This report covers a vast area of quality that should be embedded in the hospital and social care units. The assurance, safety and secure should be the three most important factors. This discusses vastly on the barriers for health and social acre set by the minority ethnical groups who go to other countries for work. There is a vast discussion on the areas of principals and qualities, there intervened relationships and there effects. Also external agencies that support the health care and social care units, the standards they should maintain are discussed.
Concepts of Quality in Relation to Health and Social Care
Stakeholders in Health and Social Care
Different kinds of stakeholders are involved in the health and social care industry. The stakeholders can be categorized as follows: Providers, payers, Employers, and patient. In the patient wise has a complexity because they are different like Ex: Family members, friends, Managers, Professionals wise. We need to manage the service and Quality standards according to they attitude and behaviour. Other wise make and conflict
Ex: Patient and Employers, Providers and payers. That scenario needs to consider the Quality and standard maintain according to stakeholders type and there Importunity wise.
Ex: Patient is in Family .If family member coming to take a hospital or health care service need to read as different service as consider like Family members wise .need to maintain like this separately.
Different Models of Quality
There are more Models introduce to maintain the quality according to web reference as fallows. Ex: FADE, PDSA, DMAIC, and DMADV. This the entire model based on the as fallowing pareses. Focus, Analyze, Develop, Execute and Evaluate. But the thing is going through the each and every model has differentiation.
FADA Model has five phases: Focus Analyze, Develop, Execute and Evaluate
But PDSA Model not like that it’s Planning, Doing, study and then Act.
DMAIC is totally different. It’s deviated as the Define the standard, then analyze and improve the standards and then control.
DMADV model is Like DMAIC, Its first Define and Analyze. Then According to analysis Design the model and then verify the Execution phase.
Referencing this model Differentiation on Duke University Medical center Web
Basically all the Quality models controlling the Based on Service Structure, Process of organization and Final Expected Outcome
Relationship with Quality and the Principles of Care
Care is what each and every one needs even sick or not. And this is a human feeling and a need .Thus there are five common health care principles which put the patient forward. When care is provided a patient feels wanted and a sense of caring is bestowed upon them. The five principles are as follows:
People definitely become healthy with affordable healthcare available to all. Students or children should be given a healthy start in life due to long run; it will generate healthy and productive citizens. Also keeping healthy workers through routine check ups, chronicle diseases screenings and preventive care producers a globally competitive work force which helps globally.
Curb cost responsibility
Controlling cost cannot come at the cost of quality care. Requiring patients to pay even larger share of costs merely discourage health saving behaviors. Better use of appropriate to reduce health administrative cost, medical errors, and by promoting awareness and obesity. Better health care coordination will also save money and produce better health outcome for patients.
Abolish exclusions of pre-existing conditions
For chronicle diseases people should pay the same premium, not more premiums, thus they are excluded of the privilege.
Eliminate lifetime caps
Meaningful healthcare reforms need to eliminate policies that undermine the health and well being.
Ensure access to long term and end of life care.
To build for the future, the authorities must ensure that elderly are promised to be treated with respect based upon reliable and accurate medical treatment, no gaps in care or surprises in the course of care, and consideration for their daily comfort and family situation.
Many people in this world struggle to over come the grip of chronicle diseases and disabilities. While the health consequences are real, these individuals also face the often times frustrating maze of the health care system and the financial burden of high premiums and out of pocket costs even with health insurance coverage. The toll can be devastating for their health and their family financial well being.
The National Health Council represents patient and other health related organizations dedicated putting the needs of patients first. That is what the health care should always do “putting the needs of the patient first”.
The health acre system should be both affordable and effective for everyone when it provides more coordinated care, which shall improve patient out comes that lower their cost and keep space with biomedical; innovation. Access, affordability, innovation and high quality care should be the bench mark.
Putting patient’s first means creating a modern healthcare system that saves lives enhances the quality of the service and save money. So thus all patients can afford to take their medicine.
External Agencies in Setting Standards
Many external agencies regulate healthcare facilities. Some regulated agencies are branches of the state and federal government, but several are private or voluntary organizations.
Health care facilities must meet certain quality standards to operate. The various agencies inspect the facility periodically to ensure that it meets health and safety regulations and complies with accepted standards.
A survey is a review and evaluation to ensure that facilities are maintaining accepted standards of practice. Many different agencies establish quality standards for health acre facilities. Different types of facilities must meet different quality standards.
Each facility should hold a state license, which permits it to conduct businesses. Some facilities also possess a certification, This is highly necessary to collect medic care and medical payments.
Licensure and certification surveys are done by the state health department or human service agencies. During such surveys, a number of surveyors inspect conditions in the facility. Surveyors are representatives of the agency that review the facilities.
The joint commission for accreditation of Health organization is an agency that inspects and accredits hospitals, nursing homes, home care providers, medical suppliers, ambulance services and many other health care agencies. Participation in the accreditation process is voluntary. How ever hospitals are not eligible to receive medical care payments unless they are JCAHO accredited.
Strategies for Achieving Quality in Health and Social Care Services
Standards of Measuring the Quality
In conjunction with the wider health acre team, nursing has a major role to play in the quality of care experienced by patients and users. This includes the following provisions:
Person centered care- working with an individual to understand their value, needs and expectations in regard to their own health and social care: communicating and sharing relevant information: enabling shared decision making, informed choice, and enabling participation in the evaluation of care.
