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Assessment 3: Outcome Measures, Issues, and Opportunities

Student Name

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Capella University

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Course Name

Prof Name
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april 10, 2024
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Outcomes, Metrics, Challenges, and Opportunities

The repercussions of a problematic surgical procedure at Alignment Healthcare have had

extensive effects on care quality across the organization. Resulting negative outcomes,
attributed to various factors like team proficiency issues, insufficient training, lax surgical and
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maintenance protocols, and sterilization deficiencies, pose significant risks to patients. These
challenges give rise to organizational obstacles such as financial strain, increased need for
re-operations, higher readmission rates, and elevated instances of hospital-acquired infections.
Addressing these issues is vital for enhancing organizational reputation, building trust within the
healthcare system, reducing medical errors, managing patient complications, and controlling
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costs. This assessment compiles a comprehensive report on outcomes, metrics, challenges,

and opportunities within Alignment Healthcare for executive leadership.
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Functions, Processes, and Behaviors in High-Performing Organizations

In high-performing healthcare entities, strategic planning and effective execution of care plans
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are crucial for delivering quality care. Such organizations view errors as learning opportunities to
refine practices and minimize medical errors. To tackle safety issues like unsafe surgical
procedures, postoperative complications, patient readmissions, surgical site infections, and
patient satisfaction, Alignment Healthcare must undergo comprehensive organizational
transformations. Managing unsafe surgical practices involves establishing hygiene protocols

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and addressing surgical site infections through meticulous surgical techniques, prompt
administration, and proper preoperative preparations. Alongside preoperative hygiene protocols,
providing thorough education and simulation-based training for nurses promotes interactive
learning, enabling them to anticipate risks associated with unsafe surgical procedures. This
approach enhances patient satisfaction and reduces postoperative risks and readmissions. The
"Four E’s" strategy—engage, educate, execute, and evaluate—proves effective in achieving
organizational objectives. Alignment Healthcare must design learning and training modules that
engage employees, educate them, encourage action, and evaluate progress.

Supportive Functions, Processes, and Behaviors and Outcome Measures

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Outcome measures at Alignment Healthcare encompass the frequency of unsafe surgical
procedures, postoperative complications, patient readmissions, surgical site infections, and
patient satisfaction. These metrics enable the organization to gauge care quality and the

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competency of professionals. Timely evaluation and adaptation of strategies are critical for
improving decision-making, attaining organizational goals, streamlining workflow, and enhancing

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safety protocols. Positive outcomes from supportive protocols include streamlined processes,
reduced errors, decreased surgical infections, and minimized postoperative risks.
Inter-professional collaboration fosters effective communication, leading to better-coordinated
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care and overall cultural performance improvement. Conversely, inadequately developed
processes contribute to unsafe surgical practices, higher readmission rates, and increased
resource allocation in reimbursement and readmission management. Communication issues
and lack of empathy adversely impact patient satisfaction and compromise safety.
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Organizational and Structural Adjustments

Organizational and structural changes, including hygiene safety protocols, comprehensive

learning modules, regulatory compliance, and open communication, are essential for balancing
positive and negative outcomes. Strong leadership is crucial for managing employee work
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stress, reducing infection risks, and empowering staff to conduct safe procedures, ultimately
achieving quality improvement outcomes.
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Quality and Safety Metrics and Initiatives

Critical quality and safety outcomes include unsafe surgical care procedures, identified through
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gap analyses. Implementing alcohol-based antibiotics, antiseptics, and preoperative sanitized

protocols can enhance preoperative strategies and mitigate surgical site infection risks.
Optimizing preoperative procedures and maintaining diligence during surgery can further reduce
postoperative risks. Effective home health condition management, patient education, medical
record consolidation, proper discharge planning, and follow-ups contribute to minimized
readmission rates and heightened patient satisfaction. Addressing quality and safety outcomes
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necessitates dependable and precise data, and optimizing preoperative measures can lead to
improved outcomes, reduced readmissions, and enhanced patient satisfaction.

Performance Concerns and Opportunities

Performance issues linked to unsafe surgical practices include competency concerns, unskilled
or inadequately trained staff, and insufficient inter-professional collaboration. Opportunities for
improvement encompass continuous learning and training, benchmarking against
high-performing organizations, bolstering team communication, and implementing checklists to
achieve better outcomes. However, uncertainties surrounding effective checklist implementation,

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the impact of human factors on performance, and patient-specific variables warrant attention.
Addressing these issues and capitalizing on opportunities can yield significant positive effects
on organizational performance.

