282 l CHAPTER 11 l QUALITY IMPROVEMENT Chapter 11 QUALITY IMPROVEMENT (QI) 11.1 INTRODUCTION TO QUALITY IMPROVEMENT The quality of care delivered in your health centre is determined by many factors, including how its services are organized, leadership, monitoring systems, adequate infrastructure and available resources, both human and material. That's the simple truth behind the drive for continuous quality improvement. The most widely used models for quality improvement in healthcare are Lean, Total Quality Management, Kaizen and IHI’s Model for Improvement. improvement in health care services and the health status of targeted patient groups. Even so, there is still much to be done. Integrate quality improvement into your organization’s daily life. Six Domains of Health Care Quality A handful of analytic frameworks for quality assessment have guided measure development initiatives in the public and private sectors. Improvement teams study data to learn about problems within a system or process, and then implement improvement steps. If quality improvement is an afterthought, or seen as a divergent effort within the organization, it won’t be successful. Health care delivery systems that are working to improve patient experience can face daunting challenges, reflecting the need to align changes in behavior and practices across multiple levels and areas of the organization. When medical professionals apply the most up-to-date evidence-based treatment guidelines, patient outcomes improve. One of the most influential is the framework put forth by the Institute of Medicine (IOM), which includes the following six aims for the health care system. The . This is an excellent example of properly applying quality improvement in healthcare and shows how the model works with aims, measurements, and change theories. A lean organization focuses on the elimination of waste and optimizing operations. Your quality improvement efforts should be fully integrated into your healthcare processes and procedures. Some healthcare leaders and academics began thinking more about healthcare quality improvement in the 1960s. Our comprehensive suite of programs can help you advance farther and faster in … Just as PDSA cycles power quality improvement, data powers PDSA cycles. The Agency for Healthcare Research and Quality has reported promising improvements in healthcare quality as a result of improvement efforts nationwide. Institute of Medicine (IOM), which is a recognized leader and advisor on improving the Nation’s health care, defines quality in health care as a direct correlation between the level of improved However, health care professionals often lack training in quality improvement methods, which makes it challenging to participate in improvement efforts. Continuous quality improvement in healthcare is a version of similar processes that began in manufacturing and can be traced back to the 1920s. Quality improvement involves a combined effort among health care staff and stakeholders to diagnose and treat problems in the health care system. Transformation of healthcare—quality improvement Many in healthcare today are interested in defining “quality improvement”. T … Lean is a model adapted from the work of Taichi Ohno, who developed the Toyota Production System. Download Section 4: Ways To Approach the Quality Improvement Process (PDF, 457 KB).