| December 3, 2015
The assignment should be 250-350 words with references cited in APA format. I need this by
12/3/2015 before 12 midnight standard eastern time. I also attached a file here for references to be used. Thanks.
Discussion – Week 6

The Business Case for Quality

Decision making in today’s health care organizations requires a continuous balancing act, often involving tradeoffs to meet various clinical and business needs. For decisions related to quality, it is especially important to be able to provide a sound rationale for the choices that are made.

To prepare for this Discussion:

  • Bring to mind a specific quality or safety challenge that might be encountered in a health care organization (choose a type of organization that is of particular interest to you).
  • Review the information presented in the Learning Resources, including the “Making the Business Case for Quality Management” section on pages 128–141 in Medical Quality Management.
  • Consider how and why you would suggest an organization address this challenge. Examine the following considerations, as well as others that would inform your response:
    • What are the driving forces or most compelling reasons for addressing this challenge?
    • How might financial constraints impact this situation?
    • What other resources might be limited within the organization? How could these resource constraints influence this situation?
    • What role might pay-for-performance play?
    • How could the short- and long-term financial outcomes of this situation be assessed? How would the return on investment be determined?
    • Who are the key stakeholders that would need to be included or considered in this decision?
    • What are the expected benefits? What unanticipated consequences might occur?

Note: You may find it helpful to preview the Application Assignment and use this Discussion to inform your focus for that assignment.

Post by Day 4 a response to the following:

  • Identify the quality or safety challenge you are addressing in the first line of your posting.
  • Briefly describe the quality or safety challenge.
  • Explain how and why you would suggest an organization address this challenge. Present a succinct analysis of three or more business considerations that inform your response.Readings
    • Course Text: Medical Quality Management: Theory and Practice
      • Chapter 5, “Medical Informatics”

        This chapter discusses the use of technology for health informatics, especially as it relates to quality and patient safety.

      • Chapter 6, “Economics and Finance in Medical Quality Management”

        This chapter addresses the business case for quality, and examines fundamental economic and financial concepts as they relate to health care quality.

    • Article: Wachter, R. M. (2006). Expected and unanticipated consequences of the quality and information technology revolutions. Journal of the American Medical Association, 295(23), 2780–2783. Retrieved from the Walden Library databases.

      The author examines issues related to quality and safety efforts, including unanticipated consequences of computerization.

    • Article: Leatherman, S., Berwick, D., Iles, D., Lewin, L. S., et al. (2003). The business case for quality: Case studies and an analysis. Health Affairs, 22(2), 17–30. Retrieved from the Walden Library databases.

      This article poses the question: “Does improving quality yield a return on investment?” It presents four cases, and includes consideration of the costs and benefits to four stakeholders: providers, purchasers and employers, individual patients, and society.

    • Article: Zhan, C., Friedman, B., Mosso, A., &Pronovost, P. (2006). MARKET WATCH: Medicare payment for selected adverse events: Building the business case for investing in patient safety. Health Affairs, 25(5), 1386–1 393. Retrieved from the Walden Library databases.

      This article examines potential benefits of improving patient safety for hospitals that serve patients on Medicare and Medicaid.

    • Article: Ward, W. J. Jr., Spragens, L., & Smithson, K. (2006, December). Building the business case for clinical quality. Healthcare Financial Management, 60(12), 92–8. Retrieved from the Walden Library databases.

      This article presents a useful analysis of various factors that should be taken into account when building a business case for a clinical quality improvement initiative.

    • Article: Conway, P., & Clancy, C. (2009). Transformation of health care at the front line. Journal of the American Medical Association, 301(7), 763–7 65. Retrieved from the Walden Library databases.

      This article addresses the intersections of quality measurement, payment, and health information technology.

    • Article: Kaushal, R., Jha, A., Franz, C., Glaser, J., Shetty, K., Jaggi, T., et al. (2006). Return on investment for a Computerized Physician Order Entry System. Journal of the American Medical Informatics Association, 13(3), 261–266. Retrieved fromthe Walden Library databases.

      This article examines the implementation of a hospital CPOE at Brigham and Women’s Hospital.

    • Article: Simpson, R. (2005). Error reporting as a preventive force. Nursing Management, 36(6), 21–56. Retrieved from the Walden Library databases.

      This article looks at the use of technology for error reporting and the cultural change needed to improve patient safety.

    • Web Article: Burton, T. M. (2009, October 8). News in Depth: U.S. hospitals find way to make care cheaper—Make it better—P ublishing outcomes can boost results, one state discovers.Wall Street Journal(Europe), p. 14.Retrieved from the Walden Library databases.

      This article discusses efforts in Pennsylvania to improve quality of care while reducing costs.

    • Web Article: Devine, E. B., Hansen, R. N., & Wilson-Norton, J. L., et al. (2010, January). The impact of Computerized Provider Order Entry on medication errors in a multispecialty group practice. JAMIA,17, 78–84.

      This study illustrates a reduction in medication errors with the use of CPOE.

    Optional Resources


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