Institute for Healthcare Improvement (IHI) proposed a process for quality improvement with steps known as "PDCA." When explaining the steps to a group of nurses interested in improving the process of medication reconciliation for heart failure patients with high rates of recidivism, the instructor states:

A. C is for check if the process for change worked. Was there an improvement in accurate reconciliation? And what was learned? A stands for algorithm, which includes all steps of the process.
B. A stands for algorithm, which includes all steps of the process.
C. D stand for deviation, which is an alteration in the expected drugs ordered.
D. P stands for process. Following a top-down flowchart provides the steps for reviewing patient medications taken at home compared to those prescribed during hospitalization.

Institute for healthcare improvement ( I H I ) plays a vital role in dissemination of quality and improved healthcare by healthcare providers/professionals.

It is a non profit organization and they work with the sole aim of placing the patient and the family at the centre of the healthcare team using evidenced based practices.

Quality improvement with PDCA involving the improvement of the process of medication reconsolidation for heart failure patients with high rate of relapse as it concerns the question entails that,

The C is for checking if the process employed for change worked the way it was envisioned, taking note whether there was an improvement in accurate reconciliation for the patients with heart failure and a high rate of relapse?

Was anything learned,and if there is,what was it?

A connotes the algorithm,which included all steps of the process put together.

,identify or describe the affordable care act. how has aca changed healthcare in the us since implementation? you may professionally express your opinion on aca, do you think it will or hurt patient care?