CUSTOMER_CODE
SMUDE
DIVISION_CODE
SMUDE
EVENT_CODE
OCTOBER15
ASSESSMENT_CODE MH0059_OCTOBER15
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
11891
QUESTION_TEXT
Narrate the essential principles for the application of Quality in
health care industry.
SCHEME OF
EVALUATION
Introduction- (1 mark)
Titles of the 5 principles- (1 mark)
Explanation of 5 principles- (8 marks)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
11895
QUESTION_TEXT
Write briefly about Joseph M. Juran and his philosophy.
SCHEME OF
EVALUATION
Dr. Joseph M. Juran, an American engineer, known as the quality "Guru"
was one of the most important thinkers of the 20th century in quality
management. In addition to Dr. Deming, Dr. Joseph M. Juran is also
attributed with many contributions to the Japanese quality revolution.
"Juran's Trilogy" defined the three management principles for
improvement of quality - Quality Control, Quality Planning and Quality
Improvement. (5 marks)
He was a lecturer and also worked with Walter Shewhart in the
Hawthorne Plant in 1924. His philosophy focused on the fact that quality
represented a universal concept called "fitness for use". This philosophy
is an important requirement of all products and services that meets the
needs of the people who actually use them. In addition, the products and
services must possess infinite factors that compose fitness for use,
namely structural, sensory time oriented, commercial and ethical.
Recognising his excellence and contribution the Juran Institute was
foundes in 1979. Juran enlighted the world on the concept of the
“vitalfew and trivial many” which is the basis of Pareto Charts. (5
marks)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
11896
QUESTION_TEXT
Enumerate a few benefits of Six Sigma.
SCHEME OF
EVALUATION
Some of the benefits of Six Sigma are as follows:
●Six Sigma is influenced by the consumer and thus aims to achieve
maximum patient satisfaction and minimum errors. It targets on
consumer delight and new innovative ways to exceed the customer
expectations. (2 marks)
●Implementation of Six Sigma methodology leads to increase in profit
and decrease in costs. Thus improvements attained are directly related
to financial results. (2 marks)
●Six Sigma targets variation in processes and focuses on the process
improvement instead of final outcome. (2 marks)
●Six Sigma is a potential methodology as compared to other quality
programs as it focuses on prevention on mistakes rather than fixing it. (2
marks)
●It is thoughtful to the entire organisation processes and training is
integral to the management system where the top down approach
ensures that every good thing is capitalised and every bad thing is
quickly removed. (2 marks)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
72741
QUESTION_TEXT
What are the various steps involve in implementing quality assurance
programs? Explain.
SCHEME OF
EVALUATION
The following steps are required to take for the implementation of
quality assurance program:
a. Set up a multidisciplinary quality action team
Teamwork is the key to the successful quality assurance execution at
the facility level. Each member of the tam has a particular role to play.
The team must of interdisciplinary for example, pharmacy, lab, nurses,
records and many more to be represented. (1½ Mark)
b. Generate awareness among staff
It is essential that every member of team understands and
acknowledges that quality assurance concept. A system to create
awareness includes staff meetings and department meetings. Awareness
creation must continue until quality becomes part of normal regular
work. (1½ Mark)
c. Assess present state of quality issues
It is required to understand the present state of quality performance of
the organization. The information can be obtained from the routine
records and result of patient satisfaction survey. This can be used to
focus the future deadlines and improve performance. (1½ Mark)
d. Carry out quality assurance training
An initial training is help for the QA team members. The training will
cover wide area in QA principles; setting up process and overall
strategies in QA management. The team should be confident enough to
implement QA measures in the facility after the training. (1½ Mark)
e. Hold regular quality assurance meetings to prepare and review
performance
Once the implementation process starts, there is need to meet the
team – on a predefined frequency and review the performance as a team.
This can be achieved by putting up regular quality assurance meetings.
The minutes can be kept to develop action plan. (2 Marks)
f. Develop written guidelines and standards
The team should look on how to develop quality according to defined
standards and plan. Best practice can be obtained from national and
international levels. This can be modified or new ones can be
developed. The most vital thing is that all the standards and guidelines
are communicated to staff. (2 Marks)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
72743
QUESTION_TEXT
What is medical audit? Write the need, requirement and process of
medial audit.
SCHEME OF
EVALUATION
Medical audit is a planned program which objectively monitors and
evaluates the clinical performance of all clinical / non–clinical staff, to
identify opportunities for improvement and provides mechanism through
which action is taken to make and sustain those improvements. (1 ½
Mark)
a. Need of medial audit (2 Marks)
* Improve professional motives of clinical or non–clinical staff in
identifying their deficiency and making necessary correction.
* Ensure safety and satisfaction of patients.
b. Requirement of medical audit (4 Marks)
* Establishing the scrutiny of records to ensure the quality services
provided to patints against acceptable standards.
* Documenting the detailed work procedure of service in the
standardized format.
* Selecting a practical and result oriented sample that includes the
disease/procedure/problems of healthcare organization related to the
patient deaths, treatment, and hospital acquired infection and other
complications.
* Ensuring the availability of record for review at the data/time
fixed.
* Documenting the auditing procedure and observations.
c. Process of medical audit (4 Marks)
* Review the medical record of patient after discharge / death to
study the case history, diagnosis details and treatment procedures,
results of treatment, period of hospitalization, complications and other
issues related to the service.
* Evaluate the content of patient record and the quality of medical
records generated.
* Evaluate the quality of technical care, patient care and
administrative support to enable staff to provide quality of care to the
patients.
* Comment on effectiveness of patient management system.
* Suggest the corrective measures to improve the quality of
patient care and records.
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
125188
What are the benefits of ISO certification?
QUESTION_TEXT
SCHEME OF
EVALUATION
ISO 9001-2000 is a widely accepted system of quality management
and more than half a million organizations are implementing the ISO
standards, which act as a framework for quality management. The
benefits are
Helps an organization to clarified aims and objectives and framing the
policies for most efficient achievement.
Organizations can analyze and understands its strengths ,weakness,
threats and opportunities using he SWOT analysis
Process mapping and detail study of all the processes in all activities to
develop the best practices.
Minimize the cost of services standardize and streamline the
procedures and protocols, reduce wastage, promote optimum utilization
of resources and hence reducing the cost of care.
Improves employees understanding of roles and responsibilities
within the quality management system in the hospital organization
 Ensures the conformances of effectiveness of documented processes.
Facilitates further accreditation and certification by other regulatory
bodies.