There is nobody who walks the path to the NIST Malcolm Baldrige Quality Excellence award and calls it a sprint. It is something deliberately undertaken with some knowledge that it will be a matter of years before you have any real chance of being one of the organizations named a winner.
Joint Commission annual report notes gains in quality
January 1, 2015
It’s one of those cases where the focus is distinctly on the cup half-full: More than 1,200 hospitals, or just about 37% of those accredited by The Joint Commission, achieved Top Performer status on 2013 accountability measure data. That’s an increase of more than 11% from last year. This is good. But it still means that just about two-thirds of the hospitals The Joint Commission accredits don’t meet that mark.
The top 10% of the 445 participants in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) were recognized in October for hitting the mark on a variety of data points deemed important to surgical outcomes.
Theres nothing new in The Joint Commissions first chapter of the 2015 Comprehensive Accreditation Manual Hospitals, and yet, everything about it is new. The chapter includes more than two dozen standards, all of which appear in other chapters, all having to do with patient safety systems, creating a learning organization, and fostering a culture of quality.
If you are an accredited hospital, you already know what to do if Ebola comes to your door. At least thats the theory. But what we think we know how to do, and what actually happens may not always coincide.
If you ask someone familiar with Lean management systems to name one of the things that makes those systems different from more traditional healthcare management, he or she may very well mention that leadership makes it a point to head to the front lines regularly.
Even though hes an advisor for the Institute for Healthcare Improvement (IHI), Richard Scoville, PhD, is quick to tell you that Lean management or its related iterations in healthcare, Virginia Masons management system and Sutter Healths adaptation of it are really quite good.
You can see the quote from the Agency for Healthcare Research and Quality on almost any Web page devoted to quality improvement: Quality health care means doing the right thing at the right time in the right way for the right person and having the best possible results.
At a time when Ebola and other emerging infections may first present at an emergency department (ED), researchers are finding a wide range of compliance or lack thereof with infection control measures.