This document provides an overview of basic concepts in healthcare quality. It defines key terms like effectiveness, efficacy, dimensions of quality care including safety, timeliness, efficiency and more. It also discusses healthcare organizations as complex adaptive systems and the importance of standards, guidelines and other resources to improve quality. Overall it aims to introduce foundational ideas around measuring, assuring and improving the quality of healthcare delivery.
This document provides an overview of basic concepts in healthcare quality. It defines quality as meeting standards and doing things right the first time. Healthcare organizations are described as complex adaptive systems. The dimensions of healthcare quality are discussed, including safety, effectiveness, patient-centeredness, timeliness, efficiency, equity, and more. Quality is said to have measurable, perceptive, and appreciative aspects from the perspective of providers, patients, and experts. Key resources in healthcare quality include clinical practice guidelines, quality indicators, and accrediting bodies. Careers in healthcare quality are also mentioned.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
Quality circles originated in Japan after World War II and were inspired by W. Edwards Deming. Quality circles involve voluntary small groups of 6-12 employees who meet regularly to identify improvements in their work area. In healthcare, quality circles are used to (1) identify outstanding features of care, (2) identify obstacles to change, and (3) identify the need for more research. Examples of using quality circles in healthcare include reducing hospital-acquired infections, improving job satisfaction, and enhancing communication.
This document discusses key concepts related to quality in healthcare. It defines quality from the perspectives of healthcare providers, recipients, and administrators. It also outlines dimensions of quality including appropriateness, availability, competency, continuity, effectiveness, efficiency, safety, timeliness, and prevention/early detection. 11 dimensions of quality are described in detail which provide a framework for quality management activities. These dimensions include doing the right things, meeting standards, meeting patient needs and expectations, coordination of care, achieving desired outcomes, relationship between outcomes and resources used, respect and caring for patients, reducing risk, and providing timely care.
This document provides an overview of quality culture and language in healthcare. It discusses key concepts like quality planning, control, and improvement. It defines terms like product, customer, satisfaction, and deficiency. It explains the patient's six rights which define quality service standards. Objectives of quality management are outlined, including providing error-free care and ensuring patients are discharged on schedule with the correct paperwork and instructions. Barriers to quality like lack of training and education are identified. The document also discusses quality in healthcare today in terms of elements like customer focus, costs, and patient satisfaction. It provides a case study example of a quality issue and improvement process. Finally, it discusses the concept of quality in Islamic teachings and how excellence is emphasized in
This document discusses key concepts of quality in healthcare. It begins by providing definitions of quality from various experts and emphasizes that quality is the result of intention, effort, direction and execution. It then discusses 11 dimensions of quality care including appropriateness, availability, competency, continuity, effectiveness, efficiency, prevention, respect, safety and timeliness. The document outlines principles of quality management including a focus on processes, customer relationships, variability reduction, and employee involvement. It concludes by discussing the Joint Commission's standards for assessing an organization's commitment to quality.
This document provides instructions for students to submit their semester and specialization to receive fully solved assignments on the topic of Quality Management in Health Care. It includes 5 questions related to medical audits, hospital accreditation, quality assurance programs, quality components in healthcare, and developing a service strategy. Students are asked to answer any 5 questions, with each question worth 10 marks.
This document provides an overview of basic concepts in healthcare quality. It defines quality as meeting standards and doing things right the first time. Healthcare organizations are described as complex adaptive systems. The dimensions of healthcare quality are discussed, including safety, effectiveness, patient-centeredness, timeliness, efficiency, equity, and more. Quality is said to have measurable, perceptive, and appreciative aspects from the perspective of providers, patients, and experts. Key resources in healthcare quality include clinical practice guidelines, quality indicators, and accrediting bodies. Careers in healthcare quality are also mentioned.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
Quality circles originated in Japan after World War II and were inspired by W. Edwards Deming. Quality circles involve voluntary small groups of 6-12 employees who meet regularly to identify improvements in their work area. In healthcare, quality circles are used to (1) identify outstanding features of care, (2) identify obstacles to change, and (3) identify the need for more research. Examples of using quality circles in healthcare include reducing hospital-acquired infections, improving job satisfaction, and enhancing communication.
