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AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 1: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

AMERICAN SOCIETY FOR QUALITY

QUALITY 101

Michael Hagan, D.O., MHSA, CMQ

Director of Quality Improvement

Gift of Life Michigan1

Page 2: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

MODULE 6

QUALITY

DEPLOYMENT

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Page 3: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

© 2001 ASQAll rights reserved.ASQ IL2-3

Module 6: Quality Deployment

Culture Strategy

PlanFunction

Quality Elements

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Page 4: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

A. QUALITY CULTURE

• Leadership• Quality Management• Organizational learning• Code of Ethics• Employee empowerment

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Page 5: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

© 2001 ASQAll rights reserved.ASQ IL2-5

Quality Culture Exhibits . . .

Leadership. Quality

management. Organizational

learning. Code of ethics. Employee

empowerment.

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Page 6: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 7: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

LEADERSHIP

• Must have total buy-in• Personal commitment• Model for support of quality• Active involvement

• See Model QI Plan

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Page 8: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

QUALITY MANAGEMENT

• Reduce barriers to change• Traditional thinking• Fire fighting• Impeded communication• Impeded learning• Lack of pride

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Page 9: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 10: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 11: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 12: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

ORGANIZATIONAL LEARNING

• Time beyond one person• Vertical sharing• Horizontal sharing• External sharing• Geographic sharing

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Page 13: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

CODE OF ETHICS

• Fundamentals: honesty, safety• Public: honest, public welfare• Employers: faithful agent• Clients: confidentiality, adverse• Peers: fair, proper credit

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Page 14: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

EMP EMPOWERMENT

• Authority to decide• Authority to act• Within stated bounds• Without prior approval

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Page 15: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

EMPOWERMENT BENEFITS

• Improved customer satisfaction• Efficient cost savings• Good attitudes• Good behaviors

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Page 16: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

EMPOWERMENT BARRIERS

• Lack of clear commitment• Structural barriers• Failure to define empowerment• Lack of appropriate incentives• Lack of implementation plan• Inability to change

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Page 17: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 18: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 19: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

• We can’t control the wind

• But we can set the sails

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Page 20: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

B. QUALITY STRATEGY

• Vision statement• Mission statement• Goals• Objectives

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Page 21: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

© 2001 ASQAll rights reserved.ASQ IL2-21

Quality Strategy

V isio n

V ision d ic ta tes m ission .

M ission d ic ta tes goa ls.

G oa ls d ic ta te ob jec tives.

S oc ie ty su p p orts or re jec tsv ision .

M ission su p p orts v ision .

G oa ls su p p ort m ission an dv ision .

O b jectives su p p ort goa ls,m ission , an d v ision .

M issio n

G o a ls

O b jec tiv es

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Page 22: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

VISION STATEMENT

• Where do we want to go?• What do we want to be?• Vision is a dream• Dream is possible• Short, goal directed• See Model QI Plan

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Page 23: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

VISION

• To be the most effective and efficient service recovery agency for deceased anatomical gifts, with a strong link to all Michigan hospitals and transplant programs

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Page 24: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

Mission Statement

• Who are we?• Includes the organization• Includes its customers• MYOPO: Waiting recipients

Transplant hospitals

Donor hospitals

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Page 25: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

MISSION

• To improve the quality of life for Michigan citizens through superior transplant services, and to increase public and professional understanding and participation in organ donation and transplantation

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Page 26: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

GOALS

• How do we get there?• The means to begin to close the gap

between the mission and the vision• Describes the endpoint• But not the specific plan

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Page 27: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

OBJECTIVES

• How do we get there?• Quantitative statements• Future expectations• Deadline for completion

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Page 28: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

C. QUALITY PLAN

• Document of• Specific quality practices• Resources and activities• For a particular product• Service or Contract

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Page 29: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

QUALITY PLAN

• Detailed instructions• To meet goals and objectives• Usually management develops it• Provides for resources• All employees execute it

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Page 30: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

QUALITY PLAN

Please see the

MYOPO QI plan

On Quality Council Sharepoint site

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Page 31: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

© 2001 ASQAll rights reserved.ASQ IL2-31

Sample Planning MethodologyFeigenbaum: Asks questions related to quality. Classifies quality characteristics. Provides plan information to the

organization. Communicates quality values to

customers. Measures customer satisfaction.

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Page 32: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

FEIGENBAUM

• Who• What• When • Where • How

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Page 33: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

• Quality characteristics:

critical, major, minor , incidental• Info: reports, procedures, audit• Communicate quality to customer• Get customer feedback

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Page 34: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

QUALITY ASSESSMENT

• Self evaluation• Organizational assessment• Customer survey• Benchmarking

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Page 35: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

D. QUALITY FUNCTION

• Entire collection of activities through which an organization achieves fitness for use, no matter where these activities are performed

• Systems focused environment

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Page 36: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 37: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

QUALITY DEPARTMENTS

• Quality improvement• Quality assurance• Document control• Product safety • Team consulting• Training and education

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Page 38: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

CHANGE

IS INEVITABLETHOSE WHO

CANNOTMANAGE

CHANGE

WILL

VANISH

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Page 39: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 40: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 41: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

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Page 42: AMERICAN SOCIETY FOR QUALITY QUALITY 101 Michael Hagan, D.O., MHSA, CMQ Director of Quality Improvement Gift of Life Michigan 1

DEMING

QUALITY IS

REDUCING

VARIATION

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