Health and Medicine: Quality Service Delivery And Management

PLEASE RESPOND TO THESE WRITER 1, 2 AND 3 BASED ON THIS DISCUSSION BELOW
Healthcare sector has been grappling with the best ways of ensuring quality life, providing the best treatment and diagnostic options that is efficient and cost effective by increasing innovation.
To reduce the challenges associated with quality management in healthcare systems for the benefit of patient, system failures should be addressed by adopting improved process strategies that can identify inefficiency, ineffective care and some of errors that are preventable in order to influence change within the healthcare system. These strategies include assessing performance and using the findings to update the changes. Assessing quality means observing the health structure, its process, and outcomes. Process measures the service provision by the providers and the guidelines being used for patients while outcome should measure the end result of the health care like improved service delivery, mortality rates and patient satisfaction (Ronda, 2008).
Measuring quality is not easy due to the complexity of the healthcare systems. Furthermore, data interpretation in reports has been another challenge as the reports has not been used extensively to make better decisions that result to better quality care (Omachonu & Einspruch, 2010).
In healthcare, one of the innovative practices that can enhance quality management in patient care is the use of PDSA cycle. The plan-do-study-act model a simple process to accelerate improvement. It is not meant to replace the existing changes but simply to accelerate the changes to a better level. The model is designed to work in a cycle to answer three basic question of: what are we trying to accomplish, how we will know that there has been improvements due to the changes effected and lastly what changes can we make that will result into improvements. This model is a guide to test a change and establish if the change is indeed an improvement. When change has been tested and refined through several PDSA cycles the changes can be implemented on a larger scale like an entire unit (Omachonu & Einspruch, 2010).
According to Timbie, et al., (2012), challenges and barriers to translating research evidence into practice include financial incentives, ambiguous study results, limited support from patients and clinicians. Furthermore, failure of organizations to utilize their Advanced Practice Nurses equally impedes translating research into practice (Bryant-Lukosius, Vohra, & DiCenso, 2009).
The initial step to overcoming barriers to EBP in an organization is assessing and identifying the obstacles. Understanding the impediments that exist in delivering evidence-based care will create a way for an action plan that generates success (Melnyk, 2002).