The Health Care System For The 21St Century

The Health Care System For The 21st Century
Introduction By 2001 it was brutally apparent that the U.S. Health Care system was in dire need of a
reform in regards to quality and patient safety. Following two separate reports issued by The
Institute of Medicine (IOM), To Err is Human (1999) and Crossing the Quality Chasm: A New
Health Care System for the 21st Century(2001) the U.S. Congress requested the IOM review quality
processes across multiple government funded health care programs. And understandably, "these
reports described America's healthcare system as a tangled, highly fragmented web that often wastes
resources by duplicating efforts, leaving unaccountable gaps in coverage, and failing to build on the
strengths of all health professionals" (Brown J., p. I – 15, 2013). Thus, the Committee on the Quality
of Health Care in America released 6 aims to address key dimensions that require improvement in
our health care system. These aims propose that our system needs to strive to be more Safe,
Effective, Patient–Centered, Timely, Efficient, and Equitable (STEEEP). All of which were created
to help overhaul our current health care system and, more importantly, narrow the quality chasm.
Safe
Crossing the Quality Chasm defines safe as, "avoiding injuries to patients from the care that is
intended to help them" (p. 5). Ideally, this aim is to help protect patients from harm, improve on safe
patient–care practices, and utilize the most up to date evidence–based medicine for better outcomes.
"Current estimates from
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Management
Definitions[edit]
Although there are different definitions of brand positioning, probably the most common is:
identifying and attempting to occupy a market niche for a brand, product or service utilizing
traditional marketing placement strategies (i.e. price, promotion, distribution, packaging, and
competition).
Positioning is also defined as the way by which the marketers attempt to create a distinct impression
in the customer's mind.
Positioning is a concept in marketing which was first introduced by Jack Trout ( "Industrial
Marketing" Magazine– June/1969) and then popularized by Al Ries and Jack Trout in their
bestseller book "Positioning – The Battle for Your Mind." (McGraw–Hill 1981)
This differs slightly from the context in ... Show more content on Helpwriting.net ...
Many individuals confuse a core idea concept with a positioning concept. A Core Idea Concept
simply describes the product or service. Its purpose is merely to determine whether the idea has any
interest to the end buyer. In contrast, a Positioning Concept attempts to sell the benefits of the
product or service to a potential buyer. The positioning concepts focus on the rational or emotional
benefits that buyer will receive or feel by using the product/service. A successful positioning
concept must be developed and qualified before a "positioning statement" can be created. The
positioning concept is shared with the target audience for feedback and optimization; the Positioning
Statement (as defined below) is a business person's articulation of the target audience qualified idea
that would be used to develop a creative brief for an agency to develop advertising or a
communications strategy.
Positioning Statement As written in the book Crossing the Chasm (Copyright 1991, by Geoffrey
Moore, HarperCollins Publishers), the position statement is a phrase so formulated: For (target
customer) who (statement of the need or opportunity), the (product name) is a (product category)
that (statement of key benefit – that is, compelling reason to buy). Unlike (primary competitive
alternative), our product (statement of primary differentiation).
Differentiation in the context of business is what a company can hang its hat on that no other
business can.

The Roots Of Patient Safety Essay
The roots of patient safety may be traced back to the 19th century. Florence Nightingale an English
nurse linked poor living conditions with the high death rates of soldiers. Ignaz Semmelwies an
obstetrician noticed the importance of hand washing in medical care. Patient safety in the United
States came to the forefront in the 1990s and since has developed into a new health care discipline
focusing on preventing adverse health care events.
The Institute of Medicine (IOM) and other academic research paved the way in brining light to the
issue of patient safety in the U.S. One of the first pushes for patient safety was with the introduction
of the Electronic Health Record (EHR) then called the Computerized Patient Record (CPR) in a
report The Computer–Based Patient Record: An Essential Technology for Health Care published in
1991 by IOM. The report outlines the "quality, safety, and efficiency" the EHR will bring to
physicians.
One of the most significant IOM reports revealing the importance of patient safety came in 1999
with the publication of To Err is Human: Building a Safer Health System by the Committee on
Quality of Health Care in America. The astounding findings of this report propelled patient safety to
the forefront of the health care agenda. The IOM report revealed, "tens of thousands of Americans
die each year as a result of preventable mistakes in their care, the report lays out a comprehensive
strategy by which government, health care providers,

Persuasive Essay On The Health Care System
The health care system in the U.S. is not providing patients with the high quality care they are
capable of giving. There is a gap between the health care system we have now and the system we
could potentially have. One factor contributing to this gap is due to the vast advancements in
technology and medical science. With new technology and systems comes more to teach, more to
know, more to manage, and so forth. Faced with these rapid changes, the U.S. health care delivery
system has fallen short in its ability to express knowledge into practice and apply new technology in
a safe way (Crossing the Quality). As members of the health care system we can help improve the
quality of care given to patients by following the Institute of Medicine's six aims for improvement
and the 2017 National Patient Safety Goals.
Improving Quality of Care
Six Aims for Improvement The Institute of Medicine listed six aims for improvement which include
safe, effective, patient–centered, timely, efficient, and equitable care. As a nurse safety is a top
priority for your patient. You want to keep your patient free from any injury or harm.
Implementation of safety can be accomplished by making sure the upper bed rails are raised and the
bed is in low position when leaving a patient's room, this will help to decrease the risk of falls.
Effective care can be accomplished by providing evidenced–based care to patients who will benefit
and to refrain from providing it to patients who will not

Tesla Case Analysis : Tesla
TESLA CASE STUDY
INTRODUCTION Founded in 2003, Tesla is an electric car manufacture company that started in
California, they are considered leader in its category. Tesla electric cars not only outsold Nissan Leaf
and GM electric cars in US. Their latest Model S had also outsold BMW 7, Audi 8. Tesla is also
targeting SUV consumers with their Model X. They are considering disruptors in the electric car
market. With their advance innovation and stylish design, many consumers are willing to pay high
price for Tesla performance car. Tesla has place themselves as a luxury brand with many consumers
waiting for their new released backed order products.
TESLAA TRUE DISRRUPTOR Electric car has been innovative to fight pollution problems in ...
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We can see that Tesla expanded their product line to target multiple consumers in different price
range. The company started with high–end luxury sports car targeting early adaptors. On the second
stage, Tesla has introduced Model S sedans that help them pass from difficult line from early
adaptors to early majority. Moving forward, Tesla is introducing new Electric Vehicles (EV) cross
over and many more affordable EV to target a larger majority. This strategy is helping Tesla move
from one stage to the next one. The company is planning to release Model X in summer of 2015 and
there are possibilities to introduce more affordable EV in the range of $30,000 dollars to compete
with BMW 3 series in the fall of 2015.
TESLA PSYCHOGRAPHIC MARKETING Tesla has successfully combined demographics and
psychographics to market their products. Tesla Electric Vehicle (EV) has addressed current
consumers needs and solve our pollution problems. Some of the psychographic information that can
relate to the current consumers can be the following:
People are concerned with car pollution and environmental issues
EV have access to free HOV lanes, so users can save commute time
Tesla brand provide consumers feeling of style and technology
Model S marketing focus on speed, comfort and handling
Tesla EV Focus on potential cost saving on gas, reduce cost on service and repair.
With the

