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Summary HA425 Unit 2 Assignment FINAL.docx Healthcare Quality Improvement Purdue University Global HA245 Operational Analysis and Quality Improvement Quality improvement (QI) in healthcare is the framework used to systematically identify and provide strateg
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HA425 Unit 2 Assignment FINAL.docx Healthcare Quality Improvement Purdue University Global HA245 Operational Analysis and Quality Improvement Quality improvement (QI) in healthcare is the framework used to systematically identify and provide strategies to improve quality of patient care (œMo...
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Running Head: HEALTHCARE QUALITY IMPROVEMENT 1
Healthcare Quality Improvement
Purdue University Global
HA245 Operational Analysis and Quality Improvement
, HEALTHCARE QUALITY IMPROVEMENT 2
Quality improvement (QI) in healthcare is the framework used to systematically identify
and provide strategies to improve quality of patient care (“Module 4. Approaches,” 2013). With
this is mind, healthcarequality has changed over the past centurywith advances in technology and
the delivery of patient care. The history of healthcare quality began in1846 withDr. Semmelweis’
emphasis on the importance of handwashing in medical care, Florence Nightingale on
identifying the poor living conditions and high death rates among army soldiers in military
hospitals, followed byDr. Ernest Codman’s creation of hospital quality standards during surgical
procedures(Marjoua&Bozic, 2012). But in 1966, Dr. Avis Donabedian MD developed the
framework for quality measurement (process-outcome-structure triad) which, noted the then-
current focus on evaluating outcomes as the quality indicator to include the structure and process
of care used by healthcare systems today (Reinki, 2017).
Additionally, healthcare QI programs came to fruition after adapting Dr. Donabedian’s
contribution. It commenced with the Institute of Medicine (IOM) which, was established in 1970
by the National Academies of Sciencefocusing on evaluating, informing, and improving the
quality of healthcare delivered (Marjoua&Bozic, 2012). With this in mind, IOM emphasized the
need to promote strategies in accomplishing their goals for a viable health care system. Secondly,
an estimated $282 million in healthcare treatments was identified as wasteful spending for over
600,000 patients receiving unnecessary treatment (Allen, 2018). Certainly, no healthcare
professional would endanger the life of a patient but rather focus on patient outcomes and
prioritize safety. Therefore, in 1989 the Agency for Healthcare Research and Quality (AHRQ)
invested in clinical effectiveness, treatment outcomes and practice guidelines (Marjoua&Bozic,
2012). Finally, the National Committee for Quality Assurance (NCQA) was established in
1990to measure accreditation performance of healthcare systems and healthcare providers
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