Quality Management and Process Control (DRAFT)

Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass

In healthcare systems, more than in any other system, there is an urgent need for quality management and process control. Quality improvement and process control are a means that every healthcare organization must employ to achieve quality healthcare for the patients. It is also a necessary condition to survive in the competitive healthcare environment. The chapter shows that quality improvement and process control are a must for any healthcare organization. The chapter classifies the three stages of quality management and shows how tools such as constraint management, Lean/just in time, the complete kit concept, and the Pareto methodology can all enhance organizational value without substantial (if at all) financial investments. In the chapter, we break some quality improvement myths concerning quality management in healthcare organizations.

Author(s):  
L Carter ◽  
C Butler

The company participating in this study had recently reorganized its factory layout, moving from a traditional layout to machining cells. The company was a light engineering company; the cells consisted of turning centres, each cell catering for a different family grouping of components. An associated change in production methods was the move to ‘just-in-time manufacture’. The consequences of these changes were that the batch sizes had reduced considerably so that now the maximum batch size was 20 and the average only 3 or 4. The company had previously used statistical process control (SPC), but with such small batch sizes the practice had fallen into disuse as the traditional software was no longer appropriate. The general objective of the study was therefore to investigate their current situation and recommend a systematic approach to quality improvement. The study employed non-conformance analysis, measurement capability studies and analysis of variance leading to an appropriate statistical process control methodology. The company initially employed near to 100 per cent inspection; nevertheless, significant quality improvement was achieved.


2011 ◽  
Vol 2 (1) ◽  
pp. 47-60 ◽  
Author(s):  
Sunil C. D'Souza ◽  
A.H. Sequeira

The paper explores current status of information systems, identifies gaps in the current information systems and assessment in healthcare organization. This paper is based on Critical Analysis of literature and a questionnaire is administered on administrative level employees of South Indian healthcare organizations. It has been identified that healthcare organization should have specific strategy and must implement measures derived from strategy. Data and information systems should be seen as business resources. The knowledge base of medical field is large and it is growing rapidly. Hence information system must be integrated across the enterprise. The results of the study determined the relationship between measurement, analysis and knowledge Management on performance. The Information system is the newest dimension among the MBNQA (Malcolm Baldrige National Quality Award) criteria. The Information system performance was assessed in terms of management relevant data and information. The outcomes suggest that there is a growing recognition of the administrators about the importance and use of information systems as a critical resource in healthcare organizations. From the study it is inferred that information system analysis continues to be a challenge. The higher utilization of technology, computerization and the Internet has resulted in dramatic change in the quality performance of the Healthcare Organizations. The paper provides an empirical evidence that information system has an impact on performance in the context of healthcare organizations. The information system is a key performance area of Quality management and it has received limited attention in improving quality performance including MBNQA. Finally, the study concludes that there is an immense scope for altering current information systems and it should be aligned with the quality management environment.


2019 ◽  
Vol 36 (1) ◽  
pp. 7-24 ◽  
Author(s):  
Sandeep Phogat ◽  
Anil Kumar Gupta

PurposeThe purpose of this paper is to propose a model (structural equation modeling (SEM)) from the 16 identified just in time (JIT) elements useful for implementation of JIT in maintenance.Design/methodology/approachData were collected using questionnaires posted to 421 manufacturing industries and automotive service industries in India from which 133 usable responses were obtained. First, exploratory factor analysis (EFA) is carried out to identify the factor structure after that confirmatory factor analysis (CFA) is carried out to verify the factor structure of a set of identified JIT elements. CFA is conceded by an SEM statistical technique. In this paper, EFA is applied to extract the factors in JIT implementation by the statistical package for social sciences (SPSS 24) software and confirming these factors by CFA through analysis of moment structures (AMOS 18) software.FindingsOut of 18 identified JIT elements through literature and expert opinion only 16 JIT elements are selected for the study, two JIT elements removed due to the low value of correlation item-total correlation (CITC). Three factors extracted through EFA, which affects the benefits of JIT implementation in maintenance in quality improvement, production improvement and process control. SEM using AMOS 18.0 was used to perform the first-order three-factor structure (quality improvement, production improvement and process control) of the JIT implementation in maintenance.Originality/valueThe results will be useful for maintenance managers and maintenance professionals to understand the process of implementation of JIT in maintenance and to gain benefits after the implementation of JIT in maintenance in their respective organization.


2015 ◽  
Vol 775 ◽  
pp. 464-467
Author(s):  
Chang Hsien Hsu ◽  
Chun Ming Yang ◽  
Chi Yuan Chen ◽  
Erin Wei Ling Ding

The study was made to the Cpm based Process Capability Analysis Chart Cpm (PCACpm) to determine the resistance to ultraviolet radiation poor quality building materials and paints of those characteristics. Finally, sort and identify the characteristics of substandard quality improvement district in order of priority. The proposed method in this study not only to further be extended to other paint products, but also for quality management and process control capabilities of the products.


