course materials

1. Healthcare quality: A diagram of the clinical or workflow process
Healthcare quality: A diagram of the clinical or workflow process ON Healthcare quality: A
diagram of the clinical or workflow processUsing the strengths, weaknesses, opportunities,
and threats (SWOT) analysis you did in Week 3, select an area of improvement in the
healthcare setting. You will do an RCA for this area this week.TASKS:Visit the following
link: Determine-root-cause-5-whysRead the introduction to RCA.Read the RCA
process.Conduct and report an RCA for the area of improvement you selected. Include in
your analysis:A diagram of the clinical or workflow processA fishbone diagram of
constraintsThe steps for improvement, utilizing the five-whys toolSuggested changes for
making the improvementSubmission Details:cite your sources in your work and provide
references for the citations in APA format.Your assignment should be addressed in a 2- to 3-
page document.su_mhc6303_wp3_aiken_s.doUnformatted Attachment PreviewRunning
Head: QUALITY MANAGEMENT PLAN Quality Management Plan Quality Performance
Management MHC 6303 March 21, 2018 1 2 QUALITY MANAGEMENT PLAN Quality
Management Plan Introduction The healthcare sector requires that the stakeholders uphold
the most effective ways of undertaking their duties. In addition, since the population
depends on the services and products offered by the respective hospitals to survive, the
providers must always express high-quality work as they deal with the patients. In the
attempt to uphold the highest level of quality in the provision of the respective services to
the selected groups within the society, the health providers implement some mechanisms
within their settings. The failure of such organizations including and working with such
strategies may lead to unsustainable and deterioration of the health status of the target
groups. As a corrective measure, the healthcare providers must implement the respective
quality management plans which may, in the long run, enable them to handle their daily
activities effectively and efficiently. Healthcare quality: A diagram of the clinical or
workflow processThis paper describes a part of the quality management plan of a selected
health care organization while outlining the results of its environmental analysis. This
evaluation offers a chance to identify any arising issues of concern such as the possible
weaknesses that may need improvements. Environment, organization, and department
Since a healthcare environment depends on the nature of services and patients involved,
many organizations tend to select their target groups based on the kind of problems they
express. For instance, an organization that deals with the children may tend to specialize in
issues such as early childhood development challenges and also stress management among
the young people. Also, the organizations that deal with the general population may

2. specialize in a variety of areas such as the management of the chronic illnesses, mental
health conditions and also but not QUALITY MANAGEMENT PLAN 3 limited to the ordinary
diseases. This paper selects an organization that deals with the management of cancer
diagnosis and treatment in women within a hospital. The environment for such a provider
may include both the nursing, medical and the staff and also the patients. For example, in
the US among other areas around the globe, there exist some healthcare centers and also
organizations that help deal and advocate for a better living for women with cancer. Also,
these establishments focus on the early detection and the provision of the respective
services to the selected target groups. One of the most widely recognized healthcare
organizations that deal with women’s health, specifically cancer treatment includes the
Brigham and Women`s Hospital (Karia et al., 2014). The healthcare center deals with a
variety of illnesses that all revolve around the women. The hospital as mentioned deals with
the issues efficient the women`s health. It then means that it deals with females within its
environment. Additionally, the healthcare center operates within a hospital environment
where the patients visit the specialists concerning their needs. Obstetrics and gynecology
stand out as the department within the company that deals with the issues surrounding
women`s health, individually, cancer. From the separation of duties, the hospital achieves
the best service delivery to the respective patients which comes from the specialized
personnel who work on the specific areas of strengths (Brigham and Women`s Hospital,
2018). The organization delivers high-quality services to the patients depending on the
level of their disease. As a result, it remains as one of the most recommended hospitals that
yield better results concerning patient treatment and care. The selected healthcare setting
After evaluating the kind of environment and also the basics of the chosen organization, this
section addresses issues such as the patients among others that constitute the entire set.
QUALITY MANAGEMENT PLAN 4 Brigham and Women`s Hospital deals with the issues
surrounding the reproductive among other systems of females. As a result, the hospital
specializes in the provision of such services as cervical, breast and also uterine cancer
screening as well as treatment (Jaklitsch et al., 2012). As a result, it does not discriminate
the patients by age or even race among others. Some of the other services that the hospital
offers include gynecology, infertility and reproductive system surgery, obstetrics,
urogynecology and also but not limited to the provision of maternal-fetal assistance and
medication. With such services, the hospital boasts a large number of members of staff who
work in the various areas of specialization. Healthcare quality: A diagram of the clinical or
workflow processFor instance, Brigham and Women`s Hospital delivers its services in a
hospital-based setting which enables the respective specialists to concentrate on their
duties which must lead to sustainable health status for the respective parties. The basis of
understanding the kind of equipment that the hospital uses comes from the nature of
services delivered. First, the organization deals with women`s health, especially cancer.
Hence, this means that the hospital must include all the respective cancer screening
equipment. Some of these components include The IMRT, PET/CT, gamma and coincidence
cameras and also superconducting MRI. The hospital undertakes tasks that see its staff
interact with the patients in a variety of areas (Brigham and Women`s Hospital, 2018). With
the state of the art technologies, the hospital makes it easy and possible to take care of the

