JK health care --The challenge and the way forward
Dr Fiaz Fazili
Do it Right…the First Time…Every Time. This definition of Quality, as
it relates to health care, is conformance to the established
requirements or standard of any organization. Unfortunately, value of
these indispensable healthcare ideals is appreciated only when you or
your loved one is in the midst of a severe illness.
Every day, undoubtedly thousands of Valleyites receive health care that helps to maintain or restore their health. However, too many of us are dissatisfied. Reflecting the need for urgent action under public and media outcry, an inquiry on the reported high rate of Mortality and Morbidity in one of our hospitals, to any Quality expert describes a fragmented and inefficient system of clinical governance and accountability exposing patients to many risks that are preventable. To close the gaps in system the sensitivity levels of expectations on improvement probably never ran so high .Crossing the quality chasm to bring improvement in safe practices for better health care, the leadership initiated changes on care processes and safety culture under new managers, the results of some of these steps are now visible with time. Equally, sporadic reports in media on health care harms arising out of alleged facility deficiencies, medication mismanagement, or unprofessional behaviours frequently dominate the scale and gravity of the problems persisting in the existing system. Most adverse events(AE’s) in any organization recur due to a faulty system not operating in the expected way and often unfairly politicians are blamed mercilessly for these AE’s only who are, in reality, simply responding to demands or disasters while putting policy in place on the inputs and feedbacks they receive from their professional advisers . Any health care reform must address the systemic problems. Perspective on Governance, Leadership, and Direction- Health care planning to succeed as an integrated ,”System,” requires Professional approach .Our new innovative leadership appears to be in mode of reforms attempting to remove obstacles to promote patient-centred care. Agreeably, changes add value, and possibility when implemented with prescience and persistence, co-operation and communication, an action plan in a timeline in the spirit of truth over populism, otherwise in value stream mapping all improvement may appear as a change, all change may not be improvement.
THE BIG QUESTION; Will the Standards make a difference in Healthcare, when implemented? The ANSWER: “More than anything, what distinguishes the great from the mediocre is not that they fail less, it is that they rescue more”! AGawande.
The Organizational Mission -Safety is fundamental to our healing mission and the foundation of the exceptional patient experience. In pursuit of Perfection versus Excellence; "Don’t Harm Me – Heal Me – Be Nice to Me”, that’s what your patients want and in that order. When it comes to safety in health care, the only acceptable goal is zero events of harm and negligence. A best practice standards establishes uniformity ,consistency and continuity in care across multiple individuals and levels, where receivers ‘or providers both can expect to be respected, involved, satisfied and above all safe and appropriate care based on an individual's needs, not on personal characteristics, or social status.
To err is Human: For Building a Futuristic Safer Health System. How to protect yourself ,patients, staff and visitors; what your responsibilities are in adhering to principles for safety in medications, devices, buildings, and management of professional practices without compromising patient care? Timely identification is foundation for averting major disaster, prioritizing issues to work on, generating ideas for safer care, and testing which interventions work… The emergence of healthcare automated global trigger (forecast) tools like, Adult and a Paediatric Global Trigger Tool, as the premier measurement strategy for patient safety, once validated, has helped to detect significantly more adverse events before occurrence of any major disaster.
Quality in Healthcare is Everyone's Responsibility-need Help? Physicians and health care facilities provide care to all, but they alone cannot. We live in a world that loves to focus on success, loves comparison sets expectations. Introducing key performance indicators (KPI), increases efficiency, provides visibility and accountability on performance related expectations, enhances your understanding on compliance. We need a little help from the community too. Eliminating disruptive behaviour is essential to creating a culture of safety in Hospitals. It's not uncommon for people to react to that stress in a very hostile, aggressive fashion. Taking exceptions to arrogance, abuse, fraud, and medical malpractice: How some Medical Practitioners beg for exemplary punitive actions, a big price to pay Medical Staff often work under difficult conditions? Compromised standards, lack of clear protocols, sub-standard essentials, spurious drugs and malfunctioning machinery often mean the staff or building or ambulances have to face the wrath of attendants/crowd on streets including media trials. This is what it’s like to be a care provider today. My true wish is to illustrate the sacrifices majority of doctors /other staff do make because I feel we are not represented fully when laws are made. A smooth working atmosphere in an institution is always a pre requisite to professional compliance. Nobody wants demoralized staff caring for them. We achieve what we do because of our people. A punitive mindset leadership often forgets to reward the people, share that improvement with everyone who was responsible for the success, even if it's just a verbal pat on the back. ”So let’s stick together, shall we?"-
“Coming together is a beginning. Keeping together is progress- Working together is success."-H Ford
