Quality Improvement Methodologies and Tools


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Healthcare Quality Management

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Quality Improvement Methodologies and Tools

  1. 1. Presented on “QUALITY DAY” By Dr. Aqeel Ahmed Khan TQM-ACH
  2. 2. Steadily improving each person’s ability to:  Recognize and define important problems P  Solve them D  Learn from problem solving C  Share the learning with others A
  3. 3.  PDCA-CQI  DMAIC  DMADV
  4. 4. 5
  5. 5. • PDCA-CQI • DMAIC • DMADV • CQI was originally developed by Walter Shewhart, and is often referred to as the "Shewhart Cycle". It was taken up and promoted effectively from the 1950s by the famous Quality Management authorityW. Edwards Deming, and is consequently known by many as "the Deming Wheel".
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  7. 7. PLAN Plan carefully what is to be done Phase 1 - Identify the Opportunity Phase 2 - Analyze the Current Process Phase 3 - Develop the Optimal Solution DO Carry out the plan (do it) Phase 4 - Implement Changes CHECK Check the Results. Did the plan work as intended or were the results different? Phase 5 - Study the Results ACT Act on the results by identifying what worked as planned and what didn't. Phase 6 - Standardize the Solution Phase 7 - Plan for the Future
  8. 8. • PDCA-CQI • DMAIC(duh-may-ick) • DMADV DMAIC is an acronym for five (5) interconnected phases: Define, Measure, Analyze, Improve and Control. It refers to a data-driven quality strategy for improving processes.
  9. 9. • PDCA-CQI • DMAIC (duh-may-ick) • DMADV DMADV consists of five (5) interconnected phases: Define, Measure, Analyze, Design andVerify. It is a data-driven quality strategy for designing products and processes, It is also an integral part of a Six Sigma Quality Initiative.
  10. 10. There are for the 7 BasicTools which we are going to define. Generally they can be subdivided into:  mathematical statistical Tools  logical tools 4/30/2014 11
  11. 11. The concept behind the seven basic tools came from Kaoru Ishikawa, a renowned quality expert from Japan. According to Ishikawa, 95% of quality-related problems can be resolved with these basic tools.
  12. 12. Basic Quality control tools 1. Cause and effect diagram 2. Control Charts 3. Check sheets 4. Histograms 5. Pareto charts 6. Scatter Diagram 7. Flow Charts a. Deployment flow charts b. Linear or activity flow charts
  13. 13. It’s a diagram that demonstrates the relationship between Effects and the categories of their causes The Arrangement of the Diagram lets it look like a fishbone it is therefore also called fish- bone diagram Its is used for RCA 14 effect Cause bCause a Cause dCause c
  14. 14.  Statistical tool, showing whether A process is in control or not  Taking samples of a process and detect possibility of process being out of control 4/30/2014 15 Y X Upper limit Lower limit Average/Spec
  15. 15. A Histogram is a bar graph usually used to present frequency data Histograms provide an easy way to evaluate the distribution of Data over different categories 4/30/2014 16 LSL USL
  16. 16. A Pareto Chart is a Histogram Pareto Charts are used to apply the 80/20 rule of Joseph Juran which states that 80% of the problems are the result of 20% of the problems. A Pareto Chart can be used to identify that 20% route causes of problem. 4/30/2014 17 Type X
  17. 17. ▪ Statistical tool showing a trend in a series of values. ▪ Demonstrating correlations between values and showing trends for value changes. 4/30/2014 18 Y X
  18. 18.  Way of representing a Procedure using simple symbols and arrows A Flow chart lets a process or procedure be understood easily it also demonstrate the relationships between the elements. 4/30/2014 19 Input Within Spec? Process Output adjust Yes No
  19. 19. ▪ Run Charts are representing change in measurement over a sequence or time ▪ Determining Cyclic Events and there average character 4/30/2014 20 Time Measurement
  20. 20. The essentials of this tool set for full support for complex decision making, identifying key issues and causes of persistent problems. It will show the ways to involve teams for continuous improvements, performance analysis and problem solving.
  21. 21. Management and PlanningTools 1. Activity network diagram 2. Affinity Diagram 3. Interrelationship diagram 4. Prioritization matrix 5. Process decision Program chart 6.Tree diagram 7. Matrix Diagram
  22. 22.  Renewal of Policies & Procedures  Activation of Committees  Improvement projects by all departments  Implementation of CBAHI standards  Reconstruction of Strategic Plans  Provision of guidance & supervision for Quality ImprovementTasks  Coordination & support to all departments for all required works
  23. 23. THANK YOU