3. women who suffer from the various forms of cancer while at the same time ensuring the
quality of service and life. Scope and nature of the problem Considering the state of the
healthcare sector in general, the respective hospitals among other providers must come up
with ways in which they may improve the quality of life for their selected patients. For
example, including state of the art technologies makes it easy to deliver QUALITY
MANAGEMENT PLAN 5 efficient services to the respective patients. As such, most
organizations do not end up achieving their set goals that relate to the realization of a better
working environment which in turn leads to improved quality of life. The existence of the
various challenges makes it hard for the organizations to guarantee patient health and also
the desired quality of services delivered. As a result, these weaknesses act as the overall
hindrances to the achievement of better results. Although Brigham and Women`s Hospital
boasts a superior workforce, it still lags behind the other providers within the same
spectrum of service delivery from the perspective of achieving and maintaining high-quality
care as desired. Therefore, this comes from some challenges from the internal as well as an
external environment which plays a huge role in limiting its overall potential and
capabilities. It then follows that with such limitations, the hospital may not deliver high-
quality services to its patients within the selected areas of operation. Healthcare quality: A
diagram of the clinical or workflow processThe scope of the problem focuses on the
inability of the company to maintain a positive aspect of the quality of care delivered to the
respective patients. The following section expounds on the essential details of the hospital
while looking at the SWOT analysis. SWOT analysis of the environment Through the
evaluation of the working environment for Brigham and Women`s Hospital, it gives out the
driving force towards the success and also the hindrances that limit it from achieving its set
goals. Strengths The hospital operates with the superior mission as well as vision
statements. The purpose of the firm revolves around four primary elements. The first aspect
includes the dedication towards the delivery of high-quality services to not only the
respective patients but also their QUALITY MANAGEMENT PLAN 6 families. Secondly, the
mission looks at the desire to cater for the surrounding community on both the local as well
as international fronts. Thirdly, the hospital dedicates its efforts towards offering effective
training to foster the development of superior healthcare providers. Finally, it focuses on
the improvement of the quality of care through continued research and development. Th
second most crucial element of the hospital revolves around the vision statement. Brigham
and Women`s Hospital stands out as a hospital that focuses on the improvement of the
healthcare sector in the future by investing in research and development both on the local
and international level. Brigham and Women`s Hospital operates with some core values
which help- it to shape its workforce towards the attainment of a common goal. Through
the dedication towards the attainment of quality patient care, conducting progressive
research and also but not limited to respect for life and affairs of the clients, the hospital
manages to maintain a conducive working environment for both the members of staff and
also the patients. In the process, the establishment makes it easy to deliver high-quality
services driven by the core values which constitute the organizational culture. Another
major strength of Brigham and Women`s Hospital comes from the fact that it specializes in
only a single market segment. Hence, this makes it easy for the establishment to deliver

