HS460 Project Design and
Management for
Healthcare
Lori Seargeant, MA, RHIA
Overview of Syllabus
Term: 1105B
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Grading
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Work submitted on time will be graded within 5
days
New Grading Scale effective this term:
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No longer have C-, D+, or D grades given
Rubric for Discussion Board and Project
Netiquette
Plagiarism
Calendar Updates
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Course ends February 21, 2011
Winter Break - December 21 – January 2
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No “Class” or Seminar during break
Work for Unit 3 will be due at the same time as
Unit 4
Martin Luther King Jr. Day – January 14-16
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No Seminar on January 16
No modification to due dates
Submission of Assignments
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In most cases your work is due the EOD on
Tuesdays
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Initial Discussion Board Post is due on Saturday (2 follow
up / responses by EOD Tuesday).
Please submit in this format:
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username-HS460- section-unit5 Assignment.doc
Unit 1 Assignments
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Read Chapters 1 and 2
Discussion Board Posts
Assignment – Read and submit a 150-200
word discussion on “The Urgent Need to
Improve Health Care Quality: Institute of
Medicine National Roundtable on Health
Care Quality.”
Quality Improvement Group
Project
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Peer Review Criteria (Unit 2)
Project Selection (Unit 3)
Annotated Bibliography (Unit 4)
Process Tools Application (Unit 4)
Detailed Project Outline (Unit 5)
Progress Report (Unit 7)
Final Project (Unit 9)
Revised Project Plan
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Project Selection - Identify an opportunity to improve, real or
hypothetical
Determine team members necessary to solve this real or
hypothetical opportunity
Flow chart the current process
Collect and analyze data about the process, brainstorm, explore
the root cause, and work to determine where the breakdown in
the process is.
Conduct a literature search on the problem, potential solutions,
regulatory considerations, etc. and do an annotated reference
Complete a detailed project outline - all steps of PDCA Model
Create final presentation in PowerPoint
Seminar Discussion
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Much of the quality management literature
emphasizes on reducing variation in
processes. What about the natural variation
that occurs in all patients due to personal
differences in genetic makeup, age, gender,
and developmental conditions? How can CQI
deal with this relatively high variability?
Chapter 1
Defining Quality
Improvement
Text: Continuous Quality
Improvement in Health Care, 3rd Ed.
McLaughlin and Kaluzny, 2006
TQM/CQI for Health care
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A structured organizational process for
involving personnel in planning and executing
a continuous stream of improvements in
systems in order to provide quality care that
meets or exceeds customer expectations.
Simultaneously a philosophy of management
and a method of applying it.
Emphasis is on avoiding personal blame
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85% of the time it is the system, not the people at
fault
Key Elements of CQI
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Philosophical:
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Supports the organization’s mission, values and objectives
Emphasizes customer satisfaction and outcomes
Includes analysis of total delivery system
Data driven / evidence based analysis
Establishes ownership of all components of the system
Identifying multiple root causes
Seek solutions that enhance the overall system
performance
Key Elements of CQI
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Philosophical Cont.:
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Emphasizes implementation regardless of
territories and fiefdoms
Requires continuous analysis after a solution is
found.
Emphasis on organizational learning to improve
ongoing (best) practice
Key Elements of CQI
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Structural:
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Promotes employee & team empowerment
Use of the seven quality tools
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Flow charts
Cause and Effect diagrams
Histograms
Pareto charts
Run charts
Control charts
Correlation analysis
Key Elements of CQI
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Structural Cont.:
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Development of separate management structure
for setting priorities and monitoring
Top management leadership & involvement
Use of statistics to measure and reduce
unnecessary variation
Monitoring of customer satisfaction
Benchmarking to identify best practices
Process re-design
Key Elements of CQI
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Health Care Specific Elements
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Epidemiological and clinical studies; insurance
and medical record data to support activities
Medical staff governance process
Risk adjusted outcomes
Cost effective analysis
Use of quality assurance and risk management
data
Chapter 2
Does TQM/CQI Work in
Health Care?
Text: Continuous Quality Improvement
in Health Care, 3rd Ed.
McLaughlin and Kaluzny, 2006
Advantages of CQI in Health Care
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Managerial:
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Intrinsically motivating
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Capturing and refining intellectual capital
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Front line workers know the process best
Reducing managerial overhead
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Workers support the concept of quality
Groups have taken responsibility for the process
Increasing capacity
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More professionals to contribute
Advantages of CQI in Health
Care
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Managerial:
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Encouraging lateral linkages
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Gets people out of their silos and working together
Encourages multidisciplinary approaches
More and more tied to survival
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Competitive value will shift from price to value
Supporting more open marketplace
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Consumers will seek out centers that show the best
results
Disadvantages of CQI in Health
Care
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May have other process changes going on in
parallel
Does not incorporate external skills except
through benchmarking or a re-engineering
approach
Contrary to administrative styles of many
actors
Time value of money may be against you