Healthcare Quality and Sustainability: GCU DNP-835 Report

This report examines healthcare quality and sustainability, focusing on the importance of quality measures and safety programs within healthcare entities. It highlights the need for proactive measures, emphasizing that prevention is key to better healthcare outcomes. The report explores various quality improvement programs, including the Plan-Do-Study-Act (PDSA) cycle, Six Sigma, the Toyota Production System (Lean Methodology), and Root Cause Analysis (RCA). It details how these programs can be implemented to enhance patient care, improve efficiency, and address potential risks. The report also discusses the expected outcomes of implementing these safety programs, such as increased leadership involvement, improved financial resources, and a focus on patient well-being. The conclusion reinforces the critical role of quality safety and management in ensuring a smooth workflow and positive outcomes in the healthcare sector.

Running head: HEALTHCARE ENTITY
Quality and Sustainability Part-3
Name of the Student:
Name of the University:
Author Note:

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Introduction
It was well said over times that ‘prevention is better than cure’. A system of providing
better quality of health care improves the life expectancy and also enhances the general
knowledge towards health education and remedy from unwanted diseases. However, to
provide a quality healthcare service the Institute of Medicines had set up certain plans which
involves in enhancing the effective service, efficiency, equity, patient centered care, safe
regulation of norms and patient care and time management for patient care.
Moreover, the entity requires to focus on the specific requirement plans based on
several special departments it holds within them which includes child care, maternity and
cancer.
On the other hand the entity should be concerned about the perspectives their
consumers are having. Thus, Institue Of Medicine stood up with certain other setups as well,
which keenly looks over the consumer perspectives.
Change or safety theory to support the implementation of quality safety program
The public pays for the quality of health care for states. Increasing evidence occurs
that patients are not being treated properly in a timely manner and because medical services
are poorly planned. There are significant differences between countries in the measurements
of standard of care. Most healthcare professionals are upset with their conditions of
employment and are ready to make changes to improve quality healthcare services.
Performance approaches can help solve these and other problems in low- and high-income
nations alike. Evidience stated to prove the conditions. A well-developed approach creates
the conditions for quality improvement for suppliers, in part through the collaboration and
alignment of many different teams. It can insure the processes, personnel and expertise are
sufficient to check and modify the situations and that periodic assessments so renewals take

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place. A common definition that has been useful for the implementation of approaches in
different resource settings does not necessarily mean that consistency is a parameter of how
supplies are used. A high-quality health service assembles services more efficiently to
address the medical needs of those who need it most, prevention and care, healthy, waste-free
and higher expectations (Sherwood, & Barnsteiner., (2017).
A common perception is that more funds are allocated into healthcare the only way to
improve results. In order to enhance consistency, each strategy requires tools for consultants,
technical systems and preparation. A second common view is that modernization of massive-
scale healthcare is necessary to ensure safety and quality. Virtually any health care reform
announces that the goal is to improve quality. Reforms and reorganizations, for example by
modifying funding processes, redistributing money across the system, or decentralizing
decision making, can be a successful strategy. A third opinion is that improving management
by preparation and recruiting for professional and company executives and better governance
systems and transparency mechanisms is needed. Further funding and reorganizations are
often ineffective when administrators lack the necessary skills.
Therefore approaches can be made by the consumer strategy can be improved by
consumer protection or patient rights legislation or initiatives designed to improve safety and
quality in various contexts, affecting consumers and populations. Providers can provide
certification and authorizing services from regulatory backgrounds and committed agencies
(government or non-governmental organisations). Application will require control and
compliance systems (the use of standards for all external evaluation processes). This goes
beyond the definition of safety and quality values by local management and ensures that they
are followed using quality management systems. The teams operate using simple methods
("quality tools"), that they are qualified to use, on particular problems. Examples include a

