Abstract TP390: Continuous Quality Improvement Implementation Across a Large Stroke Network of Affiliated Rural Hospitals Demonstrates Improved Care

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Lisa M Bellamy ◽  
Kelley L Elkins ◽  
Michael R Dobbs

Background and Purpose: Currently, the stroke care network includes 28 affiliate hospitals. One of the network missions is to improve quality of care through an evidence-based, standardized approach. In 2014, a formalized continuous quality improvement process began. Methods: Each affiliate receives quality education and utilizes a data report to collect and submit monthly stroke data elements quarterly. Data were compared for system analysis. Results: 18 of 24 (75%) affiliates submitted data in 2014, compared to 23 of 26 (88%) in 2015. For STK[PM]-7: dysphagia screening, 42% of the affiliates submitted data in 2014, compared to 73% in 2015. Out of the hospitals submitting inpatient data for both years, the average for all appropriate measures was 84% in 2014, compared to 88% in 2015. Of these, 27% (4/15) improved, 60% (9/15) remained the same and 13% (2/15) worsened on these inpatient measures. For CT interpretation time ( < 45 minutes), the average time was 50 minutes in 2014, and 52 minutes in 2015. 55% (6/11) improved on the CT interpretation time and 45% (5/11) worsened. For Door to Needle time ( < 60 minutes), the average time was 89 minutes in 2014, and 65 minutes in 2015. 70% (7/10) improved on the Door to Needle time and 30% (3/10) worsened. Conclusions: The network showed substantial improvement with the CQI program in: data submission rates, CT interpretation time, and Door to Needle time. Additionally, for inpatient measures, 87% of affiliates who submitted data for both years improved or remained the same. This is a great success overall. We believe this reflects focused improvement efforts at individual affiliates and network-wide. Areas for focus in the next year were determined: Door to Needle and CT interpretation times, STK-4, STK[PM]-7 and quality of abstraction.

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.


1995 ◽  
Vol 112 (5) ◽  
pp. P111-P111
Author(s):  
Carl A. Patow

Educational objectives: To understand the principles of continuous quality improvement and to use these principles to enhance patient satisfaction through increased efficiency and improved quality of care.


2018 ◽  
Vol 1 (1) ◽  
pp. 393-398
Author(s):  
Michalene Eva Grebski ◽  
Radosław Wolniak ◽  
Wieslaw Grebski

Abstract The paper addresses the benefits from accreditation of an Engineering program. The criteria for accreditation are also being discussed as well as the cost of domestic and outside of the United States (US) accreditation. The paper also contains procedures for curriculum development as well as evaluation and assessment. Implementation of a comprehensive continuous quality improvement process (CQI) for individual courses as well as the entire Engineering program is being discussed and analyzed. The conclusions include practical recommendations for the effective closing of the CQI loop.


Author(s):  
Jean-Bosco Ndihokubwayo ◽  
Talkmore Maruta ◽  
Nqobile Ndlovu ◽  
Sikhulile Moyo ◽  
Ali Ahmed Yahaya ◽  
...  

Background: The increase in disease burden has continued to weigh upon health systems in Africa. The role of the laboratory has become increasingly critical in the improvement of health for diagnosis, management and treatment of diseases. In response, the World Health Organization Regional Office for Africa (WHO AFRO) and its partners created the WHO AFRO Stepwise Laboratory (Quality) Improvement Process Towards Accreditation (SLIPTA) program.SLIPTA implementation process: WHO AFRO defined a governance structure with roles and responsibilities for six main stakeholders. Laboratories were evaluated by auditors trained and certified by the African Society for Laboratory Medicine. Laboratory performance was measured using the WHO AFRO SLIPTA scoring checklist and recognition certificates rated with 1–5 stars were issued.Preliminary results: By March 2015, 27 of the 47 (57%) WHO AFRO member states had appointed a SLIPTA focal point and 14 Ministers of Health had endorsed SLIPTA as the desired programme for continuous quality improvement. Ninety-eight auditors from 17 African countries, competent in the Portuguese (3), French (12) and English (83) languages, were trained and certified. The mean score for the 159 laboratories audited between May 2013 and March 2015 was 69% (median 70%; SD 11.5; interquartile range 62–77). Of these audited laboratories, 70% achieved 55% compliance or higher (2 or more stars) and 1% scored at least 95% (5 stars). The lowest scoring sections of the WHO AFRO SLIPTA checklist were sections 6 (Internal Audit) and 10 (Corrective Action), which both had mean scores below 50%.Conclusion: The WHO AFRO SLIPTA is a process that countries with limited resources can adopt for effective implementation of quality management systems. Political commitment, ownership and investment in continuous quality improvement are integral components of the process.


2014 ◽  
Vol 52 (3) ◽  
pp. 557-571 ◽  
Author(s):  
Maria Chiara Rossi ◽  
Riccardo Candido ◽  
Antonio Ceriello ◽  
Antonino Cimino ◽  
Paolo Di Bartolo ◽  
...  

JOUTICA ◽  
2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Nur Nafiiyah

The performance assessment of administration staff in the college did in order to improve the quality of the service process and internal continuous quality improvement. This study aims at the development of information systems web-based performance assessment. This system was built using the programming language PHP (Hypertext Processor) and MySql database, which is expected to provide a more efficient and effective in conducting this evaluation, all the colleges are trying to have an information system that not only presents a variety of important information, but also can perform the data processing. Assessmentof the performance is measurements made on various activities with the questioner. The results of the study give a rank of accumulation is obtained by calculating the second component of the assessment, the results of this can be seen anyone to find the highest rank to lowest. It is hoping that every values obtained can push Employees the administration in Lamongan Islamic university to improve its performance.


Author(s):  
Abdallah Namoun ◽  
Ahmad Taleb ◽  
Mohammed Al-Shargabi ◽  
Mohamed Benaida

Measuring the effectiveness of a continuous quality improvement cycle in education is a cumbersome and sophisticated process. This article contributes a comprehensive self-assessment instrument for identifying the strengths and weaknesses of all phases of a continuous quality improvement cycle, including planning, data collection, analysis and reporting, and implementation of improvements. To this end, a four round Delphi study soliciting a total of 23 program quality experts from four universities was conducted. The produced survey instrument contains a total of 50 questions. The instrument may be used by quality experts in education to judge the quality of their continuous quality improvement cycle that endeavours to assess the attainment of learning outcomes in various undergraduate educational programs. Moreover, the instrument could be exploited to infer relevant user and system requirements and guide the development of an automated self-assessment tool aimed at identifying the shortcomings in educational continuous quality improvement cycles.


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