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Unit 23 Managing Quality in Health Care Environments Assignment

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Introduction - Unit 23 Managing Quality in Health Care Environments Assignment

Each health care system is constructed on the basis of a complex network of patient care and processes. The system's ability to offer high-quality care is highly dependent on how this network performs and how effectively the individuals who offer and manage care coordinate. The overarching goal is straightforward: to serve patients with high-quality care and to promote the health of the population. Nonetheless, as any patient or professional will attest, for every successful technique or channel, there is another that results in delay, lost effort, frustration, or even harm. Quality improvement is about providing the time, permission, skills, and resources necessary for those closest to problems concerning care quality to resolve them (Hawken et al., 2021). It entails a comprehensive and organized strategy to problem resolution that utilizes specialized methodologies and instruments with the goal of achieving demonstrable progress. Quality improvement can result in lasting improvements in not only the quality, experience, productivity, and outcomes of care, also the lives of health care workers.

Quality Improvement Plans are intended to assist providers in self-evaluating their success in providing high - quality care, as well as in planning for future improvements. The purpose of a QIP is to assist providers in self-evaluating their success in providing high-quality education and care, as well as in planning for future improvements. This report in its subsequent sections will elaborate details regarding these two topics in the setting of Spire Healthcare Group Plc.

1. Review of one aspect of working practices in Spire healthcare setting

Among all the aspects, emergency care is a major aspect to the functioning of any health care system. It benefits a large number of people by providing the appropriate treatment at the appropriate time. Because individuals are aware that emergency treatment is not completely equipped logistically, they attend only when they are experiencing extreme pain or disease. Additionally, some people forgo emergency care due to a financial barrier in a less serious situation. Almost always, frontline practitioners of health care are accountable both for adults and children in many emergency situations. Obstetric, surgical, injuries emergencies, pregnancy difficulties, and communicable and non-communicable ailments are all possible scenarios.

Numerous researchers have discovered that good emergency care reduces nearly half of deaths and roughly one-third of disability. Medical healthcare is increasingly prioritizing the establishment of a centralized emergency and trauma care division, recognizing its global need. Every day, emergency care personnel are confronted with life-threatening scenarios. While it is still in its infancy, it is already playing a critical role in the health industry.

Emergency Medical Care at Spire Southampton Hospital provides immediate access to professional medical care for patients with an emergency medical problem. The Emergency Medical Care service is led by Consultant Physicians Dr Ben Marshall and Dr Rachel Limbrey and treats patients with a variety of medical disorders including asthma, COPD, pneumonia, cellulitis, and transient ischemic attacks. Whether patients seek an emergency admission, care for various conditions, or investigation and diagnosis, the Emergency Medical Care service is here to help (Spirehealthcare, 2021). Following a referral from the general practitioner, patients would be brought to the emergency department for a brief stay throughout which they will undergo a speedy examination and expedited diagnostic tests using the state-of-the-art diagnostics and imaging services. Patients will either be admitted directly or to one of the private rooms with en-suite amenities, or an outpatient visit for diagnosis and investigation will be scheduled. Spire offers a high standard of care delivered by experienced and devoted nurses in a clean and pleasant environment. Additionally, the Critical Care Department, which contains an HDU (High Dependency Unit) and an ITU, may assist patients (Intensive Care Unit) in resolving their health related issues (Spirehealthcare, 2021).

2. Discussion about the reasons which make it important to bring about improvements in the selected aspect

Emergency medical care's primary objective is to stabilize patients who have sustained a life-threatening or limb-threatening accident or illness. Unlike preventative medicine or general care, emergency medicine focuses on providing urgent or immediate medical measures. It is composed of two primary components: medical decision-making and the activities necessary to avoid unnecessary death or impairment as a result of time-sensitive health problems, regardless of the patient's age, gender, location, or condition (Hamad and Connolly, 2018). Nowadays, the emergency care system is plagued by people sitting in hallways awaiting admission, everyday ambulance diversions and overcrowded emergency rooms. Hospital-Based Emergency Care addresses the challenge of balancing the roles of hospital-based emergency and trauma care, including not only urgent and life-saving care, but also the safety net care for uninsured patients, disaster preparedness, adjunct care and public health surveillance in the face of increasing patient volume and limited resources. There are numerous facets of the United Kingdom's emergency care system which requires enhanced fortes, eradication of inadequacies, and possible difficulties.

Following are among the several matters that illustrates the importance of improving emergency medical care:

  • The emergency department's position and impact in hospital and health care system is enormous.
  • The flow of patients and the use of information technologies have a direct relationship with it.
  • Patient safety and services are largely done by emergency care instantly with efficacy and quality services.
  • Emergency care-related fundamental, clinical, and health care services research place a premium on the success of any care setting.

