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Research: Continuous Quality Assurance

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Research the continuous quality assurance (CQA) efforts within a healthcare facility other than in hospitals (e.g. mental health, public health, school clinics, and integrated medicine centers). Summarize your findings and discuss the ethical foundations of such efforts.

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Research the continuous quality assurance (CQA) efforts within a healthcare facility other than in hospitals (e.g. mental health, public health, school clinics, and integrated medicine centers). Summarize your findings and discuss the ethical foundations of such efforts.

Achieving quality in a business, especially one related to healthcare, has become much more important in the last fifty years. There is a difference, however, between continuous quality assurance and continuous quality improvement. Dr. Jerry Goldstone, in his paper presented to the Society of Vascular Surgery in 1997, showed that quality assurance "can be defined as an effort to find and overcome problems with quality - that is, directing the performance and behaviors of practitioners and institutions toward more appropriate health outcomes, expenditures, or both."

Quality assurance has as its objective the achievement of an outcome based on a standard that defines acceptable levels of performance, derived from historical data, research, or industry benchmarks. Its focus is the statistical tail, which means that it is an effort to raise those values that are less than the average range. It embraces a philosophy that accepts quality as "good enough" rather than the best possible. Also, the effect is judgmental and punitive, and the results ...

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