Care quality refers to the overall extent to which the dispensation of health care services to individuals and populations takes place; consequently, resulting in preferred health outcomes ("Six Domains of Health Care Quality | Agency for Healthcare Research & Quality", 2019). Therefore, to achieve the objective of health care quality, six analytic domains are imperative. These domains include safety, efficiency, patient-centeredness, timeliness, effectiveness, and equitability. Such frameworks related to quality valuation often define initiatives related to performance measure design and improvement within private and public sectors, as described by the Institute of Medicine (IOM). In this regard, the discussion focuses on Jackson Memorial Hospital, a medicare-centered health care institution in the State of Miami.
The hospital is a tertiary care hospital serving as a major teaching center for the Leonard M. Miller School of Medicine, University of Miami. The institution’s framework is that of a non-profit organization with a bed capacity of 1,550. Moreover, as a key facilitator of prime medical research, a referral center, and home to the notable Ryder Trauma Center, its focus on quality remains top-notch. Regarding safety, the institution Leapfrog Hospital Safety Grade indicates the hospital's inadequacy in dealing with infections due to the presence of Staph Bacteria Methicillin-resistant Staphylococcus ("Jackson Memorial Hospital - FL - Hospital Safety Grade", 2019). Moreover, the hospital performs below average in relation to surgical complications such as surgical wound splitting, breathing problems, and collapsed lungs among others. Therefore, within Jackson Memorial Hospital, gross overlooking of safety as a quality metric is quite rampant. Aside from safety, all other quality modalities within the hospital are above average. In 2017, the hospital got an award for energy efficiency, meeting performance levels on various nationwide designations ("Awards & Recognition | Jackson Health System", 2019). The hospital intrinsically avoids waste such as supplies, equipment, and ideas among others. In terms of patient-centeredness, Jackson Memorial Hospital’s proficiency is evident. As the nation’s largest safety-net hospital, population management is at its core as described by Joshua D. Lenchus, its president (Appold, 2016). Moreover, the hospital shows evidentiary effectiveness in the provision of services based on ample knowledge as well as the limitation of services provided to those unlikely to benefit. According to the hospital’s annual nursing report, its equitability shows the provision of non-prejudicial as well as committed care in regards to various attributes such as geographic location, ethnicity, socioeconomic status, and gender among others (Jackson Health System, 2008). Ultimately, the hospital crowns its quality pursuit with timeliness, as it significantly reduces mortifying delays to those who give and receive care.
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Comparatively, hospitals such as Johns Hopkins University Hospital and Mayo Clinic are noteworthy centers of quality innovation and advancement. Both have superb safety protocols compared to Jackson Memorial Hospital, which makes their surgical departments noteworthy in all respects. Moreover, their proficiency in virtually all quality modalities is evident due to the various recognition awards received by each health center spanning efficacy, efficiency, timeliness, patient-centeredness, and equitability. All these facets ultimately translate into the perception of healthcare quality among customer or stakeholder expectations or needs. Stakeholders, having a keen interest in the fiscal as well as social progress of a health care center, view quality as a means to an end. On the other hand, customers intrinsically depend on augmented quality. Therefore, their view of quality is often subjective but wholesomely beneficial. As mentioned above, the Institute of Medicine (IOM) includes six pertinent objectives within health care systems that increase quality (Hibbard, 2005). To this end, health care systems have to be safe to avoid deliberate or intermittent harm to patients. Effectiveness ensures proper use of resources for the needed number of patients under various care regimens. Under patient-centeredness, IOM stipulates the provision of respectful care that is responsive to patient preferences, values, and needs while guaranteeing patient values in critical clinical pronouncements. Timeliness necessitates waits reduction as well as the abatement of harmful delays. Ultimately, efficiency and equitability manifest in the former focusing on waste avoidance while the latter demonstrates the non-variation of quality in relation to subjective attributes.
References
Appold, K. (2016). Population Health Prevails at Two Institutions. Retrieved 8 October 2019, from https://www.the-hospitalist.org/hospitalist/article/121950/population-health-prevails-two-institutions
Awards & Recognition | Jackson Health System. (2019). Retrieved 8 October 2019, from https://jacksonhealth.org/jackson-north/awards/#gref
Hibbard, J. (2005). Engaging Consumers in Quality Issues: While the road to engaging consumers is steep, it is fairly well marked . Washington, DC: National Institute for Health Care Management Foundation. Retrieved from http://www.nihcm.org/pdf/ExpertV9.pdf Link to Exit Disclaimer
Jackson Health System. (2008). Nursing Annual Report .
Jackson Memorial Hospital - FL - Hospital Safety Grade. (2019). Retrieved 8 October 2019, from https://www.hospitalsafetygrade.org/h/jackson-memorial-hospital
Six Domains of Health Care Quality | Agency for Healthcare Research & Quality. (2019). Retrieved 8 October 2019, from https://www.ahrq.gov/talkingquality/measures/six-domains.html