(Danielis et al., 2021)

Thus, it is of utmost importance to bring in improvements in the arena of emergency healthcare as it will make special relevance to emergency care clinicians, professional groups, patients and policymakers concerned with the overall success of the institution.

3. Justification of the recommendations and the aspect of improvement in terms of the impact on the healthcare service

Emergency care, by this far, as discussed in the preceding sections has evidently established itself as an important aspect of the healthcare system. Though the care setting namely Spire Healthcare already offers their patients a number of ways to receive Emergency Medical Care. But for that patient must be referred by their primary care physician. At Spire GP, they make it simple to obtain private GP services when patients need them. Appointments with Spire GPs are available at a variety of times, including same-day, for both children and adults (Vasquez et al., 2021). But still, it is necessary for them to bring innovations to their survives of emergency care since covid has made an enormous impact on the people in need to obtain the emergency care and institution that will be providing the patients with that. In this a way a systemized function can be introduced which would enhance the quality of the emergency acre and thus foster the growth of the care setting.

They must begin with a larger goal in mind and implement the required emergency treatment to effectively aid their patients. Increasing emergency treatment will contribute to the Triple Goal of healthcare enhancement: improved healthcare facilities for population, reduction of per capita healthcare costs and enhanced quality of healthcare services. They can establish a vision and garner support for a data-driven systematic approach to improve their emergency care services. Starting a training session on how to enhance the skills in emergency care will benefit caregivers in the emergency department to hone their activities. The department can also initiate an upgrade project that can be beneficial to establish an “ED Joint Practice Team” in which the team members will always be available to help and support the patient to recover from the trauma or issue related to healthcare (Hruska and Barduhn, 2021). This will enormously aid in the improvement of communication between departments, allowing for the avoidance of unintended consequences of modifications to other departments.

Establishing an effective telehealth program that can improve patient care by linking emergency department patients to the appropriate care from the appropriate physician at the appropriate time can enhance the emergency care offered by the healthcare institution Spire. Pursuing a collaborative process in which all clinicians contribute to the formulation of a care plan, will result in seamless and rapid functioning of work in Spire (Conway et al., 2021). Promoting the use of urgent care centers, which are frequently located in easy to access places and offer easy walk-in hours, lower wait times, and online check-in alternatives can benefit and enhance emergency care. Similarly, tele urgent care programs can also be included as the emergency care service offered by the care setting; Spire Healthcare.

4. Evaluation of the evidence gathered towards sharing the information with both internal and external stakeholders

Stakeholders can be classified into two broad categories. Internal stakeholders are those involved in the hospital's operations. Internal stakeholders include hospital workers and medical staff. Internal stakeholders have intimate knowledge of the organization's inner workings, placing them in a unique situation to provide knowledge and insight. External stakeholders are people who are not affiliated with the hospital but are influenced by or have an effect on the institution. They, in hospitals are the ones who offer inputs (suppliers) and those who rely on hospital outputs (patients), as well as competitors and special interest groups (Hawkins et al., 2021). They exert influence on the business through influencing service line choices, which frequently have a negative impact on the bottom line. Both internal and external stakeholders have an equal impact on a hospital's direction, each in their own distinctive way. Internal and external stakeholders, on the other hand, can be impacted by the hospital in a variety of ways. If a hospital establishes a new specialty that is not currently offered by other facilities in the region, internal stakeholders may suffer negative consequences like involuntary employees relocation or reassignment, overpopulated work areas, and a reduction in available parking spaces due to the influx of patients (Pipers, 2021). On the other hand, patients (as external stakeholders) will benefit from the provision of a new service near to home.

If the healthcare institution makes improvements in its emergency care unit, the clients, that is, the patients would greatly benefit from it, since they will have the assurance of having high quality service for themselves in situations of medical emergency. The suppliers, who form the second most important stakeholder group would also benefit much since they will be able to increase the scope of their business with the institution, for the latter would need to install multiple advanced appliances and upgrade them from time to time, as a part of the improvement procedure (Hawken et al., 2021).

Thus, it is apparent that the suggested improvements in the emergency care services will offer an opportunity for the healthcare professionals working in Spire. This will in turn help them to gain a greater degree of professional and personal satisfaction. The patients will have a space to trust and the extent of their loyalty towards Spire will be greatly enhanced.

5. Development of a plan for quality improvement initiative using SMART targets

Spire Southampton Hospital is tending to enhance its efficiency regarding emergency services. As a consequence, the necessary objectives are described below through the SMART evaluation (Ogbeiwi, 2017).







Revising Staffing Patterns

This is helpful to track the performance of the employees in the emergency department. A monitoring adviser will allocate in that case.

