Test Change with PDSA: A 4 Step Process for Improvement

Introduction

The PDSA technique is a process of testing change which has been installed. PDSA method involves four prescribed steps. The steps include evaluation of the results, improving on the available outcomes, and retesting the process to ensure its suitability. In implementing the PDSA method, a variety of tools need to be considered (Gould et al., 2010). The phases include; planning where the statement to be tested is written, The "Do" phase involves the execution of the report, while the "Study" where the results are analyzed and Act that consists of the interpretation of the results.

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Rationale Initiative

The primary concern for the implementation of the PDSA will be reducing the HACs for Medicare patients. The HAC reduction program is a disciplinary action which intends to penalize the healthcare centers that have high incidents of HAC which surpass the norm. The HAC reduction program aims at revolutionizing the system of payment for the care of the patients which galvanizes the focus on the quality element and the safety of patients when in the hospitals (Nishimura et al., 2017). The HAC program intends to improve the cleanliness and security of the hospitals to lower the rate of HAI, which caused sickness to 722,000 in 2011 (Gould et al., 2010).

Focus Rationale

The primary aim of the PSDA technique is to analyze why the catheter-association Urinary Tract Infection (CAUTI) is being targeted in the implementation process of change. This is because of the increase in the infection of HAI diseases which are associated with the urinary catheter. In the process of treating patients with urinary complications, the doctors use the urinary catheter, which are not adequately maintained hence causing new diseases to the patients. Catheters need to be used appropriately when necessary and removed when there intended purpose on the patient is achieved (Gould et al., 2010).

Description of the Measure and development of CAUTI

It is estimated that more than five hundred and sixty thousand patients in the United States of America develop CAUTI yearly. The CAUTI program is measured using a thousand patients who have been treated with the use of the catheter urinary (Nishimura et al., 2017). Patients who are found to be infected by new infections in the process of treatment is recorded, and analysis is done. The PSDA for CAUTI is developed to help reduce the infection rate of urinary relayed complications among patients (Gould et al., 2010).

Critique of the Cost

There has been a rise in the cost of medication in the United States of America's hospitals in recent times. Both private and government based hospitals have hiked their prices to accommodate their increased procurement of medical facilities. The government needs to intervene and control the medical high medical bills which patients are being charged (Nishimura et al., 2017).

Benefits of Clinical Practice Guidelines

The current clinical practice guidelines need to be modified a little to tie hospitals more responsible for their service delivery. Their clinical practice guidelines are primarily initiated to improve the patients' experience. The instructions are implemented to enhance the health results of the patients (Nishimura et al., 2017). The excellent healthcare outcomes are a result of consistent patient care that is a goal of the clinical practice guideline. The guidelines require that patients with similar clinical challenges will receive another medical check-up in different health centers. The clinical practice guidelines also help patients make informed decisions when selecting the appropriate healthcare center to visit and avails the potential harm of every decision the patient chooses upon his admission in hospital (Gould et al., 2010).

Scope of Implementation

The Baptist Memorial Hospital has accomplished a reliable performance in the delivery of quality medical services to its patients regardless of the challenging environment of reimbursement. The application of the PSDA will mainly be focused on communication. The hospital needs to improve in its communication system to facilitate timely discharge of patients to ensure efficient utilization of the hospital resources (Nishimura et al., 2017).

The Rationale for the Intended Scope of Implementation

The improvement of the communication system in Baptist Memorial Hospital will lead to the effective management of the available resources to ensure improved care coordination, reduced operating costs, and increase in productivity (Gould et al., 2010). The improvement in service care will be through timely patient placement and discharge upon recovery. Unproductive processes within the hospital wing need to be cut to help reduce the wastage of costs that are used on bills of the unyielding methods within the hospital. Proper communication channel will facilitate customized reporting by all medical staff hence ensuring accountability of the resources within the hospital (Nishimura et al., 2017).

Conclusion

The Baptist Memorial Hospital has accomplished numerous deliveries of quality medical services to its clients. The implementation of the PSDA in the hospital will be focused on communication. Improvement in the communication system will help reduce costs hence improving the efficiency of the hospital. The hospital charges also need to be adjusted to accommodate different patients.

References

Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee. (2010). Guideline for prevention of catheter-associated urinary tract infections in 2009. Infection Control & Hospital Epidemiology, 31(4), 319-326. Retrieved from

https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.who.int/infection-prevention/tools/core-components/CAUTI_student-handbook.pdf&ved=2ahUKEwjsgNe0t9jjAhVGOhoKHa5hD1QQFjAOegQICRAB&usg=AOvVaw0YPnmjD33_lZ-gRBdWtZc_

Nishimura, R. A., Otto, C. M., Bonow, R. O., Carabello, B. A., Erwin, J. P., Fleisher, L. A., ... & Rigolin, V. H. (2017). 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 70(2), 252-289.

https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.ncbi.nlm.nih.gov/m/pubmed/28298458&ved=2ahUKEwiQodamudjjAhVRzYUKHTpeAGUQFjAAegQIBxAC&usg=AOvVaw0Mms-QbW78xqjQfsqFHLsz