Improving Health Care Quality, Safety Defies Simple Solutions

OAKBROOK TERRACE, IL--(Marketwired - Oct 10, 2013) - A viewpoint published in the October 2013 issue of Health Affairs contends that American health care will not get better or be safer until issues related to overuse of health services, process improvement tools, and organizational culture are addressed. The article "Improving the Quality of Health Care: What's Taking So Long?" by Joint Commission President and CEO Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., acknowledges that the lack of more rapid progress in fixing known problems is frustrating, and suggests that the task requires new approaches.

Nearly 14 years after the Institute of Medicine report To Err Is Human; Building a Safer Health System jolted health care professionals and the public alike by revealing that preventable health care adverse events cause more deaths than traffic accidents or breast cancer, Chassin contends that the way health care conducts improvement is itself in need of improvement. His Health Affairs commentary builds on his previous efforts to help health care make progress toward high reliability, which represents an extraordinarily high level of safety sustained over long periods of time -- safety levels achieved today by industries such as commercial air travel, nuclear power, and amusement parks. Chassin proposes three strategies:

"Harm-free health care does not exist today, but that should not prevent us from aspiring to achieve that goal," says Chassin.

Chassin's proposals to improve health care come more than two years after he and the late Jerod M. Loeb, Ph.D., executive vice president for health care quality evaluation, The Joint Commission, collaborated on the article "The Ongoing Quality Improvement Journey: Next Stop, High Reliability," also published by Health Affairs. The April 2011 article contended that health care could make major improvements in quality and safety by adapting lessons learned from other industries with consistently excellent safety records. They recently followed up on the April 2011 piece with a second article "High-Reliability Health Care: Getting There from Here," in the September 13 issue of The Milbank Quarterly, that provides a roadmap of specific changes hospitals should undertake to achieve the ultimate goal of zero patient harm by adapting lessons from high-risk industries.

The Joint Commission is leading this effort in its work with more than 20,000 accredited health care organizations. Joint Commission standards (Leadership, National Patient Safety Goals, Quality Improvement) emphasize the need to create a culture of safety and to continuously improve performance. In addition, the Joint Commission Center for Transforming Healthcare is helping health care organizations use RPI to create customized solutions to quality and safety issues such as hand hygiene, reducing errors in hand-offs between caregivers, wrong site surgery, surgical site infections, preventing falls that injure patients, and others.

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission evaluates and accredits more than 20,000 health care organizations and programs in the United States, including more than 10,300 hospitals and home care organizations, and more than 6,500 other health care organizations that provide nursing and rehabilitation center care, behavioral health care, laboratory and ambulatory care services. The Joint Commission currently certifies more than 2,000 disease-specific care programs, focused on the care of patients with chronic illnesses such as stroke, joint replacement, stroke rehabilitation, heart failure and many others. The Joint Commission also provides health care staffing services certification for more than 750 staffing offices. An independent, not-for-profit organization, The Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at http://www.jointcommission.org.

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