graduate level discussion question

Part 1: While physicians may want to participate in quality improvement (QI) initiatives in their practices, many barriers exist that prevent them from doing so.

What are some of these barriers?
If you were heading this program how would you involve physicians?

Part 2: Vaccinations
There are two clear sides to the question of whether to vaccinate children or not. Vaccines work by preparing a child’s body to fight illness. Do immunizations cause SIDS, multiple sclerosis, or other problems?

Share your thoughts on the debate from a quality assurance perspective.
How would you answer the parent who asks if immunizations cause the above mentioned illnesses or issues?

READINGS:
Cleverley, W. O., & Cleverley, J. O. (2017). Essentials of health care finance. Jones & Bartlett Learning.
Eby, A. Z. (2017). Impacting parental vaccine decision-making. Pediatric Nursing, 43(1), 22.
Ghahramanian, A., Rezaei, T., Abdullahzadeh, F., Sheikhalipour, Z., & Dianat, I. (2017). Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promotion Perspectives, 7(3), 168-174. doi:10.15171/hpp.2017.30.
Gurley, K. L., Wolfe, R. E., Burstein, J. L., Edlow, J. A., Hill, J. F., & Grossman, S. A. (2016). Use of Physician Concerns and Patient Complaints as Quality Assurance Markers in Emergency Medicine. Western Journal of Emergency Medicine, 17(6), 749.
Hines, A. L., Raetzman, S. O., Barrett, M. L., Moy, E., & Andrews, R. M. (2017). Managed care and inpatient mortality in adults: effect of primary payer. BMC Health Services Research, 17(1), 121.
Hu, T., Decker, S. L., & Chou, S. Y. (2016). Medicaid pay for performance programs and childhood immunization status. American Journal of Preventive Medicine, 50(5), S51-S57.
Hurley, L. P., Lindley, M. C., Allison, M. A., Crane, L. A., Brtnikova, M., Beaty, B. L., . . . Kempe, A. (2017). Primary care physicians’ perspective on financial issues and adult immunization in the era of the affordable care act. Vaccine, 35(4), 647-654. doi:10.1016/j.vaccine.2016.12.007.
Lwembe, S., Green, S. A., Tanna, N., Connor, J., Valler, C., & Barnes, R. (2016). A qualitative evaluation to explore the suitability, feasibility and acceptability of using a ‘celebration card’ intervention in primary care to improve the uptake of childhood vaccinations. BMC Family Practice, 17(1), 101. doi:10.1186/s12875-016-0497-9.
Pannick, S., Sevdalis, N., & Athanasiou, T. (2016). Beyond clinical engagement: A pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. BMJ Quality & Safety, 25(9), 716-725. doi:10.1136/bmjqs-2015-004453.
Skillman, M., Cross‐Barnet, C., Singer, R. F., Ruiz, S., Rotondo, C., Ahn, R., . . . Moiduddin, A. (2017;2016;). Physician engagement strategies in care coordination: Findings from the centers for medicare & medicaid services’ health care innovation awards program. Health Services Research, 52(1), 291-312. doi:10.1111/1475-6773.12622
Stoecker, C., Stewart, A. M., & Lindley, M. C. (2017). The cost of cost-sharing: The impact of medicaid benefit design on influenza vaccination uptake. Vaccines, 5(1), 8. doi:10.3390/vaccines5010008
Websites
Center for Disease Control and Prevention (2017). Vaccines and Immunizations Retrieved from http://www.cdc.gov/vaccines/
Joint Commission. (2017). Annual report-Improving America’s hospitals: Improving America’s Hospitals-the Joint Commission’s annual report on quality and safety. Retrieved from: 

http://www.jointcommission.org/annualreport.aspx
Joint Commission (2017) Improving America’s Hospitals-The Joint Commission’s Annual Report on Quality and Safety. Retrieved from Improving America’s Hospitals – The Joint Commission’s Annual Report on Quality and Safety 2012