Quality Improvement Methodologies
Health care managers need to improve quality services in health organizations. To improve these quality services they have to use methods that are proven helpful in the QI process. For example, Six Sigma is used to display and measure quality improvement data. It is also used to measure improvement process. That is by comparison of the baseline process from the previous data and the process capability after piloting solutions for quality improvements (Hughes, n.d.). Within Six Sigma there are five phases which are, define, measure, analyze, improve and control it is also known as DMAIC approach (Hughes, n.d.). Define is the phase that defines the objective once the issue has been identified and the data has been collected. Measuring is to help determine how any new processes will be. Data then is analyzed including the plan and improvement. The pros to these tools is it allows the managers to control improvement of the processes that will allow it to be successful. Six Sigma uses think that is uses strong leadership and statistical thinking that accomplishes quality improvement (Joshi, Nash, Ransom & Ransom, 2008).
Six Sigma might not always have useful skills in ways of prevention tools. It can lead to overspending and problems with fixing monetary problems. Product improvement is a common method that is used by organizations. That reason is that production improvement is preferred by improving the product more and the product will produce more. Quality factors lead to patient satisfactions as the patients are looking for improvement. Patients who see improvements within the facility will be happy knowing that improvements were made within that facility. Improving service will help the organization keep up with competition and be competitive in the industry. The pros for using product improvement is showing customers the facility cares about the services provided or offered that it also considers the customers. Health care quality services also require other areas to be improved such as, training of employees, updating technology, education, and more.
These use many resources for the improvements and financial resources. Improvement for these components can be difficult to improve if at any health care services. People-based improvement method is another method of quality improvement. People-based is beneficial in quality improvement as it includes everyone from managers to customers. It is effective as it requires teamwork and everyone has to have be responsible but it does have benefits to everyone. Training is up to managers and guiding is up to the employees. Employees has to have the proper training by the managers to provide the proper care to the patients. The managers have to improve the way the employees provide that care to the patients. Training gives the employees tools along with the managers that improve quality services. The pros of people-base method it is a full participation improvement process. The method involves everyone and lets everyone have an opinion and takes it into consideration.
Quality services is also the priority and employees have knowledge of how to provide quality service from the training. Quantitative data can also be given from employees, leaders, and the customers and be used at critical decisions. The process may require money and time that the organization might not want to give. The data collected may not be useful for improvement that may lead to employees not changing. The FMCH would benefit from the Six Sigma for quality improvement the inpatient services. Six Sigma provides practices that identifies issues. FMCH needs that data-driven well-disciplined method. Six sigma can display performance method quantitatively and can meet the demand of organizational data-driven methods (Six Sigma Academy, 2010). It can also save the organization money on a yearly basis. It is beneficial to FMCH and it will ensure quality improvement and save the organization money.
Information Technology Application
Electronic medical record or EMR is information technology applications. These are helping managers improve methods in facilities. Health care technology is improving and evolving EMR is an important part of that component. Health information technology helps with health care organization to keep an accurate track with patient medical information. There is also Clinical Decision Support System that helps with figuring out diagnostic treatment recommendations it helps nurses or doctors it is referred as CDSS. Electronic Management Material is used in health facilities or EMM helps with tracking inventory, such as medical supplies, pharmaceuticals, and others.
These applications help to improve quality in the health care facility or services at FMHC. It helps managers keep accurate data to make sure doctors have the right information on patients and his or her care. The managers at FMHC can look through the CDSS databases and collect the correct information to see warnings on drug interactions on prescriptions to clinical protocols. The EMM can ensure the organization has the supplies are needed to provide the correct care to the patients.
Benchmarking and Milestones
Milestones and benchmarks are involved in managing how quality indicators allow managers use past history and available information compare facility performance to competition. This can give the facility an idea if the competition is performing higher or lower. Benchmarking allows the facility to look and see if there is need for improvement based on how the competitor is doing. Benchmarking provides real data that provides the facility with weaknesses, strengths, threats, and opportunities (Jenkins, 2011). Milestones are used where and how the improvement is needed or is done. A potential one is that FMCH is updating the EMR system. They recently compared their system to the surrounding area and found that theirs is outdated and wanted an upgrade.
They also have to do a benchmark for the training of the staff to improve quality services. The facility can use milestones that are available to make these critical decisions on quality improvement. Performance and quality measures help improve services in the organization. Performance and quality have to know what the mission and vision is. The organization mission will be what guides the managers to ensure the decisions are made in accordance to the facilities mission. Quality measures ensure employees do what is needed to be done so that they are delivering quality care to the patients. The measures should help the employees to develop the skills and methods to improve diagnosis and practice prevention.
Quality management employees have to work as one from management to lower level employees. This ensures that quality improvement will succeed in the facility. Fort Madison Community Hospital has been working on improving quality by using several methods and strategies including Six Sigma, people-based improvement, and product improvement methods. The managers do use technology application, such as EMR, CDSS and EMM. They use these to help better those applications with putting benchmarks and other milestones to make them more effective. Managers are also staying with the vision and mission of the facility so the performance and quality measures have to follow those missions and visions.
Hughes, G.R., (n.d). Tools and strategies for quality improvement and patient safety Retrieved from http://www.ahrq.gov/professionals/clinicians-
providers/resources/nursing/resources/nurseshdbk/HughesR_QMBMP.pdf Jenkins, M. (2011, June 09). The value of benchmarking. Retrieved from http://www.cmmonline.com/articles/the-value-of-benchmarking-3 Ransom, E. R., Joshi, M. S., Nash, D. B., & Ransom, S. B. (Eds.). (2008). The healthcare quality book: Vision, strategy, and tools. (2nd ed.). Chicago, IL: health Administration Press. Six Sigma Academy, (2010). What is Six Sigma? Retrieved from: http://www.isixsigma.com/new-to-six-sigma/getting-started/what-six-sigma/