NRS_451VN: University Healthcare Quality Improvement Initiative Report

This report presents a quality improvement initiative aimed at reducing delays in the discharge of babies from a medium-sized healthcare institution in New York. The executive summary outlines the initiative's purpose, which is to address bed capacity management issues caused by inefficient discharges, impacting patient flow and costs. The initiative targets mothers giving birth and proposes an electronic medical record system to streamline the discharge process. Benefits include faster discharges, quicker admissions, and reduced costs. Interprofessional collaboration with the World Health Organization is proposed, with a budget of $100 million co-funded by the New York government. The initiative's success will be measured by the quality of service provided, with external benchmarks used for evaluation. The report references several studies supporting the importance of quality improvement in healthcare, emphasizing leadership, safety, and patient satisfaction.

Running head: NRS_451VN
NRS_451VN
Name of the Student
Name of the University
Author Note

1NRS_451VN
Introduction
The main aim of this paper will be to propose a quality improvement initiative that
could be easily implemented, which will be presented to the management for approval of the
budget required for the initiative. The executive summary will include the details of the
purpose of the initiative that is required for quality improvement along with the benefits of
the initiative. The details of the interprofessional collaboration that will be required to
implement the quality improvement initiative will be laid in this paper. The cost or budget
justification n along with the basis upon which the quality improvement initiative will be
evaluated will be given in this executive summary.
Executive Summary
The motive of the quality improvement initiative that needs to be implemented after
approval from the boards of directors of a medium-sized healthcare institution who are
widely known for providing healthcare to the children in the region of New York, is to
eliminate or reduce delays in discharge of babies. It can be noted that bed capacity
management is becoming a critical issue in the hospitals as well as in the nursing homes,
mainly because of inefficient discharges which possess direct impact on the flow of the
number of patients, slow pace in care and rise in the costs (McFadden, Stock & Gowen III,
2015). The overall system takes a lot of time and this the area in which the management has
focused to improve their quality towards delay in discharges. The initiative is taken by the
public relations team, who are facing troubles in facing the number of complaints from the
parents who are not getting enough care and beds due to the delay in discharge of the already
occupied beds. Lack of inefficiency in the overall system is hampering the flow in admissions
and transfers, which are leading to bed occupancies still after the given duration of time in a
day (Bromer & Korfmacher, 2017).

2NRS_451VN
The target audience will be the mothers who are going to give birth to their babies. It
has been found from the data collected from the various sources that are more than 240,000
births in the city of New York in a year. The hospital whose quality improvement initiative is
getting discussed is one of the such healthcare institutions who are engaged in delivery of
babies. So, it can be said in order to increase the flow of the discharge of the patients or the
mothers who are giving birth to their children in a systematic but fast way (Tsai et al., 2015).
The benefits of this quality improvement initiative will increase the speed of the
discharge as well as speed up the admission and transfer process of the patients who are
admitted to give birth to their child. The initiative, if approved by the board of directors, will
be implemented to avoid the unpredictable discharges along with the lengthy delays that the
patients and their relatives and friends have to face in the time of admission or discharge of
the patients. Incur of high costs will also be reduced if the new system is implemented into
the current business operations of the old hospital. Everything will be done on a new
electronic medical record which will be done manually, where each and every details of the
admitted patient will be given, so that it will, take less time in the discharge of that patient. A
fresh discharge process which will be implemented after the approval from the board will be
beneficial for both the hospital management board and patient parties. This will be done by
keeping the patients on the mind of the hospital management, and the medical needs of the
patient will be kept ready at the time of discharge, so that it will take less time in the overall
discharge process (Al-Abri, & Al-Balushi, 2014).
The inter professional collaboration with World Health Organization will be required
for implementation the of the above discussed initiative related to quality improvement. This
will help the hospital to promote the new quality improvement process to maximum number
of people in and around the New York city.

3NRS_451VN
The overall cost that will be required to perform the implementation process has been
calculated to an amount of $ 100 million, which will be co-funded by the Government of
New York and World Health Organization.
The foundation on which the quality improvement initiative will be measured is the
service that will be offered by the employees of that hospital after successful implementation
of the overall initiative process. The rationale will be to provide the best quality along with
reduction in costs and delay in discharge of the patients, which will automatically speed up
the admission process. External benchmarks will be used to evaluate the effectiveness of the
quality improvement process (Hallam, Bargreen & Ridgley, 2013).

4NRS_451VN
References
Al-Abri, R., & Al-Balushi, A. (2014). Patient satisfaction survey as a tool towards quality
improvement. Oman medical journal, 29(1), 3.
Bromer, J., & Korfmacher, J. (2017). Providing high-quality support services to home-based
child care: A conceptual model and literature review. Early Education and
Development, 28(6), 745-772.
Hallam, R. A., Bargreen, K. N., & Ridgley, R. (2013). Quality in family child care settings:
The relationship between provider educational experiences and global quality scores
in a statewide quality rating and improvement system. Journal of Research in
Childhood Education, 27(4), 393-406.
McFadden, K. L., Stock, G. N., & Gowen III, C. R. (2015). Leadership, safety climate, and
continuous quality improvement: impact on process quality and patient safety. Health
care management review, 40(1), 24-34.
Tsai, T. C., Jha, A. K., Gawande, A. A., Huckman, R. S., Bloom, N., & Sadun, R. (2015).
Hospital board and management practices are strongly related to hospital performance
on clinical quality metrics. Health affairs, 34(8), 1304-1311.