., 2013).

In a care setting, there is a major role of reliability and sustainability. The quality management
has to come up with effective ways to deal with timely delivery of consistent quality, which
requires reliable processes in the development needs. The application of risk reduction
procedures, performance goals, quality measurement systems, quality improvement policies, and
reward mechanisms are a very essential part to develop care setting and maintain quality in the
process. In many cases, there is a need to understand the role of the external environment in the
care setting principles and quality development. All the health care services need state-of-the-art
diagnostic technologies to see the current process and values associated with the growth of the
services and development of quality for the patients. The additional support includes financial
services that show the cost and values that has been controlled by external bodies to deal with the
finances needed in the process (Rein, et. al., 2012). This also includes companies like an
insurance company or a government program to deal with these features. These factors are in
association with many external services and factors that can be used in the development of
overall needs and quality assurance features associated with the values in the process. To
develop effective services in the quality process there is a need to develop a process that
continuously sees to the political and legal changes required in the global context of the system.
The adherence to legal values is very important to deal with the current and future needs of the
services (Rein, et. al., 2012).
These care settings are accompaniedby a number of advantages for the users as they are the one
actually judging the process and the associated values in the same. Many such advantages
include personal health care companion and caretaker that will help with the treatment as well as
the other curricular activities associated with the patient (Sallis, 2014). These care settings
respect the comfort level and independence of the customers and help them to be self-sufficient
and supportive to improve their health. They ensure personal care and relations of the patient
with their family and friends in order to sustain their services and give effective quality services.
In some cases when the patient is elderly this kind of care services are there to help them 24*7 in
order to deal with the effective application of the development needs and behavior of the
individual.
Depending upon the kind of illness they have these services are equipped with all kinds of
technologies and therapies that can be applied on an individual to deal with the effective

development of the patient physically and mentally. In some cases, the elderly couples are
allowed to stay together and services are given to them. Quality management helps in checking
the health performance daily and making effective changes in the treatment as per the need of the
customer (Kongstvedt, 2013). This can be seen of the overall development of an individual and
making care settings for them. This also helps in taking care of finances and other external
process associated with patients. The quality of services and the amount of effort that has been
delivered by care provider shows the effective development of current and future values of an
individual and the associated factors in the care providers way. Quality management and care
settings help in taking effective measures to deal with the consumer values and process
associated with the intellectual development of the patient (Kongstvedt, 2013).
In some cases, the application of care settings was not as per the needs of the consumer thus
affecting the overall development of coordination between the services and the facilities. The
increase in a number of smartphones and care providers affects the global development of the
facility and affect secrecy and process of treatment. There have been cases when the people were
already aware of the treatment or they had some assumptions about it that have been affecting
the growth process (Dumont, et. al., 2013). The growth of the treatment is sometimes affected by
the leaking of knowledge through smartphones and multimedia. The technical database and
analytical skills of the patient are needed to be followed by an individual in order to make sure
the patient is timely to analyze and treated. Lack of technical experts in care settings affects the
global development, and needs of the individual and make a substantial impact on the treatment
process. In many cases, the development of legal policies was not done effectively to deal with
the needs and substantial application of the process. This can be seen from the process that
certain refrains have been imposed on the care services that limit the growth and development of
an individual in order to deal with the growth of the company and making changes effectively in
the progress and application of care settings. Another challenge is the application of effective
funds to deal with the needs of the customer and to effectively apply the process in action in the
health care service. The limitations of funds will affect the growth and future aspects of the
services and the reach they can have in the future. These are also determined by the facilities that
can be applied to the income and economic growth of the care settings to maintain quality
(Dumont, et. al., 2013).

Team development and Motivation are factors for continuous quality improvement.
The quality of services depends on the efforts and strategies which have been implemented to
complete the task. This can be stated that the team development and motivation helps to improve
the qualities. These are the two major factors which help to make the determination of services in
an appropriate manner. The team management gives stability and strength to the evaluation of
different idea and strategies to be implemented in a significant manner. In the context of health
care, this becomes most necessary to provide quality services and the quality of services largely
depends on the employees and their working. If there will be the enclosure of an effective team
then it will ensure better work services (Pakdel, 2013). The team development will directly
ensure the balanced workplace and will also provide the opportunity for the staff to share their
viewpoints and strategies. Thus, it can be stated that if there will be the proper involvement of
the team development then it will give improvement to the qualities of services.
Motivation also plays a vital role in the formation of quality improvement as this can be
determined that everybody needs to have the proper encouragement to do any of the task or duty.
This is the most important reason which increases the role of motivation in Quality Management
in a Care Setting. The quality can only be improved by effective and relevant services. The
health care industry and the people who work for such industry needs to have the appropriate
motivation to complete the task in a significant manner. The motivation does not only refers to
make the people encouraged to implement the services but also helps to make them stable and
sustainable with the working. The motivation is most necessary for the people to make
understanding the competition of services in the right manner (Cook and Artino, 2016). This can
be determined the team will be stimulated to provide the care services then it will help to
increase the quality in a significant manner. There are some different motivation theories had
been described which benefits with the relevance and importance of motivation in quality
services.
There was a motivational theory described by Abraham Maslow in 1940, named Maslow’s
Hierarchy of Needs. The foremost focused concern of the theory was related to the basic needs
of the people. The theory stated that motivation depends on basic needs like air, food etc. This
states to start with the essential abilities to serve different people. He discussed that the
motivational concepts depend on the needs and acceptations of one party from another. For

