Leadership is essential to quality, patient safety, risk management, and performance improvement. Organizational leadership focuses on many things including setting direction, established foundations, and leading through change.
In your post, explain the role of the governing board as it relates to oversight of the quality and performance improvement (QPI) activities.
What is the involvement of the governing board in establishing priorities for QPI within the organization?
When should the board be involved in or informed of poor outcomes or compromised patient care?
How would you evaluate the importance of involving the governing board in the early development of quality measures?
Resources
Leape, L. L. (2011). A blueprint on patient safety. Retrieved from http://archive.boston.com/bostonglobe/editorial_opinion/blogs/the_podium/2011/11/_by_lucian_l_leape.html
Centers for Disease Control and Prevention. (n.d.). National Healthcare Safety Network (NHSN). Retrieved from https://www.cdc.gov/nhsn/
Institute for Healthcare Improvement. (Producer). (n.d.). What is a culture of safety? [Video]. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/Bates-What-Is-A-Culture-Of-Safety.aspx
Multimedia
Complete the following Capella multimedia presentation:
Knowledge Check: Continuous Quality Improvement and a Fair and Just Culture.
This media provides an opportunity to self-check your knowledge of the best practices that first-in-class health care organizations engage in to establish fair and just cultures that focus on CQI. This knowledge will serve you well as you analyze a specific incident that occurred in a health care organization and create a leadership action plan that helps to drive safety and CQI throughout the organization.
Optional Readings
You may choose to read the following optional materials to further your understanding of the topics in this unit:
Reinertsen, J. L., Bisognano, M., & Pugh, M. D. (2008). Seven leadership leverage points for organization-level improvement in health care (2nd. ed). Cambridge, MA: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/SevenLeadershipLeveragePointsWhitePaper.aspx
Note: You will need to register with IHI to view this material. The registration is free.
Some points I found online.
With regard to health care quality, boards exercise their decision-making function when they review and approve or disapprove medical staff credentialing recommendations. Boards exercise their oversight function when they assess emerging issues of quality of care and patient safety, review quality data reporting by their organization, and evaluate the effectiveness of the corporate compliance program. Although directors are not expected to serve as compliance officers, they are responsible for oversight of management’s operation of the compliance program. In carrying out their duty of care, boards are also obligated to exercise general supervision and control with respect to corporate users. If information is presented—either through the compliance program, through complaints, or otherwise—that causes or should cause concerns to be aroused, the director is obligated to make a further inquiry until such time as the concerns are satisfactorily addressed and favorably resolved. Given the recent government interest in quality of care, the OIG/AHLA white paper instructs boards to take a more active role in overseeing quality issues within their organizations in order to satisfy the duty of care.
Role of the Governing Board
The governing body plays many roles within an organization. One of the major roles is playing an oversight role when it comes to quality and performance improvement. Their involvement in QPI is mainly to establish priorities that should be pursued by the organization.
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