Qsen
The Quality and Safety Education for Nurses
The overall goal through all phases of The Quality and Safety Education for Nurses (QSEN) is to
address the challenge of preparing future nurses with the knowledge, skills and attitudes necessary
to continuously improve the quality and safety of the healthcare systems in which they work. In
order to accomplish this goal, six competencies were defined. These competencies from the Institute
of Medicine (IOM) are patient centered care, teamwork and collaboration, evidence–based practice,
quality improvement, informatics and safety. Over a decade has passed since the Institute of
Medicine's reports on the need to improve the American healthcare system. The Quality and Safety
Education for Nurses ... Show more content on Helpwriting.net ...
A's, 2014 http://qsen.org/competencies/graduate–ksas/
Webster University; 2015

Improving Hand Hygiene Compliance On Nursing Practice
All Hands on Deck: Improving Hand Hygiene Compliance
Hand hygiene (HH), or cleansing of the hands with soap and water or an alcohol–based hand rub
(ABHR), is the single most important clinical determinant for marked risk reduction of hospital–
acquired infections (HAIs) or more specifically, multidrug–resistant organisms (MDROs), a major
contributing factor to patient morbidity and mortality. Despite being one of multiple quality
indicators for hospital patient safety ratings and infection prevention interventions, hand hygiene
compliance (HHC) amongst healthcare workers (HCW) is subpar across the nation. This paper
explores the significance of HHC, a current quality improvement issue in nursing practice. Current
data and tools for measuring the nursing sensitive indicator of HHC will be discussed. It concludes
with a model for improvement in HHC to meet a minimum recommended sustained rate of 90%
compliance.
Quality Improvement Initiative
Hand Hygiene
In 1847, Ingaz Semmelweis, a Hungarian physician, demonstrated that basic HH markedly reduced
the occurrence of sepsis (Haas and Larson, 2007). HH has since been declared the most effective
measure for the prevention of HAIs and MDROs, yet the rates for HHC remain inexcusably low,
considering the simplicity and low cost of the swift task, particularly as ABHRs become the
preferred method of HH. With the incidence of HAIs and MDROs mounting, the WHO, CDC, NIH,
and of personal significance, the hospital with which I am employed,

Health Care Delivery Analysis
The milestone I chose that has influenced health care delivery is when Avedis Donabedian created
the structure, the process and the outcome paradigm in assessing quality health care making him the
modern founder and leader of the quality field (Vary, Prathibha MD, 2010). His idea greatly
influenced the current quality programs that many health care organizations are implementing in
their own industry. Looking on the whole picture of an adverse event or current process the
organization is utilizing in improving quality health care relates to the purpose and philosophy of
quality improvement that is to improve patient's outcomes. The system approach he introduced serve
as a guide in health care organizations in enhancing patient outcomes. ... Show more content on
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It calls for changes in health care system to gain back the trust of the patient or community they
serve. The government which represents the people spent a lot of money to make health care
services available to all in all walks of life as much as possible. From July 19, 1998 President's
Advisory Commission on Consumer Protection and Quality in the health care industry statement
"Improving the quality of health care has the potential to save lives, reduce disability, improve
productivity and reduce health care spending thus it is a national priority. An example is the CMS
Centers for Medicare and Medicaid Services overseeing 345 billion Medicare programs has to
ensure that 43 million Americans receive care that is safe, effective, efficient, patient–centered,
timely and equitable through what they call a "quality roadmap".(www.ahrq.gov). In an effort to
improve health care delivery system, different quality improvement initiatives and policies has been
implemented by different sectors of the

Management Accounting
Rothschild, J. M., Lee, T. H., Bae, T., and others. "Survey of Physicians' Experience Using a
Handheld Drug Reference Guide." (Presented at AMIA 2000 Annual Symposium). American
Medical Informatics Association, Los Angeles, California, March 2000.
Manhattan Research. "Taking the Pulse v3.0: Physicians and Emerging Health Technologies."
Survey released May 6, 2003. http://www.manhattanresearch.com (accessed May 19, 2003).
Broder, C. "Electronic Prescribing Gains Traction in California, Nationwide." iHealthBeat.
http://ihealthbeat.org, April 22, 2003 (accessed May 19, 2003).
Manhattan Research. "Taking the Pulse v3.0: Physicians and Emerging Health Technologies."
Survey released May 6, 2003. http://www.manhattanresearch.com (accessed May 19, 2003).
Broder, C. "Electronic Prescribing Gains Traction in California, Nationwide." iHealthBeat.
http://ihealthbeat.org, April 22, 2003 (accessed May 19, 2003).
Manhattan Research. "Taking the Pulse v3.0: Physicians and Emerging Health

The Institute Of Medicine ( Iom )
Background Many health care leaders, authors, and professionals have given their time and effort to
write and discuss quality. Quality is now recognized as one of the key aims in healthcare today. The
Institute of Medicine (IOM) has had a profound impact on health care in America and the view of
quality within health care facilities. The National Roundtable on Health Care Quality met six
different times between 1996 and 1998 to look at changes regarding quality in health care. Within
their conclusion they said, "Serious and widespread quality problems exist throughout American
Medicine" (IOM, 1998). The terms underuse, overuse, and misuse evolved here to describe the
errors occurring in health care. These errors were hurting more patients than the population realized
and once published the trust towards healthcare was low and many had questions. Their review at
the roundtable combed through what was currently the norm in health care. Based on the experience
of the members of the roundtable, it was not up to par and a shift was necessary to improve
healthcare outcomes. The IOM's report "To Err is Human: Building a Safer Health System" shocked
the health care world and made change necessary. "To Err is Human: Building a Safer Health
System" released information that reported that tens of thousands of Americans were dying each
year from errors (IOM, 1999). Patient safety moved to the forefront in healthcare like never before
and directives were discussed to put quality as a

