Assignment

Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week's Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry.

To prepare:

• Review this Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report "Crossing the Quality Chasm: The IOM Health Care Quality Initiative."

• Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization's achievement of these aims?

• Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed.

• Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization's efforts to realize the IOM's six aims for improving health care? Where has inter-professional collaboration been lacking?

Post a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six "aims for improvement" are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area.

Read a selection of your colleagues' responses.

Readings:

1. CROSSING THE QUALITY CHASM: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY.

2. Escape Fire: lessons for the future of health care by Donald M. Berwick.

Report: Model Public Report Elements: A Sampler by: R. Adams Dudley, Judith Hibbard, Dale Shaller and Shoshanna Sofaer. Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services.