Question 1. As support for their claim that science is social, Penrose and Katz discuss the model for community knowledge that Thomas Kuhn presents in his book The Structure of Scientific Revolutions. Given that we are not specifically studying writing scientific research, how does this model relate to the philosophical underpinning of our course? (A good answer should contain a recounting of Kuhn’s model as well as the terminology we used in discussing elements of the rhetorical situation.)

Question 2. The central concept through which we have been critiquing documents (or at least associating them for observation) is the idea of genre. We have used the term genre loosely to group documents that seem be situated similarly in terms of purpose and audience and in the context of the community in which the author (identity is the word we used) and audience are set. The Swales reading from early in the semester is quite deliberate in describing the properties of genre, however, and Swales would exclude a number of the documents we have looked at on the basis that the documents are not sufficiently intracommunal. Considering Swales’s definitions of genre and discourse community, how does our usage of these terms correspond to his? (To answer this question, you may want to begin by distilling Swales’s requirements for genre and discourse community and then proceed to discuss why each point he makes to discussions, resources, and activities from our weekly classes.)

Write 1,050- to 1,400-word paper with the following sections:

• Authority, structure, and organization

• • Describe the authority structure of the plan’s implementation. This must describe who is responsible for implementing the plan. Include a description of each role involved in the plan:

• • Board of directors
  • Executive leadership
  • Quality improvement committee
  • Medical staff
  • Middle management
  • Department staff

• Communication

• • Identify who the performance activity outcomes are communicated to and who does the communicating. This describes who is responsible for overseeing data collection and preparing data reports.

• Education

• • Describe how staff will be educated regarding the plan. This covers how each staff member will be initially oriented to the plan and how each employee fits into the plan based on job responsibilities.

• Annual evaluation

• • Describe what elements of the plan are annually evaluated for improvement.
  • Identify how to monitor the effect of changes implemented from the decision-making process.

• External entities

• • Describe the effect of external entities–governmental agencies, accrediting bodies, and professional interest groups–on the quality and performance measure of an organization’s decision-making processes.

• Challenges

• • Identify barriers that can interfere with the implementation or revision of quality measures.
  • Determine strategies to ensure successful implementation of new quality measures.

Cite at least four sources to support your information.

Note: I have included my previous papers: QI Plan 1 and 2 for your review.

QI Plan Part 2
This methodology is chosen because in performance improvement it entails satisfactory of the patients, the process of delivery and improvement of the processes. The quality improvement (QI) is identified to focus on bringing out the gap in between the current levels of quality and the expected quality levels. The Quality Improvement uses the tools for managing quality together with the principles towards understanding and address systems deficiencies hence improving or re-designing efficiently the effective healthcare processes (Scales, 2014). Moreover, setting up a Quality Improvement process is termed to be an easy task but in order to integrate these processes in day to day activities, there have to be effective implementation via the leadership dedication, empowering of the employees, the healthy culture of business and the effectiveness of strategic planning that management has been embraced along with the desired performances.
The information technology applications include the Hospital Admission Risk Prediction (HARP) and the Episheet. In terms of improving the performance area, the HARP aims in predicting the future events, creating the intervention mechanism to the health care providers and generating the information regarding patient risk within future framework (Scales, 2014). The other application tool named Episheet is a qualitative tool which is applied in epidemiologic data analysis. It will help improve the performance area through gathering of the information and ensuring the priority of the healthcare organization.
In order to meet the performance improvement plan, innovation technology has to be considered in all applications. The IT applications are applied in an object oriented technology as well as in a computerized patient records systems and might also be used in the specific components of IT. Certainly, the object oriented technology would ensure that all different systems within the organization are connected and proper management (Hermann, 2005). The information technology entails the management of the patient’s records through computerization in order to prevent loss or from being accessed by the illegitimate persons. Furthermore, this aspect explores that for the use of the specific IT components, it is quite easy to monitor an organizational quality performance because the organization does not need change from the component directly to the other when delivering its services.
The quality indicators are identified as the guide to evaluation of the appropriate performance of an organization. The reason is that the performance is always evaluated continuously and at last at the end of the projects in a way that the organization carries out the process. Therefore, the benchmarks are termed as the programs as well as the operations which are set in order to make assessment of organizational performances. It is ideally achieved through some of the standards and run trial tests (Scales, 2014). In quality improvement, this enables in determining how effectively procedures which are being adhered to by an organization are analyzed. It is therefore through these aspects that the performance of the information technology within the organization is identified to have been reviewed. On the other side, milestones mark the end of the project, an end of a certain stage or particular step. Moreover, the performance is progressively monitored, improved and improved after milestones.
It is aligned with the performance mission, vision and the strategic plan in a way that healthcare’s provision targets goal by ensuring that each patient receives the quality health care services. The mission, vision and the strategic plan is to provide the appropriate satisfactory services to patients and work towards diverse population. The performance improvement is aligned with the plans of the health care organization through quality improvement and the patient’s satisfactory which have to be achieved. These tools have similarity like; they are used in evaluating the effectiveness of the health care services in healthcare organization settings. They attributed to the quality of services provided by the healthcare organization through directing the organization towards improvement on their services. Child Health Care Quality measurement is known to be much more concerned with children health quality. Meaning that, it contains information and also tools that can be used to evaluate the healthcare quality for children. It is based in the healthcare organization and the information that is evaluated is signifies health care organization (Hermann, 2005). The ambulatory care is used provision as well as evaluation of the health care organization readiness. It presents the tests regarding health quality preparedness along introducing a task. Contrary to the child healthcare Quality toolbox, the ambulatory care tool obtains information from people around.