Engineer
A Summary of "Crossing the Chasm"
By Jonathan S. Linowes, Parker Hill Technology
Geoffrey A. Moore, Crossing the Chasm, Marketing and Selling High–Tech
Products to Mainstream Customer (revised edition), HarperCollins Publishers,
New York, 1999
The high–tech marketing guru (and principle of The Chasm Group marketing consultants), Geoffrey
Moore offers time tested insights into the problems and dangers facing growing software companies,
and a blueprint for survival. This classic text (first published in 1991) is widely accepted as "the
bible for bringing cutting–edge products to progressively larger markets."
For the benefit of the reader, while I do not presume to do justice to Moore's book, I attempt to
summarize key points ... Show more content on Helpwriting.net ...
When this happens, the cost of sales goes way down, and the leverage on incremental R&D to
support any given customer goes way up. That's one of the reasons pragmatists make such a great
market...
"They like to see competition... Pragmatists want to buy from proven market leaders because they
know third parties will design supporting products around a marketleading products... aftermarket...
"Overall, to market to pragmatists, you must be patient. You need to be conversant with the issues
that dominate their particular business. You need to show up at the industry–specific conferences
and trade shows they attend. You need to be mentioned in articles that run in magazines they read.
You need to be installed in other companies in their industry. You need to have developed
applications that are specific to their industry. You need to have partnerships and alliances with the
other vendors who serve their industry. You need to have earned a reputation for quality and service.
!"
"Pragmatists are not anxious to reference visionaries in their buying decisions. Hence the chasm.
Four fundamental characteristics of visionaries that alienate pragmatists:
1. Lack of respect for colleagues' experiences.
2. Taking greater interest in technology than in their industry.
3. Failing to recognize

The Tenets Of Healthcare Quality And Safety
Since the release of the Institute of Medicine's 1999 report, To Err Is Human: Building a Safer
Health System, the healthcare industry has struggled to make substantial headway in improving the
quality of care and safety of patients.Continued problems with healthcare quality have caused
mounting public frustration. For an industry in which the stakes are high and small problems can
mean the difference between life and death, operations tend to be far from reliable. This paper will
discuss the tenets of healthcare quality and safety, and highlight some of the organizations leading
healthcare quality and safety efforts today. The impact of regulations on workflow and patient
outcomes will be explored as well as how a Christian worldview influences ones commitment to
supporting healthcare quality and safety. Discuss the tenets of healthcare quality and safety. The
IOM's reports, To Err Is Human and Crossing the Quality Chasm were instrumental in shaping the
essence of healthcare quality and safety over the last decade (Gross, 2013). The IOM initially
defined quality as "the degree to which health services for individuals and popu–lations increase the
likelihood of desired health outcomes and are consistent with current professional knowledge" but
they later expanded the definition to include the six distinct aims for improvement (Gross, 2013,
p.236). These six aims, otherwise recognized as STEEEP, denote that quality care must be safe,
effective, patient–centered, efficient,

Understanding Business Research Terms and Concepts: Part 2...
Understanding Business Research Terms and Concepts: Part 2
April Molley
University of Phoenix
RES/351 Amy Ginsburg
The first article discusses the overall Health of Lesbian, Gay, Bisexual, and Transgender people; and
Building a Foundation for a better understanding. In this article you will find accompanying
research on the generally health status of the LGBT community. A condition in order to review
existing research on sexual–gender–minority health, this article presents research encounters
accompanying with this particular study of LGBT populations. When research method along with
data sources that would be used in the studding of these populaces and to determine the best overall
... Show more content on Helpwriting.net ...
The landmark publications To Err is Human (Institute of Medicine, 2000) and Crossing the Quality
Chasm (Institute of Medicine, 2001) have served as the impetus for all healthcare professionals to
consider their practice patterns. The quest for Magnet designation has propelled nursing leaders to
evaluate whether the care delivery models they use incorporate evidence–based practice, and there is
integration of research and evidence–based practice in clinical and operational processes (Turkel,
Reidinger, Ferket, & Reno, 2005).
To embed these values among a nursing staff, clinical staff participation in the process of nursing
research is critical, as well as the use of evidence to drive nursing interventions (Clark, 2006). I have
noted that the research generally process of methodical inquiry to create and develop acquaintance
within a self–control or profession. I have also learned that research validates and refinances of
existing knowledge and develops new knowledge (Burns and Grove, 2007).
With nursing research priorities exists to provide a certain high quality of nursing care for any
individual in need of any type of healthcare promotions, also health sustain along with health–
restoring strategies. Is show's how the overall consequence of this type of research activity for a
typical nurse would be ultimately and put its knowledge increased to work along with its healthcare
delivery! Something else I have found about research priorities

Everett Rogers Diffusion Of Innovations
Diffusion of Innovations seeks to explain how innovations and social changes are taken up in a
segmented group of people. An innovation is considered as either an idea, behavior, or object that is
perceived as new by the receiving audience. According to author Everett Rogers, Diffusion of
Innovations offers three valuable insights into the process of social change which include: what
qualities make certain innovations spread rapidly than others, the value of peer–peer conversations
and peer networks during social changes, and assessing and understanding the needs of different
individuals in a specific population. In the book, Diffusion of Innovations, the focus is not on the
people who change, but the innovations themselves. The clip I chose to analyze for this assignment
is a short, less than three minute video, regarding the truth about privilege and ... Show more content
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He kept making points that society has already progressed enough to make things equal between
different people, and referring that a huge "call for diversity" already exists. The male actor in the
commercial is using "relative advantage" to refrain from making and choices or actions about
equality and privilege. From his perspective, he sees things as being pretty equally, so the idea to
initiate innovation and change around equality does not seem better than the current status quo. He
is using his own particular perception to showcase that action steps to achieve greater equality for
everyone is incompatible with his current values, norms and practices. From our text, Diffusion of
Innovations, new ideas that are "simpler to understand are adopted more rapidly than innovations
that require the adopter to develop new skills and understandings." Equality is a difficult, and often
at times, at taboo subject to address, so that leads people, like our make counterpart in the clip, to
refrain from making and acknowledging any

The Impact Of Patient Centered Care On Quality Of Patient...
The Impact of Patient–Centered Care on Quality of Patient Care
Rachel Stoller, RN
Robert Morris University What would happen if patients were able to create their own healthcare
experience? What would it look like? How would they benefit? I plan to discuss these hypotheticals
through research regarding Patient–Centered Care. After all, studies and surveys performed by the
Institute of Medicine and the Institute for Healthcare Improvement, read that engaged patients in
any health care setting, have better perceived health outcomes, thus higher actual quality patient
outcomes.
Relating to the above, I believe that engaged learners have a better understanding of the material and
thus more effective practice outcomes. Because of this belief, I would use informal lecture coupled
with a series of patient narratives and class discussions regarding the patient–centeredness of care–
team and patient interactions. In teams, we would discuss patient outcomes, care team involvement
and behaviors, provider prompts, patient prompts, professional responsibility, what was and was not
patient–centered, barriers to care and areas of opportunity to meet patient needs. After discussion,
those learning would be responsible to research an assigned condition and to create a patient
centered experience for either a primary care or acute interaction.
Information Outline
I. Harvey Picker, The Picker Institute and Institute of Medicine
a. Explain the origin of PCC
b. Define PCC
II.

