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16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Values: Respect, integration
to society and attachment to
regulations of medical and
social ethics
Mission: Reach better
health care performance,
reduce payers rejections
to minimum and
increase income
Vision: A continuous process of improving health
quality
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
PDCAPDCA to "to "Plan, Do, Study, ActPlan, Do, Study, Act" (PDSA) so as" (PDSA) so as
to better describe his recommendations.to better describe his recommendations.
PDCA should be repeatedly implemented, asPDCA should be repeatedly implemented, as
quickly as possible, in upward spirals that movequickly as possible, in upward spirals that move
toward the ultimate goal of perfection; eachtoward the ultimate goal of perfection; each
cycle closer than the previous.cycle closer than the previous.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Interdisciplinary team
A group of people working together
from different fields. Individuals
involved in assessment and
recommendations for treatment for
patients.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Data
Raw facts and figures. Does not mean anything.
Information
Data that is aggregated and arranged in a way
that provides meaning.
Team
A group of people who come together to achieve
a common goal
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Dimensions of Quality That Can be Measured
1. Efficacy (The degree to which the care
provided has been shown to accomplish the
desired or projected outcome; evidence based
medicine).
2. Safety (of the patient and others to whom the
services are provided).
3. Efficiency (the ratio between the process and
associated costs of services provided).
4. Appropriateness (of a specific test, procedure,
or service to meet patient needs).
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
5. Timeliness (in which a specific test, procedure,
treatment, or service is provided to the patient).
6. Effectiveness (the intended result).
7. Respect and caring (patient satisfaction/patient
rights).
8. Availability (of a needed test, procedure,
treatment, or service to the patient who needs it).
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Scope of the Quality/Patient Safety ProgramScope of the Quality/Patient Safety Program
The scope is hospital wide. The scope includes
risk management activities and may include
patient safety as well. Some hospitals write a
separate patient safety plan; others include the
patient safety plan in the quality plan.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Methods
Describe what model you wish to implement in
your hospital. For example, The Plan-Do-Check-
Act model is used in our hospital for continuous
improvement of identified projects.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Roles/Responsibilities
Describe the roles/responsibilities for your
administrator, medical Director, Nursing Director,
and all key staff. Everyone needs to know that
quality is everyone’s job; not just the quality
departments.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Implementation plan
Describe how you will implement quality in your
hospital. There will be a central quality committee
with team members reporting their progress to
this committee.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Prioritization
Describe how your hospital will prioritize QI
projects. You cannot change everything so
prioritization is essential. Generally, high risk, high
volume,
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Data collection,
information analysis, recommendations
Data collection methods must be clear. You need
to define who is responsible to collect the data,
how frequently the data will be collected,
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Communication lines
Information flows from you QI committee all the
way to the line staff so they hear what your
committee is doing,
information from the QI committee flows to upper
management and who your QI committee reports
to. You might even draw a diagram of how the
communication channels look visually.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Annual Review- The process for
reviewing the effectiveness of your quality
plan on an annual basis.
This is accomplished through obtaining
information from hospital staff on their
perceptions of what worked well and what
needs to be improved.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
Describe any barriers that you have
encountered and include an action plan
to overcome them in your next year’s
Quality plan.
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
● Discussion
● Language barriers, solutions
● Cultural barriers, solutions
● Technical barriers, solutions
● Equipment barriers, solutions
16-09-2012 Prepared By Dr Gamal Soliman
QUALITY MANAGEMENT (QM) PLAN
16-09-2012 Prepared By Dr Gamal Soliman
Long-term Goal
● State the intended goal
16-09-2012 Prepared By Dr Gamal Soliman
Long-term Goal
● State the intended goal
16-09-2012 Prepared By Dr Gamal Soliman
Long-term Goal
● State the intended goal
16-09-2012 Prepared By Dr Gamal Soliman
Long-term Goal
● State the intended goal
16-09-2012 Prepared By Dr Gamal Soliman
Long-term Goal
● State the intended goal
16-09-2012 Prepared By Dr Gamal Soliman
Customer Wishes
● Describe customer needs and wishes
● Explain the requirements
16-09-2012 Prepared By Dr Gamal Soliman
Fulfilling
Customer Needs
● Describe the main attributes of the product
● Link the product attributes to customer
needs
16-09-2012 Prepared By Dr Gamal Soliman
Cost Analysis
● Indicate the financial advantages for the
customer
● Compare quality and price with those of the
competition
16-09-2012 Prepared By Dr Gamal Soliman
Strengths and Advantages
● Summarize the special features and
advantages of the product being introduced
16-09-2012 Prepared By Dr Gamal Soliman
Next Steps of Action
● Explain the steps that now need to be taken

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Quality Management Health Plan

  • 1. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Values: Respect, integration to society and attachment to regulations of medical and social ethics Mission: Reach better health care performance, reduce payers rejections to minimum and increase income Vision: A continuous process of improving health quality
  • 2. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN PDCAPDCA to "to "Plan, Do, Study, ActPlan, Do, Study, Act" (PDSA) so as" (PDSA) so as to better describe his recommendations.to better describe his recommendations. PDCA should be repeatedly implemented, asPDCA should be repeatedly implemented, as quickly as possible, in upward spirals that movequickly as possible, in upward spirals that move toward the ultimate goal of perfection; eachtoward the ultimate goal of perfection; each cycle closer than the previous.cycle closer than the previous.
