Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 89

There are common strategies that each collective effort employs to gain political will for quality improvement. The various alliances and other collaborative initiatives have several strategies in common, which in and of themselves contribute to a set of tactics around quality that may be applied to other policy discussions. Strategic themes among these initiatives include the following, which are critical when considering quality and safety:

 Most formal entities include consumers on their governing bodies or among the stakeholder groups they convene to ensure that the needs of the recipients of the care are heard and addressed.

 Many health systems, and those entities seeking to improve quality, are actively seeking patients and families as advocates and representatives, as health systems seek to close the gap between providers and patient satisfaction, in part driven by measures of the patient’s experience of care.

 Increasing emphasis, often less than successful, is focused on seeking broader diversity of patient, family, and consumer representation in order to reduce health care disparities.

 The inclusion of a broad base of stakeholders is almost universally applied, acknowledging the complexity of the challenges facing health care.

 The inclusion of multiple disciplines in most formal collaboratives reinforces that developing policy solutions is a team sport, with no discipline having the political clout to dictate or finalize solutions independently.

 Most collective efforts include one or more federal agencies among their board members in some capacity to ensure federal efforts and other entities are moving in concert.

 Professional organizations and other stakeholder groups participate in multiple efforts, maximizing their opportunities to influence policy.

 Participants on the various alliances, agencies, and accrediting bodies often participate with multiple groups. Questions remain over whether this is more expeditious or not.

 Consensus building is the preferred approach to derive proposed solutions.

 Convergence on proposed solutions occurs among stakeholders and alliances, with the result that while the details might look a little different, the same conceptual underpinnings run similarly across many collaborative efforts.

 The cost of health care is a worry that overrides all other efforts to improve quality, increase access to care, and ensure patient safety.

 Social determinants of health are increasingly shown to challenge all efforts to improve health and reduce negative outcomes of care.