User:Roderickmunro/Healthcare quality

The American Society for Quality (ASQ) Healthcare Division (HCD) has embarked on a task of creating a Body of Knowledge (BOK) for the field of Healthcare Quality. This topic includes both the clinical and non clinical fields of quality in healthcare settings including: quality control, quality prevention, continuous (continual) improvement, management engineering, etc.

HISTORY

The ASQ HCD is a not-for-profit organization of professional in the healthcare arena dedicated to improving the care of patients. This group consists of both clinicians and quality professionals working to save lives and prevent waste in providing healthcare services. This organization consisted of about 4500 members world-wide (as of June 2011).

TOPICAL AREAS - ASQ HCD BOK

Purpose: To create a Healthcare Body of Knowledge that will enable and equip champions for performance excellence and continual improvement in healthcare.

Deliverable: ASQ Healthcare Division will create a body of knowledge for clinical, organizational and operational quality, to be used throughout the healthcare industry.

Objectives: •	Identify various sectors in the healthcare division •	Identify common process and systems improvement tools and methodology for all of healthcare •	Identify unique tools and methodologies for specific healthcare applications •	Identify which tools and methodologies should be used at various levels within organizations •	Create a self assessment tool for each category of the BOK to allow practitioners to verify their understanding •	Develop futuristic ideas / plans for healthcare needs/wants/demands of customers

HEALTHCARE QUALITY SECTORS:

Accreditations/Certification: USA States/TCJ/ISO 9001/Baldrige groups/organizations Elder Care Governments Regulations Health Services Hospitals Laboratories Medical Device Manufactures Mental Health (religious wellbeing, etc) Military Medicine Pharmaceuticals Pharmacies Psychology (Child / Adult) Primary care providers Public Health Regulatory / Statutory Healthcare Requirements (versus Health Care) Specialist Veterans Affairs Behavioral Health Outpatient procedure facilities (e.g., ambulatory surgical centers or ASCs) Mid-level providers Mental Health Dental Other outpatient facilities (wound clinics, nursing homes, physical therapy facilities, 	imaging centers)

POTENTIAL BOK TOPICS:

History of Quality Improvement in Healthcare (including behavioral health) •	History of Quality •	History of Quality Improvement in Healthcare •	Quality Leaders in Healthcare •	Interfaces between Quality Improvement, Law and Medical Ethics •	Quality Tools and Methodologies o	TQM, CQI, QC, QA o	Six Sigma, Lean Six Sigma, etc o	Workflow analysis

Medical Informatics •	Measurement •	Data Analysis •	Evaluation / Integration

Organizational Leadership •	Strategic Management / includes PMI, Change Mgt, etc •	Strategic Planning Development and Deployment •	Organizational Design •	Quality Planning – Advance Quality Planning •	Risk Management •	Utilization Management •	Strategic Information Technology Management •	Oversight / Patient Safety •	Customer Focused Organizations •	Supply Chain Management •	Education and Training

Leadership

Management / includes PMI, Change Mgt, etc

Risk Management

Utilization Management

Oversight / Patient Safety

Medical Informatics

Customer Focused Organizations

Operational Quality

Innovation

Process/ Systems Engineering (including environments of care)

Organizational Design

Strategic Planning Development and Deployment

Quality Planning – Advance Quality Planning

Operational Quality (Policies and Procedures / Practice Guidelines?)

Implementation / Deployment (empowering those in the gemba including nurses and patients)

Quality Tools and Methodologies

Measurement

Data Analysis

Evaluation / Integration

Supply Chain Management

Human Factors

External •	Federal/State Regulations •	Health Reform •	Meaningful Use Phases

Education and Training

Interfaces between Quality Improvement, Law and Medical Ethics

Accreditations/Certifications/Awards

Federal/State Regulations

Accreditations/Certifications/Awards General Information on Hospital Accreditation Joint Commission ISO 9001 - Hospital Accreditation Malcolm Baldrige National Quality Award - Healthcare

OVERALL UMBRELLA TOPICS:

Changing customer demands within healthcare

Changing healthcare customer needs/wants (VOC)

Future views of healthcare legislation

Healthcare culture issues

Improvement for behavioral health

etc

DEFINITIONS:

Clinical Quality

Health Care

Healthcare

Operational Quality

Organizational Quality

Operations research - the discipline of applying mathematical models of complex systems with random variability aimed at developing justified operational business decisions

Management Science - a quantitative methodology for assigning (managing) available material assets and human resources to achieve the operational goals of the system. Based on Operations research.

Complex system - a system that exhibits a mutual interdependency of components and for which a change in the input parameter(s) can result in a non-proportional large or small change of the system output

Discrete event simulation- one of the most powerful methodologies of using computer models of the real systems to analyze their performance by tracking system changes (events) at discrete moments of time

Queuing theory – mathematical methods for analyzing the properties of waiting lines (queues) in simple systems without interdependency. Typically uses analytic formulas that must meet some rather stringent assumptions to be valid.

Simulation package- also known as a simulation environment. A software with user interface used for building and processing discrete event simulation models

Flow bottleneck / constraint – a resource (material or human) whose capacity is less than or equal to demand for its use

(The term ‘management engineering’ is sometimes substituted by the terms ‘operations research’, ‘system engineering’, ‘industrial engineering’, or ‘management science’. All these terms have practically the same meaning).

ACRONYMS:

Discrete Event Simulation Model (DES) Emergency Department (ED) Intensive Care Unit (ICU) Length of Stay (LOS) Operating Rooms (OR) Regular Nursing Units (NU)

RESOURCES:

Books

ASQ Magazines & Journals

Medical Journals

Webinars

Professional Organizations with a Tie to Healthcare Process/Systems Improvement