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health center team working on a suitable prescription or health record enhancement of
antibiotics and district officers working on the issue of lack of transport and guidance assets.
Quality safety program that can be implemented to improve quality or safety
outcomes
Improvement in the quality seek for efforts, which needs to be measured and
demonstrated that it puts input and efforts for the improvemental modifications. These
improvements follows up with: measures towards the alteration in the the direction for
achievement of primary end points, bringing back the processes of the administration and
management into the considerable ranges and lastly helps in contributing to the unintended
modifications in the entity and various parts of its system (Johnson., 2014).
The undertaking of measures for the assurance of a quality service also puts impact on
service providers which helps in highlighting better performance in all sectors of a health care
entity.
The programs that can be implemented for quality and safety outcomes can be:
implementation of PDSA program, six sigma program, the toyoto production system and the
root clause analysis.
The Plan-Do-Study-Act (PDSA) approach can be used to enhance quality projects and
to evaluate improvements in health care systems that achieve beneficial results. This is a
mechanism widely used for gradual workflow reform by the Institute for Health Care
Reform. One of these models ' unique features is the cyclical nature of adjustments that most
efficiently arise by tiny and regular PDSAs rather than big and sluggish, previous to system-
wide changes (Donnelly & Kirk., 2015).
The questions proposed applying the PDSA system is: the project goals that need to
be achieved, the identification upon reaching the goal and the methodologies applied to reach

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the goal. The PDSA cycle begins by assessing the extent and scope of the problem, the
possible changes and the improvements it should bring, the preparation for a specific change,
who is responsible for it, how the effect of progress should be assessed and how the solution
is targeted. This is followed by a modifications and the collection of data and information.
The findings of the implementation analysis are analyzed and understood through the
examination of several main indicators indicating success or failure.
Six Sigma, originally intended as an industrial strategy, includes the redesign, creation
and analysis of waste-reduction systems that optimizes productivity and financial stability.
Operation efficiency or operation ability is used to assess progress through a comparison of
the current process capacity (before progress) with the process capacity, after manoeuvring
potential quality management approaches. With Six Sigma, there are two main methods.
Another approach to check the product of the system and to count faults is to calculate a
defect rate per million, and to translate a defect rate to a Sigma metric by million. This
method is valid for pre-analysis and post-analysis procedures. The second approach uses
expected process variance in the measurement of a − metric from the defined tolerances and
the observed flow variability to forecast process efficiency. This approach is ideal for
structured processes under which comprehensive and accurate study protocols may be
defined.
The initial aim is to identify the initiative, study historical data, and define the scope
of expectations. Next, the collection of consistent overall quality criteria, description of
output targets and identification of uncertainty sources are reviewed. With the
implementation of the new project, data was gathered to examine how the procedure is
enhanced. Validated methods to assess the potential of the new method was designed to help
this study.

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Usage of the Toyota development system for Toyota cars contribute to the so-called
Lean Production System (LPS) or Toyota Production System, or the Lean process. This
approach is superposed by Six Sigma, which varies as Lean's consumer needs are defined and
operations can be enhanced by eliminating non-value-added practices. Lean Methodology
measures include optimizing value-added tasks to enable consistent activity in the strongest
possible order. This approach focuses on root cause analysis for accident detection and
quality improvement and related error avoidance (Dillon., 2019).
Root cause analysis (RCA) is a structured forensic and analytical thinking
methodology that is used to recognize and explain the underlying causes of an accident and
potentially observed events, and is used widely in infrastructure and similarly to the
methodology of the major emergency. The Joint Commission uses RCA in response to all
sentinel incidents and is hoping to develop and incorporate a plan of action on the basis of
findings from RCA, consisting of changes aimed at reducing and tracking the likelihood of
potential incident occurrence. RCA is a solution to sentinel incidents. RCA is a technique
used to find patterns and to evaluate risks when suspected that the scheme is the root cause of
most issues instead of individual factors. A related method is a technological vital accident
where information about the causes and actions that led to the occurrence is gathered after an
event takes place.
The RCA is a reactive evaluation which starts after an event and retrospectively
explains the chain of events contributing to the incident, maps causative factors, and
determines root causes to evaluate the event in detail. As this approach is labor intensive, an
interdisciplinary team trained in RCA preferably calibrates or corroborates crucial
observations and improves the validity of tests. Another move forward, the concept of pooled
RCA (use of the Health System of Veterans Affairs, VA) is intended to use resource time

