Icare class

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Quality in healthcare

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Icare class

  1. 1. Quality in Health and Healthcare Institutions Denny John, MBA (Hosp Mgmt) Associate Administrator L V Prasad Eye Institute
  2. 2. The cost is long forgotten but the Quality is remembered forever Anonymous
  3. 3. Quality - Definitions Quality - The Need Quality - Implementation Quality - Measurement Quality - Outcomes AGENDA
  4. 4. Quality - Degree of excellence Quality can be defined as a measure of the degree to which delivered health services meet established professional standards and judgments of value to the consumer. Quality may also been seen as the degree to which actions taken or not taken maximize risk and other untoward outcomes, given the existing state of medical science and art. Quality - Definitions
  5. 5. Quality is frequently described as having three dimensions: Quality of Input resources Quality of the process of services delivery Quality of Outcome of service use Quality - Definitions
  6. 6. Core Standards - must to meet Developmental Standards - represent degree of excellence Quality - Definitions Adapted from ‘Standards for Better Health’, Healthcare Commission, NHS, UK
  7. 7. <ul><li>Minimum levels of care </li></ul><ul><li>Regulation </li></ul><ul><li>Market Forces </li></ul><ul><li>Health Insurance </li></ul><ul><li>Rise in Incomes </li></ul>Quality - The Need
  8. 8. <ul><li>Licensing </li></ul><ul><li>ISO Certification </li></ul><ul><li>Accreditation </li></ul><ul><li>Grading </li></ul>Quality - Implementation
  9. 9. <ul><li>TQM ( Total Quality Management) </li></ul><ul><li>CQI ( Continuous Quality Improvement) </li></ul><ul><li>Six Sigma </li></ul><ul><li>TPS ( Toyota Production System) </li></ul>Quality - Implementation
  10. 10. <ul><li>Benchmarking </li></ul><ul><li>Control Charts </li></ul><ul><li>Cause-effect diagram </li></ul><ul><li>Data collection : Focus groups, market research, surveys </li></ul>Quality - Measurement
  11. 11. <ul><li>Flow Diagram </li></ul><ul><li>Pareto Analyses </li></ul><ul><li>Planning network : PERT, CPM </li></ul>Quality - Measurement
  12. 12. <ul><li>Patient Safety </li></ul><ul><li>Patient and Staff Satisfaction </li></ul><ul><li>Cost containment </li></ul>Quality - Outcomes
  13. 13. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system. Avedis Donabedian, MD MPh

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