Strategic Framework for Reform of the Health Service

Strategic Framework for Reform of the health goodIntroductionIn 2012 the segment of wellness (2012) (DoH) launched its Strategic Framework for Reform of the health Service. The precept behind the release of this Framework, through the Health Service Executive (HSE) was the go along improvement of societal wellness and wellbeing within the State of Ireland. tetrad key aras were identified for reform Health and Well Being retention people healthy, Service Reforms providing healthc ar that people need, Structural Reforms delivering high gauge dos and Financial Reform getting the topper value for health system resources.To achieve these reforms there mustiness be a dependent relationship in situ between each(prenominal) four key argonas, providing the best provision of give c ar and best practice to any stakeholders involved, through the act and correlated make use of of circumspection, Leadership, character Management and cultivation Management. Examining some of the principles of teaching and Quality Management this student will endeavour to critic only in ally plow some key beas.Information ManagementWith the advancement in technology, creed on and use of computer ground Information Management has change magnitude dramatically. Insuring the number, carrying out and continued development of Information Management there are a number of key principles to successful Information Management including powerful Management of Information and selective data Knowledge.Management of InformationEffective Management of Information is a multifaceted combination of People, Process, Technology and Content and it is how these are managed that allow us to provide a high quality of veneration to all. It is how this information is managed that allows recognises the value of information, whilst being readily available, treasureed shared and is always evidence based. A heartfelt process of Management Information allows all health forethought pro fessionals collect info and to communicate this information through unhomogeneous avenues to other health care professionals, not only allowing for a great flow of information, scarcely also an ease of assenting to the relevant laconic information. diligent records can now be accessed and shared with far greater ease than they have historically (Wallis 2011) remotely by authorised professionals, access to imaging data and laboratory results is almost instantaneous allowing for Healthcare professionals to remove informed decisions. Data can be collected and correlated to local and discipline policy makers regarding the provision of health care, including Care Planning, Prioritising Workloads and Resource homework (Murnane 2005)Effectual Information Management can help maintain and protect documented information. Two separated inquires exposed the purposeful practice of officious with documented records, Leas transverse (ONeill 2006)and the Neary Report (Harding Clark 200 6), indeed Sexton et al. hypothesised that written breast feeding handovers could be simplified, leading to increased efficacy in time instruction ergo allowing more than time for enduring interactions through the centralised use of patient information and reducing potential for errors. Spooner et al. (2013)Data Knowledge one of the challenges of having a good information Management system in situ is to ensure that the data correlation is relevant, true and fit for purpose. Data collection as outlined by the Health Information Quality Authority (HIQA) (HIQA 2012) should be, where affirmable collected once and whence used insistently, thus preventing the patient asked on numerous occasions for the same information, this is more applicable to long depot work users of health care. Due to the enormity of data available it must be validated, reliable, accurate and complete where possible, however, records must be updated following all interactions between patients and caregivers insuring that the most up-to-date information is readily available.Good data may give the care giver/hospital a belligerent advantage, allowing all stakeholders to make strategic, informed decisions, increase productivity leading to a possible long term increase cost efficiency, however, it must be noted that this data knowledge should be bidirectional allowing for patients to access the Data Services such as the HSE Dashboard. Data is only as good as what is imputed on to the system, therefore clinical ecesis needs to be policed to ensure good quality data is entered, there may be initial cost implications during data gathering.Whilst there are multifaceted benefits of implementaning, maintaining and continual development of good information management systems and Data Quality protocols in place it must be also noted that there are a number of areas of concern, most notably patient confidentiality, insuring the safety of all patient records, implementation and upkeep costs, fail safe back up and intrusion systems and lack of end user involvement in the design process and implementation of the Information Management system (Huryk 2010). One must also examine the legality and accountability of information transcribed onto databases/patient records and examine who is going to manage and take ownership of these E documentations, as this is currently still an area growth concern, taking into account what are the consequences for those who misuse and abuse data collected and stored under The Data egis Act 2003. (Irish Government 2003)Quality in Health Care everywhere the past number of years there have been a growing number of inquiries into the quality of care delivered to the Lourdes Hospital examination (Government of Ireland 2006), Leas Cross (DoH 2009) and the more recent Halappanavar case (HIQA 2013), whereby the provision and talking to of care has been called into account in a legal context. All reports make various recommendations however, it is how these recommendations and findings are then implemented into an accountable structure regarding the delivery of healthcare. From an Irish context, Evidence based standards in collaboration with users of healthcare are pivotal to the continual improvement of our Health Service (DoHC 2001)Quality ImprovementCritical to the establishing a bag for quality improvement and reform in healthcare is the establishing and contextualising the values, mission and subject matter competencies of the organisation. This should incorporate codes, responsibilities for performance and quality, documentation of key policies and procedures, public information on available utilitys, relevant updated information. Procedures must be arrogant, measurable and comply to local, national and in some cases, international law(s) and health policies, more importantly, for the delivery of care one must embrace the Patient/Service substance abuser/ leaf node into the melee to create a Person Centred delivery of service score by Quality Improvements, these may encompass medical errors and empowering the patient but must have their foundations built upon evidence based practice (HSE 2012).In theory, this sounds achievable and one may question why such measures were not in place already, however in practice, there are a number of elements to consider that may impact on quality improvements. A recent report from The focus on Patient galosh and Quality Assurance ( plane section of Health, 2011) identified cultural issues as a major restriction to accepting change, most notably from an organisational and professional stance. Therefore, it is essential that to have legal leadership in place to help with the development and implementation of change, however, as Fealy et al. (2010) summarised that there are a number of barriers to nurses growth as in effect(p) interdisciplinary leaders which need to be addressed.Patient/Service User FocusThere have been a number of initiatives to establish a patient/service user focus within healthcare. From a service user perspective the HSE has established a Patient Form allowing service users the prospect of having active participation in the design, implementation and assessment of developing National clinical Care Programmes (HSE 2014)National Standards Agencies such as the noetic Health Commission (MHC) and HIQA have been established to protect the service user and caregiver. The Quality Framework for Mental Health Services in Ireland (MHC 2007) delivers a structure manner for safeguarding continual improvements and monitoring of all mental health services, by setting expectations of all those who come into contact with the Mental Health Services in Ireland, aided by a modality of lag and services being proactive. There is a greater duty with the service user to have increased impetus in their own care through the knowledge of services available, focus groups and readily available Patient Information Leaflets.ConclusionOroviogo icoechea et al. (2008) recognise that there is a strong affiliation between the Quality of Care offered to patients and Quality of Information, received, documented and managed, as with all systems, there is scope for improvement, however, following on from lessons learnt we have seen the introduction and implementation of Policy and procedures with the setting up of the Government Standards Body of HIQA as a state body with the power to implement changes and recommendations. Health must confront treating itself as an isolated entity and embrace modern technological developments in information management as they do within other areas in the delivery of care, such as Imaging, Surgical Interventions and so forth, however strong and systematic procedures should be in situ to insure the safe management of Patient information. constitute Clinical Governance will ensure that standards are met and that policy and procedures are stringently adhered to, however this can only be accomplish ed by nurses accepting changes, evaluating evidence based practice and performing to the best of their ability.ReferencesDepartment of Health and Children (2001) Quality and Fairness, a health system for you, Health Strategy, stationary Office capital of Ireland.Department of Health (2009) The Leas Cross Commission The Commission of investigating (Leas Cross nurse Home) Final Report June 2009. 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