quality healthcare

Shahood3

AB102714_Ch2.pptx

Home >Science homework help >quality healthcare

Quality and Performance Improvement in Healthcare: Theory, Practice, and Management Sixth Edition

Chapter 2

Defining a Performance Improvement Model

Objectives

Explain the cyclical nature of performance improvement activities

Define terminology and standards common to performance improvement activities

Distinguish between organization-wide performance improvement activities and team-based performance improvement activities

Outline the organization-wide performance improvement cycle

Delineate the team-based performance improvement cycle

Performance Improvement Terminology

QA—Quality assurance

TQM—Total quality management

QI—Quality improvement

CQI—Continuous quality improvement

QM—Quality management

PI—Performance improvement

Performance Improvement as a Cyclical Process

Organization- wide performance improvement process

Team-Based Performance Improvement Process

Performance Improvement Model

Monitoring Performance Through Data Collection

Performance measures—a quantitative tool that provides an indication of an organization’s performance in relation to a specified process or outcome

Rate

Ratio

Index

Percentage

Benchmarking—comparing your organization’s performance to similar organizations

Performance Measure Example

# of incomplete medical records that exceed the medical staff–established timeframe for chart completion

__________________________________________________________________________________________________

Average monthly discharges

Benchmark Example

Community Hospital of the West employee turnover rate

Community Hospital of the West Performance Improvement Model

Six Sigma

Use statistics for measuring variation in a process with the intent of producing error-free results

Refers to the standard deviation used in descriptive statistics to determine how much an event or observation varies from the estimated average of the population sample

Measure indicates no more than 3.4 errors per million encounters

Lean

Streamline processes in

Overproduction

Wasting time

Waste of stock on hand

Waste of movement

Waste of defective

Waste in transportation

Waste in processing

Adoption in healthcare

Attention to the customer (patient-centered care) and their perspective

Reduce unnecessary waste

Uses root-cause analysis

Systems Thinking

Viewing an organization as an open system of interdependencies and connectedness rather than a collection of individual parts and professional enclaves

Sees interrelatedness as a whole and looks for patterns rather than snapshots of organizational activities and processes

Systems Analysis Tools

Modeling and simulation

Queuing methods

Discrete-event simulation

Enterprise management

Supply-chain management

Game theory and contracts Systems dynamic models

Productivity measuring and monitoring

Systems Analysis Tools – cont’d

Financial engineering and risk management

Return on investment

Reduce risk

Increase efficiency

Knowledge discovery

Data mining

Predictive modeling

Neural networks

High Reliability Organizations

Learning to manage the unexpected

Mistakes and errors occur because of employees’ mindlessness and distraction

Mindlessness and distraction occur when employees are hurried or overloaded.