example, if the people are looking for the profit then they will never make the senses to focus on
the basic needs of their respective firm so this becomes most necessary to think about the each
and every step which can give growth and development. According to the theory of Maslow, the
needs are divided into the hierarchy of five different aspects (Sailer, et. al., 2014). These factors
start from the basic needs then includes the concern over the safety and security of the individual
while providing services. The other factor of theory stated that if people will take the entire
community as their own family then it will become easy to perform well. Another term of this
theory focuses on the respect of different team members and focus on the objectives of the
individual.
The other model which justifies the importance of motivation while improving the care settings
had been drive by Herzberg named Herzberg’s Hygiene model. According to this theory,
motivation depends on the two factors as people can be affected by the situation in two different
deliberations. He stated that while providing the services the staff or employees can be affected
by two different types of factors and these two types are satisfaction or dissatisfaction.
Deliberating by him the satisfaction can be referred as the factors which attract the people
towards doing the services or makes a positive impact on the people although the dissatisfaction
focuses towards the factors which make a negative impact on the people. In this theory, the
satisfactory factors had named as motivating factors and dissatisfactory factors had
recognised as the hygiene factors. In very simple words the theory states that there is a different
aspect of the workplace which can either be positive or negative for the employees (Germak and
Robinson, 2014). Some of the motivating factors which have been discussed in the theory are
success, acknowledgement, an effort the aforementioned, obligation, and progression. The
hygiene factors at the workplace could be the company course of action and management,
regulation, fewer remuneration, interactive associations, working circumstances.
McGregor’s Theory X, Theory Y Model is the other theory of motivation which states that
there are two different techniques to motivate and encourage the individuals. According to the
theory, the author said that most of the manager and higher authorities motivated the method X
to motivate the people and it affects in the negative manner (De Castella and Byrne, 2015). If the
higher authority will implement the method Y then it will benefit them to motivate a large
number of employees. Factor X focuses on avoiding the task if it not possible to complete which

cannot be beneficiary all the time. These make the employee's performance affected in a negative
manner and also makes hassle for the future consideration of such people. Most of the people
like to avoid the approach but some of them follows which shows unprofessionalism. Although
the approaches of Y factors encourage to work for the particular as much as required for success.
These also encourage people to understand the benefits and needs of themselves which gives
consideration to their own focus towards the work (Quested, et. al., 2017). This helps them to
understand that this concept is necessary for them to maintain and develop their individual skills
and can also give opportunities to perform extremely well at the workplace.
The other provider of the concept of motivational had been implemented in 1964, named Victor
Vroom’s Expectancy Theory. The theory focused on the performance of team and leadership
skills as the efforts which have been initiated by the team and the reward probabilities interlinks.
The theory states that the efforts of individual towards the work show their concern about the
work as if the employees are dedicated towards the work then they will surely give their best to
achieve the objective. This is most necessary for the higher authority as well to provide
determine the aims of teammates and give them tasks accordingly which helps them to boost up
their ideas and innovations. The theory also states that there are three factors which can help to
motivate individuals for the performance and services these three factors are expectancy,
instrumentality and valence (Mayer, 2014). The factor expectancy refers making the individual
belief that if they will work hard they will achieve success, the factor instrumentality focuses that
this is necessary for the individual to understand the relationship between goal and efforts if they
give efforts they will get success and the factor valence states that the concern of individual
towards the task.
The other theory of motivation is Adams' equity theory which focuses on the equity as the
theory states that people feels more attracted towards the work if they get equal opportunities and
rights at the workplace. The theory is based on the social exchange concept this is common to
understand that the people feel uncomfortable at the place where the workplace biases and also
they do not give there better efforts as somewhere the line they thinks that there will be the
discrimination towards the efforts made by them. The theory states that the people like to
measure their work performance according to the wages, rewards and opportunities they achieve.
The theory determines that if the employees will get the responses as per the input is driven by

