Department of Healthcare Administration, Southern New Hampshire University
IHP-604-Q3472 Healthcare Quality Improvement
3-1 Short Paper: Investigations and Interprofessional Teamwork
Compare Proactive and Reactive Problem-Solving Frameworks
Problem-solving frameworks can be both proactive and reactive. Proactive problem-
solving frameworks help identify and solve known errors prior to similar incidents re-occurring
(Mathenge, 2019). A proactive problem-solving approach will help provide high quality of care,
which may result in positive value-based reimbursements. Three proactive frameworks are
Failure Mode Effect Analyses (FMEA), Plan-Do-Study-Act (PDSA), and Tracers. Reactive
problem-solving frameworks help with solving errors in response to one or more incidents
(Mathenge, 2019). Although Plan-Do-Study-Act (PDSA) and Tracers are considered proactive
, they can also be utilized for reactive problem-solving along with Root Cause Analyses (RCA).
Reactive frameworks will not only assist in problem-solving but also serve as a teaching/training
tool for staff members.
Choose a Problem-Solving Framework
The three scenarios addressed by the chief quality officer include; “the ongoing
professional practice evaluation (OPPE) practices set by The Joint Commission for all healthcare
providers in a medical practice facility were recently revised. Your organization must determine
if they need to make any process changes to meet the updated standards”, “one of your
organization’s facilities wants to use a security tag for newborns from time of birth to discharge,
but it needs your department’s approval before implementing this change”, and “The HCAHPS
(Hospital Consumer Assessment of Healthcare Providers and Systems) Survey for the last
quarter indicates patients’ dissatisfaction with understanding their hospital bill and lack of
knowledge about how to get clarification.”
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