Rosie Delgado. I am a student of the MHA program and work in community health where I see first-hand how quality relates to the patient experience. I am interested in how quality improvement can improve health care

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RESPOND TO THE FOLLOWING STUDENTS.  Demonstrate more depth and thought than saying things like “I agree” or “You are wrong.” Guidance is provided for you in the discussion prompt.

Rosie Post

y name is Rosie Delgado. I am a student of the MHA program and work in community health where I see first-hand how quality relates to the patient experience. I am interested in how quality improvement can improve health care.

I have read through the “Six Domains of Healthcare Quality” (Agency for Healthcare Research and Quality [AHRQ], 2022) and patient centered care would be the most advantageous domain overall for an organization. According to the Institute of Medicine, patient centered care is “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions” (Six Domains of Healthcare Quality, 2025). I feel this domain is important because it speaks to the inherent subjectivity of quality that we have discussed in our module: one person’s quality care may be quite different from another. By considering the patient’s perspective first, an organization can tailor all its processes, down to appointment scheduling and treatment decision making, to the patient’s needs.

Patient centeredness is also a tool to improve the other five domains. By routinely engaging patients in decision making, for example, clinicians decrease the risk of unnecessary care, which also improves efficiency and safety (AHRQ, 2022). This is especially critical in the era of rapidly increasing health care spending. As far back as 1980 the U.S. Office of the Inspector General foresaw the unsustainability of healthcare spending (U.S. Office of the Inspector General, 1980); this is now a reality and is only exacerbated by wasteful care. What’s more, Khan and Khan (2004) highlight that quality management requires a customer focused culture, in which improvements are based on meeting patient needs. When patient centeredness becomes a core concept for an organization, it automatically enhances effectiveness (by providing evidence based care that meets patient preferences), timeliness (by removing delays that annoy patients) and equity (by considering consumer needs of diverse populations).

So patient centered care is not merely one domain of quality, but the key element that makes all of the other domains meaningful. I would be interested to hear what others thought.

Jenna post

My name is Jenna. I’m currently finishing my MBA while working as a Business Manager at a pediatric hospital in Cincinnati, where I support research and global health initiatives. My background is in accounting, so I tend to think analytically, but this program has helped me grow more strategically. I also recently became a mom, which has given me a new perspective on healthcare from the patient side.

Of the six domains, I believe efficiency would be the most beneficial to an organization as a whole. In my role, I see how inefficient processes can lead to delays, increased costs, and frustration for both staff and patients. Improving efficiency is not just about cutting costs, but about reducing waste in time, resources, and workflows so that more effort can be focused on delivering quality patient care.

Efficiency also supports other domains like timeliness and patient-centered care by improving access and the overall patient experience. From an organizational perspective, it is critical for long-term sustainability, as healthcare systems must balance high-quality care with financial pressures. Overall, I see efficiency as a key driver that can positively impact performance across the entire system.

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