This is enhancing the finding out the gaps and enhances the services regarding improvement.

The monitoring advertiser will trace their gaps and revert new techniques after consultant with the medical associates.

This is changing the previous gaps in them and implies the relevant efficiency of the employees.

6 to 8 months

Improving the Patient Experience

Due to the employee skill enhancement, patient care will also be improved.

This is allocating better patient care. The changes will be traced based on their feedback.

This is effective for the improvisation in the patient care gap.

Relatable to improve patient care.

1 to2 month

Stop boarding admitted patients in the Emergency Department

Admitted only the critical patient in the emergency department.

This is establishing a discipline in the emergency services.

This is beneficial for improvising in situations of unbalanced and substandard clinical management at the hospital.

This is important for issues in the emergency department.

2 to 3 months

6. Implementation of at least one aspect of the improvement initiative

In the above section, there are many effective methods are selected that will enhance the health services in the hospital. Therefore, the nearest important objective is Revising Staffing Patterns for improvement. The proper improvement of the staff in the emergency services will enhance the effectiveness of the responsibility of the hospital for their patients (Simpson et al., 2012). The efficient nature and analytics of the staff are easy for the patients to get the proper services from the hospital. In the intensive care for patients is a very important factor. In that case, the hospital authority will generate a training session for the inefficient employees and also for the efficient employees.

For the efficient employees, the management of the hospital has to provide the updating facts that will more enhance their skills for the patients care in the emergency services (Simpson et al., 2012). On the other hand, the basic training will also provide for those who are not enough efficient enough. This particular objective is very important to implement because in hospitality services the main and fundamental thing is to train the employees effectively for the enhancement of intensive care for the patients.

7. Critical review of the progress against the targets set

In the above many targets, there are set a period for each of the targets. Improve and revise the pattern of the staff in the health care services the time set within the 6 to 8 months. As a consequence, this is possible as much as changes the techniques of receiving the patients in the emergency care. For the improvement of the patients experience the selected timescale is appropriate and it will affect the improvement of the emergency service care for the patients. The policies against admitting the patients in the emergency quota without serious condition are essential and within the selected period it is easy to implement and workable.

8. Discussion about the potential or actual barriers and benefits of implementing the quality improvement project to the setting and the individuals accessing the setting

To assess the functional process in a hospital sector there the main potentiality is to performance boost relates to the process through which a health - care institution analyzes, examines, and enhances the requirements for quality treatment. The organizational activity chain is cyclical and requires continuous improvement to achieve a greater performance level. Another side, the barrier is contained in the Healthcare providers regard the predominance of non-clinical measurements and a focus on outside responsibility as impediments to QI (Psarommatis et al., 2020). Additionally, significant impediments were a lack of time, autonomy, and responsibility for QI work. Occasionally, kaizen was referred to as preventing degradations rather than enhancing quality.

For the Revising Staffing Patterns, the benefit is it will enhance the quality but it will not fit all as per their comprehension. Improving the Patient Experience will give better feedback that will help to improve the patient care system but misguided feedback may create disruption in standardization. Stop boarding admitted patients in the Emergency Department will create an opportunity for serious patients but it will create complexity which is considered a barrier.

9. Evaluation of the anticipated outcomes of the planned improvement and considerations for the further changes

Through these selected outcomes in the above, the hospital management may get the possible outcomes that will help them to enhance their performance. Better training for the staff and better assessment of the patients will associate to overcome the barriers of the management to imply the emergency services to the patients. In that case, for further improvement, the hospitality management of Spire Southampton Hospital will also implement better leadership techniques that will be more effective to get prompt and accurate results from their medical services for critical patients (Putra, 2021). Effective leadership will generate better ideas among the staff which will able them to manage all their duties effectively.


From the above evaluation, it has been seen that Emergency Medical Treatment at Spire Southampton Hospital provides patients with an urgent medical crisis with immediate access to competent medical care. In contrast to preventative medicine or primary care, emergency medicine is concerned with delivering urgent or urgent medical treatment. However, Spire Southampton Hospital is attempting to improve its fire service efficiency. In such instances, revising staffing patterns, enhancing patient outcomes, and discontinuing the practice of keeping admitted patients in the Emergency Department would all contribute to their improving performance. On the other hand, the barrier is included in the fact that healthcare practitioners saw the prevalence of non-clinical metrics and an emphasis on external accountability as barriers to quality improvement. In that scenario, for further progress, the hospitality industry of Spire Southampton Hospital will also apply more effective leadership strategies.


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Vasquez, D., Deland, L., Spears, K., Metcalfe, L., Frost, S. and Christensen, M., 2021. Time is Precious: person-centred end of life care in an emergency department. A quality improvement project. Emergency Nurse29(3).

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