This document discusses key concepts related to quality in healthcare. It defines quality from the perspectives of healthcare providers, recipients, and administrators. It also outlines dimensions of quality including appropriateness, availability, competency, continuity, effectiveness, efficiency, safety, timeliness, and prevention/early detection. 11 dimensions of quality are described in detail which provide a framework for quality management activities. These dimensions include doing the right things, meeting standards, meeting patient needs and expectations, coordination of care, achieving desired outcomes, relationship between outcomes and resources used, respect and caring for patients, reducing risk, and providing timely care.
This document provides an overview of quality culture and language in healthcare. It discusses key concepts like quality planning, control, and improvement. It defines terms like product, customer, satisfaction, and deficiency. It explains the patient's six rights which define quality service standards. Objectives of quality management are outlined, including providing error-free care and ensuring patients are discharged on schedule with the correct paperwork and instructions. Barriers to quality like lack of training and education are identified. The document also discusses quality in healthcare today in terms of elements like customer focus, costs, and patient satisfaction. It provides a case study example of a quality issue and improvement process. Finally, it discusses the concept of quality in Islamic teachings and how excellence is emphasized in
This document discusses key concepts of quality in healthcare. It begins by providing definitions of quality from various experts and emphasizes that quality is the result of intention, effort, direction and execution. It then discusses 11 dimensions of quality care including appropriateness, availability, competency, continuity, effectiveness, efficiency, prevention, respect, safety and timeliness. The document outlines principles of quality management including a focus on processes, customer relationships, variability reduction, and employee involvement. It concludes by discussing the Joint Commission's standards for assessing an organization's commitment to quality.
This document provides instructions for students to submit their semester and specialization to receive fully solved assignments on the topic of Quality Management in Health Care. It includes 5 questions related to medical audits, hospital accreditation, quality assurance programs, quality components in healthcare, and developing a service strategy. Students are asked to answer any 5 questions, with each question worth 10 marks.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, quality of care, and factors driving attention to quality like limited resources and patient demands. It describes Donabedian's framework for assessing quality, which looks at structure, process and outcomes. Achieving quality requires accessible, efficient and acceptable services. Ensuring quality involves continuous quality improvement approaches like plan-do-check-act cycles and evidence-based medicine. The goal is to provide high quality care through ongoing evaluation and improvement.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, total quality management, and continuous quality improvement. It explains that quality can be assessed based on structure, process, and outcomes. Structure looks at the environment where care is provided. Process examines the care provided by practitioners. Outcomes assess the benefits achieved by patients. Achieving quality requires accessible, efficient, and acceptable services based on current knowledge. Continuous efforts are needed to monitor, assess, and improve healthcare quality.
Quality assurance aims to close the gap between actual health care performance and desirable outcomes through systematic activities like setting standards, monitoring compliance, and improving quality. It benefits clients through better health outcomes and satisfaction, providers through a more satisfying work environment, and institutions through higher patient satisfaction and reputation. Ensuring quality requires perspectives from communities, providers, and managers to meet stakeholder needs.
The document discusses the implementation of Joint Commission International (JCI) standards at a tertiary care heart hospital in India, with a special focus on documentation. It describes the background and need for JCI accreditation. The hospital underwent a comparative study of its practices against JCI and National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards, finding gaps in areas like patient care, nursing care, leadership and biomedical waste management. The report recommends remedial actions to address weaknesses.
The document discusses the implementation of Joint Commission International (JCI) standards at a tertiary care heart hospital in India, with a special focus on documentation. It provides background on JCI and outlines its standards and accreditation process. The document reports on a comparative study conducted between JCI and National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards. The study found that some policies were not in place at the hospital and many needed improvement, particularly in areas like patient care, nursing care, hospital leadership procedures, and biomedical waste management. Remedial actions are required by hospital management to address key areas of weakness.
evidence based practice that hlps in you reasarch and ease you in reaseach practice. in this presentation many things are given which you learn n your research article.
Quality Management System (Institutional Level)Reynaldo Joson
The document provides information about quality management systems at the institutional and unit levels of a hospital. It discusses how quality management systems at the unit level should be aligned with and integrated into the overarching hospital quality management system. The quality management system establishes the hospital's quality policy, objectives, and processes to achieve quality goals. These systems help ensure that all departments and units are working towards the same quality aims and standards.
Module 1_Introduction to HC Quality.pptxAndualemNura
This document provides an overview of health care quality in Ethiopia. It describes the country's three-tier health system and key transformation agendas prioritizing quality. Quality is defined by the Institute of Medicine as being safe, effective, timely, efficient, equitable and patient-centered. The Donabedian framework and Juran's trilogy are also introduced as models for examining quality. Key drivers of quality improvement are identified as having the will, ideas, and capacity to execute changes.
