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Challenges faced by an organization when implementing Total Quality Management
The importance of quality in the field of health care
Challenges faced by an organization when implementing Total Quality Management
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Innovative technology, while costly, is imperative to total quality approach within healthcare facilities. Total quality encompasses a quality driven strategic plan to increase competitiveness. This type of strategy can occur costs through new innovation and processes. It requires an ongoing approach to continually improve your staff and processes (Goetsch & Davis, 2014). As a leader in a small not-for-profit hospital, it is key to understand the challenges associated with these costs while creating quality within your community.
A total quality approach helps facilities achieve sustainability through improved technology and leadership. In the scenario presented, there are a few challenges that can present during the purchase of new technology in a hospital environment. Through a total quality approach, leaders continually improve many aspects within an organization. This can be changed to processes, people, and costs of various products and
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If I were a leader in this type of facility, I think my top challenge would be the costs of new technology. Other challenges include creating a plan that involves staff from relevant departments and the perception of the new technology. For this new lab technology to be effective, each of these aspects must be considered. The top challenges facing a leader of a not-for-profit organization during new technology implementation are financial issues, staff involvement, and attitudes.
References
Goetsch, D. L., & Davis, S.B.(2014). Quality Management for Organizational Excellence (7th ed.). Retrieved from https://betheluniversityonline.net
Spetz, J., & Keane, D. (2009). Information Technology Implementation in a Rural Hospital: A Cautionary Tale. Journal Of Healthcare Management, 54(5), 337-348.
Top Issues Confronting Hospitals in 2016. (2016). Retrieved from
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
When assessing where the industry will go over the next ten years, there is one area that stands out. Government involvement in healthcare has become a major player in how this industry is changing. New regulations are being introduced at a rapid rate and have pushed hospitals into constant change management (Arab Kash, Spaulding, Johnson, & Gamm, 2014).
The 'Standard'. Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press. Spath, P. (2014). The 'Secondary'.
The quality of the clinical services you offer and the outcomes of those services, is a key element in your organization’s success. For this reason, efficiency and throughput, patient safety and quality indicators, and service distribution are all important elements to examine. Along with clinical services, another area that affects quality care is information technology; having the right data capabilities, information sharing and coordination of care data are important to appropriate treatments and positive patient outcomes. Market
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,
(Vonderenbse and White, 2013) Facilities management is concerned that if they do not deliver on the quality service that they are marketing to the community, they will lose business. Measuring Quality at Memorial. The case study mentioned addressed that the hospital did not want to incur costs for specialized services and equipment. However, there is a definite need to make sure that they are investing in high quality technology in regards to their IT.
Possible solutions – in addressing the problems mentions above, the leadership agrees to remedy the situation by 1. developing a Strategic plan creating basic physical and organizational structures and facilities needed for the operation of a healthcare society. This would be a dedicated quality infrastructure across the clinic. What does this entails? Bringing together the necessary resources of each department of quality, accreditation, clinical risk safety, infection prevention, environmental health and safety, and performance improvement. In this process all of the participants will report to the chief quality officer and he reports
Managers, clinicians, nurses, and doctors in hospitals are continuously confronted by new technologies and methods that require changes to working practice. Quality systems can help to manage change while maintaining a high quality of care. The quality of care is the measurement of how a hospital operates and how satisfied its patients are with the care they are receiving there. Today, post ACA implementation all hospitals depend on the quality of care. Hospitals may face penalties if they are struggling with the quality of health care delivery.
With medical errors increasing the length of stay and cost of care, hospitals are facing even smaller margins. Struggling to turn a profit they only way hospitals can grow is to improve the quality of care and reduce errors. It was not until recent legislation that hospitals were being reimbursed for poor quality of care leading to longer patient stays or further hospital-acquired infections. The recent health care reform legislation, the Patient Protection and Accountable Care Act, has stopped hospitals from receiving reimbursement for readmissions due to error or nosocomial infections. Not only does this act prevent reimbursement for poor quality care, but also hospitals that deliver lower standards of care will not be able to participate in the Medicare and Medicaid programs (Andel et al.,
The first issue is that it takes a great deal of time for hospitals and clinics to adopt and implement a new program. The process of implementing a new system is time consuming because employees are resistant to change and employee
Introduction Changing the way health care is delivered will result in improved efficiency as well as improved quality, overlapping responsibilities, and pressures will be the driving force behind the health care transformation. Consequently, health care distribution and funding will move from a volume-based payment system to a value-based payment system throughout the following decade. In today’s controlling and cost-effective environment, hospitals need to be more focused in their efforts to improve performance creativities, which are necessary for short-term success that will also continue for long-term accomplishments. Further, hospital consolidation will help decrease costs, improve facilities through modernization, expand and offer more upgraded services to patients, as well as combining existing strengths which will enable future hospitals to offer all-inclusive and more efficient care. (Noether & May, 2017)
Contained within the following paper is the evaluation of the author’s organization’s mission, vision goals, and objectives .The author will discuss the pre-determined questions as set forth by Jeffrey Trapp, a certified University of Phoenix instructor. This paper will discuss the differences that a rise between a company that has implemented TQM (Total Quality Management) with that of the authors own organization’s management style.
Healthcare Administrators Challenges and Strategies Hospitals in America have an important task of providing quality care and services to people in need. The main focus of a Healthcare Administrators in a hospital setting is to make certain the hospitals mission of serving the community is met. It goes beyond just treatment of patients, it’s making sure quality care is administered safety and regulations are met. It’s a job that is not easy Healthcare Administrators are faced day by day with challenges; challenges that include constraints from the economy, staffing issues and reimbursement issues. The economy is one big factor to the challenges of a healthcare administrator working in a Hospital.
Quality improvements in IT delivery and service support can be improved by measuring and tracking user satisfaction, integration and flexibility early on in the decision process and reinforcing them throughout the review process. Adhering to quality management best practices means ensuring that quality standards are strictly enforced and entrenched into the organization’s philosophy. 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.
TQM is essential to be used by all the companies especially the manufacturing companies who have the responsibility to ensure about the quality of the product. TQM is being viewed as the boon and it is an approach for improving the quality and customer satisfaction in the long run and also reduces the amount of waste (www.businessknowledgesource.com). There are various components which have to be addressed in implementing the TQM they are Ethics, integrity, training, trust, teamwork, communication and recognition (www.businessknowledgesource.com).