HA425 Unit 1 Seminar Option 2
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HA425_Unit1Seminaroption2PPT1.pptxplayers
POLICYMAKERS
LEGISLATORS
REGULATORS
INTEREST GROUPS
NONPROFITS
LOBBYISTS
PAYERS
GOVERNMENT
INSURERS
EMPLOYERS
INDIVIDUALS
PROVIDERS
PUBLIC
PRIVATE
IRON TRIANGLE
GOAL OF HEALTHCARE SYSTEM IS TO A PERFECT TRIANGLE
IMPACT ON ONE POINT HAS AN EFFECT ON THE OTHER TWO POINTS
WHICH ONE IS MOST IMPORTANT?
COMPLEX ADAPTIVE SYSTEM
A CHALLENGE AND A SOURCE OF IDEAS TO MAKE IMPROVEMENTS
IMPLICATIONS FOR HOW TO IMPROVE THE SYSTEM
CAN ONLY BE DESIGNED TO A CERTAIN EXTENT
CANNOT BE DESIGNED AROUND MINIMIZING COSTS
REQUIRES A FOCUS ON MAXIMIZING VALUE
THERE IS A NEED TO BE PROACTIVE
LEADERSHIP IS CRITICAL
THERE NEEDS TO BE INCENTIVES FOR IMPROVEMENT
HEALTHCARE SYSTEM LANDMARKS
FLEXNER REPORT (1910)
CATALYST FOR REFORM IN HEALTHCARE DELIVERY AND MEDICAL EDUCATION
MEDICARE AND MEDICAID (1965)
FEDERAL GOVERNMENT BECOMES MAJOR PURCHASER OF HEALTHCARE
DRGs (1980s)
PROSPECTIVE PAYMENT
AFFORDABLE CARE ACT (2010)
MANDATED HEALTH INSURANCE
COST of POOR QUALITY CARE
DIRECT IMPACT ON PATIENTS AFFECTED, SERVICES PROVIDED, AND SOCIETY AT LARGE
DIRECT AND INDIRECT COSTS WHICH NEED TO BE BALANCED WITH THE ‘COST OF QUALITY’
IMPROVE THE QUALITY OF CARE
REDUCES THE NUMBER OF ERRORS
IMPROVES CUSTOMER SATISFACTION
PHILOSOPHICAL ELEMENTS of CQI “CQI IS A MANAGEMENT PHILOSOPHY”
STRATEGIC FOCUS
CUSTOMER FOCUS
SYSTEMS VIEW
DATA-DRIVEN (EVIDENCE-BASED) ANALYSIS
IMPLEMENTER INVOLVEMENT
MULTIPLE CAUSATION
SOLUTION IDENTIFICATION
PROCESS OPTIMIZATION
CONTINUING IMPROVEMENT
ORGANIZATIONAL LEARNING
STRUCTURAL ELEMENTS of CQI “CQI IS A MANAGEMENT METHOD”
PROCESS IMPROVEMENT TEAMS
7 CQI TOOLS
QUALITY COUNCIL TO MONITOR CQI
COMMITMENT FROM TOP MANAGEMENT
USE OF STATISTICAL ANALYSIS
DEVELOPMENT/REVIEW OF CUSTOMER SATISFACTION MEASURES
USE OF BENCHMARKING
REDESIGN OF PROCESSES
EVOLUTION & BIG BANG of CQI in HEALTH CARE
HOSPITALS TO ALL SEGMENTS OF HEALTHCARE
DOCTORS AND MANAGERS TO ALL STAFF
SPECIALIZED KNOWLEDGE TO GENERALIZED COMPETENCIES
LOCALIZED ACTIVITIES TO NATIONAL AND INTERNATIONAL REGULATORY AND ACCREDITATION AGENCIES
