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Introducing The Hospital Based Healthcare QMS: Grace L. Duffy Co-Chair: ASQ QMD/HCD Healthcare Technical Committee

The document introduces a hospital-based healthcare quality management system (QMS) model developed by the ASQ Healthcare and Quality Management Divisions. The model provides a structured framework based around concentric circles representing the core goals of exceptional quality, safety and patient outcomes; key components of care delivery; and ten supporting quality system elements. The model is intended to help hospitals integrate quality practices and drive continuous improvement through a process-based approach consistent with accreditation standards.

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72 views19 pages

Introducing The Hospital Based Healthcare QMS: Grace L. Duffy Co-Chair: ASQ QMD/HCD Healthcare Technical Committee

The document introduces a hospital-based healthcare quality management system (QMS) model developed by the ASQ Healthcare and Quality Management Divisions. The model provides a structured framework based around concentric circles representing the core goals of exceptional quality, safety and patient outcomes; key components of care delivery; and ten supporting quality system elements. The model is intended to help hospitals integrate quality practices and drive continuous improvement through a process-based approach consistent with accreditation standards.

Uploaded by

lakhsmie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Introducing the Hospital Based

Healthcare QMS

Grace L. Duffy
Co-chair: ASQ QMD/HCD Healthcare Technical Committee

January 26 2017 ASQ Section 1509


Objectives
• Explain why the Healthcare and Quality Management
Divisions of ASQ collaborated to develop the Healthcare
Quality Management System (QMS)

• Identify benefits of a Healthcare QMS

• Introduce the Hospital-based Healthcare QMS

• Encourage adoption of the Healthcare QMS model as a gap


analysis tool for Hospital-based continuous improvement at
the systems level.
How We Developed the QMS:
Through Committee and Task Group Work
• The culmination of Healthcare and
Quality Management Divisions’
Healthcare Technical Committee
collaboration.

• Provides a foundation for leaders


seeking to improve patient outcomes,
safety, and satisfaction, as well as cost
savings, risk management, and
regulatory compliance.

• This Monograph is available on ASQ


QMD and HCD websites for download.

• http://asq-qmd.org/Healthcare : scroll to
the ASQ Healthcare Quality Management System
Model link
• http://asqhcd.org/hbok-99-001/ : will need
to sign in as a member
The Model Developers and Authors
• Tania Motschman, quality director for the
Esoteric Business Unit of Laboratory Corporation
of America. 35 years with the Mayo Clinic.
• Christine Bales, AABB Vice President of
Consulting and Global Services; technical expert
in quality management systems for blood centers
and transfusion services.
• Larry Timmerman, Quality Manager, Munroe
Regional Medical Center, Ocala, Fl.
• Grace Duffy, Healthcare, Public Health, and
Quality consultant, author and mentor.
• Pierce Story, a healthcare innovator, co-
founder and vice president of concept
development at Capacity Strategies, Inc.
• Gregory Gurican, hospital-based quality
management consultant with clinical service
lines, nursing, patient safety, and risk
management.
The Hospital-Based Healthcare QMS structure:

A bridge from the original ISO Quality Management System


approach - generic descriptions to language and situations
that make immediate sense in a hospital environment.

The QMS Model can be used most effectively once


its overarching structure is completely understood.
Benefits of the QMS to the
healthcare community
• Process - based approach is consistent with both The Joint
Commission and DNV accreditation structures.

• Uses fact - and data - based decision making for feedback


and improvement.

• Acknowledges risk-based allocation of resources to drive


quality of patient outcomes.

• Based on the international ISO concept of integrating quality


system elements according to specific patient needs.

• Recognizes the value of clinical, allied health and


administrative roles systematically aligned for patient
outcomes.
The QMS
Model
Intention of each of the Model concentric circles
A foundation of continuous improvement

The overlay. The integration of continual improvement


and innovation is critical throughout all the other
aspects of the model to ensure that better patient care
and business efficiency are achieved.

By determining, measuring, and analyzing the results of


the hospital’s core processes, continual improvement
and innovation are possible.
Intention of each of the Model concentric circles

The inner circle. The core of the model delineates the results that
are expected—exceptional quality, safety, and patient outcomes.

The Model uses a circular


approach to show successive
layers of the Hospital-based
EXCEPTIONAL
Healthcare model.
QUALITY,
SAFETY
AND PATIENT
OUTCOMES
Intention of each of the Model concentric circles
The Four Components of Care Delivery

The middle circle. This circle


details four key components of Patient
the patient’s care delivery— Identification &
Assessment
• identification and assessment,
• development of a treatment
plan by all primary and
Development
ancillary services, Transition
of Treatment
of Care
• delivery of care, and Plan

• transition of care to the next


level or discharge.
Delivery of Care
Intention of each of the Model concentric circles
Leadership Commitment,
Planning
The Ten Quality System & Review
Elements

The outer circle. The 10


critical quality system
elements that provide These are the process and structures
the infrastructure and needed for overall business
framework for supporting effectiveness and efficiency. They
have an interactive relationship with
and influencing each other, the four key components
achievement of of care delivery, and ultimately the
exceptional quality, core of the model.
safety, and patient
outcomes are described
in the outer circle.

Communication,
Education
& Training
Quality System Elements

• Leadership • Management of
Commitment, Planning Information
and Review • Communication,
• Feedback Loops Education, and Training
• Environment of Care • Risk Management
• Management of Change
• Management of
• Teamwork
Finances and Support
• Compliance with
Resources
Requirements
The QMS
Model
How can this model be applied within a hospital?
• What in the model is already in place in most quality
conscious hospitals?

• How can the additional elements be integrated into


existing operations with minimal disruption?

• Share information about implementation and results.


Email chair@asqhcd.org with this information.
How can this model be applied within a hospital?

Healthcare Division Monograph 2 – 2Q17

Pilot – 2016 - 2017


The QMD/HCD Joint Healthcare Technical Committee

• A partnership between the ASQ Healthcare and Quality


Management Divisions

• Interested in joining? Contact the presenter.

• Information: http://asq-qmd.org/Healthcare
Objectives: Recap

• Explain why the Healthcare and Quality Management


Divisions collaborated to develop the Healthcare Quality
Management System (QMS)

• Identify benefits of a Healthcare QMS

• Introduce the Hospital-based Healthcare QMS

• Encourage adoption of the Healthcare QMS model as a gap


analysis tool for Hospital-based continuous improvement at
the systems level.
Q&A: Ideas for adopting this
hospital - based QMS model

Grace Duffy, LSSMBB, CMQ/OE


grace683@outlook.com

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