What can we do to assure that both quality care and cost-effective programs are in place?

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PROVIDE A RESPONSE AND REMARKS TO THIS STUDENTS DISCUSSION POST
BELOW:
One of the primary arguments for a QA Program is that there is a
concern for ensuring that health services are both cost-effective
and responsive to public needs. However, other health care
professionals believe that QA Programs are necessary to protect
patients while under care in a health facility.
Which of the two statements above do you believe is the most
important for patients?
What can we do to assure that both quality care and
cost-effective programs are in place?
Which of the two statements above do you believe is the
most important for patients?
In my mind there is no argument concerning cost effectiveness
versus protecting patients and their safety. Sure, bed alarms are
going to cost money, but what if a patient fell out of bed trying
to get up and received a head bleed. Now this patient will have
additional radiology exams, additional length of stay, and possibly
surgery. We all want health care to be cost-effective, but things
that are going to keep a patient safe during their stay are a
priority in my mind.
What can we do to assure that both quality care and
cost-effective programs are in place?
Internally- Since hospitals know that quality assurance programs
keep patients safe and save money, they implement continuous
process improvement (CPI) measures to develop high quality patient
care. These teams continually monitor patient safety goals (like
fall risk) and ensure healthcare workers are doing as much as
possible to prevent serious safety events. When safety events do
happen, healthcare workers are encouraged to speak up and identify
areas of improvement on what went wrong in order to prevent these
events from happening again. Peer reviews are another tools to
ensure quality and cost. If a nurse doesn’t chart that she got her
EKG within 10 mins of arrival for her chest pain patient then the
she didn’t meet quality standards. 10 mins is national standard
time. Also if she didn’t chart the EKG at all, then the coders may
not bill for it. Peer reviews let healthcare workers know that
someone is looking at what they chart, and on the other hand let
them know what their co-workers are charting to keep up
standards.
Externally- Hospitals are regulated by the Joint Comission to
keep their quality measures up or they will loose their
accreditation. Also, in 2008 Medicare and Medicaid stated they
wouldn’t reimburse for poor quality care such as catheter
associated urinary tract infections caused during that stay.

Explain why we should spend taxpayer money and dedicate time and energy to solve this public policy problem.

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Length: 1000 words (± 10{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}). Your bibliography is not part of your final word count.
Minimum Sources: 6 (readings do not count as sources)
Content
Pick a policy issue and explain why that is a public policy problem. Explain the possible opposition to your problem definition. Explain why we should spend taxpayer money and dedicate time and energy to solve this public policy problem.
Dos

Define your problem narrowly. Do not pick an issue that is overly broad such as “health care is a problem in the US”. Narrow the problem to a manageable subset such as “access to affordable health care for young (18-24) people is a problem.”
Use precise language. Avoid ambiguous terms. Be straightforward in your statements.
Use evidence to back your claims. Do not take it for granted that everyone would agree about your take on the issue. Evidence should include academic research and data.
Present your data effectively. Use charts, graphs, tables to present the evidence you have collected. Always report the source of your data.
Structure your document. Make sure that it follows a logical progression. A quick two-line description of its contents can be very useful.
Address the best possible opposition to your problem definition.

Don’ts

Do not bake the solution into your problem definition. Example: if you say that “we do not spend enough money for k-12 education”, then the obvious solution is “increase spending”.
Do not obfuscate the issue. Example: if you define a problem in terms of fairness, you must explain what you mean by ‘fairness’. Your definition of hard-to-measure concepts could be very different from your audience’s.
Do not make evidence-free assertions.
Do not use unreliable sources: trace the evidence back to the primary source.

Format
Text: you are free to choose your font, spacing and other features of formatting. Your only constraint is a one-inch margin minimum throughout your document.
Bibliography: you are free to choose whichever bibliographic format you prefer (APA, MLA, etc.) as long as you include all the relevant information. That includes author, year, title, source, web link (when applicable). A link list is NOT an acceptable bibliography.

Discuss the mission of the Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare &   Medicaid Innovation (CMMI)

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Read chapter 8, 9 and 13 of the class textbook.
Saucier Lundy, K & Janes, S.. (2016). Community Health Nursing. Caring for the Public’s Health. (3rd ed.) ISBN: 978-1-4496-9149-3
Once done answer the following questions;
1.  Discuss the mission of the Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare &   Medicaid Innovation (CMMI).
2.  If you could reform the malpractice or tort laws, what types of changes would you make?
When do you feel it is appropriate for someone to claim damages from medical procedures or treatment?
Do you feel there should be a cap on the payments, and if so, how would you decide what that cap would be?
What are all the different costs involved in medical malpractice suites? Is it easier to talk about tort reform than to actually try to define it?

Present you assignment in an APA format word document, 12 Arial font. Your assignment must contained at least 2 evidence based references (excluding the class textbook).  Assignment must contained at least 300 words (excluding the first and reference page).

Describe in your presentation how you will handle your proposed ethical dilemma from a Christian worldview perspective

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Start this assignment by choosing one of the following governances, laws, or standards to research:Privacy Act of 1974: https://www.justice.gov/opcl/privacy-act-1974The USA Patriot Act of 2001: http://www.justice.gov/archive/ll/highlights.htmThe Computer Fraud and Abuse Act: http://www.pbs.org/wgbh/pages/frontline/shows/hackers/blame/crimelaws.htmlE-Governance Act of 2002: https://www.justice.gov/opcl/e-government-act-2002The Electronic Communications Privacy Act of 1986: https://it.ojp.gov/default.aspx?area=privacy&page=1285The Payment Card Industry Data Security Standards: https://www.pcisecuritystandards.org/security_standards/index.phpHealth Insurance Portability and Accountability Act: http://www.dol.gov/ebsa/publications/yhphipaa.htmlSelect a governance or law of your choosing.Write a 750-1,000 word paper that explores ethical issues in data privacy. Include the following in your paper:An overview of the governance, law, or standard you selected with an explanation of how it is intended to protect civilians.A description of the challenges associated with compliance (e.g., customer notifications, employee training, systems security configurations, data retention and storage).An account of a specific ethical dilemma regarding the implementation of the governance, law, or standard you selected within an organization.Describe in your presentation how you will handle your proposed ethical dilemma from a Christian worldview perspective.Provide at least five references to scholarly resources.Prepare this assignment according to the guidelines found in the APA Style Guide.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to Turnitin.