2. OBJECTIVES
• Define the term quality
• Identify the quality,volume and cost of
healthcare
• Discuss the perspectives of quality in
healthcare
• Discuss the philosophy for a quality
service;Maxwell,Donabedian.
3. The Quality,Volume and Cost of
Healthcare
• What will be the quality of the care
purchased/provided?
• What volume is to be purchased/provided?
• What is the cost of purchasing/providing
this volume?
4. PERSPECTIVES OF QUALITY
IN HEALTHCARE
• Users of services
• Providers of healthcare
• Purchasers of healthcare
• The public
5. USERS OF SERVICES
• Central to the delivery of high quality care
• Influenced by prior expectations of care
• Issues;outcome of treatment and
care,attitudes of staff,time available to
them,nature of the environment
• Self help groups,voluntary organisations
6. PROVIDERS OF SERVICES
• Influenced by professional outlook.
• concerned with;staffing levels,safe
practices,confidentiality,efficacy of
treatment,nutrition of food
provided,availability of support services
• Accountability
• UKCC Code of Professional Conduct
7. PURCHASERS OF SERVICES
• As users concerns will also be concerned
with cost,and to what standard these
services will be provided.
• Access to services
• Level of quality in provision
• Government policy
8. OBJECTIVES
• Define Total quality management and
benchmarking.
• Discuss the development of standards
• Discuss the steps in auditing of quality
control
• Discuss methods of measurement ie
Nursing care,educational provision.
9. QUALITY ASSURANCE
• Quality is a type of
controlling,refers to
activities that
evaluate,monitor, or
regulate services
rendered to consumers
Marquis and Huston
1998
10. PROCESS
• If nursing is to strive toward excellence,
then criteria in development should be
pushed to optimium standards rather than be
set at minimum acceptable levels. Marquis
and Huston1998
11. PHILOSOPHY
• Two of the philosophies that underpin many
of the issues related to quality.
• Maxwells dimensions of quality
• Donabedian approach
12. MAXWELL
• Six dimensions of quality:
• Appropriateness
• Equity
• Accessibility
• Effectiveness
• Acceptability
• Efficiency
14. TOTAL QUALITY
MANAGEMENT
• A philosophy developed by Deming and
considered the hallmark of japanese
management.
• Based on the premise that the individual is
the focus of production and service,the
environment must be customer responsive.
• Everyone is subject to continous
improvement efforts.Kirk 1992.
15. BENCHMARKING
• Best practice research occurs when an
organisation identifies a weakness and then
goes about identifying other organisations
who excel in that area.
• The deficient organisation following
development then tries to implement best
practice.
16. STANDARD
• An agreed level of
performance
negotiated within
available resources.
• Each standard reflects
an element of the
quality of care
provided
17. STEPS IN AUDITING OF
QUALITY CONTROL
• Identify the information relevant to the
criteria
• Determine ways to collect the information
• Collect and analyse the information
• Compare collected informaton with the
established criteria
• Make a judgement about the quality
18. • Provide information and if necessary
corrective action regarding findings to
appropriate sources
• Determine when there is a need for re
evaluation.
21. AIMS
• To secure value from
public investment ;by
ensuring that all
education is of
approved quality.
• To encourage
improvements in
quality of education.
22. SUBJECT REVIEW
• SELF ASSESSMENT; an evaluation by the
subject provider of the quality of the student
learning experience and student
achievement measured against aims and
objectives.
23. ASPECTS OF PROVISION
• Curriculum design ,content and
organisation
• Teaching ,learning and assessment
• Student progression and achievement
• Student support and guidance
• Learning resources
• Quality management and enhancement
24. GATHERING EVIDENCE
• T he review is focused on the extent to
which the students learning experience and
student achievement demonstrate that the
aims and objectives are being met.
• Sampling of student work;each level and
year of study,core modules,option
modules,range of marks,assessment
methods,marking and feedback
sheets,criteria.
25. MEETING WITH STUDENTS
• Curriculum content and organisation;
reason for choosing
course/institution;expectationns re
flexibility,choice and content.;
appropriateness of curricular content to
the development of knowledge and skills;
relevance to prospective
career/further study student
timetable,workload
26. • TEACHING AND LEARNING AND
ASSESSMENT;
range of teaching and learning methods,
student views on quality of teaching,
guidance and support for independent
study students understanding of
asssessment methods and criteria;
feedback on assessed work.
27. • STUDENT PROGRESSION AND
ACHIEVEMENT;
Advice on progression;
attainment of intended learning
outcomes; awareness of qualities and
skills acquired. preceptions of added
value; career aspirations.
28. • STUDENT SUPPORT AND GUIDANCE;
Admission and induction procedures;
quality of written guidance;
arrangements for academic and personal
support including personal tutorial support;
support during periods of practice,study
abroad,work experience.
availability and use of welfare
support,counselling and finicial advice
29. • LEARNING RESOURCES;
library services;
course materials, including learning
packs; information techology;
specialist equipment;
teaching accommodation;
space for study;
common rooms,social areas.
30. • QUALITY MANAGEMENT AND
ENHANCEMENT;
ways in which student views are sought;
representation on courses/department
committees;
degree to which students views are
influential and examples;
students contribution to self assessment.
32. • I keep six honest
serving men...they
taught me everything i
know;their names are;
what and why and
when and how and
who and where.
Rudyard Kipling
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Thank you viewers
Looking forward to franchise,
collaboration, partners.
34. This platform has been started by
Parveen Kumar Chadha with the
vision that nobody should suffer the
way he has suffered because of lack
and improper healthcare facilities in
India. We need lots of funds
manpower etc. to make this vision a
reality please contact us. Join us as a
member for a noble cause.
