lect 3 and 4 Flashcards
(26 cards)
Quality
Quality is a multi-faceted concept which can be defined in different ways. At a broad
level, quality reflects the extent to which a health care service or product produces a
desired outcome
Quality assurance
at “part of quality management focused on providing
confidence that quality requirements will be fulfilled.” The confidence provided by quality assurance is
twofold—internally to management and externally to customers, government agencies, regulators,
certifiers, and third parties
CQI Continuous Quality Improvement
An approach to quality management that builds upon
traditional quality assurance methods by emphasizing the organization and systems: focuses on
“process” rather than the individual; recognizes both internal and external “customers”; promotes the
need for objective data to analyze and improve processes.
Six Sigma Concept
‘
, it is a mathematical term which is used to denote standard deviation. It is a
standard statistical unit used to measure and describe the distribution of any process about its mean.
National Health Performance Framework
views quality as a guiding principle in assessing how well the health
system is performing in its mission to improve the health of Australians.
The Framework’s dimensions for the assessment of health system
performance include
appropriate, effective, responsive, continuous,
sustainable, accessible and capable, all considered relevant (along with
the safety dimension) to the quality of health care services.
Three Domains of National Health Performance Framework
Health status, determinant of health, health system performance
Health status domain 1
Deaths/Health Conditions / Human functions & Wellbeing
determinants of health 2
Bio-medical factors / community & socioeconomic / Environmental
factors / Health behaviours
health system performance include
- Safe (Safety)
- Effective (Effectiveness)
- Patient-centred (Responsiveness)
- Timely (Continuity)
- Efficient (Efficiency & Sustainability)
- Equitable (Accessibility)
Safe (Safety)
The avoidance or reduction to acceptable limits of actual or potential harm from health care management or the
environment in which health care is delivered.
Effective (Effectiveness)
Care/intervention/action provided is relevant to the client’s needs and based on established standards. Care,
intervention or action achieves desired outcome.
Patient-centred (Responsiveness)
Service is client orientated. Clients are treated with dignity, confidentiality, and encouraged to participate in choices
related to their care.
Timely (Continuity)
Ability to provide uninterrupted, coordinated care or service across programs, practitioners, organisations and levels
over time.
Efficient (Efficiency & Sustainability)
Achieving desired results with cost effective use of resources. Capacity of system to sustain workforce and
infrastructure, to innovate and respond to emerging needs.
Equitable (Accessibility)
People can obtain health care at the right place and time irrespective of income, physical location and cultural
background.
Quality management i
all the activities that organizations use to direct, control,
and coordinate quality. These activities include formulating a quality policy and setting
quality objectives.
Elements of Quality Activity
Monitor • Assess • Plan • Implement • Evaluate
Monitor
Monitoring is the process by which problems are identified.
This is usually achieved by:
• Formal data collection of both clinical and non-clinical
information
• Staff may highlight problems in an effort to continuously
strive for best practice and efficiency
• Issues highlighted can then be monitored
• Questions you may ask to identify this stage of the quality
cycle are:
▪ How was the issue/problem highlighted?
▪ What made you review the process and want to
initiate changes?
Assess
Assessment is the process followed to evaluate the data
adequacy.
Questions asked in the assessment phase should include:
Is the data collected going to be able to determine the type
and extent of any problems?
• Has the data been collected for an adequate period of
time?
• Has the problem been highlighted in several staff meetings
and was this minuted?
• The data used may come from reports generated
throughout the organisation e.g.: Clinical Indicator Reports
or Risk Management Reports.
Analyses
Analysis is the detailed review of the data collected,
identification of problems and processes, which need to be
improved.
At the phase there must be evaluation and conclusions
drawn from the data on the best course of action to be
taken, which will ensure improvements and positive
outcomes, are achieved.
Action Plan
The action plan should be documented with a description of
the proposed action, which will be initiated to rectify the
problem or make an improvement and promote positive
outcomes
Evaluation
There must be review of the action plan instigated to see if it
has had the desired effect and resulted in positive / negative
outcomes
• Has the problem been solved?
• What was a result of the action plan?
