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Challenges faced by an organization when implementing Total Quality Management
Challenges faced by an organization when implementing Total Quality Management
Challenges faced by an organization when implementing Total Quality Management
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Quality assessment and quality assurance are often found together in health care quality literature. However, these terms are not always differentiated appropriately. Quality assessment is a measurement of quality against an establish standard (Shi & Singh, 2015). The measurement of quality includes the process of describing how quality is determined, identification of specific indicators to be measured, and collection of data for the measurement, statistical analysis, and explanation of the results (Shi & Singh, 2015). Quality assurance is included with quality assurance and is the process of implementing quality through continuous assessment and using the results from the assessments for continuous improvement (Shi & Singh, 2015).
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TQM was developed and utilized in other industries prior to adoption in health care (Shi & Singh, 2015, p.493-494). TQM has since modernized administration, reduced hospital stays, improved clinical outcomes, and improved patient satisfaction (Shi & Singh, 2015, p.493-494). Examples of utilization of the total quality management include improvement of patient safety through prevention of medical error incidences and as a positive influence for organizational learning and improvement. “Using total quality management approach to improve patient safety by preventing medication error incidences” is a study conducted at General Government Hospital to review current medication practices, implement a six sigma method through utilization of a five-step DMAIC procedure to find out the root cause for the errors, and establish solutions to avoid medication error occurrences throughout the hospital (Yousef & Yousef, 2017). The results demonstrated that the root cause was related to mistakes during prescribing due to poor handwriting (Yousef & Yousef, 2017). To decrease these errors, Guideline Recommendations to be followed by all physicians were published (Yousef & Yousef, 2017). This method is useful in decreasing errors during the prescribing phase and prevent the wrong medications from being administered. “Impact of Total Quality Management on Organizational Performance: Exploring the Contingent Effects of Organizational Learning and Innovation” is another article that discusses the importance of total quality management (Proceedings for the Northeast Region Decision Sciences Institute (NEDSI), 2017). This article examines the effect that total quality management can have on organizational learning and improvement. This has become an important concept for health care organizations specifically because of globalization and the pressure from insurers, accreditation agencies,
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
In chapter four, the main topic is about different healthcare. Managed care is restructuring the healthcare system by keeping the cost low and manage the number of patients. Medicare supports people at the age of 65 and up, disabled, entitled to Social Security benefits of Railroad Retirement benefits. It is a federal program that’s designed to support free choice in healthcare. Medicaid is is also a federal program that provides health assistance to the indigent. There are some cases of fraud that involves medicare and Medicaid. The Health Care Quality Improvement Act is a peer review of a physician from other healthcare professionals. It was created to prevent malpractice and improve patient care. This chapter also informs you about forms
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes resources and minimizes waste. (3) Accessible: timely care that is provided in a setting where the skills and resources are appropriate for the medical need and is geographically reasonable. (4) Acceptable/Patient-Centered: healthcare that considers individual needs, preferences, and culture. (5) Equitable: healthcare quality that does not vary because of race, gender, ethnicity, geographical location, or socioeconomically status. (6) Safe: healthcare that minimizes harm and risks to patients. (Bengoa, 2006)
The health sector is a susceptible area based on the nature of work involved and how it operates. Human life is sacred, and the health sector is majorly concerned with how human life can be preserved. Based on the sensitive nature of the health sector, measures must be put in place that ensures procedures and services are offered in the best way possible. Accreditation can be employed in ensuring that services and products from a health facility are of the required quality. According to Alkhenzin and Shaw (2011), accreditation refers to a voluntary process in which trained peer reviewers are tasked with the mandate of evaluating the compliance of a health facility to a set of predefined standards. The standards are majorly performances standards.
Quality assurance is important in assessment as it makes sure that assessment is carried out according to awarding body standards and it makes sure that learners are receiving quality assessment and the process followed by the centre is consistent and valid and is also fit for purpose.
Quality care is a varied concept. It can be achieved by doing the right thing routinely and safely to guarantee the best possible clinical and patient satisfaction (Brady et al., 2010). Quality care comprises efficiency, record management, customer service, safety, health outcomes and best practice (The Quality and Patient Safety Commission, 2008). It is central to the nursing process. Provision of quality care can be influenced by many factors, including the competency of healthcare professionals such as nursing leaders or managers.
Based on the Institute of Medicine (IOM) definition of quality of care as “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge,” [6] a quality indicator is a tool that enables the user to quantify the quality of a selected aspect of care by compar¬ing it with a criterion.[7] A quality indicator may be defined as an objective measure that evaluates critical health care domains as defined by the IOM (patient safety, effectiveness, equity, patient-centeredness, timeliness, and efficiency), is based on evidence associated with those domains, and can be implemented in a consistent and comparable manner across settings and over
(2017). Key Concepts of Total Quality Management Within a Healthcare Organization. Retrieved October 20, 2017, from http://smallbusiness.chron.com/key-concepts-total-quality-management-within-health-care-organization-77731.html Goetsch, D. L. & Davis, S. B., (2014). Quality Management for Organizational Excellence. 7th Ed.
Health care provides multiple factors to determine the quality and ensure the safety to examine the change practices which increase challenges for patients. The patient actively engages the development of evidences based on critical knowledge and core health care system strength. To achieve the goal of health care to safe patient by providing quality services throughout their leadership role. Quality management provides a specific framework to considered the successful implementation for the risk management and improve the programs where participation need to share experiences. The governing body demonstrates that commitment process of all stakeholders for sufficient management resources for effective mitigation. Quality of system increase patients and will helpful for people and employees to achiev...
Throughout the health care system, there is a major emphasis on high quality health care. “Quality is defined by the Institute of Medicine as the degree to which health services for individual and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Kovner, 2015, pg. 274). The meaning puts an emphasis on individuals and patient groups who are receiving health care and those who are not receiving health care. There are many ways a patient can define what is high quality health care. The Institute of Medicine identified the dimensions of high quality care.
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
Even though Total Quality Management (TQM) has been replaced by other quality methodologies in many cases, organizations that have taken the long arduous journey to properly implement TQM benefited from it immensely [1]. While TQM may be perceived by many employees as just another passing fad that will soon fall by the wayside, the environmental conditions that exist within the organization will determine if TQM can be successfully implemented and take root. What is Total Quality Management (TQM)? TQM is a system of continuous improvement of work processes to enhance the organization’s ability to deliver high-quality products or services in a cost-effective manner [2].