In every institution, quality measures which guarantee the success in providing quality service and retaining customers are present. In every industry, these measures differ in nature and can be articulated to the strategies placed by the management to ensure and guarantee success of the Organization in attaining its objectives and goals. Where a clinic manager of an urgent care center is experiencing complaints with regard to the various services it provides, then a review of the strategies and quality measures in place should reviewed.
Where patients in the clinic face long waiting times, the management can review its policy on the Reception area. This can be done by providing a simple guiding and systemic method of addressing the patient’s needs. The management can adopt a Reception system, connected to the Doctors’ offices and other departments. Once the patients are logged into the system, they are assigned unique numbers. These numbers allow the patients to be medically assisted at each stage (CMS, 2008). For instance, logging in takes place at the Reception, once this is done, the Patients information is forwarded to Finance where they are to pay for the consultation. After doing so, their details are forwarded to Doctor’s or consultation offices where they are called in accordance to their time of Arrival. After consultation, their details are forwarded to the necessary departments such as the chemist or clinic. Time limits can be placed in specific areas to ensure the procedure is pushed and forwarded onto the next stage as quickly as possible. Waiting times for patients are drastically reduced.
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A Root Cause Analysis, can also be used as a Quality Initiative. As the name suggests, it is a Program which seeks to identify the main cause for the turnout of events. For instance, where the nurses are unable to fill details or offer full information to patients regarding their condition, this can be traced to either the nurses being pressed for time due to the amount of work to be done, and hence, offering a rushed services; this can also be traced to the unavailability of enough staff to cater to the needs of the patients. Through the Root Cause analysis Program, Management will be able to assess the events from a holistic view and from that determine the cause leading to the poor provision of information to patients. After this Analysis, the Organization can provide a better guideline, or implement additional measures regarding to eradicate these occurrences (CMS, 2008). For instance, implementation of the Total Quality Management Approach where all employees are involved in Quality Implementation through all stages of the Organization and operations. In this manner, nurses will be encouraged to implement strategies which will prevent delivery of poor services to clientele. Through Collaboration and Partnership, the organization can achieve TQM.
Where the clinic is providing very minimal health insurance covers, the Organization can review the various benefits of Medicaid as an option to provide for its patients. Medicaid recently incorporated additional services to Rural Health Clinics and has facilitated the expansion of services covered in such Care Facilities. One of these benefits is that Medicaid is that it provides grounds onto which the clinic can be reimbursed for services and also sets a floor-plan for the same (CMS, 2008). In this manner, patients visiting the clinic are able to access more services through Insurance Covers depending on which package they can afford. For many insurance companies, Rural Health Clinics are provided with very minimal services and hence limits the choice of Insurance the Clinic is able to sustain with minimal services covered. Medicaid and Medicare also provide the clinic with an opportunity to determine which types of services are catered for and from that determine the billing procedure for the services provided (Mueller et al., 2012). For instance, where a service is not checked, the clinic can bill the patient on their personal account instead of relying on Medicaid to cover costs it is not associated with.
In conclusion, there are various Quality Initiatives a Nursing facility is able to provide to ensure its patients are well taken care of. The identification of problem areas in service provision is a key requirement for Clinic Management to ensure constant improvement in services provided and requires whole organization collaboration for implementation and success of these initiatives.
References
CMS. (2008, July). Hospital Quality Initiative. Center for Medicare and Medicaid Services. Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwiPxYfV7rzVAhUKQ48KHTpEDPIQFgg7MAE&url=https%3A%2F%2Fwww.cms.gov%2FMedicare%2FQuality-Initiatives-Patient-Assessment-Instruments%2FHospitalQualityInits%2FDownloads%2FHospitalOverview.pdf&usg=AFQjCNG_DRRtcs_MX-MODWtLE_v4qdU7EA
Mueller, K. J., Coburn, A. F., Lundblad, J. P., MacKinney, A. C., McBride, T. D., & Watson, S. D. (2012, September). The Current and Future Role and Impact of Medicaid in Rural Health. RUPRI Rural Health Panel. Retrieved from www.rupri.org/ruralhealth / keith-mueller@uiowa.edu
