scholarly journals Balancing hospital’s financials through implementing Cost of Quality Models

2019 ◽  
Vol 5 (2) ◽  
pp. 197-202
Author(s):  
Malak Aoun ◽  
Hassan Alaaraj

Purpose: Hospitals integrate different quality improvement models such as lean and cost of quality to identify the wastes resulted from the cost of poor quality and spot the opportunities for improving the cost of good quality. This study reviews the literature related to these two models and highlights its implementation in the healthcare sector. Design: the study is based on a systematic-review of previous literature and summarizes the best modules and practices of cost of quality in healthcare sector. Findings: One of the main research implications is that accounting and quality assurance teams have to cooperate and share information to reduce undesirable costs and improve the hospital’s financials. However, future studies are encouraged to expand the research empirically to discover hidden costs of quality and implement different improvement quality models to enrich the literature. Originality: It is a complicated task to balance between reducing the cost and providing a high quality service. This study is targeted for quality, finance and accounting managers and it highlights the main issues for measuring the cost of quality in hospitals.

Author(s):  
Reza Jabarbeigi ◽  
Roohollah Kalhor ◽  
Sima Rafiei ◽  
Fariba Hashemi

Background: Cost of Quality is an approach that helps organizations evaluate the extent to which their resources are used to prevent poor quality activities, assess the quality of provided services, or evaluate the number of resources that are wasted due to the internal and external failures occurring in a system. The research objective was to measure the Cost of Quality(CoQ) in a medical device division of a hospital in Qazvin, Iran. Methods: We performed a qualitative study in the medical device division in a public hospital affiliated with Qazvin University of Medical Sciences, Iran in 2020. To measure and report the (CoQ) in the division, the Prevention-Appraisal-Failure (PAF) model was used. Data were collected through document review, semi-structured interview, and group discussion, which were entered into the Excel software to calculate their distribution and frequencies using the descriptive statistics method. Results: Among different cost categories, the highest amount of expenditures belonged to internal and external failure costs. Results also revealed that several factors were responsible for the failures, including lack of knowledge of personnel about the proper use of medical devices; failure to periodically perform calibration on due dates; lack of adequate supervision; stress and work pressure among employees; and lack of managerial commitment toward the importance of preventive maintenance. Conclusion: In order to decrease the number of failures occurring in a working system, it is required to increase personnel's knowledge about the proper use of medical devices, perform calibration of devices on due dates, increase managerial commitment toward preventive and quality appraisal activities and apply systematic supervision.


Author(s):  
Ali Ghandour

The purpose of this case study is to analyze the cost of quality (COQ) in the supply chain process at Arctic North Inc., one of the winter jackets manufacturers in Montreal, Canada. In addition to the case study, some proposed solutions and recommendations will be chosen based on the studied performance of the company. Over the past decades, quality is becoming more and more a key factor in customers' expectations. Organizations and businesses around the world are very interested in applying methodologies and techniques to reach higher quality levels since this will distinguish them from other competitors in the market. Furthermore, measuring the COQ in an organization is very important in order to be able to identify the problem of poor quality, quantify it, and analyze its causes to be able to solve it.


2020 ◽  
Vol 67 (1) ◽  
pp. 28-34
Author(s):  
Aleksandr V. Vinogradov ◽  
Aleksey V. Bukreev

When repairing and replacing electrical wiring in enterprises, the main difficulty is the lack or poor quality of documentation, plans for conductors laying. Distinguishing wires (cables) and their cores by the color of the shells or using tags attached to the ends is difficult if the shells have the same color and there are no tags. Devices and technical solutions used to identify wires and cables do not allow recognizing conductors without breaking the electrical circuit, removing insulation, and de-energizing the network. Searching for the right conductor is a time-consuming operation. (Research purpose) The research purpose is developing a new microcontroller device for identifying wires using an acoustic signal. (Materials and methods) Literature sources has been searched for devices for conductors identifying. (Results and discussion) The article proposes a method that involves feeding an acoustic signal to a wire at one point and capturing it at another, in order to recognize the desired wire. The article presents results of comparison of the developed microcontroller device for identifying conductors using an acoustic signal with known devices and methods for conductors recognizing. (Conclusions) The article reveals the shortcomings of existing methods and means of identifying wires and cables. Authors performed a theoretical calculation of the sound pressure in the conductor at a given distance. The article presents the calculation of speed of acoustic waves in conductors with different types of insulation. Authors designed a microcontroller device for identifying conductors using an acoustic signal and tested it. It was determined that the device increases the safety of work, reduces the cost of operating internal wiring and identification time; eliminates the violation of wire insulation, the need to disable electrical receivers. The convergence of theoretical calculations and experimental data was shown.


Author(s):  
Jan Abel Olsen

Chapter 19 starts by distinguishing between the two contrasting perspectives that an economic evaluation would take: the healthcare sector perspective versus the societal perspective. The former is considered a ‘narrow analysis’ which includes only the costs accruing within the healthcare sector, while the latter represents a ‘broad analysis’ that accounts for all resource implications in all sectors of the economy. After an investigation into various types of costs, a ‘limited societal perspective’ is suggested to be more appropriate than either of the two ‘extreme perspectives’. The chapter continues with a discussion of the cost per quality-adjusted life year (QALY) threshold and explains the difference between a demand side- versus a supply-side approach to determining a threshold value for a QALY.


Author(s):  
Chittaranjan Sahay ◽  
Suhash Ghosh ◽  
Pradeep Kumar Bheemarthi

This work describes a strategy to reduce the cost associated with poor quality, by reducing the parts per million defects by Defining, Measuring, Analyzing, Implementing and Controlling (DMAIC) the production process. The method uses a combination of principles of Six Sigma applications, Lean Manufacturing and Shanin Strategy. The process has been used in analyzing the manufacturing lines of a brake lever at a Connecticut automotive components manufacturing company for reducing the cost associated with the production of nonconforming parts. The analysis was carried out with the help of the data collected on nonconformance parts and the application of phase change rules from DMAIC (+). Data analysis was carried out on statistical process control softwares, MINITAB and SPC XL 2000. Although, the problem of tight bushing existed on only one line of the brake lever assembly, this problem solving approach has solved the tight bushing problems on all assembly and alternates lines in a time- and cost-effective way.


1991 ◽  
Vol 4 (1) ◽  
pp. 41-55 ◽  
Author(s):  
JAMES M. REEVE
Keyword(s):  

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