Standards Compliance And Quality ManagementRick Jones
The document discusses standards compliance and quality management in the Northern Cape Department of Health. It covers the relationship between standards, safety, and quality. It proposes management committee structures to support clinical governance and quality improvement. It emphasizes developing an "improvement culture" through leadership, goal setting, learning from mistakes, and testing new approaches. The quality improvement strategy involves setting standards, self-assessment, developing annual quality improvement plans, and performance monitoring over three years. The goal is to improve quality of care based on what patients want through proper governance and the national core standards.
This document discusses healthcare management and governance in Africa. It defines key concepts like governance, clinical governance, integrated governance and their importance. It outlines components of clinical governance like quality assurance, standards, risk management and performance measurement. It emphasizes that governance requires clear structures, accountability, information systems, standards, and continuous quality improvement through strategies like process mapping and Lean. The overall goal of governance is to continually improve patient care and safety.
The Surgical Initiative concluded on March 31, 2014; the first system Hoshin to “graduate” to everyday work. Join us for an interactive discussion of the lessons learned over four years of transformational change.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
The Joint Commission Has Instituted A Number Of Goals...Valerie Burroughs
The Joint Commission has instituted several goals nationally to improve patient safety. The goals focus on areas of concern in healthcare like patient identification, communication between caregivers, and medication safety. The Joint Commission accredits hospitals and other healthcare organizations to evaluate them based on performance standards related to patient care, safety, and rights.
This document discusses the Transforming Care at the Bedside (TCAB) initiative launched by the Institute for Healthcare Improvement to redesign care on medical/surgical units. TCAB aims to improve safety, patient-centeredness, team vitality, and value through engaging frontline staff in testing changes. The framework focuses on high leverage changes like leadership, teamwork, patient-centered care, value-added processes, and safety. Metrics include adverse events, falls, pressure ulcers, satisfaction, and time spent on direct care.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
The document discusses quality management in healthcare. It defines key terms like quality, quality planning, quality assurance, quality control, and total quality management. It also outlines dimensions of quality in healthcare like accessibility, appropriateness, effectiveness, efficiency, and patient satisfaction. The document provides details on quality improvement steps and cycles. It emphasizes that quality management in healthcare aims to continuously improve performance and reduce costs through preventative rather than reactive actions.
This document summarizes a presentation about building market share through employed physician engagement at Ozarks Medical Center. It describes how OMC recruited specialists but physicians operated independently. A physician council was formed to improve culture and processes, identify barriers to referrals, and standardize protocols. Studies found referral delays in some specialties. Changes improved access and patient satisfaction. Market share increased from 44.1% to 54.5% from 2008 to 2012 after employing physicians and aligning culture and processes.
This document discusses quality improvement and patient safety in anesthesia. It defines key terms like quality improvement, continuous quality improvement and differentiates it from traditional quality assurance. It outlines frameworks for improvement like the Model for Improvement and discusses tools used for quality improvement like Lean methodology, Six Sigma and PDSA cycles. It discusses important measures for quality improvement like process, outcome and balancing measures. Methods for analyzing and displaying quality improvement data like control charts and dashboards are described. Sources of quality improvement information and the importance of incident reporting are also summarized.
This document discusses patient safety and medical errors in healthcare. It notes that medical errors impact 1 in 10 patients worldwide and kill 44,000-98,000 people in the US each year. While some errors are due to individual mistakes, many are caused by systemic flaws and a lack of communication and standardized processes. The author advocates for adopting a culture of safety that encourages open reporting of errors and near misses, sees errors as opportunities for improvement rather than blame, and changes systems and processes to reduce risks. A patient safety department can help coordinate efforts to advance safety, implement policies, and promote a culture where staff feels comfortable discussing safety issues.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, quality of care, and factors driving attention to quality like limited resources and patient demands. It describes Donabedian's framework for assessing quality, which looks at structure, process and outcomes. Achieving quality requires accessible, efficient and acceptable services. Ensuring quality involves continuous quality improvement approaches like plan-do-check-act cycles and evidence-based medicine. The goal is to provide high quality care through ongoing evaluation and improvement.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, total quality management, and continuous quality improvement. It explains that quality can be assessed based on structure, process, and outcomes. Structure looks at the environment where care is provided. Process examines the care provided by practitioners. Outcomes assess the benefits achieved by patients. Achieving quality requires accessible, efficient, and acceptable services based on current knowledge. Continuous efforts are needed to monitor, assess, and improve healthcare quality.
