A basic introduction to Quality management

2. QUALITY
Management

3. 3
LECTURE’S OBJECTIVES
What is Quality?
Definition of Quality in
healthcare?
Quality Evolution
Quality control.
Quality Assurance.
Quality Management.
Total Quality Management.
Quality Principles.
Why Quality?
Quality perspectives.
Key Dimensions of Quality.

4. 4
WHAT IS QUALITY?
 The definition of quality would include:
 Perfection
 Consistency
 Eliminating waste
 Speed of delivery
 Compliance with policies and procedures
 Doing it right the first time
 Delighting or pleasing customers
 Total customer satisfaction and service

5. 5
WHY QUALITY?
• Eliminate hazard to patient
• Eliminate rework
• Save time and money
• Desire for recognition and the
strive for excellence
• Pressure of competition and to
enhance marketing
• Requirement to define and meet
patient needs and expectations
• Accreditation ,certification
• Reduction in medication-related
adverse events.
• Optimization of sepsis care.
• Decreased number of urinary
catheter infections.
• Reduced hospital readmissions.
• Decreased medication
administration errors.
• Improved electronic medical
record documentation

6. 6
DEFINITION OF QUALITY IN
HEALTHCARE
"the degree to which health care services for
individuals and populations increase the
likelihood of desired health outcomes and
are consistent with current professional
knowledge."

7. 7
QUALITY EVOLUTION
REACTIVE
APPROACH
Detection
INSPECTION
Finding
QUALITY CONTROL
Fixing
PROACTIVE
APPROACH
Prevention
QUALITY
ASSURANCE
Stop defects at
source
QUALITY
MANAGEMENT
Zero defects

8. 8
QUALITY CONTROL
 The purpose of quality control is to uncover defects
and have them corrected so that defect-free
products will be produced.
 he role of quality control in the medical industry is
to improve the quality improvement methods
and effectiveness of treatment and customer
satisfaction with the service. It also ensures the
following of the best practices within a healthcare
organization.

9. 9
QUALITY ASSURANCE
 Quality assurance is oriented toward
preventing defects.
 Quality assurance is more concerned with the
processes that produce the final product, and
making sure that quality is part of each phase.
 It is about balancing methodology, leadership,
and technology.

10. 10
QUALITY MANAGEMENT
 Its major emphasis is on determining
customer need or expectation from the
product.
 Total Quality is the culture of the organization.
 It is attitude of people how they perform their
assigned work with aims to provide, customers
with products and services that satisfy their
needs.

11. 11
COMPONENTS OF QM
1. A comprehensive quality management plan.
2. Set standards for benchmarking.
• Structure
• Process
• Outcome
3. Performance appraisals
4. A focus on intradisciplinary assessment and
improvement
5. A focus on interdisciplinary assessment and
improvement

12. 12
TOTAL QUALITY MANAGEMENT
Involving quality and leadership
commitment which provide the energy
and rationale for implementation of
the process of CQI within integrated
system of information and
accountability of the organization.

13. 13
TQM CHARACTERISTICS
1. Customer/client focus
2. Total organizational
involvement
3. Use of quality tools and
statistics for measurement
4. Key processes for
improvement identified

14. 14
CONTINUOUS QUALITY
IMPROVEMENT
TQM is the overall philosophy, whereas continuous
quality improvement (CQI) is used to improve
quality and performance. TQM and CQI often are
used synonymously. In health care organizations,
CQI is the process used to investigate
systematically ways to improve patient care. As the
name implies, continuous quality improvement is a
never-ending endeavor (Hedges, 2006)

15. 15
THERE ARE FOUR MAJOR
PLAYERS IN THE CQI
1. Resource group
2. Coordinator
3. Team leader
4. Team

16. 16
HEALTH CARE QUALITY
IMPROVEMENT GUIDELINES
1) Analyze your data and outcomes. ...
2) Set goals. ...
3) Create a balanced team. ...
4) Include Human Factors Inputs. ...
5) Create an executable plan. ...
6) Become Familiar with the PDCA cycle. ...
7) Communicate goals and progress. ...
8) Research other organizations and collaborate.

17. 17
METHODS OF CQI
 As a measure.
 As a goal.
 As a management
system.
•Customer (patient) focus
•Data driven
•Process emphasis
•Proactive management
•Boundary less collaboration
•Aim for perfection; tolerate failure.

18. 18
METHODS OF CQI
Lean Six Sigma
Lean Six Sigma focuses on improving
process flow and eliminating waste. Waste
occurs when the organization provides more
resources than are required. Data driven,
Lean Six Sigma focuses on identifying steps
that have little or no value to the care and
cause unnecessary delays.

19. 19
METHODS OF CQI
DMAIC Method
1. Define what measures will
indicate success
2. Measure baseline
performance
3. Analyze results
4. Improve performance
5. Control and sustain
performance

20. 20
QUALITY IMPROVEMENT AND
MONITORING
Quality Indicators (QIs) are standardized, evidence-
based measures of health care quality that can be used
with readily available hospital inpatient administrative
data to measure and track clinical performance and
outcomes
Examples(General)
 Documentation
 Initial assessment completion within time frame
 Pressure ulcer
 Nosocomial infection
 Fall assessment

21. ANY QUESTION
21

22. 22
BIBLIOGRAPHY
• Kozier, fundamental of nursing, Dorling kindersky put second edition, 2006 p.no 360-
361
• F.A Davis legal ethics and political issues in nursing. Davis company , second edition
1994, p.no.231-244
• Potter and perry, fundamental of nursing , Mosby publications, fourth edition , 1997,
p.no-173-176
• Shabeer. P. basheer , advanced nursing practice, Emmess Ist edition , 2016, p.no 50-
60
• https://www.hsph.harvard.edu/ecpe/8-healthcare-quality-improvement-tips/
• https://www.snhu.edu/about-us/newsroom/health/what-is-quality-improvement-in-
healthcare

23. THANK YOU!
23
REHANA
KAUSAR