Quality Management Health Plan

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

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.

Interdisciplinary team
A group of people working together
from different fields. Individuals
involved in assessment and
recommendations for treatment for
patients.

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

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).

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).

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.

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.

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.

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.

Prioritization
Describe how your hospital will prioritize QI
projects. You cannot change everything so
prioritization is essential. Generally, high risk, high
volume,

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,

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.

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.

Describe any barriers that you have
encountered and include an action plan
to overcome them in your next year’s
Quality plan.

● Discussion
● Language barriers, solutions
● Cultural barriers, solutions
● Technical barriers, solutions
● Equipment barriers, solutions

Long-term Goal
● State the intended goal

Customer Wishes
● Describe customer needs and wishes
● Explain the requirements

Fulfilling
Customer Needs
● Describe the main attributes of the product
● Link the product attributes to customer
needs

Cost Analysis
● Indicate the financial advantages for the
customer
● Compare quality and price with those of the
competition

Strengths and Advantages
● Summarize the special features and
advantages of the product being introduced

Next Steps of Action
● Explain the steps that now need to be taken

Quality Management Health Plan

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