QualityAssurance and Management Methods
Facilitydescription and its Organizational Structure
CaliforniaPrimary Care Association Center was established in 1994 as astatewide facility that recognizes and represents the interests ofCalifornia community and their patients. The California Primary CareAssociation serves more than 2,000 non-profitable clinics and healthcenters that provide comprehensive and quality health care services,specifically for low-income and uninsured Californians. Thefacility’s membership includes community, rural and urban clinicsand special needs health centers.
Itis selected by the Federal Bureau of Primary Care and gets federalprogram assistance to improve services for the community and memberclinics. The community hospitals and the medical centers who aremembers of the facility take part in a collaborative advocacy, groupeducation, capacity building, regional promotion and training programactivities. Additionally, the facility continues to offer services inhealth care that are anticipated to meet the needs of the communitythrough innovation, integration, collaboration and commitment (Shankset al, 2016).
Similarly,the California Primary Care Association Center represents its diverseorganizational structure where it has maintained a joint advocacy toensure and sustain the funding for clinics and safeguard the abilityof clinics to deliver affordable quality care. The California PrimaryCare Association maintains its quality assurance programs itprovides research capacity that ensures timely, accurate analysis andaction on the regulatory legal issues that affect medical centers andtheir patients.
FacilityQuality Assurance Program
Thefacility regularly monitors and informs members of the existinglegislative and regulatory developments that may affect clinics andprovides recommendations regarding quality assurance procedures. Thefacility dedicates staff resources and operates closely with itsmembers to ensure that the quality of hospital care and servicesoffered meet the set standards as well as documents healthdisparities among the susceptible and vulnerable population in theCalifornia community.
Thefacility is distinct in delivering service models that are governedby unique regulations and licensing requirements. For instance, theCalifornia Primary Care Association maintains that the Health andSafety Code and Insurance Code should allow care providers planinternet websites searches to assign identification numbers that arereferred to as NPI codes which may offer directories to theorganization to ensure patients have the opportunity to access thefull range of care under one roof.
TheQuality Assurance Program illustrates the necessity for the providerdirectories to fulfill its functions portal clients receiveeducation and information that accommodate the variety of clinicalservices that a particular medical center might provide. Similarly,as a result of disparities in services available to the clinics, thefacility recommends that provider guarantors allow for a categorywhere medical center regions can randomly and openly choose thespecific services they will offer under the contract with each healthcare plan (Mosadeghrad et al, 2014).
Thefacility also provides for performance result and complianceassurance standards it has adopted a progressive improvement andimplementation outcomes. Audit measurements are submitted to theDepartment of Health Care Services to identify measures that may fallbelow the required rate. Additionally, existing collaborationmeasures agree on which performance standards are appropriate to theorganization’s operations and the annual compliance audit must beconfirmed based on information system competencies and evaluation ofstaff’s ability to conform to stipulations outlined by the QualityAssurance Committee.
MandateNecessities for the Facility’s Quality Assurance Program
TheCalifornia Primary Care Association is mandated to reduce the effectsof obstacles to health care access such as lack of health insurance,ethnicity, geographical segregation and disability. As for thevulnerable individuals in California community, the community clinicsand health centers have the understanding that to attain the missionof access to health care for all the people cannot depend wholly onexpansion or development of existing publicly financed healthinsurance programs without quality assurance program regulations.
Thefacility enormously supports the provision of high standard qualitypatient care in that funded health centers are mandated to take partin quality improvement or assessment programs that include theclinical or medical service quality management. The Quality Assurancedevelopment aids the organization to improve the care for patients.The California Primary Care Association’s Department of ClinicalAffairs is committed to supporting its members in developing andimplementing quality plans and procedures (Rodriguez et al, 2013).
Thefacility’s Integrated Care Summit focuses mainly on the integrationof clinical health leadership by providing opportunities, conceptsand quality assurance resources that aim at improving theincorporation of critical components of patient care. This programgives stakeholders the opportunity to engage in workshops andin-service training. Additionally, the quality control program servesto tackle the new challenges and provides for highest qualityservices at the best cost.
Thecontinuous improvements program focuses on enhancing services,products and processes by quality incremental to attain total qualitymanagement hence these have been marked by numerous regulations andlegal procedures for health care practitioners and other associateswho are closely attached to clinical techniques. Staff members inevery unit of the facility strive to improve and work towards thehighest possible level where quality models or charts are used toshow if progress is in control or out of control (Mitra et al, 2016).
Thefacility’s members have benefited actively from a comprehensive,efficient, high quality and evidence-based care that improves thehealth of the community. California Primary Care Association alsooffers educational, programming and networking opportunities formedical practitioners and quality improvement staff throughcollaboration processes that continue to develop and enhance theservices level and health care programs. Additionally, the facility’sJoint Commission has established a strategic alliance to improve themedical care and patient safety at community clinics.
Facility’s“Never Event” and Outcomes
TheCalifornia Primary Care Association “never event” that aimed atguarding and providing safety recommendation for its practitionerswas implemented. For instance, the wrong surgical procedure wasundertaken on a patient without the accepted informed consent for thepatient. Additionally, the retention of a foreign object in thepatient after surgery that excluded the objects being deliberatelyinserted as part of planned intervention in healing the patient wasevident in the facility member clinics and medical centers (Mehtsunet al, 2013).
QualityAssurance Management Program of the California Primary CareAssociation has an obligation to make sure that mistakes or healtherrors should never happen in the field of treatment since the neverevents are hostile events that are severe and substantiallyavoidable. The quality assurance program should reportrecommendations to the state-centered event systems to enhance andimprove the quality standards of medical services.
Mehtsun,W. T., Ibrahim, A. M., Diener-West, M., Pronovost, P. J., &Makary, M. A. (2013). Surgicalnever events in the United States. Surgery,153(4), 465-472.
Rodriguez,A. R., & Shueman, S. (Eds.). (2013). Handbookof quality assurance in mental health. Springer Science &Business Media.
Mitra,A. (2016). Fundamentals of quality control and improvement. JohnWiley & Sons.
Shanks,N. H. (2016). Introduction to health care management. Jones &Bartlett Publishers.
Mosadeghrad,A. M. (2014). Essentialsof total quality management: a meta-analysis. International journalof health care quality assurance,27(6), 544-558.