Claire L Bradt-Chapter 17.pptVIP

Chapter 17 Quality Management Quality Management What is quality? Indicators of quality in health care JCAHO Indicators of Quality of Care Appropriateness Availability Continuity Effectiveness Efficacy JCAHO Indicators of Quality of Care Efficiency Respect Caring Safety Timeliness Quality Assurance Accountability of provider to deliver quality care Quality Improvement Process of attaining a higher level of performance Measuring Quality Identify key indicators Identify key processes Enhance key processes Determine outcome achievement Total Quality Management (TQM) Continuous Quality Improvement (CQI) Based on work of W. Edwards Deming Continual improvement Efficient systems Historical Development of Quality in Health Care Nightingale’s pioneering efforts Quality assurance emphasis Standards of care National Association for Healthcare Quality JCAHO quality control International Organizations for Quality Health Care International Society for Quality in Health Care European Society for Quality Healthcare Why is quality important to community health nursing? Quality (According to Juran, 1988) Quality planning Quality control Quality improvement Quality (According to W. Edwards Deming, 1986) Key points Continual improvement Examine processes and systems Create a trusting environment Empower staff to make decisions Total Quality Management/Continuous Quality Improvement Management philosophy Process driven Teamwork Leadership Total Quality Management/Continuous Quality Improvement (cont.) Empowerment Individual responsibility Prevent outcomes Data-based collaborative approach Systematic, cyclical How to Develop a Quality Assurance/Quality Improvement Program Performance knowledge Performance measurement Performance improvement Evaluative Models Donabedian’s model Structure Process Outcome Purpose of Outcomes research in nursing Determine “best practice” Determine cost-effective interventions Demonstrate nursing’s contribution to health car