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+
    Theories
+
    Six Sigma

                   D – Define

                   M - Measure

                   A - Analyse

                   I - Improve

                   C – Control
+
    Six Sigma

       Improve the ability to meet customer requirements

       Increase customer satisfaction

       Decrease variation in processes

       Decrease defects in products and services

       Remove excessive non-earning assests

       Improve employee satisfaction and morale

       Increase process capability

       Achieve more efficient asset and resource utilization

       Increase cash flow via reduced inventory
+
    PDSA
+
    Lean Model
+
    Peer Review

                      Peer review is synonymous
                      with, but not limited
                      to, retrospective medical record
                      review.

                     Among other methods, cases are
                      identified through generic screens
                      for adverse events.

                     Peer review is conducted in
                      committees.
Ad

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Quality improvement - Jess and Alex

  • 1. + Theories
  • 2. + Six Sigma  D – Define  M - Measure  A - Analyse  I - Improve  C – Control
  • 3. + Six Sigma  Improve the ability to meet customer requirements  Increase customer satisfaction  Decrease variation in processes  Decrease defects in products and services  Remove excessive non-earning assests  Improve employee satisfaction and morale  Increase process capability  Achieve more efficient asset and resource utilization  Increase cash flow via reduced inventory
  • 4. + PDSA
  • 5. + Lean Model
  • 6. + Peer Review  Peer review is synonymous with, but not limited to, retrospective medical record review.  Among other methods, cases are identified through generic screens for adverse events.  Peer review is conducted in committees.
  • 7. + Institute of Healthcare Improvement: Improvement map
  • 8. + Crossing the Quality Chasm; a New Health System for the 21st Century • Report conducted by the Institute of Medicine • Based on the notion that healthcare should be • Safe • Effective • Efficient • Patient-centered • Timely • Equitable
  • 9. + Tools
  • 10. + Process Flow Chart  Helps to define, describe and communicate clinical, administrative, and operational processes
  • 11. + Cause and Effect Diagram  Also known as fishbone diagrams  A schematic means of relating the causes of variation to the effect of variation on the process
  • 12. + Strategies in QI
  • 13. + Academic Detailing  Employs trained providers to conduct face to face visits to encourage adoption of a designed behavior pattern
  • 14. + Opinion Leaders  Members of local system who are usually able to influence others either on a broad range of issues or in a single area of acknowledged expertise
  • 15. + Audit and Feedback  Summary of the clinical performance of an individual provider, practice or clinic to the respective entity
  • 16. + Reminder Systems  Prompts providers to remember information relevant to a particular encounter, patient or service
  • 17. + Patient Education  Individual or group sessions to enhance patient self-management of disease were shown to have modest to large effects based on patient characteristics and conditions
  • 18. + Case Management  Used to manage special populations who have specific diagnoses or who require high cost or intensive services
  • 19. + References  Crossing the Quality Chasm; a New Health System for the 21st Century. (2001). Retrieved December 14, 2011, from www.nap.edu/html/quality_chasm/reportbrief.pdf  Edwards, M. T. (2009). Peer Review: A New Tool for Quality Improvement. Physician Executive, 35(5), 54-59. Retrieved December 14, 2011, from Business Source Complete database.  Institute of Healthcare Improvement (n.d.). Retrieved December 14, 2011, from http://app.ihi.org/imap/tool/  Juran: The Source for Quality. (2009). Retrieved December 14, 2011, from http://www.juran.com/solutions_improve_quality_of_products_and_services_six_sigma.html  McLaughlin, P., & Kaluzny, A. (2006). Continuous Quality Improvement in Health Care: Theory, Implementations, and Applications. Jones and Bartlett Publishers: Sudbury.  Six Sigma. (2011). Retrieved December 13, 2011, from http://www.prosolve.ca/six-sigma  TQM as a support for societal development--experiences from a Swedish community. (2003). Total Quality Management & Business Excellence, 14(2), 225. Retrieved December 14, 2011, from Business Source Complete database.  Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.

Editor's Notes

  1. Six Sigma. (2011). Retrieved December 13, 2011, from http://www.prosolve.ca/six-sigma
  2. Juran: The Source for Quality. (2009). Retrieved December 14, 2011, from http://www.juran.com/solutions_improve_quality_of_products_and_services_six_sigma.html
  3. TQM as a support for societal development--experiences from a Swedish community. (2003). Total Quality Management & Business Excellence, 14(2), 225. Retrieved December 14, 2011, from Business Source Complete database.
  4. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  5. Edwards, M. T. (2009). Peer Review: A New Tool for Quality Improvement. Physician Executive, 35(5), 54-59. Retrieved December 14, 2011, from Business Source Complete database.
  6. Institute of Healthcare Improvement (n.d.). Retrieved December 14, 2011, from http://app.ihi.org/imap/tool/
  7. Crossing the Quality Chasm; a New Health System for the 21st Century. (2001). Retrieved December 14, 2011, from www.nap.edu/html/quality_chasm/reportbrief.pdf
  8. McLaughlin, P., & Kaluzny, A. (2006). Continuous Quality Improvement in Health Care: Theory, Implementations, and Applications. Jones and Bartlett Publishers: Sudbury.
  9. McLaughlin, P., & Kaluzny, A. (2006). Continuous Quality Improvement in Health Care: Theory, Implementations, and Applications. Jones and Bartlett Publishers: Sudbury.
  10. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  11. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  12. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  13. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  14. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.
  15. Varkey, P. (2010). Medical Quality Management: Theory and Practice. American College of Medical Quality: USA.