Analyzing Healthcare Quality Management Through a Case Study

This case study analyzes a healthcare scenario involving Mr. Grech and his wife, focusing on quality management within a hospital setting. The study addresses issues such as dementia care, patient experience, and the implementation of quality improvement strategies. It includes a SWOT analysis to identify strengths, weaknesses, opportunities, and threats, as well as a PDSA cycle to drive continuous improvement. Recommendations are provided for enhancing patient-centered care, improving communication, and incorporating evidence-based practices. The report also discusses the role of local authorities in regulating healthcare services in Malta and highlights the benefits of quality management in improving patient outcomes and organizational efficiency. The goal is to enhance healthcare services by addressing identified shortcomings and implementing strategic improvements for better patient care and satisfaction. This assignment is available on Desklib, a platform offering study tools and resources for students.

Managing Quality in
Healthcare

Table of Content.
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
PART-1........................................................................................................................................1
PART -2 ......................................................................................................................................3
PART-3........................................................................................................................................4
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
This case study provides the analyses of Mr. Grech and their wife instance when they
were at the hospital. Mr. Grech wife has undergone with minor operation and was also diagnosed
with the dementia. Dementia is a neuropsychiatric province which consequence into the failure
of psychological operation in the body. It is the condition which lead to deprivation of reasoning
or the thinking prospective, holding power of the body and the wise decision making. Initial sign
of dementia in patient is alteration in their mood and week conversation efficiency. But during
patient allowance hours, they have seen lack of management in the hospital. This project reports
provide the recommendation plan of action for the quality management and the review on the
SWOT or PSDA analysis while providing the improves actions. Additionally, this reports
provide the symbolise on the advantage of quality management and also the adulteration need to
be regularize by the administration. It also furnish the role of different local authority in
modulating the service (Singh and et. al., 2020).
MAIN BODY
PART-1
Being the quality in-charge of the organisation, it is my duty to modulate whether the
services provided and the program running in the organisation for the benefit of the patients are
in reality benefiting them or not. It is my duty to assess the highest quality of care to its potential
customers as it will improve the recovery rate in patient health which will import the affirmative
impact to the organization growth and the brand value. As a foremost official, it is my duty to
modify the policy and operation in the organisation for the favour of the its patient and the
employs.
Significantly, I will guide the health care provider to show respect to the patient and their
family members as it will influence the patient experience during the admit hours which will
provoke patient to share the perturbation they are facing. Nurse should focus in providing the
family-centered approach while providing care as it will alleviate the patient compliance. While
providing the primary care to the patients it is necessary for them to analyse their past history
and value their opinions or the topmost level which supports in providing proper care plan
according to the patient needs. Since, Mr. Grech wife is the dementia patients, I will ensure that
the emotional and mental care is provided to the patient so as to modify back their cognitive and
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acknowledge power. It primarily means incorporate the healthy diet, maintaining weight by
acknowledge them to practise regular exercise (de Las Heras Gala and et. al., 2018).
Hospital management staff should develop different quality strategies which includes
primarily to altered service for the improved patient beliefs or expectation and to address
improves care outcomes. Nurse should utilize the effective communication with the patient as it
will utter the relationship which will work as an aid for improved patient empathy. Other than
that the management should focus towards providing the person-centered approach. These
approaches assist the health care provider to effectively interpret the patient feelings & their
thought process and will also helps to alter the surrounding of care according to patient needs
(Korsunska, 2021).
Recommendation that I will lay out to the administration or the regulator body to
acknowledge the adulteration require in the quality management includes many points which are
account below. Organization should adopt the evidence based approaches for the patients which
primarily means the nurse should slow down the theoretical mode and should effectively
incorporate the practical approaches according to the type of care patients needs. They should
keep the patient choice in the topmost like wise when treating the Mr. Grech wife, they should
keep in mind to provide the patient the vegetarian diet as it was requested by the family and the
patient both. Nurse shouldn't talk to patient in vague manner but they should communicate in the
soft tone while carrying gratitude throughout the management and care action to the patient so as
provide better comprehensive support to them (Madhu and et. al., 2020).
Recommendation should also contain the implementation to raise the remote patient
monitoring which is significantly the improve interaction between the physician and the patient.
Through it regular patient data is direct to the physician so as no negligence is seen in the
treatment according to the adulteration seen in patients progress reports. This action provides the
health care practitioner the effectual feedbacks of the everyday physiological parameters of the
patient. Additionally, better rights and implementation of policies should be incorporated which
will safeguard and assist the patient health and well-being.
