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Important Factors to Continuous Quality Improvement

1. Discuss the impact of managed care on the U.S. health care delivery system.
2. Discuss the importance of high-performing teams to quality improvement efforts and the approaches used to improve the outcomes produced by these teams.
3. Discuss the implementation of continuous quality improvement into healthcare organizations, and about CQI and the transformation to the "learning" organization.
4. Discuss the impact of information management and technology for CQI in health care organizations and why it took so long to realize the need for this technology.
5. Discuss the involvement that the Care Delivery Organizations, Managed Care, Purchasers, and the Quality Improvement Collaborative have in the CQI process of Primary Care Practices.
6. Discuss the barriers of implementing the Continuous Quality Improvement (CQI) process into primary care organizations.
7. Discuss the barriers that have been identified regarding the technological approach to computerized order entry and the electronic health records.
8. Discuss the impact of "health care disintermediation" of CQI in healthcare and the alternatives suggested for the "re-intermediating delivery" by the physicians.

Your discussion should be based on information from data, research, literature, and discussion of issues and trends. You must clearly identify the topics that have the greatest impact on Continuous Quality Improvement in our health care system and support your discussion.

Solution Preview

The best way for me to help you approach this is to discuss some general discussion points for the topics indicated. Ultimately which ones you believe are of the greatest impact is your opinion.

1) Managed care on US health care delivery system

With relation to CQI, managed care continually improves on reducing expenditures while maximizing productivity. It's hard to say exactly which managed care models work best - there are myriads of them. However, generally speaking, their goals are the same: find ways to reduce costs and promote maximal, optimal output of services and products.

Probably the biggest contribution managed care has made to the US health care delivery system that impacts CQI is the fact that many institutions end up adopting some form of managed care model. Some institutions provide incentives for physicians to seek out the least costly, most effective treatment options for their patients, others refine assessment protocols to ensure that extra costs are not incurred from ordering unnecessary treatments and tests. In this form of trial and error across the entire nation, the quality of health care is slowly and gradually improved. As individual institutions test out various different managed care models, eventually a select few will come up with a model that is effective and efficient. Others then learn from this example and implement this system for themselves. In this manner, health care as a whole for the nation gradually improves. This, if co-ordinated among organizations, is known as a quality improvement collaborative.

2) High performing teams

High performing teams typically become role model types for other teams, as long as there isn't a tremendous pressure for competition. This in itself, a reputation for being looked upon as a good example, can be motivation enough to maximize the potential of this group. When it comes to maximizing individual/group output, almost all approaches ultimately appeal to offering proper job scope and fulfilling extrinsic and intrinsic motivators. In this case, a high performance group may be intrinsically motivated to become a prime example for everybody else. Other times, extrinsic motivators such as bonuses for reaching quotas, or performing well in other ways, appeals to the group. Ultimately, their presence and continued high performance is important to CQI in general because of their ability to become shining examples of what CQI initiatives, or consequences of good CQI, can ...

Solution Summary

The important factors to continuous quality improvement is determined. The expert discusses the impact of managed care on the United States health care delivery systems.