Ancient Greek Mythology Essay
The ancient Greeks were one of the more influential ancient civilizations. Their empire lasted from
the eighth century to circa 600AD. Along with being praised for their architecture and contribution
in the sciences their beliefs have influenced many modern–day books, plays, and movies. Such as
the popular series written by Rick Riodron, Percy Jackson or The Heroes of Olympus.
The pagan Greek religion is comprised of stories known as myths. The main characters being the
gods. The Greek gods and other mythical creatures are the embodiment of exaggerated human
characteristics. Zeus, the King of gods and the god of the sky, shows the qualities of a king (wisdom,
equity, justice, mercy, and prudence) and is unpredictable. Hephaestus, the god of fire, metal
working, stone masonry, forges, and the art of sculptures, was a kind and loving god. "In chains, in
this deep chasm raked by all storms/I have not courage; yet ... Show more content on
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They were easily deceived and out witted. Prometheus could steal and keep knowledge hidden from
the gods. "The president/ Of heaven's high parliament/Shall need me yet to show/What new
conspiracy with privy blow/Attempts his scepter and his kingly seat." An all knowing or all
powerful god would not need to be dependent on someone; the writer of the myths implies that they
are not to be taken seriously. Many Greek philosophers dismissed the common belief in the gods, for
they found the answers to commonly asked questions in science. "Aristotle's view is that mythology
was the beginning of acquiring the true knowledge of how nature and the world function."
The beliefs of the ancient Greeks have influenced numerous stories, poems, and songs. The Greek
gods are the embodiment of exaggerated human characteristics and are used to explain nature and
the functions of the world. They were never viewed as all–knowing or all powerful. The gods are
fictional characters in a well written

Crossing the Chasm
CROSSING THE CHASM. Copyright © 1991 by Geoffrey A. Moore. All rights reserved under
International and Pan–American Copyright Conventions. By payment of the required fees, you have
been granted the non–exclusive, non–transferable right to access and read the text of this e–book
on–screen. No part of this text may be reproduced, transmitted, downloaded, decompiled, reverse
engineered, or stored in or introduced into any information storage and retrieval system, in any form
or by any means, whether electronic or mechanical, now known or hereinafter invented, without the
express written permission of PerfectBound™. PerfectBound ™ and the PerfectBound™ logo are
trademarks of HarperCollins Publishers. Adobe Acrobat E–Book Reader ... Show more content on
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It turns out instead they were a placeholder for the market tactics used during a merging
hypergrowth market, a challenge covered in a subsequent book, Inside the Tornado. Also I have
substituted a revised scenario process for the original to incorporate improvements that have
evolved over the past several years of consulting at The Chasm Group. Elsewhere, I took a slightly
new angle on creating the competition and, when it came to the section on distribution, I have done
my best to incorporate the emerging influence of the Internet. But the overwhelming bulk of the
changes in this new edition–representing about a third of total text–simply swap out the original
examples from the 1980s with new ones from the 1990s. Surprisingly, in the majority of cases this
swap works very well. But in other cases, there's been a little forcefitting, and I want to beg your
indulgence up front. The world has changed. The high–tech community is now crossing the chasm
intentionally rather than unintentionally, and there are now competitors who have read the same
book and create plans to block chasm–crossing. The basic forces don't change, but the tactics have
become more complicated. Moreover, we are seeing a new effect which was just barely visible in
the prior decade, the piggybacking of one company's offer on another to skip the chasm entirely and
jump straight into hypergrowth. In the 1980s Lotus piggybacked

Case Study: Transforming Care At The Bedside
Transforming Care at the Bedside
Transforming care at the bedside (TCAB) was developed through a joint effort by the Institute of
Healthcare Improvement (IHI) and the Robert Wood Johnson Foundation (Lavoie–Tremblay et al.,
2014). The initiative has four main areas of focus: safe reliable care, vitality and teamwork, patient–
centered care, and value added processes (Lavoie–Tremblay et al., 2014, p. 16). The most notable
change witnessed in practice as a result of this initiative has been a shift to patient–centered care.
The current investigation considers this issue and the application of TCAB to the Institute of
Medicine's (IOM) six aims for improvement and patient centered teams.
Patient–Centered Care
Personal experiences with TCAB indicate that nurses responsible for providing care are required to
make every effort to engage in the patient in care. This includes providing the patient with direct
information about care practices being used and requiring feedback from the patient regarding his or
her views on the treatment provided. Information from patient encounters is charted and used as a
starting point for all nurses to begin practice with the patient when beginning a new shift.
Engagement of the patient at bedside has been noted in the literature to be an ... Show more content
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The use of information technology for building patient–centered care has been documented in the
literature as a foundation for bringing together both internal and external information of concern for
healthcare providers (Bali & Gibbons, 2010). The tactics also facilitate the achievement of the
IOM's goals to build effective teams. Communication has become a cornerstone for healthcare
professionals to work together and for healthcare professionals to interact with patients to improve

Introduction To Crossing The Quality Chasm : A New Health...
The Institute of Medicine of 2001, states numerous areas where healthcare is failing patients, stating
delivery of care is often overly complex and uncoordinated, leading to a slowdown in care rather
than improved efficiency in regards to patient safety (Institute of Medicine, 2001). To account for
the incommodious system, the Institute of Medicine discusses in a health policy review released
titled Crossing the Quality Chasm: A new Health System for the 21st Century. six aims for
improvement of quality. The six aims for improvement are built around the core of healthcare to be
built around safety, effectiveness, timeliness, efficiency, equitable and patient centeredness (Institute
of Medicine, 2001). A healthcare system that achieves gains in these areas would be better off at
meeting patient needs according to the Crossing the Quality Chasm review.
Reducing hospital readmissions is an ongoing effort for many healthcare organizations. Not only is
it beneficial to the patient, but also to the bottom line of healthcare facilities and the healthcare
system as a whole. Using the six quality aims could benefit organizations through evaluation of the
safety of patients, effectiveness and equitability of services, adherence to the patient 's wants and
needs, and timeliness and efficiency of care. Since the publication of Crossing the Quality Chasm: A
new Health System for the 21st Century. many factors have already changed to positively affect the
six quality aims.
Often

