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Quality Improvement

Quality Improvement. For more see the Course in Quality. Farrokh Alemi Ph.D. hhttp://gunston.gmu.edu/708/EmailAlemi.htm 703 993 1929. Getting Ready for Change. Why some change easily and others suffer unnecessarily? What does it take to be ready for change?

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Quality Improvement

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  1. Quality Improvement For more see the Course in Quality Farrokh Alemi Ph.D. hhttp://gunston.gmu.edu/708/EmailAlemi.htm 703 993 1929

  2. Getting Ready for Change • Why some change easily and others suffer unnecessarily? • What does it take to be ready for change? • We claim the task at hand is unique • We claim we can beat the odds

  3. Does Continuous Quality Improvement Work? In a randomized controlled trial of 15 clinics (95 providers, 4995 patients) both CQI and academic detailing when correctly implemented increased by 17% number of hypertensive patients adequately controlled. By themselves or when inadequately implemented, CQI or accademic detailing had no effect. Jt Comm J Qual Improv 98; 24 (3): 130 -142

  4. Does It Work (Continued)? Numerous department wide improvement efforts led to statistically significant improvement in patients’ satisfaction with the Department over 4 years . Arch Otolaryngology Head Neck Surgery 96; 122 (10): 1045-1048

  5. Does It Work (Continued)? Patients and providers were randomly assigned to two inpatient wards, one of which engaged in continuous quality improvement. The unit with CQI reduced the mean length of stay from 6.06 to 5.46 days. Total charges were reduced from $8,090 to $6,681. Medical Care 98; 38 (8S): AS4-AS12

  6. Does It Work (Continued)?

  7. Continuous Quality Improvement Can Help If ... • Correctly implemented. • Over long time periods. • Focused on significant problems.

  8. 10 Steps to Improvement

  9. 10 Steps in Improvement (Continued)

  10. 10 Steps to Improvement (Continued)

  11. This lecture focuses on:Leading Change Farrokh Alemi Ph.D. Falemi@gmu.edu 703-748-1629

  12. Steps Taken by Leaders1.Set Mandate Question? Does change need to start from top? • Have a vision • Set example • Speak up

  13. Steps Taken by Leadersto set culture2. Keep the customer in mind Question? What do fish talk about? • Customer mindedness • Who is the customer • Is the customer aware?

  14. Steps Taken by Leaders2. Avoid blaming people • Blame the system not people • What is a system? • How to deal with problem people? • Do you like team work? Question? Can you not blame the individual ?

  15. Steps Taken by Leaders2. Rely on data Question? Is measurement counter productive? • Question the obvious and trust data • What can you measure? • What is the advantages of measurement

  16. Steps Taken by Leaders2. Use teams Question? Is teamwork counter productive • Encourage teamwork & empower employees • Is empowerment a myth? • How could teams be made more productive

  17. Steps Taken by Leaders3. Allocate Resources Question? Should organizations create new departments or pay existing ones? • Training resources • Improvement resources • Employee time • Contractor’s time

  18. Steps Taken by QI Unit4. Identify Problems Tip No solutions. No blame. Describe customer’s experience. + & - perspectives • Gather data • Benchmark against peer • State problems • Assign teams

  19. Take Home Lesson So Far Effective change starts from top and needs a supportive environment

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