Quality assurance aims to close the gap between actual health care performance and desirable outcomes through systematic activities like setting standards, monitoring compliance, and improving quality. It benefits clients through better health outcomes and satisfaction, providers through a more satisfying work environment, and institutions through higher patient satisfaction and reputation. Ensuring quality requires perspectives from communities, providers, and managers to meet stakeholder needs.
The document discusses the implementation of Joint Commission International (JCI) standards at a tertiary care heart hospital in India, with a special focus on documentation. It describes the background and need for JCI accreditation. The hospital underwent a comparative study of its practices against JCI and National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards, finding gaps in areas like patient care, nursing care, leadership and biomedical waste management. The report recommends remedial actions to address weaknesses.
The document discusses the implementation of Joint Commission International (JCI) standards at a tertiary care heart hospital in India, with a special focus on documentation. It provides background on JCI and outlines its standards and accreditation process. The document reports on a comparative study conducted between JCI and National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards. The study found that some policies were not in place at the hospital and many needed improvement, particularly in areas like patient care, nursing care, hospital leadership procedures, and biomedical waste management. Remedial actions are required by hospital management to address key areas of weakness.
evidence based practice that hlps in you reasarch and ease you in reaseach practice. in this presentation many things are given which you learn n your research article.
Quality Management System (Institutional Level)Reynaldo Joson
The document provides information about quality management systems at the institutional and unit levels of a hospital. It discusses how quality management systems at the unit level should be aligned with and integrated into the overarching hospital quality management system. The quality management system establishes the hospital's quality policy, objectives, and processes to achieve quality goals. These systems help ensure that all departments and units are working towards the same quality aims and standards.
Module 1_Introduction to HC Quality.pptxAndualemNura
This document provides an overview of health care quality in Ethiopia. It describes the country's three-tier health system and key transformation agendas prioritizing quality. Quality is defined by the Institute of Medicine as being safe, effective, timely, efficient, equitable and patient-centered. The Donabedian framework and Juran's trilogy are also introduced as models for examining quality. Key drivers of quality improvement are identified as having the will, ideas, and capacity to execute changes.
Standards Compliance And Quality ManagementRick Jones
The document discusses standards compliance and quality management in the Northern Cape Department of Health. It covers the relationship between standards, safety, and quality. It proposes management committee structures to support clinical governance and quality improvement. It emphasizes developing an "improvement culture" through leadership, goal setting, learning from mistakes, and testing new approaches. The quality improvement strategy involves setting standards, self-assessment, developing annual quality improvement plans, and performance monitoring over three years. The goal is to improve quality of care based on what patients want through proper governance and the national core standards.
This document discusses healthcare management and governance in Africa. It defines key concepts like governance, clinical governance, integrated governance and their importance. It outlines components of clinical governance like quality assurance, standards, risk management and performance measurement. It emphasizes that governance requires clear structures, accountability, information systems, standards, and continuous quality improvement through strategies like process mapping and Lean. The overall goal of governance is to continually improve patient care and safety.
The Surgical Initiative concluded on March 31, 2014; the first system Hoshin to “graduate” to everyday work. Join us for an interactive discussion of the lessons learned over four years of transformational change.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
The Joint Commission Has Instituted A Number Of Goals...Valerie Burroughs
The Joint Commission has instituted several goals nationally to improve patient safety. The goals focus on areas of concern in healthcare like patient identification, communication between caregivers, and medication safety. The Joint Commission accredits hospitals and other healthcare organizations to evaluate them based on performance standards related to patient care, safety, and rights.
This document discusses the Transforming Care at the Bedside (TCAB) initiative launched by the Institute for Healthcare Improvement to redesign care on medical/surgical units. TCAB aims to improve safety, patient-centeredness, team vitality, and value through engaging frontline staff in testing changes. The framework focuses on high leverage changes like leadership, teamwork, patient-centered care, value-added processes, and safety. Metrics include adverse events, falls, pressure ulcers, satisfaction, and time spent on direct care.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
The document discusses quality management in healthcare. It defines key terms like quality, quality planning, quality assurance, quality control, and total quality management. It also outlines dimensions of quality in healthcare like accessibility, appropriateness, effectiveness, efficiency, and patient satisfaction. The document provides details on quality improvement steps and cycles. It emphasizes that quality management in healthcare aims to continuously improve performance and reduce costs through preventative rather than reactive actions.