them then it will become the highest motivation for the people (Barto, 2013). The input can be
referred as the efforts and struggles driven by the employees to complete the task whereas the
output can be stated as the rewards and appraisals which have been provided to them by the
company to motivate and encourage.
Using different models and tools, evaluate strategies, systems and structures used in health
and social care practices to promote the rights, responsibilities and diversity of service
users.
Quality management is essential for each and every health and social care sector where they are
providing effective care to the service users. For making improvement in the effectiveness and
productivity of various services, they deliver health care facilities in order to mainly focus on
quality preservation. It can be analyzed that improvement in services should be followed by
proper guidance, process and principles which are developed by the government. It is required
for the health care center is to evaluate various strategies, structure and systems that can be used
in promoting their rights, responsibilities and diversity of service users. There are various
Quality improvement models and tools which assist in evaluating strategies, systems and
structures that are mainly used in health and social care (Mossialos and et. Al., 2015). The
quality improvement model shows the systematic, formal structure in order to develop and
establish Quality improvement procedures in their practices. In health and social care, service
providers are giving best services and facilities to their patients. The doctors and nurses are
providing palliative care to elder patients who are suffering from a heart attack. Palliative care
will make sure about the necessary treatments that are helpful in describing the situation of
patients. There are various policies, strategies and structure which are used in evaluating models
and tools in a better manner. With the evaluation of different models and tools, the service
provider can easily gain the confidence of their patients. For this, they are taking treatment
without any fear and panic situation. All the three aspects are considered as the main part of the
health and social care which has to be evaluated.
There are various tools which can assist in measuring strategies, system and procedures that are
used in health care. This consist of the Model for improvement (Plan Do Study Act) is the
Institute for Healthcare Improvement’s Model which assists in making an improvement that
combines with two popular Q1 models. Another is Six Sigma which is one of the effective tool

and model which assist in developing improvement that will strive in reducing variation and
imperfections (McGrath and et. Al., 2016). Along with this, the Electronic Preventive services
sector is a free app for clinicians to explore and search all patients’ details. Along with this, it is
that tool which brings recommendation, clinical considerations and chooses practice tools to the
care point in an effective manner. On the other hand, Workflow Assessment for Health IT is
referred as such tool which can be designed, executing, practicing, planning and use the health-
related data and information in order to identify or improve in clinical and management
workflow effectively. With the help of such tools and methods, health and social care practices
can be improved in order to deliver the best care and treatment to their patients (Mohammed and
et. Al., 2016). Such organization required to reach with desired goals and target in order to
implement policies and system effectively.
PCC model of care is the care model which deliver the CMC comprehend concept of American
Academy of Pediatrics medical home. Such models are based on territory and community which
emphasis services in order to coordinate, evaluated and collaborate all the patients with the help
of health and social care. PCC model develops strength of long-standing relation among primary
care practices, local communities and family members. This is that model which measure health
strategies, system and structure in the health care settings for maintaining quality in the proper
way (Shanks, 2016). In this, strategies are managed as per the patient’s requirement and develop
a system which are helpful in coordinating with service users. The strategy of health care help in
delivering system which includes various functions such as a focus on patients, provide medicine
rather than physicians medical specialties, evaluate cost and results for each patient. The system
is defined as to deliver various resources and services in order to meet with health care needs and
requirements in a better manner. In this model, patients need to keep their medical report and full
detail of their health. The model is helpful in developing coordination and collaboration among
doctors and patients within health care. In addition to this, diversity of service users describes
that undertaking and dealing with issues and barriers which prevent a group of an individual for
accessing services or facilities properly. In order to promote rights, responsibility and diversity
of service users, health care sector need to increase in quality of treatment and care to the
patients.

Along with this, CC (Care Coordination) models refer as such model where providers conduct
program or give care coordination facilities to the patients. It is the fluid term along with various
meanings for different users’ organizations. It is becoming a part of the hospital system and
colocation of patients, care providers and resources (Dietz and et. Al., 2015). CC model takes
well position in the CMC that have multiple complex situations, advanced level of technical
assistance. Also it is that model which assists in evaluating health care strategies, structure and
systems by delivering proper care to the users. This will assist in communicating and delivering
the right services to the patients, providers and caregivers which are complex to given quality-
based care and treatment to them. They are developing a strong relationship with their patients
and make coordination among them. By this, they can easily understand and evaluate their
situation in a better manner. With the help of this model, providers are easily maintained and
managed relation among patient or doctors. Care coordination model defines as the deliberate
organization of patient care functions and activities among two or more members participated in
patients care in order to provide correct treatment to users. This model will help in promoting
basic rights and responsibilities of service users effectively. There are various rights and
responsibilities of service user such as gain human care and treatment like nurse or doctors along
with consideration and respect, make a decision regarding their health care and receive regular
treatment report with the provider.