Quality Improvement Methods Lecture a This material Comp 10 Unit 8 was developed by Duke University funded by the Department of Health and Human Services Office of the National Coordinator for Health Information Technology under Award Number ID: 635524
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Health Care Workflow Process Improvement
Quality Improvement Methods
Lecture a
This material (
Comp 10 Unit 8
) was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number
IU24OC000024
. This material was updated by Normandale Community College, funded under Award Number 90WT0003.
This work is licensed under the Creative Commons Attribution-
NonCommercial
-
ShareAlike
4.0 International License. To view a copy of this license, visit
http://creativecommons.org/licenses/by-nc-sa/4.0/Slide2
Quality Improvement Methods
Learning ObjectivesDescribe strategies for Quality
Improvement Describe the role of Leadership in Quality Improvement
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Quality Improvement in the
Health Care Setting
Quality Improvement – an approach to improvement of service systems and processes through the routine use of health and program data to meet patient and program needs (Chang, 1999) Examples of Quality Improvement Projects
Redesigning a Clinical Office
Reducing the time for patient intake
Redesigning the information flow in a laboratory
Increasing the access to care
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Putting Quality Into Practice
The "Putting Quality Into Practice" video series demonstrates the effects of workflow, resource and systems reviews, electronic medical records (EMRs) implementation and other quality improvement efforts on a practice.
This series is an eight-part series that plays in a loop. There is approximately 60 minutes of video. The series was produced by the ABIM Foundation, a non-profit foundation.
http://www.abimfoundation.org/Resource-Center/Video/PQIP.aspx
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Duke Databank for Cardiovascular Disease
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Images reprinted from
http://digitaldukemed.mc.duke.edu/databank/Images/Slide6
Three Major Concepts
Quality is a Measurable Phenomenon
Six dimensions : Safe, effective, timely, patient-centered, efficient, equitableSafety
Errors are definable and measurable
The right plan is defined on the basis of professional standards
To avoid errors, you must decide on the best plan in the context of professional standards, and the plan must be executed
Accountability
Measurable performance with consequences
Currently lies primarily with physicians
Physicians will increasingly be held accountable for performance at the microsystem level
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Quality Improvement
“Knowing is not enough;
we must apply. Willing is not enough;
we must do.
”
- Goethe
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Focus
You have been introduced to concepts and practices that will enable you to: Identify and document the processes in a health care setting,
Collect and analyze information about processes in the health care setting, andRedesign the workflow processes and streamline this redesign
Quality Improvement methods and tools enable you to:
Collect and compile information on an ongoing basis,
Analyze the information for root causes,
Make decisions on how to eliminate these problems (process improvement),
Change processes based on this analysis, and
Redesign (strategic change), and set timetable for these steps.
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Quality Improvement in Health Care Settings
In 2004 Stephen Shortell
likened the U.S. health care system to a “shoddily constructed building located in the pathway of an impending natural disaster
“
Quality can be improved in the Health Care Setting by understanding the Foundations and Methods Quality Improvement.
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Foundations of Quality Improvement
Walter Shewhart
W. Edwards Deming Joseph M. Juran
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PDSA Cycle
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Quality Improvement Methods
Summary – Lecture a
Strategies for quality improvement (QI)Need for aggressive QI in health careRole of leadership in creating a culture that supports QI
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Quality Improvement Methods
References – Lecture a
ReferencesCaliff, R. M. (2006). Translating Clinical Trials into Practice (keynote).
Tex
Heart
Inst
J., 33(2), 192-196.
Chang, R. Y. (1999). Continuous Process Improvement (Rev ed.). San Francisco, CA:
Jossey
-Bass Pfeiffer.
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). Institute Of Medicine: To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press.
Ransom, S. B., Joshi, M. S., & Nash, D. (Eds.). (2004). The Healthcare Quality Book: Vision, Strategy, and Tools (1 ed.). Chicago, IL: Health Administration Press.
Tague
, N.R, (2004)
The Quality Toolbox,
Second Edition, ASQ Quality Press, 390-392.
Images Slide 5: Dr. Eugene A Stead, Jr. [photo]. Retrieved from: http://digitaldukemed.mc.duke.edu/databank/Images/stead_eugene_thumbnail.jpgSlide 5: Hardware Configuration [image]. Retrieved from: http://digitaldukemed.mc.duke.edu/databank/Images/hardware_configuration_1971.jpg
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Quality Improvement MethodsLecture a
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024. This material was updated by Normandale Community College, funded under Award Number 90WT0003.
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