Quality Improvement
Quality improvement in health care encourages reform efforts in reducing clinical variation. Additionally, it safeguardsconsistency and creates numerous optimistic attempts for the best outcome in healthcare service as well as higher engagement results among physicians and the care providers at large (Johnson & Sollecito,2018). Clinical variation reduction is critical since it ensures the highest quality care, reduction in the cost of healthcare, and allows patients to receive safe health services. These encourage constant efforts in achieving a steady and foreseeable outcome, thus reducing variation. Top-level management and the entire healthcare organization need to obtain the sustainability of quality improvement.Reducing clinical variation in the health system ensures modification of care providers from offering volume to value-based services, thus benefiting and promote healthcare towards success.The flowchart below outlines the four steps that a healthcare facility may apply to ensure clinical variation is reduced in the setup.
A Flow Chart Showing Steps Used Clinical Variation Reduction
| Identifying the Opportunity |
| Aligning the Initiative |
| Change Behaviors |
| Assess the Outcomes |
The first step in clinical variation reduction is to identify the available opportunity. The clinical team needs to soul search and identify the areas where the variation reduction should be applied to ensure effective operation within the healthcare, thus providing satisfactory services to the patients (Johnson & Sollecito,2018). Essential care is a requirement for all health systems. Therefore, sustainable action is necessary.It is the role of the management to understand the area where variation is essential for healthcare quality improvement.
Additionally, healthcare should ensure that clinical variation is weighed against issues impacting the financial status negatively to prioritize on the mitigating factor. Failure to identify the opportunity for variation reduction leads to poor service rendering and can lead to the closure of healthcare. As an expectation, all health organization priorities should be set by focusing on areas that need quality improvement.
Secondly, alignment initiatives are essential in clinical variation reduction. The manager needs to reach out to all the health providers to know where the breakdown occurs. Consequently, the management should take action in ensuring the care providers are accountable, thus reducing the variation (Burgon et al., 2019). The management actsas a guide to the care provider. In a case where more responsibilities are allocated to a care team, conflict of priority arises. The outcome of the action is a variation in success due to unnecessary conflict.
The third step of clinical variation reduction is behaviour change. It involves two essential elements that are understanding the knowledge and skills gap and the written standard of care (Burgon et al., 2019).Ethics count in all healthcare systems. Understanding the skills gap helps the management to enhance ethics in healthcare properly. The administration should as well ensure a written standard of care to ensure that all care providers are well versed and implement them in service delivery.
Lastly, monitoring the outcomes count in ensuring that clinical variation is reduced. The same information used for identification and prioritizing of quality improvement should measure success (Lee et al.,2016). Clinical reduction variation efforts result in reduced cost of care, improves both sustainability and population health, as well as encouraging reassessment of focus in delivering better patient outcomes. Health care can overcome common barriers, thus enhancing the success of its operation.The flowchart below shows the intervention area required to improve the process of reducing clinical variation.
A Flow Chart Showing an Improved Process Toward Clinical Variation Reduction
| Identifying the Opportunity |
| Understanding of Knowledge and Skills Gap |
| Aligning the Initiative |
| Change Behaviors |
| Assess the Outcomes |
| Written Standards of Care |
Behaviour change is the step that can improve the process of clinical variation reduction. It is achievable by ensuring that all care standard is put in writing to avoid violation in services delivery. The standards include the ethics that care providers need to practice at work and how to relate with other providers. Consequently, understanding of knowledge and skills gap knowledge helps the management allocate the responsibility well, thus ensuring quality services to patients. The whole process creates a pleasant working environment since minimal cases of conflict among the management are reduced and encourages teamwork, hence success. Finally, reduction in clinical variation is noticed since the patients receive quality care which satisfies their needs as well as promotes the success of healthcare organizations.
In conclusion, quality improvement in healthcare is known as the outline used to improve the delivery of services to patients thoroughly. The process of quality improvement is determined by various characteristics that include; controlling, measuring, analyzing, and growing. There are multiple factors that determine the quality of care delivered in a health center. They include leadership, available resources, adequate infrastructure, organization of services, and monitoring system.
References
Burgon, T. B., Cox-Chapman, J., Czarnecki, C., Kropp, R., Guerriere, R., Paculdo, D., & Peabody, J. W. (2019). Engaging primary care providers to reduce unwanted clinical variation and support ACO cost and quality goals: A unique provider-payer collaboration. Population Health Management, 22(4), 321-329.
Johnson, J. K., & Sollecito, W. A. (2018). McLaughlin &Kaluzny’sContinuous Quality Improvement in Health Care. Jones & Bartlett Learning.
Lee, V. S., Kawamoto, K., Hess, R., Park, C., Young, J., Hunter, C., … & Graves, K. K. (2016). Implementation of a value-driven outcomes program to identify high variability in clinical costs and outcomes and association with reduced cost and improved quality. Jama, 316(10), 1061-1072.
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