Historical Development Matrix - Essay Example

Development of Risk Management and Quality Improvement Matrix Historical Development Year) Founder of Event Nature of Development Importance to Development of Risk Management and Quality ImprovementTotal quality management(1940-1950)Feigenham, Juran, Deming. Performance improvements,Organizational developmentsEmergence of modern concept ‘Six Sigma’Hill-Burton Act (1948)US CongressRegulations on the community service obligationGave way to a series of regulations on risk management in healthcareMedicare & Medicaid Act(1965)US Congressaccessibility of healthcare Ensured public rights on the availability of quality healthcare and coverage JCAHO (1951)Private non-profit organizationEnsured service quality & patient careDetermined specific standards on quality Medical Device Amendments (1976)Royal S.

Copeland(Lawyer)Insisted the avoidance of medical errorsLed to the emergence of Food and Drug Administration Center for Devices & Radiological HealthHealth insurance Portability & Accountability Act (1996)Edward Kennedy & Nancy KassebaumDocumentation of understanding compliant behaviorIncreased the amount of documentation in risk managementFederal Medicaid Regulations (2003)US CongressQuality assessment in health planPerformance improvement for the healthcare servicesSystem wide Quality improvement Accreditation agencies (HCFA, NCQA etc.)Insist continuos quality improvementSystem to measure the process of care quality 1.

Total Quality management: The idea of Total Quality management in fact, developed for the first time in Japan in late 1940s and 1950s. Subsequently, the previous notion of limited organizational inspection gave way to Total Quality Management and its modern emergence as Six Sigma (businessballs.com). The result was highly notable as it enhanced the performance improvements, and organizational developments. The outstanding proponents of Total Quality Management theory were Feigenham, Juran, and Deming. 2. Joint Commission on Accreditation of Healthcare Organizations (JCAHO): It is a private non-profit organization established in 1951 with specific focus on initiating accreditation process of hospitals and healthcare services.

It approved specific risk management standard in 1989. The standards ensured both service quality and patient care. In addition to the approval of standards, American Society for Healthcare Risk Management (ASHRM) was established and later collaborated with JCAHO’s sentinel event policy and on patient safety standards (Jcaho, 2004, p.3).3. Medicare & Medicaid Act (1965): This act ensured the protection of public rights on the accessibility of quality healthcare. It extended health coverage to all citizens above 65; and ensured healthcare services to disabled individuals, blinds, and low-income class children. 4. Hill-Burton Act (1948): in fact, this was the commencement of regulations on healthcare that insisted the idea of community service obligation (Taylor R J & Taylor S B, 1994, p.542). It was followed by a number of regulations on risk management and quality improvement in healthcare services in the United States. 5. Medical Device Amendments (1976): the amendments insisted the avoidance of medical errors.

It also ensured the safety of food, drugs, and cosmetics by giving authority to the US food and Drug Administration (FDA). It clearly defines the standards of food coloring and drug additives to ensure the protection of patients from deliberate medical malpractices (Dyro, 2004, p. 235).6. Health Insurance Portability & Accountability Act (1996): since the enactment of this law the organizational documentation was enhanced or made mandatory in healthcare organizations (Marcinko, 2005, p.90). It also led to the widespread use of electronic devices for the healthcare transactions.

In addition, the law insisted the insurance protection to workers and their families. 7. Federal Medicaid Regulations (2003): the 2003 regulations were the further improvements on the existing social insurance program. However, 2003 regulations in particular ensured the consistent assessment of quality improvements in healthcare organizations (American College of Medical Quality, 2005, p.188). 8. System wide Quality improvement: this improvement in risk management and quality was the result of gradual developments and innovations in the field of technology and healthcare service.

The process of quality assessment has undergone tremendous improvements as it became feasible to measure the process of care-quality given to the patients. It has become possible with the application of system based technology. The development has to be attributed to the strong influence of the accreditation agencies like HCFA, NCQA, Joint Commission, and AAHCC/VRAC (Lighter & Fair, 2000, p.8). ReferencesAmerican College of Medical Quality. (2005). Core Curriculum for Medical Quality Management.

Jones & Bartlett Learning. Dyro J F (Ed.). (2004). Chemical Engineering Handbook. Academic Press. Jcaho. (2004). Accreditation Issues for Risk Managers. Joint Commission Resources. Marcinko D E. (2005). Insurance and Risk Management Strategies for Physicians and Advisors: A Strategic Approach. Jones & Bartlett Learning. ‘Quality Management’. Businessballs.com. retrieved 20 May 2010 from http://www.businessballs.com/qualitymanagement.htmTaylor R J & Taylor S B. (1994). The AUPHA Manual of Health Services Management.

Jones and Bartlett Learning.Lighter D E & Fair D E. (2000). Principles of Methods and Quality Management in Healthcare. Jones & Bartlett Learning.