Week 4 Quality Of Health Care Worksheet Analysis
Week 4: Quality of Health Care Worksheet
Please watch the recorded lecture and following along with the PPT under Module: Week 4. As you
go through the PPT you are prompted to respond to certain questions below. Your responses should
include citations and evidence to support in APA when appropriate. Once completed post this
worksheet with your responses with the appropriate Assignment Module by Sunday 8 am.
1) What are the licensure requirements for an OTR in your state (live and work) (Slide #5)?
The licensure requirement I looked up for where I live in CT. For an Occupational therapy license,
one must have received a bachelor's degree and a graduate program that has been accredited by the
AOTA. They also could have completed an ... Show more content on Helpwriting.net ...
This topic could help me determine if the use of CIMT is successful and could help my future
clients that suffer from cerebral palsy.
4) Why is it important to use outcome measures that are evidence based? (Slide #8).
It is important to use outcome measures that are evidence based because they prove that something
was successful or unsuccessful. Using Outcome measures that are evidence based allow clinicians
see specifically how a treatment effected the clients.
5) Use quality check (https://www.qualitycheck.org/) to determine rating of a place in your area
(maybe a place a family member stayed). What are the results? What do they mean? And why is this
information important? (Slide #11).
Johnson Memorial Hospital is a local hospital local to where I live. It is an accredited hospital
meaning is providing the best quality service. This is important to know because when choosing a
hospital to go to you want to make sure you chose one that will provide you with the best care and
treatment.
6) NBCOT, Official Documents of OT, Licensure, and Scope of Practice for OT. How does each
item regulate the profession of OT? You may want to look up and review items you are not familiar
with (be sure to cite APA as needed) (Slide #13).
NBCOT, Official documents of OT, Licensure and Scope of practice for OT regulates the profession
of OT by providing OT's with

Nursing Quality Improvement Report
Today the US health care system is undergoing rapid changes; and nurses have a vital role in
transforming healthcare. Every day, as a nurse, we have the opportunity to make meaningful
contributions in human lives by providing a higher level of care. But, this is not always achieved,
and numerous studies reveal failures in the health care system; highlighting the need of "a radical
overhaul" of the nursing profession to transform health care.
To transform health care successfully, nurses must be focused in improving quality of care. There
are many reports that reveal evidence of quality deficiencies of the healthcare system, as well as,
many systems and processes that guide quality improvement efforts.
One of these reports is "Crossing the quality chasm: A new health system for the 21st century" by
the Institute of Medicine (IOM, 2001). After more than a decade being published, this report
continues providing useful and relevant information. The report explains six dimensions of quality
that need to be achieved by the healthcare system to improve quality, the six aims are: Safety,
Effectiveness, Efficiency, Timeliness, Patient centered care, and Equitability. (Joshi, 2015, pg 6)
In terms of systems and processes, in my opinion, one of the most interesting models used to
improve quality is the "API Improvement Model". This is a simple model based ... Show more
content on Helpwriting.net ...
Some of these recommendations are: "To ensure that nurses engage in lifelong learning". Continuing
education will help nurses to retain clinical skills and develop leadership abilities. Another: "The
implementation of nurse residency programs". It will support nurses on the transition to new clinical
practice areas. Also: "Remove scope–of–practice barriers", advanced practice RNs should be able to
practice to the full extent of their education and

Rater Quiz
Crossing the Chasm
What's New? What's Not?
Strategic Management of Emerging Technology Hult School of International Business May 23,
2014
Disruptive Innovation
Sources of Wealth Creation in the Current Decade
Eating other people's lunch
Software eats hardware Op ex eats cap ex Services eat products
Leveraging next–generation technology
Social Mobile Analytics Cloud
2
Marketing Disruptive Innovation
High Risk
What Makes High–Tech Marketing Different?
Unproven products and promises Incompatible and incomplete infrastructure Social resistance to
change
Low Data
No product history No company track record No best practices
3
Category Maturity Life Cycle ... Show more content on Helpwriting.net ...
category Technology–based leadership Another visionary in a different industry
This playbook is about creating budget
Crossing the Chasm

Target Customer Compelling Reason to Buy Whole Product Partners and Allies Distribution Pricing
Competition Positioning Next Target Customer Pragmatist function manager Fix a problem business
process Application focus, standardized Recruited for specific whole product Direct sales
transitioning to VARs Value–based, pain motivated Market vs. market Niche market leadership
Adjacent niche market

Nursing Team Essay
Nurses play a major role in healthcare teams today; their responsibilities are more involved than
most others within the healthcare team. Patients have more hands on time with nurses, giving more
opportunity for mistakes. The Institute of Medicine (IOM) in 2001 set out to make healthcare
improvements stated in a report, "Crossing the Quality Chasm: A New Health System for the 21st
Century." The IOM lists six aims for improvement that they believe each healthcare member should
adopt and implement. (Cherry, 2008, p.381) The six aims of quality healthcare improvement include
safe, timely, effective, efficient, equitable, and patient–centered. Another issue brought forward by
the Joint Commission (JC) is the 2016 National Patient Safety Goals ... Show more content on
Helpwriting.net ...
The campaign would emphasize the six aims' acronym, 'STEEEP', and the seven patient safety goals
for hospitals on posters in every room. (Cherry, 2008, p.381) This serves as a constant reminder to
all healthcare employees the importance and regularity that should be taken. Secondly, quarterly
training meetings would add specific training for nursing staff in regards to safety. Within these
pieces of trainings, nursing staff will learn how to implement the six aims' acronym, STEEEP, into
their daily routines. S–safe, nurses shall prevent patient injuries. T–timely, nurses shall reduce the
wait time for patients that could be considered in a critical state. E–effective, nurses shall only
perform services to a patient that have are science–based. E–efficient, nurses shall prevent
wastefulness in regards to supplies, equipment, and energy. E–equitable, nurses shall treat all
patients with no discrimination; every patient is treated with equal quality care. And, P–patient
centered, nurses shall always put the concerns of the patient first, and be considerate towards their
individual beliefs, values, and preferences. (Cherry, 2008, p.381–382) During the training, they will
discuss the seven patient safety goals and how important it is to follow set guidelines. Guidelines are
in place to keep patients safe from healthcare staff

Chapter Summary
Chapter 4: How do you think planning in today's organizations compares to planning in an
organization 25 years ago? Do you think planning becomes more important or less important in a
world where everything quickly changes and crises are a regular part of organizational life? Why? In
the past twenty give years there have been many changes in our world which have impacted
business organizations, such as the rise of cell phones, the internet, and further globalization.
Companies that have not be able to keep pace with the changes in technology, consumer taste, and
marketing strategies have been relegated as dinosaurs and have destroyed themselves with this lack
of adaptability. The need of an organization to conduct formal planning is widely accepted in today's
complex and rapidly changing environment and is a large factor in determining whether an
organization will be successful (Khan & Khalique, 2014; Mehrabani & Mohamad, 2011; Fedrickson
& Mitchell, 1984; Leontiades & Tezel, 1980). This has not necessarily been found to be true in
historic application, as some studies have found that there is no strong association between
corporate performance and whether that organization is a formal or informal planner (Miller &
Cardinal, 1994; Leontiades & Tezel, 1980). Planning may be very important to the success of an
organization, but an organization must also be flexible and be able to adapt to survive. Even though
making concrete long term plans seems to be something that would

