introduction in healthcare quality
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Introduction to HealthcareQuality
By Doctor Mazen Mohamed Abd Al AzeemHealth Care Quality Specialist
MB BCh Cairo University
TQM American University in Cairo
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The definition of insanity is
continuing to do the same thing over
and over again and expecting a
different result
Albert Einstein
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-as Dictionary :Quality is Defined
Degree or grade of excellence.Noun :
Having a high degree ofAdjective :.excellence
Websters new World College and American Heritage Dictionaries
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Quality is:-Doing the right thing right first time and everytime.
With StandersStanders are created when experts are able tounderstand what the right things are an how theright things are best achieved based onResearch and Clinical Evidence.
Standers serve as guidelines for excellence .
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Other definitions
The Centers for Medicare and Medicaid service(CMS) defines healthcare quality as The rightcare for every person every time
The Juran institute :-
Free from Deficiencies:
Nosocomial infection, excessive waiting time, lost labresults etc.
Service features :
Pleasant waiting room, computerized healthrecords, follow-up care etc.
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The Institute Of Medicine collected andanalyzed over 100 definitions of quality
of care and came for this definition :-
The quality of care is the degree to whichhealth services for individuals and
populations increase the likelihood of
desired health outcomes and are
consistent with current professional
knowledge.
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Aspects of Quality
1. Measurable
2. Appreciative
3. Perceptive
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Measurable quality :-
Defined objectively as compliance or
adherence to standers .
Clinical as Protocols and clinical
guidelines.
Performance measures or indicators.
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Appreciative quality :-
Is a comprehensive and appraisal of
excellence beyond minimal standers
and criteria .
None articulate judgment of skilled
,experienced practitioners andsensitive ,caring persons .
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Perceptive quality :-
Is the degree of excellence that is
perceived and judged by the recipient
or the observer of care rather than theprovider .
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The ideal organizational widehealthcare quality strategy is effective
in tracking Measurable quality .
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Key Dimensions:-
Provide the Framework for the quality
management activities in all healthcare
setting.
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1 ) Appropriate :-
Relevant to individual clinical needs.
Doing the right thing in accordance to
purpose.
2) Available : -
Accessible and obtainable to meet
individual needs .
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3) Competence :-
The practitioners ability to produce
both the health and satisfaction of
customers.
4)Continuous : -
Delivery of needed healthcareunbroken succession.
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7)Efficiency : -
The relationship between Outcomes
and resources used to deliver care.
Relationship between inputs and
outputs .
8)Prevention and early detection :-
Identification of risk factors to promote
health and prevent diseases .
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9)Respect and caring:-The degree to which those providingservices do so with sensitivity for theindividuals needs, expectations and
individuals differences.
10)Safety :-
The degree to which the healthcareintervention minimizes risks of adverseoutcome for both patient and provider .
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