Organisation should integrate total quality management (TQM) and the continuous
quality improvement (CQI) principles which focus on providing the best patient outcomes as it
provides the better cost management and improved patient satisfaction. It is implemented to
focus on the best patient-centric approach, to accomplished the long term mission and vision of
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the organisation through regulating the decision in accurate manner and which is followed by
providing improved training sessions to the healthcare provider for better results. Later on
organization should also focus on having the better risk management strategies and the working
body. It pertain the recruitment of the proper care management team which involves the
pharmacologist, dietician, psychologist and many more (Attard, 2021).
PART -2
Health and social care is the term which is used to symbolize the well-being services that
are provided by the health care worker or the practitioner. Basically social care symbolize as the
form of the personal care provided to the who needs the additive resource of care. To improve
the services of the organisation certain advancement or the alteration in technology and
regulation are made to provide the quality of care to the patients. These implementation can be
artefact through the SWOT and PDSA analysis (Cardona, Calleja and Pullicino, 2020).
SWOT analysis is the strategic planning or the management skills used by the
organization to address the action on which company has the optimistic power and the one which
is need to be improved by the healthcare organization to import the better resultant from the
procedure provided. It is basically the evidential analysis of the organisation which is used to
analyse the strength, weakness, opportunity and threats of the organization.
STRENTH WEAKNESS OPPOTUNITY THREATS
It the competing
benefit of the
organization which
support organization to
import advanced
efficiency to its
patients.
These are the internal
component which are
destructively effecting
organization growth.
These are the external
factors of the
organisation that might
steer into new
foremost shot for the
organization.
These are the barriers
that might lead to the
decrement of business.
Only health care body
which provides the
strong diagnostic
approach and
physician support to
Low patient-centric
approach by the nurse
and their improper
behaviour.
Insufficient
Recruitment of quality
health care practitioner
which will provide
appropriate care to he
patient.
Unsatisfied patients
due to lack of care by
the provider.
Patients personal
information leaked
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the population.
Success rate is more
due to limited
competition available.
Various specialist with
accurate nursing unit
and the tools for the
assessment is
provided.
management with low
level of hygiene in the
premises.
Long patient
intermission or the
hold hours.
Lack of technology
and policy
advancement.
Cost effective services
and treatment.
Respectful and
gratitude
communication with
the patient and family
members.
Effective patient
monitoring report.
out.
Competition from the
newly launched
organisation.
Unmanaged
expenditure.
PDSA is the cycle which work as the aid for the physician or the health care provider to
provide improved patient care through accurately evaluating the patient progress report on the
regular basis and providing the plan of action according to it. It primarily consist of 4 steps
including plan, do, study or act. It is the strategies used to implement the affirmative changes
first in small so as to regulate its effectiveness (Casha, Casha and Muscat, 2020).
PLAN DO STUDY ACT
To implement the
patient-centric
approach in order to
provide the effective
treatment actions.
Trained the staff to
value the patient
opinions while
effectively
communicating them
in respectful and
gratitude manner.
Provide patient the
emotional support.
Evaluate the result of
the approach is either
positive or not through
taking feedback from
the patients.
The care act 2014
supports in providing
the patient-centric care
while protecting
patient opinions and
the rights.
PART-3
Quality management is the act of evaluating whether the action or the conception
accomplished in the healthcare organisation is hold out or not. It is the action to ensue that
service provided by the organisation is accordant or not. This action don't only focus on the form
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and type of service provided but also the measure through which the service is available to its
potential patients. Its four component are quality planning, quality control, its assurance and
improvement strategies. Benefits associated with the quality management is it improves the
quality of care as the more focused is done to provided the treatment after interacting about their
opinions and beliefs. It also enhances the accountability of the healthcare provider or the
physician as the better service providing improves providers own efficiency ans satisfaction
while treating the patient. The improved outcomes are seen in the patient as there is reduction of
medical errors are found after implementing proper quality management actions in the
healthcare. These action protects the patient and hospital data in the accurate manner so as ensure
that the confidential information is not out without taking patient consent. It modulates the
alteration or modification in the policies so as to bring down the effective procedure (Grech,
2020).
