NURSING ROLES CH 21

• SAFE
• TIMELY
• EFFICTIVE
• EFFICIENT
• EQUITABLE
• PATIENT CENTERED

• TOTAL QUALITY MANAGEMENT TQM
• CONTINUOUS QUALITY IMPROVEMENT CQI
• CONTINUOUS PROCESS IMPROVEMENT
• STATISTICAL PROCESS CONTROL
• PERFORMANCE IMPROVEMENT PI

QUALITY

SCIENTIFIC APPROACH (COMMON & SPECIAL CAUSE)

ALL ONE TEAM

AMERICAN PIONEER IN QUALITY MANAGEMENT

WORKED WITH THE JAPANESES IN POST WORLD WAR II

• DETECTION
• REACTIVE
• CORRECTION OF SPECIAL CAUSES
• NARROW FOCUS
• AUTHORITY PROBLEM SOLVING

• PREVENTION
• PROACTIVE
• CORRECTION OF COMMON CAUSES
• CROSS FUNCTIONAL
• PROBLEM SOLVING BY EMPLOYEES

THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA)

THE JOINT COMMISSION (TJC) - #1 FOR QUALITY IMPROVEMENT

COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF)-

ACCREDITATION COUNCIL OF DEVELOPMENTAL DISABILITIES (ACDD)-

AN INTEGRATED SYSTEM OF PRINCIPLES, PRACTICES, TOOLS, AND TECHNIQUES FOCUSED ON REDUCING WASTE, SYNCHRONIZING WORKFLOWS & MANAGING VARIABILITY IN PRODUCTION FLOWS

A CONCEPT FOR COMPANY WIDE QUALITY IMPROVEMENT FIRST INTRODUCED BY THE MOTOROLA CORPORATION, CHARACTERIZED BY ITS CUSTOMER DRIVEN APPROACH, EMPHASIS ON DECISION MAKING BASED ON CAREFUL ANALYSIS OF QUANTITATIVE DATA AND A PRIORITY ON COST REDUCTION

• FLOWCHART
• PARETO CHART - BAR CHART
• CAUSE & EFFECT DIAGRAM - FISH
• RUN CHART -MEASURE DATA OVER TIME

REDUCTIONIN VARIATION OF THE CARE PROVIDED

• FACILITATION & ACHIEVEMENT OF
• EXPECTED CLINICAL OUTCOMES

REDUCTION IN CARE DELAYS & ULTIMATELY LENGTHS OF STAY IN THE INPATIENT SETTING

IMPROVEMENTS IN COST EFFECTIVENESS OF THE CARE DELIVERED WHILE MAINTAINING OR INCREASING PATIENT AND FAMILY SATISFACTION

FLOW CHART REPRESENTING A SERIES OF DECISIONS

VOLUNTARY ORGANIZATION FORMED TO ASSIST HEALTH CARE LEADERS TO IMPROVE QUALITY

• 3 FUNDAMENTAL QUESTIONS
• PLAN DO CHECK ACT (PDCA) CYCLE

• SENTINEL EVENT STANDARD
• NATIONAL PATIENT SAFETY GOALS
• NEVER EVENTS

ESTABLISHED BY ANA

PART OF ANA'S SAFETY AND QUALITY INITIATIVE