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Strategy Utilizing PDSA

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The Plan-Do-Study-Act (PDSA) model lends itself to iterative cycles of planning, implementing,
evaluating, and refining changes to enhance processes. Planning involves identifying issues
related to unsafe surgical practices and instituting strategies to minimize complications.
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Implementation encompasses training sessions, protocol enactment, and data collection. The
study phase scrutinizes data to comprehend the plan's effectiveness, and the act phase refines
strategies based on continuous monitoring and evaluation. Training and education, along with
feedback loops and collaborative projects, can disseminate information and foster interaction
and cooperation among the healthcare team.
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Conclusion

This report underscores organizational functions, processes, behaviors, and outcome measures
at Alignment Healthcare, focusing on patient safety and quality enhancement. Implementing
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stringent infection control protocols, preoperative strategies, and fostering a safety-centric

culture through effective communication and leadership are critical for elevating care standards.
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References
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Infections in Hospitals: Practice and Theory, 377–437.
https://doi.org/10.1007/978-3-319-99921-0_33

Ariyo, P., Zayed, B., Riese, V., Anton, B., Latif, A., Kilpatrick, C., Allegranzi, B., & Berenholtz, S.
(2019). Implementation strategies to reduce surgical site infections: A systematic review.
Infection Control & Hospital Epidemiology, 40(3), 287–300. https://doi.org/10.1017/ice.2018.355

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Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve
team effectiveness within health care: A systematic review of the past decade. Human
Resources for Health, 18(1), 1-42. https://doi.org/10.1186/s12960-019-0411-3

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Balane, J. A. L., Yap, C. D. D., Villanueva, C. A. G., Palileo-Villanueva, L. A. M., &
Tamondong-Lachica, D. R. (2023). Predictors of readmission in a medical department of a

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tertiary university hospital in the Philippines. BMC Health Services Research, 23(1), 1-8.
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Dharap, S. B., Barbaniya, P., & Navgale, S. (2022). Incidence and risk factors of postoperative
complications in general surgery patients. Cureus, 14(11), e30975.
https://doi.org/10.7759/cureus.30975

Hannawa, A. F., Wu, A. W., Kolyada, A., Potemkina, A., & Donaldson, L. J. (2022). The aspects
of healthcare quality important to health professionals and patients: A qualitative study. Patient
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Education and Counseling, 105(6), 1561-1570. https://doi.org/10.1016/j.pec.2021.10.016

Irshad, M., Majeed, M., & Khattak, S. A. (2021). The combined effect of safety-specific
transformational leadership and safety consciousness on the psychological well-being of
healthcare workers. Frontiers in Psychology, 12, 688463.
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https://doi.org/10.3389/fpsyg.2021.688463

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and
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communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC
Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00684-2
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Kalaja, R. (2023). Determinants of Patient Satisfaction with Health Care: A Literature Review.
European Journal of Natural Sciences and Medicine, 6(1), 41-52.
https://revistia.org/files/articles/ejnm_v6_i1_23/Kalaja.pdf

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Ling, M. L., Apisarnthanarak, A., Abbas, A., Morikane, K., Lee, K. Y., Warrier, A., & Yamada, K.
(2019). APSIC guidelines for the prevention of surgical site infections. Antimicrobial Resistance
& Infection Control, 8(1), 1-8. https://doi.org/10.1186/s13756-019-0638-8

Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., &
Panagiotou, A. (2021). Simulation in clinical nursing education Acta Informatica Medica, 29(1),
15–20. https://doi.org/10.5455/aim.2021.29.15-20

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., &
Leykum, L. (2021). Evidence-based processes to prevent readmissions: More is better, a
ten-site observational study. BMC Health Services Research, 21(1), 189.

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https://doi.org/10.1186/s12913-021-06193-x

Tiwary, A., Rimal, A., Paudyal, B., Sigdel, K. R., & Basnyat, B. (2019). Poor communication by

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health care professionals may lead to life-threatening complications: examples from two case
reports. Wellcome Open Research, 4, 7. https://doi.org/10.12688/wellcomeopenres.15042.1

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Seidelman, J. L., Mantyh, C. R., & Anderson, D. J. (2023). Surgical site infection prevention: A
review. JAMA, 329(3), 244–252. https://doi.org/10.1001/jama.2022.24075
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Addendum

Table 1a: Total Number of Medical Errors

Medical Errors Number of Mortality Patient Postoperative

Cases Rate Injuries Complications

Number of Cases 50 5% 25 -

Surgical Site 28 3% 14 -

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Infections

Patient Complaints 17 0.3% 7 -

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No. of 25 2% 10 -
Readmissions

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Table 1b: Outcome and Associated Measures
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Safety concern Outcome & Measure Prevention Strategies

Unsafe Surgical Surgical Site Infection Rate Avoiding razors for preoperative
Care hair removal, use of alcohol-based
skin preparation agents,
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antiseptics, and preoperative

glucose control (Seidelman, et al.,
2023)

Postoperative Preoperative protocol optimization,

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Complications management of blood loss, operation

time and intraoperative
complications, and infection protocol
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management (Dharap et al., 2022)

Patient Patient surveys, patient expectations,

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Satisfaction and patient’s perceptions toward the

medical healthcare professionals
provide improved satisfaction (Kalaja,
2023)

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Readmission Healthcare at home is improved
Rates through patient education, medical
record consolidation, discharge
preparation, and follow-up phone
calls (Pugh, et al., 2021)

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