quality improvement methodologies and tools

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Healthcare Quality Management

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METHODOLOGIES & TOOLS FOR

QUALITY MANAGEMENT

Presented on

“QUALITY DAY”

By

Dr. Aqeel Ahmed KhanTQM-ACH

This Means:

Steadily improving each person’s ability to:

Recognize and define important problems

PSolve them DLearn from problem solving CShare the learning with others A

What is problem?

Methodologies

PDCA-CQI

DMAIC

DMADV

5

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".

7

PLANPlan carefully what is to be

done

Phase 1 - Identify the Opportunity

Phase 2 - Analyze the Current Process

Phase 3 - Develop the Optimal Solution

DOCarry out the plan

(do it)

Phase 4 - Implement Changes

CHECKCheck the Results.

Did the plan work as intended or were the results different?

Phase 5 - Study the Results

ACTAct on the results by

identifying what worked as planned and what didn't.

Phase 6 - Standardize the Solution

Phase 7 - Plan for the Future

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.

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.

Tools for Quality Managementor 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

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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.

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

Cause and Effect Diagrams

It’s a diagram that demonstrates the relationship between Effects and the categories of their causesThe 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 bCause a

Cause dCause c

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

04/10/2023 15

Y

X

Upper limit

Lower limit

Average/Spec

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

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LSL USL

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.

04/10/2023 17

Type

X

Scatter Diagrams

▪ Statistical tool showing a trend in a series of values.

▪ Demonstrating correlations between values and showing trends for value changes.

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Y

X

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.

04/10/2023 19

Input WithinSpec?Process Output

adjust

Yes

No

Run Charts

▪ Run Charts are representing change

in measurement over a sequence or time

▪ Determining Cyclic Events and there average character

04/10/2023 20

Time

Mea

sure

men

t

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.

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

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

standardsReconstruction of Strategic

PlansProvision of guidance &

supervision for Quality Improvement Tasks

Coordination & support to all departments for all required works

Wish you successful improvements

THANK YOU

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