2021 ◽  
Vol 10 (3) ◽  
pp. e001091
Author(s):  
Jenifer Olive Darr ◽  
Richard C Franklin ◽  
Kristin Emma McBain-Rigg ◽  
Sarah Larkins ◽  
Yvette Roe ◽  
...  

BackgroundA national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Controlled Health Service (ACCHS) sector.AimThe literature review aims to answer the following: to what extent does the implementation of the International Organisation for Standardization 9001:2008 quality management system (QMS) facilitate efficiency and sustainability in the ACCHS sector?MethodsThematic analysis of peer-reviewed and grey literature was undertaken from Australia and New Zealand PHC sector with a focus on First Nations people. The databases searched included Medline, Scopus and three Informit sites (AHB-ATSIS, AEI-ATSIS and AGIS-ATSIS). The initial search strategy included quality improvement, continuous quality improvement, efficiency and sustainability.ResultsSixteen included studies were assessed for quality using the McMaster criteria. The studies were ranked against the criteria of credibility, transferability, dependability and confirmability. Three central themes emerged: accreditation (n=4), quality improvement (n=9) and systems strengthening (n=3). The accreditation theme included effects on health service expenditure and clinical outcomes, consistency and validity of accreditation standards and linkages to clinical governance frameworks. The quality improvement theme included audit effectiveness and value for specific population health. The theme of systems strengthening included prerequisite systems and embedded clinical governance measures for innovative models of care.ConclusionThe ACCHS sector warrants reliable evidence to understand the value of QMSs and enhancement tools, particularly given ACCHS (client-centric) services and their specialist status. Limited evidence exists for the value of standards on health system sustainability and efficiency in Australia. Despite a mandatory second certification standard, no studies reported on sustainability and efficiency of a QMS in PHC.


2021 ◽  
Vol 31 (5) ◽  
pp. 539-547
Author(s):  
Heather A. Wolfe ◽  
April Taylor ◽  
Rajeev Subramanyam

2020 ◽  
Vol 34 (1) ◽  
pp. 49-55
Author(s):  
Laura J. Kennedy ◽  
Nathan G. A. Taylor ◽  
Taylor Nicholson ◽  
Emily Jago ◽  
Brenda L. MacDonald ◽  
...  

Healthcare organizations engage in continuous quality improvement to improve performance and value-for-performance, but the pathway to change is often rooted in challenging the way things are “normally” done. In an effort to propel system-wide change to support healthy eating, Nova Scotia Health developed and implemented a healthy eating policy as a benchmark to create a food environment supportive of health. This article describes the healthy eating policy and its role as a benchmark in the quality improvement process. The policy, rooted in health promotion, sets a standard for healthy eating and applies to stakeholders both inside and outside of health. We explain how the policy offers nutrition but also cultural benchmarks around healthy eating, bringing practitioners throughout Nova Scotia Health together and sustaining collaborative efforts to improve upon the status quo.


2016 ◽  
Vol 19 (3) ◽  
pp. 77-83 ◽  
Author(s):  
Miroslav Prístavka ◽  
Martina Kotorová ◽  
Radovan Savov

AbstractThe tools for quality management are used for quality improvement throughout the whole Europe and developed countries. Simple statistics are considered one of the most basic methods. The goal was to apply the simple statistical methods to practice and to solve problems by using them. Selected methods are used for processing the list of internal discrepancies within the organization, and for identification of the root cause of the problem and its appropriate solution. Seven basic quality tools are simple graphical tools, but very effective in solving problems related to quality. They are called essential because they are suitable for people with at least basic knowledge in statistics; therefore, they can be used to solve the vast majority of problems.


2015 ◽  
Vol 29 (7) ◽  
pp. 1080-1097
Author(s):  
Annemiek Stoopendaal

Purpose – Dichotomous “gap” thinking about professionals and managers has important limits. The purpose of this paper is to study the specific ontology of “the gap” in which different forms of distances are defined. Design/methodology/approach – In order to deepen the knowledge of the actual day-to-day tasks of Dutch healthcare executives an ethnographic study of the daily work of Dutch healthcare executives and an ontological exploration of the concept “gap” was provided. The study empirically investigates the meaning given to the concept of “distance” in healthcare governance practices. Findings – The study reveals that healthcare executives have to fulfil a dual role of maintaining distance and creating proximity. Coping with different forms of distances seems to be an integral part of their work. They make use of four potential mechanisms to cope with distance in their healthcare organization practices. Originality/value – The relationship between managers and professionals is often defined as a dichotomous gap. The findings in this research suggest a more dynamic picture of the relationship between managers and professionals than is currently present in literature. This study moves “beyond” the gap and investigates processes of distancing in-depth.


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