( Dr Fiaz Fazili is Acute Care Surgeon and Chapter Leader for JCI accreditation and works on Health Care Quality improvement and Standard’s programmes: E-mail: fiazmfazili @yahoo.com )
Every day, undoubtedly thousands of Valleyites receive health care that helps to maintain or restore their health. However, too many of us are dissatisfied. Reflecting the need for urgent action under public and media outcry, an inquiry on the reported high rate of Mortality and Morbidity in one of our hospitals, to any Quality expert describes a fragmented and inefficient system of clinical governance and accountability exposing patients to many risks that are preventable. To close the gaps in system the sensitivity levels of expectations on improvement probably never ran so high .Crossing the quality chasm to bring improvement in safe practices for better health care, the leadership initiated changes on care processes and safety culture under new managers, the results of some of these steps are now visible with time. Equally, sporadic reports in media on health care harms arising out of alleged facility deficiencies, medication mismanagement, or unprofessional behaviours frequently dominate the scale and gravity of the problems persisting in the existing system. Most adverse events(AE’s) in any organization recur due to a faulty system not operating in the expected way and often unfairly politicians are blamed mercilessly for these AE’s only who are, in reality, simply responding to demands or disasters while putting policy in place on the inputs and feedbacks they receive from their professional advisers . Any health care reform must address the systemic problems. Perspective on Governance, Leadership, and Direction- Health care planning to succeed as an integrated ,”System,” requires Professional approach .Our new innovative leadership appears to be in mode of reforms attempting to remove obstacles to promote patient-centred care. Agreeably, changes add value, and possibility when implemented with prescience and persistence, co-operation and communication, an action plan in a timeline in the spirit of truth over populism, otherwise in value stream mapping all improvement may appear as a change, all change may not be improvement.
THE BIG QUESTION; Will the Standards make a difference in Healthcare, when implemented? The ANSWER: “More than anything, what distinguishes the great from the mediocre is not that they fail less, it is that they rescue more”! AGawande.
The Organizational Mission -Safety is fundamental to our healing mission and the foundation of the exceptional patient experience. In pursuit of Perfection versus Excellence; "Don’t Harm Me – Heal Me – Be Nice to Me”, that’s what your patients want and in that order. When it comes to safety in health care, the only acceptable goal is zero events of harm and negligence. A best practice standards establishes uniformity ,consistency and continuity in care across multiple individuals and levels, where receivers ‘or providers both can expect to be respected, involved, satisfied and above all safe and appropriate care based on an individual's needs, not on personal characteristics, or social status.
To err is Human: For Building a Futuristic Safer Health System. How to protect yourself ,patients, staff and visitors; what your responsibilities are in adhering to principles for safety in medications, devices, buildings, and management of professional practices without compromising patient care? Timely identification is foundation for averting major disaster, prioritizing issues to work on, generating ideas for safer care, and testing which interventions work… The emergence of healthcare automated global trigger (forecast) tools like, Adult and a Paediatric Global Trigger Tool, as the premier measurement strategy for patient safety, once validated, has helped to detect significantly more adverse events before occurrence of any major disaster.
Quality in Healthcare is Everyone's Responsibility-need Help? Physicians and health care facilities provide care to all, but they alone cannot. We live in a world that loves to focus on success, loves comparison sets expectations. Introducing key performance indicators (KPI), increases efficiency, provides visibility and accountability on performance related expectations, enhances your understanding on compliance. We need a little help from the community too. Eliminating disruptive behaviour is essential to creating a culture of safety in Hospitals. It's not uncommon for people to react to that stress in a very hostile, aggressive fashion. Taking exceptions to arrogance, abuse, fraud, and medical malpractice: How some Medical Practitioners beg for exemplary punitive actions, a big price to pay Medical Staff often work under difficult conditions? Compromised standards, lack of clear protocols, sub-standard essentials, spurious drugs and malfunctioning machinery often mean the staff or building or ambulances have to face the wrath of attendants/crowd on streets including media trials. This is what it’s like to be a care provider today. My true wish is to illustrate the sacrifices majority of doctors /other staff do make because I feel we are not represented fully when laws are made. A smooth working atmosphere in an institution is always a pre requisite to professional compliance. Nobody wants demoralized staff caring for them. We achieve what we do because of our people. A punitive mindset leadership often forgets to reward the people, share that improvement with everyone who was responsible for the success, even if it's just a verbal pat on the back. ”So let’s stick together, shall we?"-
“Coming together is a beginning. Keeping together is progress- Working together is success."-H Ford
( Dr Fiaz Fazili is Acute Care Surgeon and Chapter Leader for JCI accreditation and works on Health Care Quality improvement and Standard’s programmes: E-mail: fiazmfazili @yahoo.com )
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