This document summarizes a presentation about building market share through employed physician engagement at Ozarks Medical Center. It describes how OMC recruited specialists but physicians operated independently. A physician council was formed to improve culture and processes, identify barriers to referrals, and standardize protocols. Studies found referral delays in some specialties. Changes improved access and patient satisfaction. Market share increased from 44.1% to 54.5% from 2008 to 2012 after employing physicians and aligning culture and processes.
This document discusses quality improvement and patient safety in anesthesia. It defines key terms like quality improvement, continuous quality improvement and differentiates it from traditional quality assurance. It outlines frameworks for improvement like the Model for Improvement and discusses tools used for quality improvement like Lean methodology, Six Sigma and PDSA cycles. It discusses important measures for quality improvement like process, outcome and balancing measures. Methods for analyzing and displaying quality improvement data like control charts and dashboards are described. Sources of quality improvement information and the importance of incident reporting are also summarized.
This document discusses patient safety and medical errors in healthcare. It notes that medical errors impact 1 in 10 patients worldwide and kill 44,000-98,000 people in the US each year. While some errors are due to individual mistakes, many are caused by systemic flaws and a lack of communication and standardized processes. The author advocates for adopting a culture of safety that encourages open reporting of errors and near misses, sees errors as opportunities for improvement rather than blame, and changes systems and processes to reduce risks. A patient safety department can help coordinate efforts to advance safety, implement policies, and promote a culture where staff feels comfortable discussing safety issues.
second project in x-ray department for clinical auditssuser7e82f41
This document contains a quality improvement plan for a hospital/center for the year 2024. The plan includes new projects such as reducing waiting times for ultrasound examinations from request to procedure from one month to 4 days. It lists project details such as goals, measures, timelines, stakeholders, and ensures alignment with quality dimensions and strategies. It also identifies roles for a project team led by a team leader and coordinator.
CPPS-qs_Collection...QUESTION OF CPPS EXAMssuser7e82f41
This document contains multiple choice questions related to patient safety and quality improvement. Topics include root cause analysis, safety culture assessment, human factors, disclosure of errors, and strategies for improving reporting of adverse events. As a patient safety professional, responsibilities may involve analyzing safety data, educating staff, and recommending system improvements to leadership.
The document provides guidance on selecting and using personal protective equipment (PPE) such as gloves, gowns, masks, and respirators to protect against infectious materials. It outlines the proper procedures for donning PPE like gowns first then masks or respirators followed by goggles or face shields and gloves, as well as removing PPE carefully to avoid contamination. The guidance stresses that PPE should be donned before contact with patients or infectious materials and removed and discarded properly after use followed by hand hygiene.
The document outlines terms of use for slides from the National Association for Healthcare Quality (NAHQ). It states that the slides are copyrighted and should not be altered, distributed, or reused without permission. It instructs users to follow the directions in the presenter's notes and not change the slides or explanations. Any questions should be directed to the listed NAHQ contact. The slides are part of a workforce report and altering them could impact the integrity of the data.
The document outlines the National Patient Safety Goals established by the Joint Commission to address areas of concern regarding patient safety. It discusses 17 goals focused on issues like patient identification, medication safety, clinical alarm safety, healthcare-associated infections, falls reduction, pressure ulcers prevention, risk assessment, and wrong site surgery prevention. For each goal, it lists the applicable environment/settings and one or more corresponding requirements organizations must meet.
This document provides an overview of quality management concepts. It defines quality, discusses determinants and costs of quality, and outlines the evolution of quality approaches including quality assurance, total quality management (TQM), and six sigma. Key figures who developed philosophies and tools to improve quality are also profiled, such as Deming, Juran, Ishikawa and Taguchi. The document then explains quality certifications like ISO 9000 and covers quality improvement methods including problem solving, process improvement, and various statistical tools.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
2. QMD/ CPD Program
HEALTHCARE QUALITY
BASIC CONCEPTS
Dr. Yasser Sami Amer
MBBCh, MS Pediatrics, MS HC Informatics, CPHQ
Supervisor, R&D, QMD, KSUMC
CPGs Advisor , KSUHs, AUHs
Member, NAHQ, USA
Member, G-I-N Adaptation & Implementation Working Groups
3. Learning objectives
By the end of this session, participants should be able to know:-
Basic concepts of Health Care Quality
• Healthcare Organizations (CAS)
• Definitions of Healthcare Quality (HCQ)
• Dimensions of HCQ
• Aspects of HCQ
• Resources
• Careers
4. An Indian tale Six Blind Men and the Elephant
http://www.youtube.com/watch?v=qPlJWk8-b4E
5. All of them were correct,
and all of them were wrong !
