Wk 4 Summative Assessment: Quality Assurance Interview

Scenario

You are being considered for a health care manager position at a local health care facility. The job description for this position emphasizes the need for quality assurance and improvement through tracking outcomes and analyzing the data. The first step in the interview process is to provide written answers for a series of questions sent to you by the facility’s HR department. The questions focus primarily on describing the process of tracking outcomes and improving quality and safety.

Preparation

Continuous quality improvement (CQI) is the idea of constantly improving performance and outcomes. CQI is a foundational principle to the delivery of health care. Having high quality and safety ratings is important to a health care organization for these reasons:

• The organization’s success can be advertised to the public to gain the trust of the community.
• Delivering consistent, high-quality care keeps the organization in compliance with regulations, which are Conditions for Coverage and Participation set forth by the Centers for Medicare/Medicaid (CMS) and state health departments. 
• Having high quality ratings helps in negotiations with payers to secure higher payments. Payers are increasingly tying payments to how the provider has performed with quality metrics, which are standards set forth by various agencies, including the National Council for Quality Assurance (NCQA) and the Agency for Healthcare Research & Quality (AHRQ). 

Do the following as you prepare to answer the interview questions:

• Review the Conditions for Coverage (CFCs) & Conditions of Participation (CoPs), a list of federal CMS regulations for health care facilities (e.g., nursing homes, surgical centers, etc.) and operations (e.g., home health agencies, hospice agencies, etc.).  
• Review “QI: Getting Inside Quality Improvement Mindset” from NCQA, which provides tips on how to gain a continuous quality improvement mindset. 
• Visit The Joint Commission, which accredits and certifies hospitals and health facilities, and read about their accreditation process and quality standards. 
• Many businesspeople use Microsoft Excel to plan, track, filter, and analyze data in their work environment. For an introduction or refresher on using Excel at work, consider watching the LinkedIn Learning videos located in this week’s Learning Activities folder: “Excel Essential Training” and “Excel Quick Tips.” 

Assessment Deliverable

Write a response for the hiring department that addresses the following questions in 175–350 words each:

• Describe some of the regulations and quality standards (e.g., CMS, NCQA, AHRQ, The Joint Commission) that you must maintain as a health care manager. Why is CQI/process improvement so important in a health care workplace? 
• What are the impacts on a health care facility (e.g., hospital, doctor’s office) of external regulations and quality standards (e.g., CMS regulations, state regulations, The Joint Commission)? As a manager, how would you ensure that your department is compliant with external regulations and quality standards? 
• Why is CQI process so important for quality of direct patient care? What are the outcomes on patient care if the health care organization does or does not have a good CQI process in place? As a health care manager, how would you ensure that continual improvements in quality are being made?
• What are approaches that health facilities and agencies take to ensure the aptitude and competency of their clinical and non-clinical staff members? As a manager, what are some things you can do to ensure that your team has the proper resources to consistently deliver high quality care? 
• What is the role of technology in direct patient care quality and safety? As a manager, how could you use technology (e.g., Microsoft Excel, Tableu) to help your department stay on track?

Submit your assessment.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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