In the current atmosphere of closer scrutiny of healthcare practices and procedures, front-line managers and health care providers must investigate potential problems in their work environment, whether at the behest of upper management, in order to meet Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards, or through their own sense that “weÆre doing something wrong.” For the investigator with limited previous experience in evaluation or research, the prospect of undertaking this kind of investigation can appear daunting, to say the least. Quality Improvement Projects in Health Care was written just for this individual. Author Eleanor Gilpatrick, a seasoned investigator and professor of health services administration, provides a review of the basic terminology and guidelines for carrying out “nuts-and-bolts” quality improvement research. She then demonstrates how such a research project can be implemented through 14 case studies involving actual health care situations. Altogether, the cases speak to a broad array of issues and potential pitfalls for the unwary investigatorŭand they show that progress can be made in even the most difficult circumstances. Quality Improvement Projects in Health Care will be of interest to students and professionals in health sciences administration, nursing, allied health, and public health.
Chapter 4: Finding Solutions
Identify Management's Feasibility Limits
Once you have proved the problem and identified the causes, you are ready to find appropriate solutions. However, it is important to know whether management will place any limits on what you can propose as solutions. Knowing the constraints beforehand and having them in mind when you are trying to come up with solutions is preferable to designing solutions only to have them slapped down as unfeasible. However, it is also important to be prepared to defend really good solutions that may exceed short-term limits but will pay off handsomely in the long run.
Management's constraints are your feasibility limits. They may ...