Chapter 17 Quality Management Delmar Learning Copyright 2003
- Slides: 20
Chapter 17 Quality Management Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company
Quality Management • What is quality? • Indicators of quality in health care Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
JCAHO Indicators of Quality of Care • • • Appropriateness Availability Continuity Effectiveness Efficacy Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
JCAHO Indicators of Quality of Care • • • Efficiency Respect Caring Safety Timeliness Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Quality Assurance • Accountability of provider to deliver quality care Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Quality Improvement • Process of attaining a higher level of performance Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Measuring Quality • • Identify key indicators Identify key processes Enhance key processes Determine outcome achievement Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Total Quality Management (TQM) Continuous Quality Improvement (CQI) • Based on work of W. Edwards Deming • Continual improvement • Efficient systems Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
• • • Historical Development of Quality in Health Care Nightingale’s pioneering efforts Quality assurance emphasis Standards of care National Association for Healthcare Quality JCAHO quality control Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
International Organizations for Quality Health Care • International Society for Quality in Health Care • European Society for Quality Healthcare Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Why is quality important to community health nursing? Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Quality (According to Juran, 1988) • Quality planning • Quality control • Quality improvement Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Quality (According to W. Edwards Deming, 1986) • Key points § § Continual improvement Examine processes and systems Create a trusting environment Empower staff to make decisions Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Total Quality Management/Continuous Quality Improvement • • Management philosophy Process driven Teamwork Leadership Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Total Quality Management/Continuous Quality Improvement (cont. ) • • • Empowerment Individual responsibility Prevent outcomes Data-based collaborative approach Systematic, cyclical Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
How to Develop a Quality Assurance/Quality Improvement Program • Performance knowledge • Performance measurement • Performance improvement Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Evaluative Models • Donabedian’s model § § § Structure Process Outcome Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Purpose of Outcomes research in nursing • Determine “best practice” • Determine cost-effective interventions • Demonstrate nursing’s contribution to health care delivery Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Applying QA/CQI in Community and Public Health Settings • Structure • Process • Outcomes Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
Applying QA/CQI in Community and Public Health Settings (cont. ) • Evaluation § § Identify strengths and weaknesses Compare care standards and health care practice • Communication § Communicate findings • Action § Develop action plan Chapter 17 Copyright © 2003 Delmar Learning, a Thomson Learning company
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