Data Review Based on the Case Study
The case presented tries to examine the situation of quality and critical issues related to the mentioned hospital. It is not that the healthcare facility has tried to abide by the Joint Commission standards by adopting new strategies that the management believed would help it become competitive and a leader in the healthcare industry not just in the U.S but across others nations in the global economy (Lloyd, 2017) . The existing statistics reveal that the history and physical (Hp& P) help in determining the level to which changes should be made to meet the set quality standards. The requirement is that healthcare facilities should be able the history and physical records should be available in the health records of the patients. This should be completed within 30 days (Sherwood & Barnsteiner, 2017) . Another important data document that needs to be availed is the operative reports (OPs).
Quality Code
Based on fi.17.6, the assigned quality codes is as follows:
| Quality Code | Code Number |
| Myocardial Infarction | 42 |
| Hypercholesterolemia | 60 |
| Liver Disease | 123 |
| Palliative Care | 60 |
| LDL Test | 54 |
| Breastfeeding | 144 |
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Analysis
The most common code based on the presented data is 60 which represent Hypercholesterolemia and Palliative Care. It is informed to state that they are popular not just because of their prevalence but also due to the influence/impact they have on human health across the globe. The service that seems to be a problem is Myocardial Infarction. It scores low and that implies that the organization should reconsider how it is delivered. The best conclusion that can be made based on this analysis is that a lot of services should be enhanced to meet the standard thresholds.
Recommendations
The organization should re-assess and make corrections to the identified standards. It is not possible to attain the required standards if the same trends and practices are maintained. Client/patient feedback should be sought to know exactly what is lacking.
References
Bernstein, M., Hou, J. K., Weizman, A. V., Mosko, J., Bollegala, N., Brahmania, M., ... & Bell, C. M. (2016). Quality improvement primer series: how to sustain a quality improvement effort. Clinical Gastroenterology and Hepatology , 14 (10), 1371-1375.
Lloyd, R. (2017). Quality health care: a guide to developing and using indicators . Jones & Bartlett Learning.
Sherwood, G., & Barnsteiner, J. (Eds.). (2017). Quality and safety in nursing: A competency approach to improving outcomes . John Wiley & Sons.