  • 3. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Interdisciplinary team A group of people working together from different fields. Individuals involved in assessment and recommendations for treatment for patients.
  • 4. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Data Raw facts and figures. Does not mean anything. Information Data that is aggregated and arranged in a way that provides meaning. Team A group of people who come together to achieve a common goal
  • 5. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Dimensions of Quality That Can be Measured 1. Efficacy (The degree to which the care provided has been shown to accomplish the desired or projected outcome; evidence based medicine). 2. Safety (of the patient and others to whom the services are provided). 3. Efficiency (the ratio between the process and associated costs of services provided). 4. Appropriateness (of a specific test, procedure, or service to meet patient needs).
  • 6. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN 5. Timeliness (in which a specific test, procedure, treatment, or service is provided to the patient). 6. Effectiveness (the intended result). 7. Respect and caring (patient satisfaction/patient rights). 8. Availability (of a needed test, procedure, treatment, or service to the patient who needs it).
  • 7. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Scope of the Quality/Patient Safety ProgramScope of the Quality/Patient Safety Program The scope is hospital wide. The scope includes risk management activities and may include patient safety as well. Some hospitals write a separate patient safety plan; others include the patient safety plan in the quality plan.
  • 8. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Methods Describe what model you wish to implement in your hospital. For example, The Plan-Do-Check- Act model is used in our hospital for continuous improvement of identified projects.
  • 9. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Roles/Responsibilities Describe the roles/responsibilities for your administrator, medical Director, Nursing Director, and all key staff. Everyone needs to know that quality is everyone’s job; not just the quality departments.
  • 10. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Implementation plan Describe how you will implement quality in your hospital. There will be a central quality committee with team members reporting their progress to this committee.
  • 11. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Prioritization Describe how your hospital will prioritize QI projects. You cannot change everything so prioritization is essential. Generally, high risk, high volume,
  • 12. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Data collection, information analysis, recommendations Data collection methods must be clear. You need to define who is responsible to collect the data, how frequently the data will be collected,
  • 13. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Communication lines Information flows from you QI committee all the way to the line staff so they hear what your committee is doing, information from the QI committee flows to upper management and who your QI committee reports to. You might even draw a diagram of how the communication channels look visually.
  • 14. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Annual Review- The process for reviewing the effectiveness of your quality plan on an annual basis. This is accomplished through obtaining information from hospital staff on their perceptions of what worked well and what needs to be improved.
  • 15. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN Describe any barriers that you have encountered and include an action plan to overcome them in your next year’s Quality plan.
  • 16. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN ● Discussion ● Language barriers, solutions ● Cultural barriers, solutions ● Technical barriers, solutions ● Equipment barriers, solutions
  • 17. 16-09-2012 Prepared By Dr Gamal Soliman QUALITY MANAGEMENT (QM) PLAN
  • 18. 16-09-2012 Prepared By Dr Gamal Soliman Long-term Goal ● State the intended goal
  • 19. 16-09-2012 Prepared By Dr Gamal Soliman Long-term Goal ● State the intended goal
  • 20. 16-09-2012 Prepared By Dr Gamal Soliman Long-term Goal ● State the intended goal
  • 21. 16-09-2012 Prepared By Dr Gamal Soliman Long-term Goal ● State the intended goal
  • 22. 16-09-2012 Prepared By Dr Gamal Soliman Long-term Goal ● State the intended goal
  • 23. 16-09-2012 Prepared By Dr Gamal Soliman Customer Wishes ● Describe customer needs and wishes ● Explain the requirements
  • 24. 16-09-2012 Prepared By Dr Gamal Soliman Fulfilling Customer Needs ● Describe the main attributes of the product ● Link the product attributes to customer needs
  • 25. 16-09-2012 Prepared By Dr Gamal Soliman Cost Analysis ● Indicate the financial advantages for the customer ● Compare quality and price with those of the competition
  • 26. 16-09-2012 Prepared By Dr Gamal Soliman Strengths and Advantages ● Summarize the special features and advantages of the product being introduced
  • 27. 16-09-2012 Prepared By Dr Gamal Soliman Next Steps of Action ● Explain the steps that now need to be taken