chapter 19 Health Care Improvement in the Community EXAM with 100% correct answers already graded A+ 2024

US Milestones in Quality 1950s: Total Quality Management (TQM), a management philosophy, was introduced Included focus on client, continuous quality improvement (CQI), and teamwork By 1990's: TQMs replace with new concept, health care performance improvement 1970's: creation of Managed care organizations (MCOs) sought to reduce health care costs Preferred provider organizations (PPOs), Exclusive provider organizations (EPOs), Point of service organizations 1972: Social Security Act amended to establish Professional Standards Review Organization (PSRO) Mandate the process to review Medicare, Medicaid, and maternal and child health programs PSRO later became the Professional Review Organization (PRO) and later renames the Quality Improvement Organization (QIO) 1990's: report cards for public health agencies introduced 2010: Affordable Care Act passed, promoted Accountable Care Organizations (ACOs) 2011: Public health accreditation board was established 1950s Total Quality Management (TQM), a management philosophy, was introduced Included focus on client, continuous quality improvement (CQI), and teamwork By 1990's: TQMs replace with new concept, health care performance improvement Managed Care Organization (MCO) integrated entities in the health care system which endeavor to reduce costs associated with health care expenditures have shaped health care delivery, through preventative medicine strategies, financial provisioning, and treatment guidelines Accountable Care Organization (ACO) are not insurance companies and their providers are financially rewarded for coordinating all aspects of client care primary care providers needed to increase their reliance on nurse practitioners, pharmacists, and other members of the health care team to track appointment compliance, manage medication schedules, and oversee lifestyle changes Health Care Quality and Nursing Practice . Nightingale called for a uniform method for collecting and presenting hospital statistics to improve treatment (1860). Late 1800's movement to establish nursing schools in the US 1950's: QA measurement tools developed; Phanauf's nursing audit method American Nurses Association (ANA) created the Divisions on Practice (1966). Congress for Nursing Practice developed standards for quality assurance programs (1972). Professional Review Organizations (PROs) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) National Health Quality Improvement Act of 1986 Standards for Community Health Nursing Practice were developed in 1993. Core Competencies of Public Health Nursing (2010) Several nursing organizations, which comprise the Quad Council for Public Health Nursing, have taken the charge to strengthen nursing practice in the community Quad Council renamed to Council of Public Health Nursing Organizations (CPHNO) The Council on Linkages between Academia and Public Health Practice has worked to advance academic and practice collaboration to ensure a well-trained, competent workforce and a strong, evidence-based public health infrastructure Florence Nightingale called for a uniform method for collecting and presenting hospital statistics to improve treatment (1860). The Council on Linkages between Academia and Public Health Practice has worked to advance academic and practice collaboration to ensure a well-trained, competent workforce and a strong, evidence-based public health infrastructure quality Defined by the client as the improvement in health status Defined by the organizations and providers as accurate intervention, the clinical context of care, and the skill of the provider quality health care The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge quality in public health the degree to which policies, programs, services, and research for the population increase desired health outcomes and conditions in which the population can be healthy voluntary approaches involves a large governing or official body's evaluation of a person's or an agency's ability to meet criteria or standards through processes like accreditation or certification Credentialing Accreditation Certification Charter Recognition Academic degrees required approaches methods used to manage a specific health care delivery system in an attempt to deliver care with outcomes that are acceptable to the consumer such as state licensure of a health department , licensing of health care providers, like boards of nursing Licensure Accreditation Certification Academic degrees Approaches to Quality Improvement voluntary and required approaches credentialing the formal recognition of a person as a professional with technical competence or of an agency that has met minimum standards of performance; includes the licensure of individuals or organizations by the government, certification of individuals by voluntary agencies and accreditation of organizations or programs by voluntary associations. accredidation voluntary approach used for institutions also considered required because it is often linked to government regulations that encourage programs to participate in the process to be reimbursed for services Formal recognition provided to an organization or one of its programs indicating that it meets certain prescribed quality standards licensure is one of the oldest required approaches, is a contract between the profession and the state whereby the profession is granted control over who ca enter into and who exits from the profession certification may be voluntary if a nurse wishes to be recognized as having certain set of skills beyond basic nursing education combines features of licensure and accreditation, education achievements, experience, and performance on an exam determine a person's qualifications for functioning in an identified specialty area charter the mechanism by which a state governmental agency grants corporate status to institutions with or without rights to award degrees recognition defined