Case Study: Stroke <Course Name, Course Number

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[. . .] The JCAHO also releases a hospital score cars that identifies areas for improvement such patient assessment excreta. The greater the need for improvement identified the lower would be the rating of the hospital (AHO, 2006).

A number of strategies have been employed by the hospital to meet these regulations. A complete database has been created that stores information of the patient's history starting from diagnosis to therapy treatments identified. In order to decrease the number of disclosure required for serious mistakes the hospital implemented safety procedures and preventive measures such as repetition of instructions by nurses to ensure they were not misheard. This reduces the chances of malpractices and also the insurance premiums.

The strategies employed for meeting these standards are not completely appropriate because there is always room for improvement. The organization has a number of problems in form of data management such as coding problems excreta. Moreover not all quality measures are implemented signifying that training and skills level for staff for example can be improved along with ensuring maximum output is obtained for the input. Strategies also need to be in place to ensure that all faults of the hospital are made public and apologizes are offered for mistakes made.

Barriers to improvement of quality measures and how to overcome them:

There are number of problems presented in improving quality. First is the need to have accurate data. Obtaining data can be expensive and difficult and errors are likely to occur at all levels. The better health service can only be provided when in dept assessment is done of patients with specific disease, the extent of their illness and what therapies might be employed. This could involve potential problems of accurate collection and also ensuring that risk adjustment factor are accounted for. Administrative records can be used but they are likely to be incomplete. Without electrical records data collection is expensive and requires substantial organization. Many results such as patient's health status would require direct input from patients and lack of their cooperation would make it impossible to collect all information. Moreover the time frame is important. Should the quality of service be measured over the initial hospitalization period or till the end of the treatment? The greater the time period the more complex the task becomes.

Risk adjustment also poses a problem. This is needed to allow interpretation of outcomes data among groups with different types of patients. Even though a range of sophisticated techniques are available many variables remain unexplained resulting in distorted results (Donabedian, 1988).

The organization can overcome these barriers by thinking in the long-term context. Greater focus on data collection can ultimately lead to better service, lower mortality rates and so on thus resulting in cost savings. On the other hand better relationships need to be developed with the patients so that they are willing to put their input and help improve the service. Investment in better equipment or training can help improve service and thereby the reputation of the organization.


Quality measures play an important role in assessment of the level of service provided to patients. However due to the subjective element involved it is not always easy. It involves time and effort and is expensive. Understanding quality measures is difficult and variables are often interdependent. However hospitals have the responsibility for human life and it is important that they are attuned to the quality measures and implement them. They also need to monitor and review them on a regular basis to ensure their relevance in the given situation.


AHO, (2006). Joint Commission on Accreditation of Healthcare Organizations: 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, 2005

American Heart Association, (1999) Heart and Stroke Statistical Update. Dallas, Tex. Available at:

Donabedian, A. (1988). The quality of care: how can it be assessed? JAMA.. 1988;260:1743-1748.[Abstract/Free Full Text]

Ryan, T. Antman, E., Brooks N. (1999) update: ACC/AHA guidelines for the management of patients with acute myocardial infarction: executive summary and recommendations: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). Circulation.. 1999;100:1016… [END OF PREVIEW]

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Cite This Case Study:

APA Format

Stroke <Course Name, Course Number.  (2011, July 23).  Retrieved July 17, 2019, from

MLA Format

"Stroke <Course Name, Course Number."  23 July 2011.  Web.  17 July 2019. <>.

Chicago Format

"Stroke <Course Name, Course Number."  July 23, 2011.  Accessed July 17, 2019.