What does this mean?
Juran Trilogy
QUALITY
PLANNING
The Juran Trilogy
Prepared and Presented
Carol Haraden
Day 1
18 January 2011
QUALITY
IMPROVEMENT
QUALITY
CONTROL
Institute for Healthcare Improvement
• Quality Planning: You develop a new process
using the principles of reliability from the
beginning.
• Quality Control: You monitor the process to be
certain that it is working as designed. Does it
continue to deliver the outcome you want?
• Quality Improvement: The process is not
delivering the outcomes as designed so it must
be improved.
Juran Trilogy
The Sequence
QUALITY
PLANNING
• PLAN - the process using a quality process to deliver the
outcome you want.
Example: plan the process to deliver antibiotics to patients
60 minutes before surgical incision
QUALITY
IMPROVEMENT
QUALITY
CONTROL
Institute for Healthcare Improvement
• QUALITY CONTROL - monitor the process to be sure it is
reliably delivering the outcome.
Example: you put the process in place and you monitor the
results and you find:
–
–
–
–
Week 1: 100%
Week 2: 95%
Week 3: 75%
Week 4: 72%
A Quick Exercise
• QUALITY IMPROVEMENT - the process is not delivering
the outcome you intended.
• Using the example data, you can see that the process is
less and less reliable.
• You would now decide that the process is NOT IN
CONTROL and needs improvement.
• When you look at the three elements of the
Juran Trilogy, where do we spend most of our
time?
– Quality Planning
– Quality Control
– Quality Improvement
• Think of your work: List 8 processes you work
with everyday.
• Where would you say you spend your time with
those processes: planning, controlling, or
improving?
Institute for Healthcare Improvement