Question

Instructions: Consider how organizational goals may have contributed to some improvements in care provided to patients with CHF and pneumonia while improvements in care for patients with AMI lagged. The measures for each of these conditions can be found on the Medicare website (www.medicare.gov). On the following goals worksheet, you will find examples of goal statements the hospital could have established that would have led to the results described. Critique each goal statement and document your critique on a worksheet such as the one shown here. Remember, you are critiquing the goal statement, not the merit of the intervention represented by the goal statement. Goals Worksheet Improve performance in all the CMS disease-specific indicators. Ensure all patients admitted to the ED with the diagnosis of AMI receive aspirin within ____ minutes of admission. Improve performance on the following AMI indicators: • Timeliness of administration of aspirin • Prescribing aspirin at discharge • Smoking cessation counseling Research the available clinical guidelines on care of the patients with AMI, and implement a guideline that • demonstrates a strong degree of evidence; • ensures meeting all regulatory and payer requirements; and • permits ease of documenting, retrieving, and reporting the necessary performance indicators. Reduce the number of patients with AMI who are discharged without smoking cessation counseling and a prescription for aspirin. Goal Statement

Pros Cons

Improve performance in all the CMS disease-specific indicators. Ensure all patients admitted to the ED with the diagnosis of AMI receive aspirin within ____ minutes of admission. Improve performance on the following AMI indicators: • Timeliness of administration of aspirin • Prescribing aspirin at discharge • Smoking cessation counseling Research the available clinical guidelines on care of the patients with AMI, and implement a guideline that • demonstrates a strong degree of evidence; • ensures meeting all regulatory and payer requirements; and • permits ease of documenting, retrieving, and reporting the necessary performance indicators. Reduce the number of patients with AMI who are discharged without smoking cessation counseling and a prescription for aspirin. G

Answer 1

Improve performance in all the CMS disease-specific indicators. Ensure all patients admitted to the ED with the diagnosis of AMI receive aspirin within ____ minutes of admission. Improve performance on the following AMI indicators: • Timeliness of administration of aspirin • Prescribing aspirin at discharge • Smoking cessation counseling Research the available clinical guidelines on care of the patients with AMI, and implement a guideline that • demonstrates a strong degree of evidence; • ensures meeting all regulatory and payer requirements; and • permits ease of documenting, retrieving, and reporting the necessary performance indicators. Reduce the number of patients with AMI who are discharged without smoking cessation counseling and a prescription for aspirin