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Healthcare Quality - Concepts

The document outlines key concepts of healthcare quality, emphasizing the importance of standardization and patient safety to improve outcomes and satisfaction. It discusses the roles of licensure and accreditation in ensuring quality, as well as dimensions of quality such as effectiveness, efficiency, and safety. The Juran Trilogy is introduced as a framework for quality management, focusing on planning, control, and improvement processes.

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7 views29 pages

Healthcare Quality - Concepts

The document outlines key concepts of healthcare quality, emphasizing the importance of standardization and patient safety to improve outcomes and satisfaction. It discusses the roles of licensure and accreditation in ensuring quality, as well as dimensions of quality such as effectiveness, efficiency, and safety. The Juran Trilogy is introduced as a framework for quality management, focusing on planning, control, and improvement processes.

Uploaded by

anas barakah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Healthcare Quality Concepts

By
Prof. Mahi Al-Tehewy
Ain Shams Faculty of Medidicne
Healthcare Quality

Your curriculum includes:


1- Healthcare quality concepts
2- Patient safety
3- Patient rights
Quality
Why Quality in healthcare?
Increasing costs of healthcare in
presence of rising demands and
limited resources
Variation in quality of medical
performance and outcomes in similar
health organizations
What does quality mean in
healthcare?
Quality is doing the right things right,
first time

What are the right things? and how to do it in


right way?
Uniformity of the process
 To standardize the work nationally
…Egyptian Accreditation Standards
 To standardize the work at hospital...
Policies & procedures
 To standardize the work at each
department & specialty... Clinical
Guidelines
Improving quality, to ensure:
The best possible outcome for patients
Satisfaction for all our many customers
Retentions of talented staff
Proper financial performance
Definitions
Meeting customer’s needs and
expectations
Customers of Healthcare
Customers are all those affected by our
work
External customers: They are not part of
the organization: Patients, third-party
payers, insurance companies, employers or
government agencies
Internal Customers: They are those within
the organization who are affected in some
way by the work output of the others.
Perception of quality
HC Manager
Best services
Least cost
Best outcome

Health Care
Community
Service
Health Team
Available Tech..skill
Accessible
Comfortable Resources
Humanity Work Env.
Relieve symptoms Achieving target
Prevent illness
Reasonable cost
Dimensions of Quality
Appropriateness: Care/intervention is relevant
to the patient’s needs. Doing the right things
Access to service: The appropriate care is
obtainable to meet the patient’s needs
Competency: Adherence to professional
standards of care and practice. Skills,
capability, actual performance
Continuity: Coordination of needed healthcare
services for patient across all involved
organizations over time
Dimensions of Quality (cont.)
Effectiveness: Does the procedure/ treatment
leads to the desired results? Doing things right
Efficacy: The power of a procedure/
treatment to improve health, as already
shown through scientific research findings.
Evidence based
Efficiency: The greatest benefit within the
resources available
Dimensions of Quality (cont.)
Respect and Caring: patients are
involved in the decision & the provider’s
reaction to the patient needs
Safety: Organization environment is
free from hazard. Minimizing risks as a
results of healthcare intervention
Timeliness: Needed care is provided at
the most beneficial or necessary time
How to ensure commitment
and accountability?
Regulatory bodies
)‫(جهات تنظيمية‬
External Evaluation of Quality
There are two primary approaches for
external evaluation of healthcare quality:
Licensure,
Accreditation,
Both approaches use standards to
determine the level of quality achieved by
individuals or organizations.
What is standard?

A statement of quality expected

How do they help


Identify critical inputs
Identify processes needed to get desired
outcomes
Describe the desired outcomes
Health System

Inputs Process Outcomes


• Human resources • Admission & • Morbidities
• P &Ps discharge • Mortalities
• Equipment • Filing • Coverage
• Supplies • Prescription • Satisfaction
• Buildings ….etc • Surgical
operation …etc
Licensure
To protect basic public health and safety
licensure standards address the minimum
legal requirements or qualifications
It is carried out by legal health authorities,
Done prior to the beginning of operations
and defines the local structural requirement.
Accreditation
, Accreditation focuses on:
Achievement of optimal quality
standards,
continuous improvement strategies,
Ongoing education and consultation.
Accreditation
 Definition
Is a formal process by which a
recognized body, usually independent,
assesses and recognizes that
healthcare organization meets
applicable predetermined and
published standards
Licensure Accreditation

To protect basic public • To improve quality,


health and safety accountability& regulation
It’s standards address • Addresses optimal quality
the minimum structure or standards that are process
qualifications oriented
Carried out by legal • Usually by independent
health authorities, body
Done prior to the • Done after operation &
beginning of • Valid for few years
operations. • Focus on ongoing education
and consultation
Accreditation Standards

Patient Rights & responsibilities


Patient Access Patient centered
Assessment of patients standards
Providing Care
Medication Management
Patient safety,
Infection Control
Environmental Safety Organization
Information Management centered
Performance Improvement standards
Organization management & Ethics
Community Involvement
21
You will study in brief only two group of standards

Patient Rights & responsibilities


Patient Access Patient centered
Assessment of patients standards
Providing Care
Medication Management
Patient safety,
Infection Control
Environmental Safety Organization
Information Management centered
Performance Improvement standards
Organization management & Ethics
Community Involvement
22
How to manage quality at
Organizational level:
Quality Management Process
The Aim:
It is to help every person in the service to
take responsibility for controlling quality
and enable them to use quality methods to
improve the process for delivering the
service
Not only to meet performance standard nor to deal
with quality problem
Quality Management Process
Juran Trilogy
Quality Planning
Quality Control/Measurement
Quality Improvement
Juran Trilogy
Quality
Planning

Quality Quality
Improvement Control

The three components work together to provide QM Process


that function like a loop. There is no starting point or end
point, put all components work together in a continuous way
Quality Planning
Establish the project
Identify customers
Discover customer’s needs
Develop service features
Develop detailed process
Develop process control / transfer to
operation
Quality Control/Measurement
Step 1: Measure actual performance

Step 2: Compare the results with


established standards

Step 3: Act on the difference


Quality Improvement
Step 1: Identify the improvement project
(specific needs for improvement)

Step 2: Establish the project


(Project team and clear responsibility)

Step 3: Diagnose the Cause


Step 4: Remedy the cause
Step 5: Hold the gains
Step 6: Replicate results & Nominate
new Projects
Thank You

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