A Performance Improvement Plan To Ensure Safety And Patient Satisfaction In Individuals Suffering From Dementia In A Tertiary Care Hospital

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Word Count

2800 words


Health Management


5 Days

Assignment Criteria

Write a scholarly essay which explores the chosen topic in a critical manner and demonstrates your understanding of the ideas and concepts related to leading organisational performance improvement or change management.

Performance improvement plan

Identify an area (one specific area) of health related practice that requires performance improvement. Analyse and critically discuss:

  1. the relevant organisational strategic goal/objectives
  2. the steps required (and their relevant theoretical support) to implement a process for improving an aspect of performance
  3. the approach best suited to improving performance in this instance
  4. the type of performance indicators or measures selected
  5. strategies for motivating and engaging the stakeholders in ongoing performance improvement
  6. the role of the leader in this process

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Assignment Solution


Effective Performance Improvement is a Vision of Organizational Leaders, who through a proper goal organized mission, tries to encroach upon. They do so by clearly defining their mission statements to each and every member of that organization and ensure that best practices must be implemented for organizational success (MyInnerview, 2006). Thus performance improvement is not just a task, a skill or a program, but it is an orientation of all members in that organization towards a common vision which can be achieved by sharing best practices and improving knowledge levels (Kinlaw, 1992) (LaRossa, 2008).

Performance Improvement Plan is intended to communicate and instills a philosophy amongst the members of an organization which aims to implement cost-effective, robust and constructive operational plan that improves performance and benefits an organization as a whole. Performance Improvement encompasses the earlier phrases like Total Quality Management, Quality control, and Quality improvement (Kinlaw, 1992) (LaRossa, 2008)…

Literature Support for the proposed Performance Improvement Plan

Dementia represents a broad category of brain diseases, where an individual fails to retrieve either short term or long term memory or both. This condition affects daily functioning in the life of an individual. The symptoms that are commonly associated with dementia are impaired cognitive, and communication skills that lead to episodes of forgetfulness. Dementia or the act of chronic forgetfulness can occur due to various reasons, and the most common causes are the neurodegenerative changes associated with aging. Dementia often occurs as a concurrence to Alzheimer's disease, which represents the pathophysiological basis associated with the condition (Cunningham, 2006).

The hippocampus and its associated structures of the limbic system, play a significant role in the development of emotion, and the formation of memory. Whenever any neuronal pathways to these structures are damaged or become redundant, memory formation and retrieval of old memories become compromised. In Alzheimer's, there is a significant functional loss of cholinergic neurons, in the Nucleus Basalis of Meynert, due to the development of neurofibrillary entangles around these neurons. As a result, acetylcholine is not formed and cannot carry information to the hippocampus for the development of new memory. Since these neurons are a component of the Papetz circuit, retrieval of memory becomes difficult, which forms the basis of forgetfulness (Cunningham, 2006).

Dementia is a global issue and affects around 36 million individuals worldwide. The problem of dementia increases with age and it has been reported that 3% of individuals in the age group of 65-74 years, 19% individuals in the age group of 75-84 years and 50% individuals in the age group more than 85 years suffer from Dementia. During 2013, approximately 1.7 million deaths occurred globally, as a consequence of Dementia (Larson, Yaffe & Langa, 2013)…

Identification of Potential Areas for Improvement
A.    Clinical care and Service associated

To ensure better health outcomes, by increasing treatment compliance in these patients, and ensuring lesser fall related accidents through person-centric approach.

B.     Non-Clinical Services

The design of ward environments, installing beds, and infrastructure that will ensure the safety of patients. Demarcation of surface features by ergonomic planning in washrooms that helps to safeguard a patient, while maintaining his or her privacy…

Root Cause Analysis & Fish Bone diagrams

Root cause analysis will help to identify the source of the problem on which an improvement or rectification is/are desired. This acts as an ideal problem-solving strategy. This concept is extremely important for any safety management system because each and every root cause (whether major or minor) may be associated with life-threatening effects in a patient that can either increase mortality or morbidity (Wright & Katz,2005). The RCA team will comprise of the nurse manager and chief operating officer…

Discussion & Conclusion

Performance Improvement Plan is intended to either improve the services of an existing operation for better productivity and safety, or it should create such services in addition to some existing services that will create a value addition in the mind of clients. Our PIP will revolve around the concept that Dementia patients are prone to fatal accidents due to falls, and this is potentiated by the gap in communication and person-centric care by care providers.

To address such issue in our hospital we insist on a pilot study and history records of safety in these patients which will introspect the reasons for such incidences. The core quality and safety management team will comprise of the Chief operating officer (Administration) along with RN and Nurse Managers. The roles of Nurse Managers are vital because they will be the chief carriers and implementers of the vision and mission of the caregiving the process to the nursing staff. Our PIP will focus on the development of skills and upgraded knowledge regarding treatment of patients suffering from Dementia through evidenced based practice and expert recommended guidelines.

The PIP will be implemented and measured through the Quality management steps and will be robust in acting upon the feedback of the caregiving process. The PIP indicates that there will be adequate checks and controls to streamline the process of caregiving and if needed we will be flexible to change the initial plans through building an inclusive environment which will encourage open debate and discussion. It will be ensured at all levels that the motivation and interests of all the stakeholders in the PIP are protected, and there will be no conflict of interests between present job functions that could jeopardize the process of caregiving…

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