Quality Improvement Methodologies and Tools

Healthcare Quality Management

1. METHODOLOGIES & TOOLS FOR QUALITY MANAGEMENT Presented on “QUALITY DAY” By Dr. Aqeel Ahmed Khan TQM-ACH

2. This Means: Steadily improving each person’s ability to: Recognize and define important problems P Solve them D Learn from problem solving C Share the learning with others A

3. What is problem?

4. Methodologies PDCA-CQI DMAIC DMADV

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6. Methodology PDCA-CQI DMAIC DMADV CQI was originally developed by Walter Shewhart , and is often referred to as the " Shewhart Cycle". It was taken up and promoted effectively from the 1950s by the famous Quality Management authority W. Edwards Deming , and is consequently known by many as "the Deming Wheel".

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8. PLAN Plan carefully what is to be done Phase 1 - Identify the Opportunity Phase 2 - Analyze the Current Process Phase 3 - Develop the Optimal Solution DO Carry out the plan (do it) Phase 4 - Implement Changes CHECK Check the Results. Did the plan work as intended or were the results different? Phase 5 - Study the Results ACT Act on the results by identifying what worked as planned and what didn't. Phase 6 - Standardize the Solution Phase 7 - Plan for the Future

9. Methodology PDCA-CQI DMAIC (duh-may- ick ) DMADV DMAIC is an acronym for five (5) interconnected phases: Define, Measure, Analyze, Improve and Control. It refers to a data-driven quality strategy for improving processes.

10. Methodology PDCA-CQI DMAIC (duh-may- ick ) DMADV DMADV consists of five (5) interconnected phases: Define, Measure, Analyze, Design and Verify. It is a data-driven quality strategy for designing products and processes, It is also an integral part of a Six Sigma Quality Initiative.

11. Tools for Quality Management or Quality Improvement There are for the 7 Basic Tools which we are going to define. Generally they can be subdivided into: mathematical statistical Tools logical tools 3/17/2014 11

12. 7 Basic Quality Control Tools The concept behind the seven basic tools came from Kaoru Ishikawa, a renowned quality expert from Japan. According to Ishikawa, 95% of quality-related problems can be resolved with these basic tools.

13. 7 Basic Quality Control Tools Basic Quality control tools 1. Cause and effect diagram 2. Control Charts 3. Check sheets 4. Histograms 5. Pareto charts 6. Scatter Diagram 7. Flow Charts a. Deployment flow charts b. Linear or activity flow charts

14. Cause and Effect Diagrams It’s a diagram that demonstrates the relationship between Effects and the categories of their causes The Arrangement of the Diagram lets it look like a fishbone it is therefore also called fish-bone diagram Its is used for RCA 14 effect Cause b Cause a Cause d Cause c

15. Control Charts Statistical tool, showing whether A process is in control or not Taking samples of a process and detect possibility of process being out of control 3/17/2014 15 Y X Upper limit Lower limit Average/Spec

16. Histograms A Histogram is a bar graph usually used to present frequency data Histograms provide an easy way to evaluate the distribution of Data over different categories 3/17/2014 16 LSL USL

17. Pareto Charts A Pareto Chart is a Histogram Pareto Charts are used to apply the 80/20 rule of Joseph Juran which states that 80% of the problems are the result of 20% of the problems. A Pareto Chart can be used to identify that 20% route causes of problem. 3/17/2014 17 Type X

18. Scatter Diagrams Statistical tool showing a trend in a series of values. Demonstrating correlations between values and showing trends for value changes . 3/17/2014 18 Y X

19. Flow Charts Way of representing a Procedure using simple symbols and arrows A Flow chart lets a process or procedure be understood easily it also demonstrate the relationships between the elements. 3/17/2014 19 Input Within Spec? Process Output adjust Yes No

20. Run Charts Run Charts are representing change in measurement over a sequence or time Determining Cyclic Events and there average character 3/17/2014 20 Time Measurement

21. 7 Management and Planning Tools   The essentials of this tool set for full support for complex decision making, identifying key issues and causes of persistent problems. It will show the ways to involve teams for continuous improvements, performance analysis and problem solving.

22. 7 Management and Planning Tools Management and Planning Tools 1. Activity network diagram 2. Affinity Diagram 3. Interrelationship diagram 4. Prioritization matrix 5. Process decision Program chart 6. Tree diagram 7. Matrix Diagram

23. Current Tasks and works of TQM in Arar Central Hospital Renewal of Policies & Procedures Activation of Committees Improvement projects by all departments Implementation of CBAHI standards Reconstruction of Strategic Plans Provision of guidance & supervision for Quality Improvement Tasks Coordination & support to all departments for all required works

24. Wish you successful improvements THANK YOU