6. current debates about HC Reform is like a
modern version of the elephant fable!
• Various groups of stakeholders have banded
together to come up with their "solution” to
the problems of current healthcare models.
• Too much is spent, outcomes are not good
enough, and too many people are harmed.
• As solutions are presented, not only are the
stakeholders convinced of their merit, they are
also certain that counterproposals are wrong.
7. A complex adaptive system is
comprised of a heterogeneous and diverse
network of interacting and independent
agents/elements that learn and adapt over time.
Complex system behaviors are often said to be
emergent and subject to self-organization. In
short, the macro-level behavior of the system is
more than the sum of the micro-level.
8. C – A – S
Inclusion of
significant
number of
elements
Capacity to
change and to
learn from
experience
Set of
connected or
interdependent
things
12. Quality “as dictionary defined”
Noun peculiar and essential character,
superiority of kind, degree or grade
of excellence
Adjective having a high degree of excellence.
12
13. Perfection of One's Work. The Messenger (peace be upon him)
said: "Allah loves that if one does a job he perfects it."
......
ـانــساإلحإلىـانـــقاإلتمن
......
14. In practice …………
= doing right things right the first time
= the right care for every person every time
= first NO harm
Definitions of Quality in Healthcare
o
14
15. Healthcare Quality
The extent to which health services
provided to individuals and patient
populations improve desired health
outcomes. The care should be based on the
strongest clinical evidence and provided in
a technically and culturally competent
manner with good communication and
shared decision making.
IOM 2001
17. Standards are created when experts are able to
understand what the right things are and now
the right things are best achieved
Quality = Compliance with the Standards
17
18. Quality of care is ………
Accessible
Effective
Safe
Accountable
Fair
18
19. 19
Why do we need Quality in Healthcare?
•Increasing costs of healthcare in the presence of
rising demands and limited resources.
•Variation in quality of medical performance and
outcomes in similar health organizations.
20. 20
Inspection phase
(1920-1940)
Total Quality Management (TQM) phase
(Continuous Quality Improvement-CQI)
(1986 and currently)
Quality Control phase
(1940-1960)
Quality Assurance phase
(1970-1985)
22. 22
Measurable Quality
Can be defined objectively as compliance with,
or adherence to standards.
•Clinically, these standards may take the form of
CPGs or protocols, or they may establish acceptable
expectations for patient and organizational
outcomes.
•Standards serve as guidelines for excellence.
PROVIDERS ASPECT OF CARE
23. 23
Appreciative Quality
Is the appraisal of excellence beyond minimal
standards and criteria.
•Requires the judgments of skilled, experienced
practitioners and sensitive, caring persons.
• Peer review bodies rely on the judgments of like
professionals in determining the quality or non-quality
of specific patient-practitioner interactions.
PEER REVIEW/ ACCREDITATION BODIES, EXPERTISE
AND SKILLED PERSON ASPECT OF CARE
24. 24
Perceptive Quality
Is the degree of excellence which is perceived
by the recipient or the observer of care rather
than by the provider of care.
Is generally based more on the degree of
caring expressed by physicians, nurses, and
other staff than on the physical environment
and technical competence.
RECEPIENT/ PATIENT ‘customer’
ASPECT OF CARE
25. ALL THE THREE ASPECTS OF
QUALITY ARE ABSOLUTELY
ESSENTIAL TO OUR CONSIDERATION
OF THE OUTCOME AND ALL
ASSOCIATED PROCESS AND
STRUCTURE OF HEALTHCARE
DELIVERY
27. 1. Safe
2. Timely
3. Effective
4. Efficient
5. Equitable
6. Patient-centered
7. Efficacy
8. Appropriateness
9. Availability
10.Continuity
11.Respect and Caring
KEY DIMENSIONS OF QUALITY CARE
PERFORMANCE
27
28. Is the intervention/ setting relevant, correct given the need?
Appropriateness
Is there sufficient access to care? Are there undue restrictions?
