Nurses Assuring Quality Care for all Populations.PPT

 Nurses: Assuring Quality Care for all Populations Leonard Davis Institute of Health Economics University of Pennsylvania Mary E. Foley, MS, RN President Objectives Identify concerns related to health care quality. Define nursing’s quality indicators Discuss ways in which nursing’s quality indicators can be used to determine quality of care. Know the Cost of Everything…but the Value of Nothing Oscar Wilde The Outcomes Imperative Only about 15% of all contemporary Clinical interventions are supported by objective scientific evidence that they do more good than harm. White, 1994 Environmental Scan Care continues to move out of the hospital into the community. Informed and empowered consumers of health care are concerned and are expressing those concerns. Knowledge is being discovered at an increasing rate. Technology continues its rapid proliferation and diffusion. Environmental Scan (Cont.) Measurement of the quality of care continues to be demanded by all consumers. “Corporatization” of health care continues (product lines, marketing, competition, etc.). Millions of Americans are under insured. Costs continue to drive health care. Millions are Underinsured Nearly 40 million Americans are uninsured. More that 8 out of 10 who lack insurance are in working families. 91% of those who have private insurance get it at work. Low-wage workers are less likely to be offered coverage at work. Private insurance is very expensive. Costs Drive Health Care Premiums for employment-based insurance policies increased 11%. The uninsured are often charged more for care. Health care spending per privately insured person increased 7.2% in 2000. Hospital inpatient spending increased at a rate of 2.8%. Health care affordability is deteriorating. In most instances, health care delivered to patients/clients is provided by an array of health care providers (occupational therapists, pharmacists, physicians, registered nurses, respiratory therapists, etc.). The procedures