Effective care – care that is both safe and evidence based in relation to the treatment provided and the context in which care takes place.
system of care – In the context of which care is delivered for example safety systems, work force issues, continuity of care
Including the structures, processes and patterns of behavior that enable person centered, safe and effective care to be sustained even when health care changes.
In a recent influential National Nursing and research unit publication, Griffiths et al (2008) identified the strategic and practical benefits of measuring quality. While improving the quality of nursing ,health and social care is a part of every day work and the professional responsibility of nursing, measurement is central to enabling and supporting policy analysis and strategic decision making-including commissioning, reimbursement systems and accreditions. It can also research around valuable areas such as the relationship between the structural ,process and out come components of quality, and can contribute to understanding the role of nursing care in determining patient safety out come.
Thus if measuring quality is a driver to improving quality of care, it is important that in relationship between standards and indicators is understood.
Evaluated the Approach of implementing the Quality
When considering the above topic the first issue that springs to any ones mind is to receive quality service, a vast amount of money should be spent by the consumer. So it is the social and economic conditions under which people live which determine their health. So the main factor is that should be consider in the quality implementation is that the customer feels secure and confident. If these two qualities are not acquired by the staff or the unit then how good the service is it is difficult to capture the customer. Thus a friendly service and assurance has to be set from the time the client walks in. People will sacrifice money for quality service. Thus it is a fact that in any hospital that many people die due to the health care. Thus the first thing that should be implemented in to is a good system that is safer for all user and don’t take away the lives. With the advancement of technology electronic health records will definitely help improve standards.
The following six steps should be implemented in order to have quality service:
A minimize the errors that can happen through service. Safety should be assured.
Care should be given on the right time rather awaiting in the waiting room, as time is crucial and the patient’s life depends on time.
The staff should attend to the patient in an efficient manner and give the patient the feeling of security.
A same quality care should be offered to every person, disregard of their social or economical standards.
5) Patient centered
The care and service should be the correct one.
Value of Quality Systems to Social and Health Care Systems
High performing health systems require improved data monitoring and indicators on quality of care, as well as better policies should be used to prevent diseases, and improve health systems efficiency via care coordination and the implementation of information technologies
Many policies depend on our ability to measure the quality of care accurately. Government wants to increase ‘patient-centeredness’, improve coordination of care, and pay providers of high quality care more than those who under perform.Howerevr the value of quality systems measuring in health care is challenging.
Impact of Quality System to Service Users
As any service, here the patients too believe in quality service, they don’t want their health to be at risk. So the patient will and often looks for quality and efficient health care and social care service.
With the advancement of science there are ways and means to measure the health care. The professionals in the health care department and unit try to review and improve the care they give patients. They want to give quality care. This covers from the patient enters the hospital, if he /she under goes an operation the care provided then and after too. An excellence measures give you in order about how well customer care for some but not all patience are provided with.
Thus these kinds of tools need a major amount of information and resources to be developed. Fully well organized and experienced measures are only accessible for treatment on some of the most ordinary circumstances or processes of care.
The value of having such a system is that these measures are more reliable, uniform, so it thus helps the consumer to make the health care choice they determine or want.
Barriers to Delivery of Quality Health and Social Care Services
Population in western industrialized countries becomes increasing multi ethnic as a result of internationalization of the market place and the successive opening of the borders. The rise in migration is, contrary to popular belief, in receiving countries that, newly arrived migrants have often been concentrated in poor, low statues regions of major cities. They usually live in low standard accommodation and under less favorable living conditions and health.
The world health organizations objective of’ health for all by the year 2000′, suggest that we should ensure that ‘ethnic minority’ also have equal access to health services, regardless of their standing in society. Thus it has been identified that Equal Access to health care is a fundamental human right. But ethnic minority groups seem to be confronted with barriers when using health services. Thus their use of health service too is at a lower rate, when comparing with non immigrant counterparts.
Another barrier for acquiring health care is the economical aspects of each individual .the price of the health service can act as a barrier if the health service is not covered by their health insurance or is only partly reimbursed.
Critically evaluate systems, policies and procedures in a specific health or social care service in relation to achieving quality systems
Actions to be taken to improve the Quality of the System
The most worth care for children is the way to make them feel safe, successful and equitable mother and child friendly interventions to make sure the most excellent likely health out comes to all children.
Each policy made to mage health and the professionals related to health, given that a best medical care is an important right. The care that is extended towards mothers and children is a basic right.
A meeting along with 14 countries and the United Nation Agency met in Yerevan, Armenia on 19 – 21 October to analysis the growth on civilizing child care in hospitals and to talk about that may arise in the developed and non developed countries along with improving the quality of child hospitals in the World Health Organization European area.
The main aim of this was to strengthen the child care in hospitals in the world. As they have understood that child care is of high importance.
This report covers a vast area in the quality of health services. This speaks vast area on the reasons why health and social acre should be improved. Thus due to the economical factor the customer finds it hard to keep up with the quality health service but the introduction of policies has narrowed this aspect. Thus the major barrier in health care and social care is ethnic minorities not giving due consideration to the importance of health and social care. This has to be curbed down as health care should be obtained by everyone. Also the authorities have recognized the importance of child and mother care and see it as a basic right in the world.