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HA425_CH1 - Chapter 1 The global evolution of continuous...

  • Kaplan University
  • HA 425
  • ElderDangerSeahorse9136
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Chapter 1The global evolution of continuous qualityimprovement:from Japanese manufacturing to global healthservices
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Principles of Information Systems
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IntroductionContinuous quality improvement (CQI) hasevolved over time and across countriesThe need for CQI is increasing, particularly asevidence shows that there has been littleimprovement in safety and quality of care overthe last decade
Definition of CQICQI is defined as a structured organizationalprocess for involving personnel in planningand executing a continuous flow ofimprovements to provide quality health carethat meets or exceeds expectations
Characteristics of CQIa link to key elements of theorganization’s strategicplan;a quality council made up ofthe institution’s topleadership;training programs forpersonnel;mechanisms for selectingimprovement opportunities;formation of processimprovement teams;staff support for processanalysis and redesign;personnel policies thatmotivate and support staffparticipation in processimprovement;application of the mostcurrent and rigoroustechniques of the scientificmethod and statisticalprocess control.
Institutional ImprovementCQICQILocalizedimprovementeffortsLocalizedimprovementeffortsOrganizationallearningOrganizationallearningProcessre-engineeringProcessre-engineeringEvidencebasedmedicine andmanagementEvidencebasedmedicine andmanagement
Cost of Poor Quality CarePoor quality care has a direct impact on the patientsdirectly affected, the services which provide that care,and society at largePoor quality care has a number of direct and indirectcosts which need to be balanced with the ‘cost ofquality’Improving the quality of care is not just aboutreducing the number of errors or improving customersatisfaction (as important as these are)
Improving the Quality of CareImproving quality involves (Berwick, 2008:759):Improving the experience of careImproving the health of populationsReducing the per capita costs of health careAt a more micro level, improving qualityalso involves professional responsibility anddevelopment
Rationale for Implement CQIEngaging in true process improvement;Gaining a competitive advantage;(Temporary) conformance to external reviewor accreditation requirements(Linder, 1991)Other rationales …
Characteristics and Functions of CQI1.Understanding and adapting external environments;2.Empowering all staff to participate in CQI;3.Valuing and responding to customer preferences;4.Utilizing a multidisciplinary approach;5.Adopting a philosophy of ongoing adaptation;6.Establishing mechanisms to support best practicesthrough planned organizational learning;7.Providing motivation for a rational, data-based,cooperative approach to CQI.

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Principles of Information Systems
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Chapter 4 / Exercise 2
Principles of Information Systems
Reynolds/Stair
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