Quality Improvement Plan Health Information Department 2016 Purpose: To establish policies and procedures for quality improvement (QI) activities within the Health Information Management Department (HIM). Policy Statement: The HIM Department has an interest in systematically evaluating and improving the quality of programs, processes and services to achieve a high level of efficiency, effectiveness and customer satisfaction. The following Quality Improvement Plan serves as the foundation of the commitment of the department to continuously improve the quality of the services it provides. Quality Improvement Principles Quality improvement is a systematic approach to assessing processes and improving them on a priority basis. The HIM Department’s approach to …show more content…
quality improvement is based on the following principles: • Employee Empowerment. Effective programs involve people at all levels of the organization in improving quality. • Leadership Involvement. Strong leadership, direction and support of quality improvement activities are key to performance improvement. The involvement of organizational and departmental leadership assures that quality improvement initiatives are consistent with the facility’s mission and/or strategic plan. • Data Informed Practices.
Successful QI processes create feedback loops, using data to make inform decisions and measure results. • Prevention over Correction. The QI Plan seeks to design good processes to achieve excellent outcomes rather than fix processes after the fact. • Continuous quality improvement (CQI): An ongoing effort of the HIM Department to improve the efficiency, effectiveness, quality, processes, capacities, and outcomes; which must be continually reviewed and improved • Quality methods: Practices that build on an assessment component in which a group of indicators that are selected by an agency are regularly tracked and reported. • Statistical Tools. The proper tools and methods are needed that foster knowledge and understanding. QI Plans use a defined set of analytic tools such as run charts, cause and effect diagrams, flowcharts, Pareto charts, histograms, and control charts to turn data into information. • Plan-Do-Check-Act Cycle (PDCA Cycle): a four–step model for carrying out change o Plan: Identifying and analyzing the problem. o Do: Developing and testing a potential solution. o Check: Measuring how effective the test solution was, and analyzing whether it could be improved in any
way. o Act: Implementing the improved solution fully. Quality Improvement (QI) Team: The QI team will carry out QI efforts for the HIM Department. QI Team members will also plan and participate in a number of QI training activities. The QI Team will consist of members, representing a cross-section of the HIM department and the HIM Quality Coordinator, to ensure understanding of all processes and procedures. • Developing and approving the Quality Improvement Plan. • As part of the Plan, establishing measurable objectives based upon priorities identified through the use of established criteria for improving the quality and efficiency. • Developing indicators of quality on a priority basis. • Periodically assessing information based on the indicators, taking action as evidenced through quality improvement initiatives to solve problems and pursue opportunities to improve quality. • Establishing and supporting specific quality improvement initiatives. • Reporting to the HIM director on quality improvement activities of the department on a regular basis. • Formally adopting a specific approach to Continuous Quality Improvement (such as Plan-Do-Check-Act: PDCA). The HIM Director also provides leadership for the Quality Improvement process as follows: • Supporting and guiding implementation of quality improvement activities of the department. • Reviewing, evaluating and approving the Quality Improvement Plan annually. How Quality Improvement projects are identified, prioritized, staffed, and initiated • Quality Improvement involves two primary activities: o Measuring and assessing the performance of clinic services through the collection and analysis of data. o Conducting quality improvement initiatives and taking action where indicated, including the design of new services, and/or improvement of existing services The tools used to conduct these activities are described in Appendix A, at the end of this Plan.
In 1994, PMH embarked on a comprehensive Continuous Quality Improvement (CQI) training program for all staff; this was followed by a “flurry” of departmental and interdepartmental improvement initiatives (Harber, 1998, p. 59). There were several questions with few answers as to the direction the organization was heading and how their goals were to be achieved. To assist with this, the company entered into a partnership with Xerox Quality Services, who had significant experience in the industry and could put PMH on the right track to success. The adoption of a balanced scorecard was crucial for the company’s s...
[16]Ornstein S, Jenkins RG, Nietert PJ, (2004) A multi-method quality improvement intervention to improve preventive cardiovascular care: a cluster randomized trial. Annual Internal Medicine. 141(7): 523-532.
Quality improvement is concerned with continuously increasing the quality standards in order to increase the output of the organization by reducing cost and improving the delivery time.
Methods for quality improvement offer numerous benefits and there are many models to use for quality improvement. These models and features have traits in the up to date version of total quality management practise models and are of numerous benefits, with the likes of six sigma and kaizen model using these traits (Royal Charter, 2011)
In addition, quality is a fulfillment of our professional and spiritual obligations to our patients and ourselves. The bible speaks of this saying, “For the entire law is fulfilled in keeping this one command: “Love your neighbor as yourself”” (Gal 5:14, New International Version). Quality improvement in a healthcare setting fulfills this by ensuring patients are cared for, but also by ensuring we are careful stewards of the healthcare organizations we administer and managing them in a manner that continually improves for the benefits of ourselves and community. Using data driven quality improvement tools can assist administrators in fulfilling this
Ensure that effective measurements and monitoring mechanisms are in place to determine whether implemented solutions have yielded predicted benefits and to drive continuous process improvement.
[1] Goldratt, Eliyahu M. and Cox, Jeff (2004). The Goal: A Process of Ongoing Improvement. Retrieved from http:// ishare.edu.sina.com.cn
The steadfast commitment to both quality and safe cares thrusts healthcare providers to think of initiatives on improving monitoring and adherence to treatment policies in order to improve outcome. This paper will analyze a healthcare issue identified. It will discuss a proposed quality improvement initiative. It will review the data that supports the issue. It will examine the different interprofessional perspectives taken
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy
In order to ensure quality, a continual quality process will be used throughout the project life cycle. This iterative process includes measuring process metrics, analyzing process data, and continuously improving the process.
In health care, Continuous Quality Improvement (CQI) is defined as a structured organizational process for involving personnel in planning and executing a continuous flow of improvement to provide quality health care that meets or exceeds expectations. CQI is helpful in facilitating medical errors as its main focus is the organization’s system. CQI‘s main emphasis is avoiding personal blame. Its main focus is on managerial and professional processes associated with specific outcomes, that is the entire production system. The primary goals of CQI is to guide quality operations, ensure safe environment & high quality of services, meet external standards and regulations, and assist agency programs and services to meet annual goals & objectives. All stakeholders such as patients, employees, and so forth are involved in CQI.
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
Continuously improvement in the quality of patient services health care centre achieves the goals and services for the managing people. Continuous improvement of quality is a structure of process for involving personnel planning and executive for a specific structure in order to improve the quality of health. Change need to improve the structure of organization and sustaining long term process of health care centre. Management focuses on target improvement and has larger impact on actions. Management has eliminated to cause problems that usually involve incremental innovation. Continuous improvement has philosophy that permits the different factors and involves to find the labor of material.
Through the support of the professional development program, the effectiveness of the teachers enhances the quality of instruction and increases the student achievement and learning. The delivery of professional development program leads to alterations in professional learning, leading to changes in professional practice, which ultimately impact student achievement.
Quality is a very important thing in an organization; therefore it is not possible to improve the quality of a product or service substantially without major changes in all aspects of the organization. Because quality is so important if changes aren’t made throughout the organization the output of the product will no be very successful. Everyone in the organization plays a major role in the out come of its products.