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Grand Canyon University Healthcare Quality Improvement Discussion Responses

 

Leni:

The Quality Improvement Organizations (QIO) mentioned was totally new to me. I was able to read about this program which is led by Centers for Medicare and Medicaid Services (CMS) and is a federal program focusing on improving the quality of health at community level for Medicare patients and focuses on patient-centered approach to reduce provider burden. The QIO program focuses on better health care quality, better accessibility, and better affordability by focusing on six priorities which are making care safer by reducing harm during care delivery, strengthen patient and family engagements in care, promote effective communication and care coordination, promote treatment and preventive measures for chronic conditions, make care affordable, and work with communities to promote best practices of healthy living. They also collaborate with other national organizations to ensure safer and better care for the patients. I was also able to explore on their emphasis on cardiac health, behavioral health, and care coordination (QIO, n.d.).

Thank You for sharing about QIO that helps to improve the quality, safety and value of care that patients receive through Medicare programs and as you stated data sharing will be key for better care coordination for patients that require more than one physician support.

Reference.

Quality Improvement Organizations (QIO). (n.d.). Sharing Knowledge Improving Health care. Centers for Medicare and Medicaid Services. https://www.qioprogram.org/about

Claudia:

As child obesity continues to increase there should be efforts to reverse the obesity crisis among children and adolescents. The focus should be on emphasis on healthy eating exercise in different settings, early education in different setting such as child day cares, hospitals, schools, and food service (CDC, 2021).

Translational research is known for building upon basic scientific knowledge to create a new and improved behavioral intervention. Translational research can assist by creating clinical trials and implementing the techniques and tools that can address the critical need to reduce child obesity and improve the overall outcomes of children and adolescents.

Pennington Biomedical Research Center is to prevent and decrease child and adolescent obesity through advanced, groundbreaking translational research and scientific advancement. Their goals are to test the effectiveness of technology such as wearable technology and primarily exergames to boost physical activity and to incorporate these technologies into family-based weight management programs for the youth (PBRC, n.d.). The research would be comparing the effectiveness of enhanced standard of care and family-based behavioral treatment that is being delivered to families through primary care clinics and centering their attention on under-served populations. The technology that is being used is centered on physical activity options for children with obesity, especially exergames which consists of video games promoting activity and mobile apps. The identification of interventions that will target and include promotors and barriers of physical activity and sedentary behavior by using wearable technology that will include monitors, GPS trackers, and ecological momentary assessment that will be delivered via a smartphone.

References

Centers for Disease Control and Prevention. (2021). Community efforts. https://labs.pbrc.edu/pediatric-obesity/index.htm

Pennington Biomedical Research Center. (n.d.). Pediatric obesity & health behavior. https://labs.pbrc.edu/pediatric-obesity/index.htm

Liane:

A quality improvement initiative related to population health is related to preventing heart disease and stroke. The Million Hearts Initiative is a “national initiative to prevent 1 million heart attacks and strokes within 5 years” (Centers for Disease Control and Prevention [CDC], 2020). The Million Hearts Initiative is co-led by the CDC and the CMS. The initiative is promoting the use of evidence-based priorities and targets that can improve the cardiovascular health of all people. The initiative is important because every year over 1.5 million people in the United States experience a heart attack or stroke (Benjamin et al., 2019). The initiative has set targets such as keeping people healthy through lifestyle changes and optimizing care such as increasing the number of patients using appropriate antithrombic medications (CDC, 2020). It is also focusing on priority populations such as “people ages 35 to 64” (CDC, 2020).

Translational research allows for the ease of implementing interventions gained from basic science knowledge to promote positive health outcomes in different populations. With more knowledge learned about causes and factors leading to the development of cardiovascular disease and stroke, translational research transitions the new knowledge into interventions suitable for population health. As knowledge is gained from new research, initiative goals and recommended protocols may change to apply the best evidence for the improvement of cardiovascular health. For example, the knowledge of having high low-density lipoprotein as a risk factor for heart attack, and stroke has led to protocols such as the usage of statin for “individuals with clinical atherosclerotic cardiovascular disease, and individuals with primary elevations of LDL-C >190mg/dL” (CDC, 2020).

References

Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C.W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind M., Ferguson, J. F., Fornage, M., Jordan, L., Khan, S. S., Kissela, B.M., Knutson, K. L., Kwan, T. W.,… Virani, S. S. (2019). Heart disease and stroke statistics- 2019 update: A report from the American heart association. Circulation, 139, e56-e528. https://doi.org/10.1161/CIR.0000000000000659

Centers for Disease Control and Prevention. (2020). About million hearts. https://millionhearts.hhs.gov/about-million-hearts/index.html

Centers for Disease Control and Prevention. (2020). Protocols. https://millionhearts.hhs.gov/tools-protocols/protocols.html