Quality Improvement System

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Quality Improvement System

• Region 8 Hospital Emergency Response Network

Produced By DS McBane Consultant www.dsmcbane.co
m 906-322-4422
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• This presentation serves as a self instruction
  tool providing an overview of the fundamentals of
  a
• Quality Improvement System.

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Introduction

• The Quality Improvement System (QIS)
• is a multidisciplinary, problem solving approach
  to
• evaluating and improving processes.

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Components of QIS

• Purpose
• Policy
• Leadership
• Responsibility
• Accountability
• Quality System Framework
• Strategic Resource Management
• Improvement Process
• Effectiveness

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Overview

• A Quality Improvement System
• incorporates multiple components that interrelate
  to one another to enhance customer satisfaction.
• Quality Excellence
• Improvement Making it better
• System Way to Proceed

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Purpose of QIS

• To prove a framework for healthcare agencies,
  emphasizing increased health outcomes utilizing
  professional knowledge and evidence based
  methods, focused on process or system not on
  individuals.

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Policy

• To increase the quality of care to patients by
  design and development of process, while
  identifying quality system elements in place to
  improve and strengthen those services.

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Leadership

• A successful QIS contains leadership that
  demonstrates
• Commitment
• Direction Guidance
• Support Involvement

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Leadership Responsibility

• Direction
• Guide Performance Initiatives
• Supply Resources
• Communications
• Reviewing Progress Reports
• Approving QIS Changes

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Accountability

• Accountability is required at every level
  throughout the organization.
• Quality Improvement Committee - accountable to
  all stakeholders.

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Quality System Framework
System requirements imitate the DemingPlan, Do,
Check Act (PDCA) Cycle

• PDCA Cycle
• Plan
• Do
• Check
• Act

• Requirements
• Strategic Mgmt.
• Resource Mgmt.
• Improvement Process
• Effectiveness

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PDCA Cycle

• The PDCA cycle made famous by Dr. W. Edward
  Deming is a quality improvement process.
• Plan ahead for change, analyze and predict the
  results.
• Do execute the plan, taking small steps in
  controlled circumstances.
• Check study the results.
• Act take action to standardize or improve the
  process

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The QIS Infrastructure

• For the system to work properly a
• foundation must be established.
• Define the Scope of the QIS internal processes
  that will be managed by the system.
• Documentation Put it in writing.

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Strategic Management

• (PLAN ahead for change, analyze and predict the
  results)
• Includes
• Leadership
• Planning
• Implementation

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Strategic Management

• Leadership Commitment -
• Management will play a significant role
  particularly in the developmental phase of the
  QIS.
• Active participation is a key ingredient to the
  success of the system.

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Strategic Management

• Planning -
• Identify and allocate resources and define
  methods to achieve the QIS objectives.

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Strategic Management

• Implementation Considerations for system
  execution
• Work Quality creating a QIS does not imply that
  quality work is not being done.
• Adaptability the QIS is flexible enough to be
  used within a single department or an entire
  organization.

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Strategic Management

• Implementation Considerations (Continued)
• Roles all employees should have the opportunity
  to participate.
• Teamwork a key strength of the QIS.
• Communication timely and clear.
• Quality Measures help determine where
  improvements can be made.

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Strategic Management

• Implementation Considerations (Continued)
• Documentation relevant and effective records
  are vital.
• Cost a cost savings is almost always realized
  after creating a QIS through greater efficiency.
  
• Tools many are listed in the Quality System
  Framework.

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Resource Management

• (DO execute the plan, taking small steps in
  controlled circumstances)
• Includes
• Develop Personnel
• Materials purchase and service
• Support Services

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Resource Management

• Develop Personnel staff involvement and support
  will result in improving effectiveness and
  efficiency.
• Material Purchase Service those items that
  effect the quality of patient care.
• Support Services includes staff, IT resources,
  monetary, facilities, security etc.

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Improvement Process

• (CHECK study the results)
• Develop and adopt a quality improvement plan
  (QIP).
• Identify and monitor improvement.
• Problem solving
• Analyze data.

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Improvement Process

• Develop and adopt a quality improvement plan
  made up of those activities that plan, produce,
  and measure the health services provided.
• The services offered and improvement projects are
  managed by the quality system.

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Improvement Process

• Identify and monitor improvement plan and
  develop processes to identify and monitor
  success.
• Problem solving work through problems as they
  arise, resolve before continuing the activity.

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Improvement Process

• Analyze data for correlations and root causes
  related to operating the quality system or
  process.
• Determine trends using collected data from
  monitoring, measurement, complaint handling or
  other activities, tracking information over time.
  

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Effectiveness

• (ACT take action to standardize or improve the
  process)
• Review System Effectiveness
• Conduct Audits
• Improving Effectiveness

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Effectiveness

• Review system effectiveness based on the input
  from the stakeholders. Evaluation of the
  effectiveness of a program will enlighten and
  guarantee success over time.
• Conduct audits at planned intervals to evaluate
  if the QIS is effective and meets established
  requirements.

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Effectiveness

• Improving effectiveness through communication,
  modifications or added quality objectives, data
  analysis, audits, corrective and preventative
  actions and management review.

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Summary

• A Quality Improvement System
• incorporates multiple components that interrelate
  to one another to enhance customer satisfaction.
• QIS offers healthcare agencies a framework to
  increase health outcomes focused on systems not
  individuals.

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Where to Get More Information

• Quality Improvement System Region 8 Hospital
  Emergency Response Network