Availability/
accessibility
Is care coherent and connected (considered less expensive)?
Are there gaps or redundancies in care (considered more expensive)?
“coordinated care” or “care coordination” in chronic diseased patients with
mutli-morbidities
Continuity
Does data indicate desired and cost-effective treatment outcomes?
Provide care based on scientific knowledge and EBP
Effectiveness
Does the proposed treatment have the capacity to produce the desired
outcome, as demonstrated in the literature? (is it evidence-based?)
Efficacy
Are tests and treatments provided in a manner that conserves resources?
Efficiency
to what extent the patient/designee/family was involved in the decisions
and care provided, and treated with respect and dignity.
Respect & Caring
Does care protect patients, reduce risk, and reduce liability?
Safety
Is care/intervention prompt/provided at the most beneficial necessary
time?
Timeliness
Dimensions of Performance
28
29. EFFECTIVENESS
• Definition: Whether a drug or other treatment
works in real life. Effectiveness studies of drugs
look at whether they work when they are used
the way that most people take them.
Effectiveness means that most people who have
the disease would improve if they used the
treatment.
• Example: antidepressant drugs are considered to
be effective for the treatment of depression.
These drugs have been examined in many clinical
trials and other types of research studies (EBP).
AHRQ Glossary of Terms
30. EFFICACY
• Definition: Whether a drug or other treatment works
under the best possible conditions. In a research
study about efficacy, the study participants are
carefully selected, and the researchers can make sure
the drug is taken properly and stored properly. The
study participants may differ from other people in the
general public who have the disease. A treatment that
has efficacy under the best conditions may not work as
well in a different group of people with the same
disease. AHRQ Glossary of Terms
31. Efficacy (cont’d)
Example: a recent clinical trial compared people treated
with insulin to people treated with oral medicine for
diabetes. Only people with no other medical problems
were enrolled in the study, and most were under age 65.
The people treated with insulin had better improvement
in their blood glucose than the people treated with oral
medicines.
This study is considered an efficacy study, because only
younger people without any other health problems were
included. Many people who have diabetes are over age
65 and have other problems such as heart disease. It is
not known whether the same results would be found in
these people.
32. Changing the Healthcare Delivery System
As part of the agenda for change, the IOM’s Committee on
Quality of Health Care in America established aims for the 21st
century healthcare system. The committee proposed six
improvement aims to address key dimensions of healthcare
quality that were performing at far lower levels than they should
be.
They suggested that healthcare at a minimum
should be: STEEEP !
32
33. 33
Framework for Quality: Six Key Areas of IOM
Report
Six key areas of quality of healthcare are needed to
be monitored. Healthcare should be:
(Acronym: STEEEP)
– Safe
– Timely
– Effective
– Efficient
– Equitable
– Patient-centered
35. 35
A “customer”is one who receives goods
or services .
It is a concept utilized in TQM philosophy to identify
the needs, expectations, and preferences of
all who are affected by the healthcare services we
provide.
Customers are our "dependents"; they rely on us
for a service or product.
39. Quality of Care
Standards for Certification
(e.g.. ISO)
o Focus an capability rather than results
o Thus address structure and Process than
on the outcome.
39
41. Standard
Is defined as an explicit predetermined expectation set by a
competent authority, that describes an organization’s
acceptable performance level.
Standards Should be :
Optimal
Achievable
When met would lead to highest possible quality in
a system
41
49. Janet Brown, BA, BSN, RN, CPHQ, FNAHQ
was active in the healthcare quality field since 1978 as
an administrative director, consultant, and nationally
known educator
http://jbqs.com/about-janet
50. Careers in HCQ (in USA)
Healthcare Quality Professional
(Academic degrees OR Professional certificates)
• Thomas Jefferson University/ Jefferson School of
Population Health: MS in Healthcare Quality &
Safety
• Northwestern University Feinberg School of
Medicine/ Center for Education in Health Sciences:
Graduate Programs in Healthcare Quality and
Patient Safety (MS, PhD & certificate)
• National Association for Healthcare Quality:
Certified Professional in Healthcare Quality
• ISQua: Fellowship Programme
51. CPHQ
• Information management
• Performance Improvement
• Strategic leadership and people
management
• Patient safety
• Accreditation and continuous readiness
• Change management