Quality Improvement Organizations Essay Example
Quality Improvement Organizations Essay Example

Quality Improvement Organizations Essay Example

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  • Pages: 3 (810 words)
  • Published: March 23, 2017
  • Type: Case Study
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Quality Improvement Organizations (QIOs) are non-profit private organizations with a professional staff, including doctors and other healthcare professionals. These individuals are trained to assess medical care and assist beneficiaries with complaints or issues regarding the quality of care. The overall goal of QIOs is to improve the quality of care throughout the healthcare system.

The objective of the Quality Improvement Organization Program

is to enhance services for Medicare beneficiaries in terms of effectiveness, efficiency, economy, and quality, ultimately improving their lives. Care Transitions is one important initiative within this program.

The main objective of this program is to improve the quality of care for Medicare beneficiaries as they transition between different care settings. It is a collaborative effort within the community, with the goal of reducing hospital readmissions and establishing effective strategies for providing high-quality healthcare to sick or disabled individuals cov


ered by Medicare. One approach used in the Care Transitions Program to achieve these improvements is the utilization of a standardized assessment tool called CARE (Continuity Assessment Record and Evaluation). Research shows that most stakeholders express satisfaction with the support provided by organizations offering Quality Improvement programs. In fact, more than three-quarters strongly agree that providers are delivering better care because of the QIO (Vol.13, Issue 8, p95). Numerous organizations actively monitor and engage with external agencies and organizations dedicated to enhancing healthcare quality for individuals.

The Ambulatory Care Quality Alliance (AQA), American Board of Pediatricians (ABP), and American Medical Association physician Consortium for Performance Improvement (AMA-PCPI) are three stakeholders who have utilized and are satisfied with the Quality Improvement Services. These organizations have benefited from quality control and achieved positive results. Quality Improvement was not always accessibl

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to organizations, but when it became available, they capitalized on it, leading to increased client satisfaction and successful businesses. AQA is a comprehensive group consisting of physicians, consumers, purchasers, health insurance plans, and others. Their objective is to enhance healthcare quality and patient safety through a collaborative approach in which key stakeholders agree on a strategy to measure performance at the physician or group level.

The company collects and aggregates data in a non-burdensome way, reporting important information to inform consumers, physicians, and other stakeholders, improving outcomes overall. Ambulatory Care has grown faster than inpatient services, with the healthcare reform having a notable impact on ambulatory care in US hospitals.

Hospitals are emphasizing ambulatory care as part of their overall missions as they prepare for the implementation of the healthcare reform law. This involves recognizing the potential improvement in ambulatory care services and the urgent need for more integrated care. An essential aspect that ambulatory care services should prioritize is service delivery and market share, which will contribute to its continued growth (Johnson, T. 2010).

Maintenance of Certification (MOC) is a quality improvement project aimed at meeting the standards set by the American Board of Pediatricians (ABP). Physicians who participate in approved QI projects can receive credit towards maintaining their ABP certification. This fosters improvement and success within the company, as pediatricians who meet these standards receive maintenance towards their certification. Consequently, the quality of service and response from recipients of service has improved. MOC is the latest stage in the evolution of specialty board certification, driven by increasing concerns about the quality and safety of medical care. The requirements for existing recertification have changed both in terms

of frequency and nature due to MOC.

The organization enforces these requirements strictly, making them universally applicable with minimal or no modifications. The evaluation of practice performance based on these criteria is part of the Maintenance of Certification (MOC), indicating a change both in philosophy and regulation. These evaluations primarily focus on improvement rather than assessment. The success of MOC will rely on surgeons' voluntary efforts to enhance the quality of care (Rhodes, R 2007). Convened by the American Medical Association (AMA), the Physician Consortium for Performance Improvement (PCPI) is committed to leading the development, testing, and maintenance of evidence-based clinical performance measures and measurement resources for physicians with the goal to improve care quality and ensure patient safety.

The American Medical Association (AMA) was established in 1847 with the aim of safeguarding the concerns of American physicians and advocating for public health. It is dedicated to advancing medical science, investigating cases involving fraudulent doctors and medical quackery, as well as researching prescription drugs, food products, cosmetics, and other substances. The AMA also provides support for health education programs targeting both professionals and the general public. Moreover, it plays a vital role in approving hospital-based doctor training programs and has been instrumental in enhancing American medical education during the early 20th century (American Medical Association, 2008).

Organizations that engage in quality improvement ultimately achieve success. This success is demonstrated by their efficient and professional handling of problems. Any healthcare organization should prioritize quality control to enhance their overall business success. (References: American Medical Association, 2008)

In The Columbia Encyclopedia.

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