Implementation Plan Paper Essay Example

in the future.

The JCAHO has released a preliminary set of core measure profiles to various hospitals and organizations. Once feedback from these medical institutions is received, the JCAHO will further develop individual measure specifications. The JCAHO releases measure specifications and organizations select a relevant measure set supported by their system. The JCAHO allows time for measurement systems to adapt the specifications according to their system. Implementation of core measures will undergo pilot testing for approximately two years, providing valuable knowledge over a limited time period.

Proper solutions can be found for technical problems related to the measurement system. The expenses related to implementing the main measures can be calculated, while staff training and data collection can also take place. The data quality, its cost, and practicability can be carefully evaluated. The hospital regularly sends data to the JCAHO. Additionally, the hospital must select at least two measure sets out of five available within a specific timeframe.

In order to obtain data, the hospital must request information from the JCAHO, especially administrative data. After this, hospitals only need to collect data related to the chosen measure set and are not required to follow non-core measure requirements. However, hospitals will still need to collect information on core measures periodically.

Beginning in January 2002, hospitals would need to collect and transmit data on core measure sets. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is considering using national performance measurements for these core measures. If a hospital does not provide certain services, it may only need to collect data on four non-core measures instead of six. However, if the hospital cannot collect data on a core

measure set, it must collect data on six non-core measures. The hospital must transmit the core measure data to the JCAHO according to the schedule.

The JCAHO and other organizations will continuously monitor the core sets of measures. Criteria will be regularly modified and measure sets adjusted as needed. The JCAHO aims to minimize modifications and may rotate measures in and out of the core set frequently. Measure set specifications will only change if necessary and hospitals will be promptly notified of any changes to the set or its composition.

The JCAHO suggests receiving feedback from the public about changes to the core measure sets and developing these changes in collaboration with relevant health organizations. Rotation of the core measure sets is necessary, and hospitals may rotate them to align with their internal quality standards. After a hospital has fulfilled its core measure sets, the JCAHO may require rotation of the measure sets. The primary goal of core measure sets should be supporting the hospital's performance improvement objectives.

The JCAHO needs to evaluate the usefulness and significance of measure sets, establish effective communication channels with accredited hospitals, protect sensitive data, and ensure compliance with HIPAA guidelines. The ORYX program strives to maintain HIPAA compliance for core measure sets.

Before choosing and applying the core measure sets, the hospital must take into account various factors. Additionally, a correlation between the standards and the measures should be established. The hospital must guarantee that the measures are implemented efficiently and with minimal complications. Even alterations should not interfere with the hospital's fundamental procedures.

It is important to incorporate public feedback and for the hospital to monitor core measure sets, specifically for AMI. This

measure set includes ensuring that patients receive aspirin within 24 hours of arriving at the hospital.

AMI-2 involves the administration of aspirin to the patient after they are discharged. AMI-3 requires ACE inhibitors or AR blockers to be given to patients who have suffered LVSD during their discharge. AMI-4 focuses on immediately stopping the smoking habit.

AMI 5 involves the administration of beta blockers upon arrival, while AMI 6 calls for administering them at discharge. Additionally, AMI 7 involves promptly administering a thrombolytic agent to patients with elevated ST segment and LBB block upon arrival at the hospital. AMI 8 is also relevant.

AMI 7a requires administering thrombolytic agents within half an hour of hospital arrival. AMI 8 involves carrying out PTCA swiftly for patients with LBB Block or ST elevation. Additionally, AMI 8a necessitates performing PCI within 90 minutes of hospital admission.

The aim of implementing core measures at the Baptist Memorial Hospital is to increase patient care and include evidence-based practices for those suffering from AMI. The core measures will help achieve the Hospital's objectives, including increasing smoking cessation rates, PCI interventions, and decreasing the time for PCI provision (Roger, G. , et al 2006). Implementation requires thorough coordination with physicians, nurses, quality department, performance indicators, administrators, and hospital managers to effectively remove barriers between departments.

The hospital system must ensure proper documentation and accountability to meet the core measures. Performance in the nursing and medical sectors can be monitored using dashboards for identifying areas where performance falls below expectations, which can then be improved. It is essential to incorporate a feedback mechanism to enhance the quality of care (TCM, 2007).ReferencesCore Options - JCAHO Measure Set

Definitions, Retrieved from June 15, 2007, from