Quality Care Research Paper

Op-Ed on Quality Care

To: Chief Editor of New York Times
From: Swapan Prajapati
Subject: Quality and patient safety in USA
Date: December 3, 2012

The purpose of this article is to drive attention to rising issues of quality care and patient safety in United States. In spite of launching major initiatives and investing heavily in recourses to improve patient safety, there has been no significant improvement in health care quality in past decade1. One of the challenges in measuring quality are developing accurate data system. Avoiding surgical complications by implementing WHO checklist guidelines, effective use of computerized physician order entry and electronic health records can foster safer, high quality care.
Current state of
Care can be delivered too late or without full consideration of a patient’s preferences and values. Providers frequently overuse therapies that are not known to be effective, underuse therapies that are clearly recommended, and misuse therapies. At best, overuse of care leads to inefficiency and waste. Overuse may also threaten patient safety. Underuse represents missed opportunities to prevent disease or treat it effectively, and misuse may threaten patient safety and lead to additional illness, injury, or even death. In December 1999, the institute of medicine reported that medical errors cause up to 98,000 deaths and more than 1 million injuries each year in the United States2. From 2001 to 2005, total annual health care expenditure increased at a rate of 4.6 times the rate of the increase in the summery measure of quality of care. Annual total health care expenditures rose 6.5% (in 2005 dollars). During this time same period, quality increased at a rate of 1.4%. For heart disease, cancer and diabetes individually, quality increased at a rate of 2.6%, 1.9% and 0.1% annually, respectively. Expenditures increased at an annual rate of 4.4%, 9.0% and 4.9%,
Computerized physician order entry (CPOE) can improve medication safety, reduce adverse drug reactions, reduce unnecessary variation in care, and improving efficiency of care9. Widespread use of Electronic health records can transform health care. Benefits of E.H.R are: accurate, up-to date, and complete information about patients, quick access to patient records for more coordinated and efficient care, more effective diagnosis, reduction in medical errors, and secure sharing of information10. One of the studies on EHR, Beacon implementation, done at Mount Sinai hospital in New York was successful. Dr. Adelson Said “The major takeaway from our Beacon implementation is the opportunity to continuously improve and update treatment plans based on published research and guidelines for all practitioners to follow. Ultimately, it allows us to provide higher quality, more comprehensive care to individuals by identifying the most appropriate treatment course while minimizing side effects.” 11 Conclusion: Quality of care has become an important issue with rising health care costs over past decade. Checklist method of WHO can reduce surgical complications and morbidity and help improving quality care. Effective use of COPE and EHR can overcome challenges in measurement of quality of care. Although costs of CPOE and EHR are substantial in terms of technology, organizational