Quality Chasm Reflection
Patients are central to healthcare delivery, yet their perspectives and input has been rarely
considered by providers [1]. Over the last two decades this is beginning to change, and patient–
centered care is drawing increasing interest. This shift in focus, from provider–based to patient–
based, is highlighting the importance of incorporating patient's needs and perspectives into care
delivery. Furthermore, patients are becoming more engaged in their care, coinciding with the onset
of patient–centered healthcare as a major domain of quality by many healthcare providers.
Prompted in part by the Institute of Medicine's 2001 report, 'Crossing the quality chasm' [2],
patient–centered care has become a high priority on both the national and international agenda, and
has received increasing public attention. Motivated further by public reports of patient experience
and patient satisfaction, many healthcare organizations around the world has begun to strive to
become more patient oriented, and use patient surveys to assess their progress. Since then a growing
body of evidence supports a robust association between higher levels of patient–centeredness and
the improved clinical outcomes [3]–[5]. Also, ... Show more content on Helpwriting.net ...
Even with expanding initiatives, healthcare organizations attempting to transform their
organizational culture from 'provider focused' to 'patient focused', still fall short of achieving high
scores on patient satisfaction. At the same side, studies have shown that those healthcare
organizations that succeed in fostering patient–centered care into their organizations incorporated it
as a strategic investment priority mainly by committed leadership, active measurement and feedback
of patient as well as engagement of patients and staff

The Quality Chasm
With the growing reliance on medication therapy as the primary intervention for most illnesses,
patients receiving medication interventions are exposed to potential harm as well as benefits.
Medicines have proven to be very beneficial for treating illness and preventing disease. This success
has resulted in a dramatic increase in medication use in recent times. Unfortunately, this increase in
use and expansion of the pharmaceutical industry has also brought with it an increase in hazards,
error and adverse events associated with medication use.
Medication has also become increasingly complex. There has been a massive increase in the number
and variety of medications available. In addition, many medications have different routes of
delivery, variable actions (long acting, short ... Show more content on Helpwriting.net ...
Although, it received significantly less attention, the 2001 report had more import regarding needed
focus on specific quality issues and accompanying changes in the health care system that need to
occur. Specifically, the Crossing the Quality Chasm report suggested that in order to bring
transformation, the health care system has to focus on six aims: patient safety, effectiveness, patient–
centeredness, timeliness, efficiency, and equitability (American Hospital Association [AHA], 2015).
In addition, the Crossing the Quality Chasm report had important implications for current and future
health professionals. In 2003, IOM issued another report "Health professions education: A bridge to
quality" that set out a vision for all programs and institutions engaged in clinical education,
recommending the implementation of a core set of five competencies: provide patient–centered care,
work in interdisciplinary teams, employ evidence–based practices, apply quality improvement, and
utilizing informatics (Wakefield,

The Lewis Blackman Case: Medical Errors In The United States
Module 3 Group B Summary Medical errors in the United States are part of a nationwide health
crisis, with hospital death amounting to the third leading cause of mortality in the USA today. The
Lewis Blackman case is a tragic example of medical error; particularly one relating to decision
making. Group B identified several errors, near misses, adverse events, and harm taking place in this
history. Medical errors, ranging from an unaddressed low urine output, to the doctor ordering an
erroneous dose to the patient, to the blindness of clinicians in seeing the indicators of Lewis'
worsening condition, all resulting in the inability to save Lewis Blackman's life. The errors in this
history began with the lack of education of the patient and his

Literature Review On Patient Centered Care
Literature Support Within recent review of evidence based practice (EBP) there has been strongly
supported clinical recommendation that shows a higher percentage sustained and longer percentage
of sustained goals when the approach to communication and care is patient centered versus
medically proposed (McAdam, Corrigan, Hurtado & Swift, 2001, p41). Patient–centered exchange
can be coined as "healthcare that establishes a partnership among practitioners, patients, and their
families (when appropriate) to ensure that decisions respect patients' wants, needs, and preferences
and that patients have the education and support they need to make decisions and participate in their
own care" (McAdam, et al, 2001, p41). Examination Technique Summary In search of viable
content to explore this writer's quest for information to support patient–centered approach versus
medical approach, this writer utilized the National Center for Biotechnology Information (NCBI)
(McAdam, et al, 2001, p41). In search of practicable articles, this writer's description of search
methods was as follows: The data base selected was Pub Med Health via the NCBI website;
applicable keyword chosen was: Advantages of patient centered care in nursing which yielded 96
articles (McAdam, et al, 2001, p41). To continue, this writer refined her search by selecting the
article type, systematic review which yielded 84 articles (McAdam, et al, 2001, p41). Lastly, this
writer researched her findings

Quality Of Life Care During Palliative Care
ABSTRACT
The purpose of this paper is to review ideas and strategies to transform and make improvements for
quality of life care during palliative care. One of the most important aims of palliative care is to
minimize suffering and discomfort. Palliative care is provided in almost all settings where health
care is provided, including neonatal units, pediatric services, acute hospitals, general practices, as
well as residential and nursing homes. The World Health Organization (WHO) defines palliative
care as: "an approach that improves the quality of life of patients and their families facing the
problem associated with life–threatening illness, through the prevention and relief of suffering by
means of early identification and ... Show more content on Helpwriting.net ...
The majority of adults in need of palliative care have chronic diseases such as cardiovascular
diseases (38.5%), cancer (34%), chronic respiratory diseases (10.3%), AIDS (5.7%) and diabetes
(4.6%). Many other conditions may require palliative care, including kidney failure, chronic liver
disease, multiple sclerosis, Parkinson's disease, rheumatoid arthritis, neurological disease, dementia,
congenital anomalies and drug–resistant tuberculosis (N/A, Palliative Care, 2015).
A 2011 study of 234 countries, territories and areas found that palliative care services were only well
integrated in 20 countries, while 42% had no palliative care services at all and a further 32% had
only isolated palliative care services (Lynch T, 2013). And as the population continues to drastically
increase with older adults living longer,

What Is The Six Dimensions Of Quality In Healthcare
Quality is one of the most essential elements of healthcare. As stated by the Agency of Health
Research and Quality, "Everyday, millions of Americans receive high–quality health care that helps
to maintain or restore their health and ability to function" (Agency of Health Research and Quality,
2014). Improvements have become vital to the success of health care organizations and in the
Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the
standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a
reoccurring issue, attempts to fix the insufficiency have been less successful than expected. The
Institute of Medicine (IOM) Committee to Design a Strategy for Quality Review and Assurance in
Medicare defines quality of care to be "the degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent with current
professional knowledge" (Ransom, Joshi, Nash & Ransom, 2008). Making sure to have current
knowledge on healthcare services is crucial to the quality of care provided, and health care
professionals are expected to continuously stay updated on the changing trends. The IOM later
released six aims for improvement, or also known as the six dimensions of quality, which are safe,
effective, efficient, timely, patient–centered, and equitable. The IOM considers quality as a direct
correlation between the level of improved health services

