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    Describing the Patient Care Experience: Quality Improvment in Federally Qualified Health Centers in Alaska

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    Cooke S, Describing the Patient ...
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    Author
    Cooke, Shawna
    Keyword
    patient care
    federally qualified health centers
    Alaska
    Metadata
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    URI
    http://hdl.handle.net/11122/7373
    Abstract
    The purpose of this quality improvement project was to evaluate whether the quality assurance/performance improvement (QAPI) plan at a federally qualified health center (FQHC) provided a valid mechanism for assessing the overall patient experience or if implementing a multimodal approach to evaluating the patient experience provided a more accurate depiction on which to base operational decisions. The project used the Plan-Do-Study-Act (PDSA) framework to examine the efficacy of a multimodal approach to assessment of the patient care experience. The aims were to describe the patient care experience in a FQHC located in a small community in Alaska using a qualitative descriptive approach; and to examine the qualitative findings in relation to those derived from the aggregate FQHC survey data in order to make recommendations for a sustainable approach to evaluating the patient care experience in this FQHC environment. Provider relationships greatly influenced satisfaction and the perception of care. Participants long for a community clinic connection, to feel valued and connected to the FQHC and the community. Participants were satisfied with interagency coordination and communication, but struggled with understanding the inner workings of the health care system within the community. Participants were eager for community-based opportunities for learning and engagement. The results derived from the focus groups added important information in describing the patient care experience, supported the premise that a qualitative descriptive approach would add additional information not previously derived from the quantitative data, provided an opportunity to engage the community, and elicited a more accurate depiction of the care experience.
    Description
    Submitted in Partial Fulfillment of the Requirements for the Degree of MASTERS OF SCIENCE in Nursing Science
    Table of Contents
    Title Page / Abstract / Table of Contents / List of Figures / List of Tables / List of Appendices / Purpose / Background / Significance to Advanced Practice / Aim of Project/Objective / Framework / Literature Review / Methods / Project Design / Qualitative Descriptive Approach / Sample Selection and Criteria / Human Subjects Protection / Data Collection / Data Analysis / Dissemination Plan / Data Management / Findings / Introduction / Participants / Themes / Connectedness / Qualitative Data / Discussion / Connectedness / Trustworthiness and Rigor / Strengths / Limitations / Recommendations / Conclusion / References / Appendices
    Date
    2017-05-01
    Publisher
    University of Alaska Anchorage
    Type
    Report
    Collections
    Student Projects for Graduate Degrees

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