HOME CARE SCENARIO: Quality Improvement through Risk Management

Scenario

The long-term care center has 225 beds and provides the highest level of patient care, according to on-going Department of Health Services amual surveys. The Director of the long-term center has the overall responsibility of ensuring the continuing high level of quaky outcomes while also concurrently keeping the facility as risk free as practical. You and the Director have just returned from an annual Long-Term Care Association symposium where you were both introduced to some new groundbreaking initiatives regarding the differences between risk management and quality improvement. Earlier in the week, the Director called for a meeting of the center§ department managers, including the Quality Assurance Nurse and the Manager of Risk Management.

After briefing them on the symposium talking points, your Director asks you to come up with a working plan and strategy for how the facili-ty will use both of the concepts yOu have introduced to arrive at a more centralized and standardized approach. Overall, the desired outcomes focus on adopting a new approach to higher quality with fewer risk factors for the organization. Later that week, the Manager of Risk Management, the Manager of Nursing Quality Assurance, and a representative from Human Resources met to formulate a new plan to reduce the litigation exposure while concurrently increasing the quality of patient outcomes. They set about the complex set of tasks with the expectation that you, as the Directors designated facilitator, will be closely reviewing their final recommendations.

Provide a 250-word executive summary of the research protect and recommended plan of action that you wil prOvide to the Director. Address the following:

Questions:

1. What is the necessary background information needed to complete your executive SuMrtlay?WhO are the stakeholders?

2. How do the faciity's current Continuous Quality Improvement (CQQ outcomes correspond with the current litigation prevention systems?

3. What factors within the nursing units are the most critical to consider when examining higher quality outcomes?

4. What factors within the nursing units are the most critical to consider when examining lower litigation adverse actions and operational impact?

5. What future steps must be taken to accompish this directive?