Decision-Making in the Healthcare Institution
The Institute of Medicine (2001) finds that the health care delivery system is "poorly organized 她
verly complex and uncoordinated," (p. 1). The "cumbersome processes" waste resources, lead to
"unaccountable voids in coverage," and also a "loss of information," all of which are serious
concerns to all patients and especially those with chronic conditions (Institute of Medicine, 2001,
p.1). The goals for improving the current system include creating a safer, more effective and
patient–centered health care experience. Services should be delivered in a timely, efficient, and
equitable way (Institute of Medicine, 2001). In order to reach these goals, the Institute of Medicine
(2001) suggests ten rules for redesign. All healthcare organizations should already be following
these rules in order to deliver quality care. San Diego's Sharp HealthCare center is one organization
that is doing its best to meet the goals as stated by the Institute of Medicine, and work within the ten
rules framework for redesign and fundamental change.
The first rule of redesign is to create "continuous healing relationships" between the patient and the
medical care team (Institute of Medicine, 2001, p. 3). A continuous healing relationship is one that
entails ongoing rapport between doctors and patients even on an outpatient basis. This is especially
important when it comes to delivering quality care to persons with chronic illnesses. Sharp has
already implemented a patient portal, whereby discharged

Crossing The Quality Chasm : A New Health System For The...
Crossing the Quality Chasm: A New Health System for the 21st Century
Introduction
The IOM Report Brief is a significant revelation that indicates where the US healthcare delivery
system lacks in offering quality care to every in the US. This report not only discusses the problems
in the healthcare system but also presents recommendations as to how the government can improve
it. This paper examines as to what the progress is made in the field of healthcare after this report was
written.
The IOM Report has proven to be very helpful for creating disciple and progress in the field of
medicine with its outlined recommendation for attaining the best quality of health care system.
Rapid change that occurs every now and then affects the health care delivery system of the nation
that has affected the overall ability of commuting or translating knowledge into the practice
adopting the new improved technology properly and safely. To change this US is taking every
positive step and are provided with appropriate training to work as required. Here we will provide
for example, that provide evidence of progress in the medical health care system in the 21st century,
from personal experience as well as from the references provided in the report.
Positive Changes in Healthcare
This IOM Report on crossing the Quality Chasm efficiently describes the method of work in health
care system. The complete concept is based upon more knowledge, managing capabilities,
monitoring and so on. The growing

Health Care Objectives
In order for health care to advance as a whole, all professionals such as health professionals,
lawmakers, and public and private purchasers of care must all come together and aim at better
understanding the needs of the healthcare system. There are goals and aims that have to be met to
make sure improvement is made. The six aims that are important consist of the following: Safe
which avoids injury to patients from the care that intended to help them, Effective which provides
services based on scientific knowledge to all who could benefit, and refrain from providing services
to those not likely to benefit, Patient–centered, providing care that is respectful of and responsive to
individual patient preferences, needs, and values and ensuring ... Show more content on
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Safety is the biggest factor when dealing with patients. It is very easy for a patient to fall, which is
why high fall risk patients should always have an extra person near by just in case they were to fall.
In addition, avoiding injuries is a key when patients are confused. When healthcare providers are
effective in their roles, issues on the job tend to go smoother and much more efficient. Nurses need
to be effective when dealing with patients who are not familiar with their medications. It is very
important to teach them about what medications they are administering. I believe when the patient is
informed of such things; he or she will have a better understanding of their health. The healthcare
providers role is role be an effective professional and make sure things are up to date with their
patient.
Being patient centered and equitable go hand in hand when dealing with a patient who is from
different ethnicity or background. The healthcare provider must not discriminate against the patient
and treat him or that same as they would anyone else. Equitable means providing care that does not
vary based on personal characteristics like gender and race. It is unfair to treat a patient different
because of their beliefs and background. According to the National Patient Safety Goals (2016),
there are many elements healthcare providers need to follow to make certain that they are doing an
effective

The Challenges Of Fakeholder Meetings In The Community
VA and Community Provider Resources In December 2016, our team held two stakeholder meetings
at our most remotely located outpatient clinic in Eureka, CA. The meeting spanned two days and
was comprised of a quarterly Veteran Council meeting, a forum for Veterans and their families, and
an informational meeting for existing and prospective community provider and partner with key VA,
Choice and Community Care representatives to engage and expand the community care network. As
the delayed access to care impacted a large population in northern California, we were able to garner
the support of the corresponding Congressman's office, which provided lunch and refreshments to
encourage attendance. The ultimate purpose was to provide education ... Show more content on
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This was particularly prevalent for secondary authorizations, which is the required step for
secondary review for the care to be provided in the community. This lack of knowledge and
understanding leads to severe delays and poor care coordination. Lastly, the survey produced a
surprising effect amongst the providers, it spurred several questions from providers who have never
completed a referral outside the VA and it created a wave of questions through the residents in
training. Although the survey did not produce the participation or feedback we were really looking
for, it confirmed that there is a lack of understanding and knowledge amongst our own providers. If
that was the case, how could they know how to ensure timely, appropriate care in the community?
Veteran's Experience VHA is unlike any other healthcare organization in that we non–profit
organization that is governed by the federal government, Congress and the public. With a primary
focus on meeting the needs for all U.S. Veterans and their families, it is critical for VHA to solicit
feedback from stakeholders across the enterprise to measure and monitor performance, service and
care provided. We do this in many ways to include a Survey of Healthcare Experience of Patients
(SHEP) survey that is sent to Veterans receiving

Institute Of Medicine Report On Quality
Institute of Medicine Report on Quality
Introduction
In 1996, the Institute of Medicine (IOM) initiated a campaign aimed to evaluate and improve the
quality of care for health care systems in America (Bielaszka–DuVernay, 2011 p.2). Consequently,
IOM Committee on Quality Health Care outlined strategies to improve patient safety by preventing
medical errors that are caused by individual and system factors in a report titled "To Err is Human:
Building a Safer Health System" (1999). Furthermore, IOM's 2001 report titled, "Crossing the
Quality Chasm: A New Health System for the 21st Century" emphasis the need to design an
information infrastructure that supports evidence–based practice (EBP) decisions by multi–
professional teams and patients (Winterbottom & Seoane, 2012 p. 389). This paper focuses on
IOM's reports on quality by answering the following questions:
1. How does the IOM define quality? Does it differ between the two reports?
2. What do you see as the most important IOM recommendation to improve quality?
3. What role does nursing have in quality improvement for your chosen recommendation?
4. How has health care quality changed in the years since the IOM published these reports?
5. What changes do you foresee in the next 5 years?
How does the IOM Define Quality?
IOM defined quality as "the degree to which health services for individuals and populations increase
the likelihood of desired health outcomes and are consistent with current professional knowledge"

