Percent of heart failure patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB at hospital discharge

Left ventricular systolic dysfunction

Finding Potential Solutions to quality Issues Identified by quality reports

Your hospital’s quality scorecard shows that the facility had a lower rate of compliance for the following quality measures compared to other hospitals in the area:

  1. Percent of heart failure patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB at hospital discharge

  2. Number of acute myocardial infarction (MI) patients who are prescribed a beta-blocker at hospital discharge

  1. Percentage of ischemic stroke patients administered (given) anti-thrombotic therapy by the end of hospital day 2

 

Hospital administration wants the performance improvement team to research the possible causes for these rates and to develop some potential solutions that will help improve compliance. Select the components of the processes evaluated in these measures that you think may affect compliance. (You may want to review the measure definitions and content at www.qualitymeasures.ahrq.gov which explain the processes and outcomes involved). Then, develop one or two ideas for solutions for each measure, such as educating staff or changing a workflow.

Using APA format, write a 3 page proposal to the performance improvement team that details the clinical and administrative processes which you believe are involved that the team should address in creating an improvement plan. Be sure to identify the clinical and administrative data that will be needed to analyze processes and determine how they affect outcomes (mortality).

 

 

Requirements

Identify the components of the processes represented in the measures that may affect compliance
Develop 2 possible solutions to address each process
Identify the clinical and administrative data needed to analyze compliance for each process
3 pages, in APA format, free of spelling, grammar, and punctuation errors.

 

 

 

Assignment help

  1. Percent of heart failure patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB at hospital discharge

  2. Number of acute myocardial infarction (MI) patients who are prescribed a beta-blocker at hospital discharge

  1. Percentage of ischemic stroke patients administered (given) anti-thrombotic therapy by the end of hospital day 2

IN other words, the hospital is not doing what is supposed to do when it comes to the types of patients listed above. What are we going to do?

First we need to break down of the problem. ( 3 areas mentioned above) compared to other hospital in your area (Minneapolis) why are we falling behind? And what are we going to do about it? What are we going to do to improve the quality and increase our compliance in these 3 areas above?

-research and identify possible causes for low compliance in these areas. Why are our heart patients with lvsd not being prescribed AcEI or ARB during hospital discharged? Why MI patient not described beta blocker? Why our stroke patients not receiving anti thrombotic therapy by the hospital day 2? What is going on in those 3 processes?

  • Research the process for how the patients go about getting what they need for each of those different problem areas. One thing to look up on website www. Ualitymeasures.ahra.gov these 3 areas on that sight for low compliance and thing about why are the patients not being prescribed or given those they need in those 3 areas. Make sure to use all 3 areas in this paper above.
  • -developed 2 ideas for solutions for each one that you have identified. Ex: educate staff maybe change workflow
  • We need to know how we are doing once we have developed those solutions. How are those solutions working for us? How we will know those solutions are working and those 3 low compliance areas are rising that we have better compliance rate with those. We need to identify clinical and administrative data that we can use to determine whether or not our solutions are working and determined how they affect the outcomes for those 3 problem areas.

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