It’s not enough to introduce new ideas to clinicians and discuss case studies. The reason is that it won’t motivate them to follow the improvement initiatives. It’s better to learn the quality improvement theory via hands-on improvement work. In other words, it’s applied to the real clinical setting. Also, identifying important areas for clinicians and develop the platform for betterment can help make the adoption much easier.
Defining Quality & Reaching an Agreement
If we agree on what quality means in a certain context, we can establish the measures and then collect data based on them. Also, the Institute of Medicine made a quality framework based on 6 aims for the systems for healthcare. However, the most important of them is the one that is patient-oriented. In other words, it stresses the provision of care based on the values and needs of an individual patient. Also, it ensures that the clinical decisions are made based on the patient’s values.
The definition of quality refers to what the patient thinks is important. It’s to make sure that the patient is getting the best care possible for their illness.
Improvement and Accountability
Both data and measurement make the backbone for quality improvement. This is the point where it’s difficult to take care of the matters associated with healthcare. Typically, when it comes to quality improvement methods, clinicians think that they involve performance measures that require accountability. However, it’s important to remember the difference between accountability measures and improvement measures.
Typically, the accountability measures are processed to get percentages. An accountability measure, for instance, gathers data about the number of ER patients who had to hang on for over 30 minutes for their turn. And then management is asked to keep the waiting time below half an hour. So, the improvement measure figures out the actual waiting period in minutes in order to find out the system performance and them improve it.