The Institute Of Medicine 's A New Health System For The...
The Institute of Medicine's (IOM) publication of the landmark reports To Err is Human and
Crossing the Quality Chasm: A New Health System for the 21st Century led many healthcare
agencies to begin investigating ways to transform the healthcare industry. To Err is Human,
published in 1999 outlined that despite rising healthcare costs, quality and patient outcomes were
not improving. To Err is Human hypothesized that faulty processes and not people were to blame
and set a goal that in the five years following the report, a reduction of 50% of healthcare errors
would occur. In 2001, IOM published their report, Crossing the Chasm. In the years since their first
published report, there was no noticeable improvement in the quality of healthcare. In the Crossing
the Chasm report, the IOM introduced a six–aim framework to transform healthcare and improve
quality. Fast–forward to 2010 and the Affordable Care Act. In the face of rising healthcare costs,
17% of the gross domestic product and rising, the government sought to control costs and improve
quality by shifting from a fee for service healthcare system to a health care system where providers
and hospitals receive reimbursement related to the quality of care and outcomes. Pay for
Performance The Leapfrog Group defines pay–for–performance to include any performance–based
provider payment arrangements that target performance on cost or efficiency measures. Pay–for–
performance programs offer financial

Svidrigailov Isolationism
With the two spectrum of isolationism and society, the motif of bridges appears and connect these
two ideas symbolizing that a person needs to cross the bridge from isolationism to society. After
Raskolnikov meets Razumikhin after his crime, the link of bridges appears revealing to the readers a
reach out from society to Raskolnikov. This brief interaction is shown when "Raskolnikov suddenly
felt someone put money in his hand... it was an elderly merchant's wife in a kerchief and goatskin
shoes" (113). Through the compassion and kindness of this women, this scene shows the visibility of
the bridge that is within Raskolnikov's reach and the option to cross. This bridge serves as a constant
urge and encouragement for him to abandon his isolation ... Show more content on Helpwriting.net
...
Svidrigailov is portrayed as an individualistic man with greed for power to achieve full control over
other characters in the book. As the development of Svidrigailov's character furthers into the book, it
reveals more and more of his dangerous personality. Svidrigailov begins to disclose his underlying
motives and theory that he is a strong man who can be alone by himself in order to survive.
Svidrigailov's foundation of his mental stability and his arrogant mindset is from his expertise to
control people and the situations to fulfill his desire for power and self–enjoyment. This can be
supported by his abusive nature towards women and that through physical violence, it proves that he
has the power over people. However as Svidrigailov begin to lose his control over people especially
the women in his life, his fundamental beliefs begins to be shaken, altering his personal view of
himself that he is no longer a strong, individualistic, and an isolated man. Svidrigailov's loss of
power is validated when Dunya rejects his marriage proposal. Dunya's strong will and individualism
combats head–on with Svidrigailov's creating a battle between the strength of minds. Eventually,
Svidrigailov loses this battle and, mentioned in my journal, "realizes that he can't be alone in society
and needs a companion in his life." As Svidrigailov enters into isolationism, he also embarks the
journey of long–suffering thus proving once again the danger of isolationism. With everything gone
from his life, Svidrigailov decides to end his life. Even with his death, Svidrigailov shows his
individualism and domineering nature by controlling his own death. Back then people think that
suicide is sinful because one has no right to act as the Will of God thus by doing so, it actually
separates one from God entirely.

Quality Improvement Plan I
QI Plan Part 1– Consumerism Mandy Smock HCS/588 04/01/2013 Amos Hunter Since the Institute
of Medicine's widespread reports, To Err Is Human (2000) and Crossing the Quality Chasm (2001),
revealed widespread incidence of medical errors in U.S. hospitals, there has been a great deal of
effort to measure and improve the quality of hospital care. Progressive input has been made in
establishing quality indicators and risk adjustment components to compare quality across
organizations, and in analyzing processes and cultures in high–performing hospitals. There is a vast
amount of knowledge to learn about the infrastructure of hospital performance. Health care
organizations performance measures may include which hospitals are ... Show more content on
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Higher quality health care will be within the reach of consumers who learn to use comparative
performance data to select high–performing providers, hospitals, nursing homes, and health plans
for themselves and their family members (Marshall , Shekelle, Leatherman, & Brook, 2000).
These types of consumers actually stimulate the providers to enhance their performance. St. Joseph
Medical Center reports the results of their performance for heart attack, heart failure and pneumonia
as part of a national report. This information provides the consumer the ability to compare the
quality of care provided at St. Joseph to other hospitals in the area. The data is available on the CMS
Website http://www.hospitalcompare.hhs.gov and the consumer/patient can compare the hospital to
others in the area. The hospital also participates in a Hospital Quality Demonstration Project with
CMS and Premier Inc. This project includes coronary artery bypass graft (CABG) surgery and total
hip/total knee surgery. These graphs compare St. Joseph Medical Center to other hospitals
participating in this project around the nation for hip/knee and CABG surgeries. Performance
measurement enables quality improvement through the measurement of performance based upon
quality indicators. Therefore, performance measurements can lead to quality monitoring and
ultimately quality improvements and the two are dependent upon each other. External indicators

Electronic Medical Records
Electronic Medical Records and Safety Paper Healthcare can be known for a complex industry.
Every day is a new day facing complicated clinical administrative transactions with electronic
medical records and safety? Health Information technology is suppose to realize errors using
electronic medical records. Leaders must understand the complexity and safety issues in order to
help mandate electronic medical records with design, development, implement and use. In the last
decade, this article has informed executives, clinicians, and technology. Their main focus was on
these three areas computerized physicians order entry. Their main focus was to work all three areas
computer physician order entry, computer decision support system, ... Show more content on
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Electronic medical records and safety is a large part of the driving force of health care. Electronic
medical records will always have some kind of error that will still produce safety risks. The only
way to keep electronic medical records safe is to keep up on the planning, design. Along with the
time, cost and safety consequences that come with health care electronic medical records. Every
physician needs to know how to keep the medical records safe and make sure they know which
record they are entering the information in. References: Ash, I. S., M. Berg, and E. Coiera. 2004.
"Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient
Care Information System–Related Errors." Journal of the American Medical Informatics Association
11 (2): 104–12. Bates, D. W., M. Cohen, L. L Leape, J. M. Overhage, M. M. Shabot, and T.
Sheridan. 2001. "Reducing the Frequency of Errors in Medicine Using Information Technology."
Journal of the American Medical Informatics Association 8 (4): 299–308. Cheng, C. H., M. K.
Goldstein, E. Geller, and R. E. Levitt. 2003. "The Effects of GPOE on ICU Workflow: An
Observational Study." AMIA Symposium Proceedings 150–54. Committee on Quality of Health
Care in America, Institute of Medicine. 2001. Crossing the Quality Chasm: A New Health System
for the 21" Century. Washington, DC: National Academies

The Health Care System For The 21St Century

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