Transforming Hospitals Designing for Safety and Quality Paper

Please watch the video, “Transforming Hospitals: Designing for Safety and Quality.”

Health care administrators evaluate risk in health care organizations in order to identify operational impact and develop actions plans. This is accomplished through assessment tools and application of methods using a systems-based approach to care.

After watching the video write a 1,000-1,250 word paper that focuses on the following:

1. How is risk assessed in health care organizations today? What role does evidence-based design have in the risk assessment/planning process?
2. Discuss at least two areas where process inefficiencies are present today (patient safety, patient satisfaction, quality outcomes, or workforce retention). What is happening in each of these areas that could cause concern for health care organizations?
3. How can these areas of high risk be transformed through the use of risk assessment tools or effective work groups to manage and overcome inefficiencies?
4. Using the system-based approach, what strategies could be used to improve or develop effective work groups?

***Study Materials***

Textbook:

Risk Management in Health Care Institutions-

Kavaler, F., & Alexander, R. (2014). Risk management in health care institutions: Limiting liability and enhancing care

(3rd ed.). Philadelphia, PA:Jones & Bartlett. ISBN-13: 9781449645656

Video:

https://www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html

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Rather than continuing to try to measure the width and depths of the quality chasm,¹ a legitimate question to be asked is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge more from an engineering and systems approach than as a healthcare quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care.

The current healthcare delivery system is provider centric, with the primary focus operating at the convenience of the provider rather than the patient. As noted by the Institute of Medicine (IOM): “In the current system, control over decisions, access, and information is typically in the hands of care givers and is ceded to patients only when caregivers choose to do so…. A common practice today is that control over the times and location of care and the information needed to make such decisions resides with professionals.”¹ This provider centric system of health care has resulted in a fractionated loosely coupled collection of services provided by separate clinical silos both within and between components of the system, with limited to no continuity and coordination of care for the patient. As pointed out by the Institute of Medicine in Crossing the quality chasm: “Health care has safety and quality problems because it relies on outmoded systems of work. Poor designs set the workforce up to fail, regardless of how hard they try. If we want safer, higher quality care, we will need to redesign systems of care…”.¹

Some might argue that the concept of redesign is inappropriate because the current healthcare system was never designed in the first place, so the focus should be on design rather than (re)design. While the concept of design is integral to a number of professions—such as architecture, engineering, the arts, and education—with focuses on specific methods and formal training in design, the concept of design is generally lacking in health care. If design is taught at all, it is for research design rather than a formal discipline for the design of the healthcare system or any of its component

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