Malta has both the public and non public administration body. The organization which
work in the matla to provide its patient or the population the effective health and social care is
the Malta health network. It is the non government organisation that is organized through the
public bodies which promotes the health related involvement of the patients while adapting the
foremost management practises and the susceptibility. World health organisation has rated the
Malta as a 5 position when compared with the other 100 countries. These organisation provides
the altered technology and the advancement in treatment according to the needs of the patients
which primarily includes laser assistant surgery for the patients or the 4D ultrasound instruments
to provide the patients better diagnostic or the progress report. It will provide the better treatment
to the patients as there regular monitoring is done. Medical expenditure for the patients are well
reduced when compared with different organisation as it work in providing the patient-centric
approach. Additionally, this organisation also instruct their health care provider to yield regular
feedbacks from their patients about the care they have been provided. It is done to evaluate the
result of executed policies and to determine the further alteration required for the patient benefit
(Mehta and et. al., 2020).
The local authority responsible for alteration or for the decision making in the Malta is
the Department for Environmental Health of the Public Health Regulation Division within the
Ministry for Social Policy, Health, the Elderly and Community Care. These governing body
primarily focus towards the patient of cardiovascular as it is the leading cause of death in Malta.
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To regularize the effective quality management they regularize that effective sewage treatment is
provided to all the population while incorporating the portable water according to the EU
standards. Additionally, they enhance the population to incorporating the healthy practices like
having regular physical activity and health diet in their food regime. These authority makes sure
that proper regulations and guidelines are followed in the hospital so as to meet the demands ans
satisfaction of their patients (Abela, Pace and Buttigieg, 2019).
CONCLUSION
From the above essay report it has been concluded about the role of quality management
in the healthcare. This essay report mooted on the case report of Mr. Grech wife post operative
care. The hospital staff was rude and not listened to the patient and their family member concern.
So this report provides the effective recommendation required to manage the quality of care in
the hospital and through PDSA and SWOT analysis is done on effectualness of the hospital.
Additionally, this report also provide the benefits associated with the quality management and
also the name of the organisation or the local authority is addressed here.
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REFERENCES
Books and Journals:
Abela, L., Pace, A. and Buttigieg, S.C., 2019. What affects length of hospital stay? A case study
from Malta. Journal of Health Organization and Management.
Attard, M., 2021. EU membership and Malta's healthcare system (Bachelor's thesis, University of
Malta).
Cardona, T., Calleja, N. and Pullicino, G., 2020. Urban–suburban differences in the
demographics and clinical profiles of type 2 diabetic patients attending primary
healthcare centres in Malta. Rural and Remote Health, 20(4).
Casha, A., Casha, R. and Muscat, N.A., 2020. Moving health professionals as an alternative to
moving patients: The contribution of overseas visiting medical specialists to the health
system in Malta. Health Policy, 124(5), pp.519-524.
Casha, A., Casha, R. and Muscat, N.A., 2020. Moving health professionals as an alternative to
moving patients: The contribution of overseas visiting medical specialists to the health
system in Malta. Health Policy, 124(5), pp.519-524.
de Las Heras Gala, H., Schöfer, F., Schöfer, H., Casanueva, R.S., Zervides, C., Mair, K., Al-
Zoubi, Q., Renger, B., de Las Heras Gala, T. and Schlattl, H., 2018. A patient-centric
approach to quality control and dosimetry in CT including CBCT. Physica Medica, 47,
pp.92-102.
Grech, V., 2020. Malta’s healthcare escalation for COVID-19. Journal of Visual Communication
in Medicine, 43(3), pp.153-161.
Korsunska, A., 2021, March. Research Agenda-Setting in Medicine: Shifting from a Research-
Centric to a Patient-Centric Approach. In International Conference on Information (pp.
374-383). Springer, Cham.
Madhu, S.V., Neelaveni, K., Pitale, S., Somani, S., Pandey, A.K., Kalra, P., Ceaser, R.,
Mohanasundaram, S. and Mohan, V., 2020. Basal Insulin Titration: Moving Towards a
More Patient-Centric Approach with Gla-100 in India. The Journal of the Association
of Physicians of India, 68(12 [Special]), pp.38-42.
Mehta, S.B., Loomans, B.A.C., Banerji, S., Bronkhorst, E.M. and Bartlett, D., 2020. An
investigation into the impact of tooth wear on the oral health related quality of life
amongst adult dental patients in the United Kingdom, Malta and Australia. Journal of
dentistry, 99, p.103409.
Singh, A.P., Pradhan, N.R., Luhach, A.K., Agnihotri, S., Jhanjhi, N.Z., Verma, S., Ghosh, U. and
Roy, D.S., 2020. A novel patient-centric architectural framework for blockchain-
enabled healthcare applications. IEEE Transactions on Industrial Informatics, 17(8),
pp.5779-5789.
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