4. high-quality services customized to suit just a single segment. Healthcare quality: A diagram
of the clinical or workflow processWith such segmentation, the hospital dedicates all its
efforts towards the delivery of the right and most efficient services to the patients thereby
improving quality of life. Weaknesses One of the weakness comes from the level of
competition from the other healthcare providers. Competition makes it difficult for the
hospital to reach out to more clients within its geographical area of operations. Secondly,
with the latest adoption of state of the art technologies QUALITY MANAGEMENT PLAN 7
that foster the use of computers to improve the daily operations, the hospital staff remains
resistant to the adoption of the systems. Subsequently this, in the end, leads to reduced
outputs which in the end leads to poor quality service delivery. In addition to the resistant
workforce, the hospital still lacks the desired level of management which would foster the
improvement of quality in the services offered which would play a huge role in the
realization of lean operations. Opportunities Since the company operates with a preferred
brand name, it may focus on its further improvement. When the company improves its
brand name, it would not only reach out to more clients but also beat the existing
competition. Secondly, the firm enjoys the state of the art technologies within their various
areas of application. As a result, it may use these elements towards the improvement of the
overall quality of services delivered. One of how the hospital may use the existing
technology would focus on offering customized services to the patients using the personal
devices. Accordingly, this would foster constant follow up to the respective clients
regardless of their location. The organization`s name carries a form of luxury in it. As a
result, it may exploit this opportunity to expand the services that it offers to the respective
patients which would help attract more patients while at the same time delivering the
desired level of quality of services. Healthcare quality: A diagram of the clinical or workflow
processThreats Although the company focuses on the delivery of quality services to its
esteemed clients, it may not achieve the set goals due to the fact that it engages in a variety
of tasks. The rise of a generation of hospitals that deliver specialized treatment to just a
given market segment presents a threat to Brigham and Women`s Hospital. Also, this means
that for the latter to enjoy and reap QUALITY MANAGEMENT PLAN 8 all the benefits that
arise from their respective duties, it must select just a specific issue of concern and then
expound on it. For example, the hospital may opt to deal with cancer-related issues affecting
women only as opposed to including other areas that require additional professionals.
Additionally, competition from the similar other establishments keeps on rising daily which
stands out as a threat to the attainment of the set goals. The other threat comes from the
inside of the organization. The hospital may suffer losses in case its members of staff went
on strike. Consequently, this will lead to creating a healthy working environment. Also,
while organization enjoys an excellent working environment, the management may form
the basis for its failure in the future. Primary weakness highlighted in the SWOT After the
evaluation of the hospital`s working environment, one of the significant drawbacks comes
from the management. The hospital’s leaders do not express high-level knowledge and skills
of controlling the daily operations. With the recent threats of the nurses to go on strike, it
shows that the hospital may fall from the inside. Brigham and Women`s Hospital specializes
in some areas which increase its market recognition. As a result, the hospital attracts many

5. clients which constitutes a better market. However, with the weak management, the
organization may not efficiently manage the various crucial elements which may lead to its
fall. The realization of the weakness comes from the findings after conducting interviews
with all levels of staff members, specifically, the nursing teams. Conclusion In the realization
of the best services by Brigham and Women` Hospital, it must first evaluate its working
environment. Healthcare quality: A diagram of the clinical or workflow processThis
evaluation comes from undertaking a SWOT analysis QUALITY MANAGEMENT PLAN 9
which in the end leads to the realization of the driving and hindrance factors towards its
success. After conducting the SWOT, the organization may use the results to improve their
areas of weakness while at the same time working to develop and utilizing the available
opportunities. This case which involves Brigham and Women`s Hospital presents major
findings which come from the evaluation of its environment. The primary weakness comes
from the management. The failure to resolve various issues relating to the medical staff may
paralyze its internal operations which in the end may lead to reduced quality of patient
care. As a corrective mechanism, the organization may opt to implement various ways for
managing internal conflicts between or between the members of staff and the management.
This paper addressed the working environment of Brigham and Women`s Hospital which
offers specialized cancer treatment to females. Additionally, it delivered the findings from
SWOT analysis which outlines the major weakness for the firm which limits its ability to
attain the set goals revolving around the improvement of patient care. 10 QUALITY
MANAGEMENT PLAN References Brigham and Women`s Hospital, (2018). About the
Department of Obstetrics and Gynecology. Brigham Health. Retrieved March 20, 2018. From
https://www.brighamandwomens.org/obgyn/about-obstetrics-and-gynecology-
department Brigham and Women`s Hospital, (2018). Cervical Cancer Treatment. Brigham
Health. Retrieved 20 March 2018. From https://www.brighamandwomens.org/medical-
resources/cervicalcancer-treatment Jaklitsch, M. T., Jacobson, F. L., Austin, J. H., Field, J. K.,
Jett, J. R., Keshavjee, S., … & Strauss, G. M. (2012). The American Association for Thoracic
Surgery guidelines for lung cancer screening using low-dose computed tomography scans
for lung cancer survivors and other high-risk groups. The Journal of thoracic and
cardiovascular surgery, 144(1), 33-38. Karia, P. S., Jambusaria-Pahlajani, A., Harrington, D.
P., Murphy, G. F., Qureshi, A. A., & Schmults, C. D. (2014). Evaluation of American Joint
Committee on Cancer, International Union Against Cancer, and Brigham and Women’s
Hospital tumor staging for cutaneous squamous cell carcinoma. Journal of Clinical Oncology,
32(4), 327.