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Quality Standards in a Healthcare Organization

Quality Standards in a Healthcare Organization

Quality Standard Number Quality-Reporting Standard Source Description of the Standard How the Standard Drives Quality Improvement in Health Care
1 Quality Measures and Outcomes CMS-The Centers for

Medicaid &

Medicare Services

Quality Measures are guidelines that help measure or quantify patient experiences, healthcare outcomes, practices, organizational design, and networks related to delivering high-quality patient care and healthcare quality objectives. According to the Centers for Medicaid& Medicare Programs website, CMS uses these metrics to assess the medical care standard for Medicare enrollees (Wadhera et al., 2020).

Quality measures aim to protect a person from misusing and abusing health services, protect patients, identify potential intervention areas to enhance care, determine where and how to improve performance and enable patients to make better decisions concerning their health and the treatment they get. Moreover, they provide unbiased information for policy conversations concerning healthcare funding and programs and

serve as a test to determine the most effective clinical procedures, processes, and methodologies in advancing healthcare.

2 Agency for Healthcare Research (AHR) Quality Indicators AHRQ- Agency for Healthcare

Research and Quality

The Agency for Healthcare Research and Quality (AHRQ) created and maintained the Quality Indicators as one solution to the demand for affordable, comprehensive quality indicators that can be utilized to measure progress in the healthcare industry.

The indicators are based on evidence and have the potential to spot differences in the caliber of treatment given to both inpatients and outpatients (Sollecito & Johnson, 2011). Patient Safety Factors, Inpatient Quality Measures, Prevention Quality Metrics, and Pediatric Quality Measures now make up these measurements (Wadhera et al., 2020).

Critical care facilities use AHR Quality Indicators to flag possible quality issues, focus on departments requiring additional research and investigations, and monitor changes in the existing administrative records (Sollecito & Johnson, 2011).
3 HEDIS-Healthcare

Effectiveness Data

and Information Set, which incorporates four standards


NCQA- National Committee

for Quality


HEDIS is a complete set of established performance indicators created to give clients and healthcare professionals the knowledge they require to compare health plans’ effectiveness accurately.

Numerous crucial public health concerns, including malignancy, cardiovascular disease, smoking, pneumonia, and diabetes, are addressed by HEDIS Standards (Sollecito & Johnson, 2011).

The NCQA is a United States non-profit company with its headquarters in the U.S.

According to the National Committee for Quality Assurance (NCQA) website, most healthcare plans use HEDIS as an assessment tool to evaluate various aspects of treatment and services (Sollecito & Johnson, 2011). The website provides a means for healthcare professionals to assess performance and determine where to improve. Moreover, the organization collaborates with other companies in the U.S. to administer evidence-based guidelines, metrics, initiatives, and certifications to enhance healthcare quality.
4 Health and Medicine

Division (HMD) guidelines

HMD- Health and Medicine


The Health and Medicine Division is a branch of the National Institutes of medicine, engineering, and sciences. It maintains the consensual assessments and gathering tasks that the Institute of Medicine formerly undertook (Sollecito & Johnson, 2011).

The nation looks to the National Institutes for impartial, unbiased guidance on matters that impact people’s lives worldwide.

HMD’s mission is to assist persons in the public and private sectors in making wise health choices by offering reliable evidence. It provides reliable evidence so that persons working in the public and private sectors can make educated decisions about their health.

Through the efforts of HMD, over 3,000 people volunteer their skills and time each year to improve the country’s health (Sollecito & Johnson, 2011). Numerous research that Congresses have mandated are available. The Medical National Academy offers advice on the national and global levels on biomedical research, medicine, healthcare, and other related topics. It seeks to provide the government and commercial businesses with objective, factual information.

5 Healthcare Facilities Accreditation Program (HFAP) standards HFAP- Healthcare Facilities Accreditation


The Healthcare Facilities Accreditation

Program is a non-profit organization created to aid healthcare providers in upholding their expectations for patient care, adhering to laws and guidelines, and maintaining a positive healthcare sector. Centers for Medicaid &

Medicare Services, other widely renowned standards, evidence-based good practices, and particular patient safety programs are included in the HFAP guidelines (Wadhera et al., 2020). Measures are practical, clear, quantifiable, advantageous, and attainable. The requirements go beyond the terms of participation.

HFAP’s primary goal is to provide high-quality, academically sound patient care. It invests in various federal, regional, and municipal support projects to promote patient safety, quality, and specialized experience with surveys. The least invasive methods are used to conduct complete, unbiased patient-based procedure reviews within the facility. Studies with an educational objective also provide quasi-suggestions for remedies for any discovered inadequacies.
6 ASRHC- Acute Stroke Ready Hospital Certification The Joint Commission The Joint Commission is a non-profit origination that creates criteria for guidelines based on input from and interactions with patients, healthcare providers, and governmental organizations. Acute stroke-ready facilities offer care when patients cannot reach a main stroke facility immediately because of location or other issues. Hospitals designated as acute-stroke-ready can treat stroke victims right once, including by administering life-saving drugs and subsequently transferring the client to a primary or holistic stroke facility. The standards create performance benchmarks for critical operational components such as primary care, drug safety, infection prevention and control, and patient rights. The Joint Commission’s goals include patient safety and high-quality medical care (Sollecito & Johnson, 2011). The Joint Commission webpage created a measurable metric to accredit facilities as acute stroke-ready. The Joint Commission usually receives documentation of quarterly results on five metric parameters. Hospitals and healthcare institutions can have their performance evaluated and improved by The Joint Commission.


Sollecito, W., & Johnson, J. (2011). McLaughlin and Kaluzny’s continuous quality improvement in health care. Jones & Bartlett Publishers.

Wadhera, R. K., Figueroa, J. F., Maddox, K. E. J., Rosenbaum, L. S., Kazi, D. S., & Yeh, R. W. (2020). Quality measure development and associated spending by the Centers for Medicare & Medicaid Services. JAMA323(16), 1614-1616.


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Quality standards impact every role and organization in health care. Quality measures may have many facets, and your understanding of quality standards demonstrates skill in protecting and improving patient safety. In this assignment, you will analyze drivers and measurements of quality improvement in health care.

Quality Standards in a Healthcare Organization

Quality Standards in a Healthcare Organization

Preparing for This Assignment
Research quality dimensions, standards, or indicators various healthcare organizations use to improve healthcare quality.

Consider using the following list of organizations, and you may also use other organizations that you find in your research:

Centers for Medicare & Medicaid Services (CMS)
Agency for Healthcare Research and Quality (AHRQ)
The Joint Commission
The National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division
National Committee for Quality Assurance (NCQA)

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