Quality In Long-Term Care
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How does quality in health care setting differ from quality and expectations of consumers in non-health care settings such as restaurants, clothing stores, automobile purchases, etc?
Quality in the healthcare setting differs from non-health care settings because the expectations in healthcare settings are literally concerning someone’s life and well-being. If someone doesn’t do a good job at serving/waiting on a table at a restaurant, it does not have a life or death effect. The expectations for quality in healthcare are so high because our bodies and health are one of the most valued aspects of our lives. If we aren’t healthy, it affects every other aspect in our lives. If quality were not brought into the healthcare setting, there would be an exceeding amount of deaths, preventable issues, and unsatisfied/unhealthy patients.
2. How is the long term care setting unique from other health care settings (such as acute care or physician practices) when it comes to the populations it serves and when measuring, evaluating and continuously improving quality?
The long-term care setting typically deals with the elderly population. Not all, but the majority are elderly. Long-term care overall includes patients who are in a facility to receive care for an extended amount of time or until the end of their life. Long-term care focuses on care, not cure. Long-term care measures quality by health inspections, staffing, and quality measures. Measurement tools evaluate the quality measures. Tools, such as QAPI, PDCA/FOCUS, or LEAN improve these issues.
3. What will you require and expect in your own health care settings/services to believe that a facility/provider and their services are of high quality? What are your expectations?
I will make sure that the vision and mission of the organization is stated and clearly understood so that the employees know their expectations. I will hope that all the employees will treat everyone with respect, autonomy, and dignity. I will require that quality is upheld in health inspections/cleanliness, employees’ actions and performance, and try to obtain high quality measures such as low percentages for preventable falls and such. Staff turnover is always a big issue in many facilities. I think that having constructive criticism and feedback is very critical for a leader to learn how to provide. It can inspire someone to change his or her behaviors and it’s productive. One possible method to provide constructive feedback is by using the acronym FBI-feeling, behavior, and impact. You have to address the way you feel on an issue/an individual’s behavior to show the impact that behavior can have overall on the organization. This is important to address issues in a productive way because it builds trust between you and that employee. It is our job as leaders to make them a better person to help them grow and improve. It is important to connect with your staff so they respect you as their leader and so you can rely on them to do what is expected. Creating a positive work environment is where it begins so all else can fall into place with clear expectations, good work ethics, and overall a reliable staff to implement all quality performance plans.
1. Quality in the health care setting has to do with: safety, effectiveness, patient-centered care, being timely, efficient, and equitable. As a health care provider, it is your duty to make sure that the patient is receieving these domains in health care so that their health is improving. Quality and expectations in non-health care settings (restaurants, clothing stores, automobile purchases) differ a great deal because they just have to make sure their customers are happy when they leave and for the most part their job is done. When you are caring for patients you have to make sure they are satisfied with the care that is provided, if they have issues in the future making sure they are taken care of, and most importantly making sure they are healthy. Satisfaction with the customer is enough in non-health care settings, but it takes a lot more than the patient being satisfied in health care settings.
2. Long-term care has many differences when compared to acute care or physician practices in that patients/residents are going to be seen/treated in a facility for an extended period of time. The population it is usually serving is elderly or may have intellectual/developmental disabilities. Long-term care facilities constantly have to improve their facilities because patients/residents may not be satisfied with the care they are being provided. This is now these patients/residents temporary or permanent home so the needs that are having to be met differ a great deal then someone who is coming in for a check-up or going to the emergency room.
3. I will expect that the employees are doing their job to the best of their ability and that they are treating the patients/residents the same way they would treat their own family members. I will expect employees to be patient-centered, to provide care that is respectful of patients needs and values and that they are being timely because I know how patients/residents can be when they feel as if they are not a priority. Expectations I have for myself are that I am respectful to patients/residents and make sure that I always have their best interest in mind. I know that working in long-term care can be difficult because not only do you have the resident to make happy, but their family as well. I think it is important to make sure that the resident feels as if they have a voice in the matter because sometimes they feel as if they have no control over their lives anymore and that can be a very sad feeling for them.
