Stephanie Webb
University of Phoenix
March 8, 2011
HCS/451
Quality Management Assessment Summary Quality management is a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations (McLaughlin, & Kaluzny, 2006). Quality management in healthcare has evolved over the year to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes (McLaughlin, & Kaluzny, 2006). Stephanie Webb Management will assess quality management in long-term care facilities (LTC).This assessment will address the definition of quality care, and describe key concepts of quality management. This assessment will set short-term and long-term goals of LTC facilities, and describe the internal and external factors that may affect these goals. This assessment will also recommend quality management policy that will facilitate the reaching of those goals. A single definition of quality is elusive because quality is different for every individual. According to the U.S. Office 0f Technology Assessment, the broad definition of quality is the degree to which the process of care increases the probability of outcomes desired by the patient, and reduces the probability of undesired outcomes, given the state of medical knowledge (McLaughlin, & Kaluzny, 2006). Since the 1960s, LTC quality has been conceived by using the Donabedian’s framework that associates quality with structures, processes and outcomes of care (Capitman, Leutz, Bishop, Casler, & Schneider, 2005). The focus of quality has changed over time from concern with basic structural factors, such as fire hazards in facility construction to process of care indicators. Process of care indicators includes the use of physical and chemical restraints. Quality in LTC facilities has also changed from process of care indicators to outcome of care
References: Advancing Excellence in America’s Nursing Homes (2011). Retrieved from www.qualidgm.org March 6, 2010 Capitman, J., PhD, Leutz, N., PhD, Bishop, C., PhD, & Casler, R. (2005) Long-Term Care Quality: Historical Overview and Current Initiatives. Report for the National Commission for Quality for Quality Long-Term. Retrieved from www.qualitylongtermcommission.org March 6, 2011 Institute of Medicine (2001). Improving the Quality of Long-Term Care. Retrieved From www.iom.edu Retrieved on March 9, 2011 McLaughlin, C., & Kaluzny, A. [Eds]. (2006). Continuous quality Improvement in Health Care (3rd ed). Sudbury, MA: Jones and Barlett Quality First. (2011). Guidelines for Developing a Quality management system for Long-Term Care Providers. Retrieved from www.ahchncal.org March 6, 2011