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efficiently and includes a variety of overlapping RCAs based on pattern evaluation rather
than a detailed case review (Latino, Latino, & Latino., 2019).
The goal of the RCA is, through a systematic procedure, to unveil the rootcause(s) of
the mistake through analyzing activated causes (e.g. lack of professional skill), including
circumstances that caused or induced the adverse event (e.g. adverse drug case) that included
the latent (e.g. non-ID check of patients) and situational variables (e.g. two hospital-related
patients). A number of key questions are raised by those involved in the investigation
including what transpired, why it occurred, the nearest factors behind it, why these factors
took place and the systems and processes behind those causes. Responses to these queries
help to identify unsuccessful protection measures and challenges in order to protect similar
issues in future. It is also also necessary, because other distant causes may have influenced, to
consider events that occurred instantly prior to this event (Kum, & Sahin., 2015).
Based on analysis of the inquiry, the final step of a conventional RCA is the
development of suggestions for system and method improvements. An support of the root-
cause analysis literature, in which the authors conclude that little evidence is available for the
RCA to improve patient safety alone, confirms the importance of this step. A non-traditional
VA-based strategy is the hybrid RCA process, in which multiple concurrent RCAs are used
in a single review for different incident categories.
Expected outcomes of the implementation of Safety Program
While making substantial improvements, there was clear and strong enthusiasm for
policy, attendance, a relentless dedication to improved quality and exposure while writing
and physically as well. There has also been a need for greater involvement from the hospital
boards. The inevitability of the demands for capital correlated with evolving systems
demanded a high level of leadership to ensure adequate financial resources by finding sources

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of funding for preparation and acquisition as well as testing of emerging technologies and
facilities.
Moreover, encourage time-consuming tasks by giving them time to work; and stress
stability as an operational priority and improve anticipation, especially if the process has been
postponed or the outcomes have not been recognized on a regular basis. Senior leaders have
agreedthat high-level decision taking needs to understand the effect of workflows and
personnel schedules, particularly as initiatives are under way to change the process, and that
increased productivity should be integrated into the creation of system-wide leadership.
Leadership also required to make the health of patients a key part of all the activities and
plans, to create a structured process for defining the organization's annual patient safety
targets and to be responsible (Carayon et al 2014).
Also certain plans have been implemented within the government policies as well
which enhances support to the implementation of quality and sustainable development.
Conclusion
Therefore, it can be concluded that quality safety and management has been a prime
requirement in every sector to assure a good flow of work at the workplace as well as to
assure the security of the participants at the workplace. However ustainable and quality
growth of any healthcare entity requires certain steps in consideration. The consumers stands
out to be the payers for the service at the workplace and hence require to be entertained with
a quality service. Throughout the article it has been properly discussed that why it requires
the implementation of quality service. The requirement properly states that these systems
need to be implemented to form a chart to carry out a good flow and high productivity at the
work place. Moreover, it has been discussed throughout the article that what quality
management systems can be implemented and how it can be implemented. The discussed

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plans include PDSA system, Six sigma system, Lean Production system and Root clause
analysis. All these plans have different variants of their action plan when comes for
implementation in the real world. The Root clause system has proved out to be one best and
efficient method for the application in the field of real world. On the other hand protocols of
six sigma has also shown out to be highly efficient as it also incorporates few mechanism of
PDSA and runs in a twostep process.
Quality management is one of the most important aspects for healthcare system as it
will be effective in the positive outcome achievement for the patients. The quality
management can effectively improve the hygiene of the care setting and also effectively
reduce the infection risks. Hence, it can be stated that the implementation of the advanced
quality management procedures will be effective in the development of the customer
satisfaction and positive health outcomes as well.
The implementation of such plans has shown that these methods have been proved out
to be highly efficient in discarding the reasons of non-productivity, efficiently aggregating
the causes of productivity, providing security to the healthcare professionals and the patients
over there.

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