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Quality Management System Design

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Viewing 5 posts - 1 through 5 (of 5 total)
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  • #25109

    Devon Kelly
    Participant

    Our hospital just kicked off a DMEDI (design) project to look at re-designing the current quality management structure.Β  Quality is very disjointed in our organization with poor communication across departments and down to the staff delivering care to the patient.Β  I was curious if any other hospital has attempted such a project.Β  The goals of the project are to create an integrated structure for monitoring and guiding quality activities, create a performance improvement structure and accountability at the level at which the care is provided and create the support system for collecting, reporting, analyzing and developing action plans for the quality indicators chosen for each area of the hospital.Β  Our team is in the process of benchmarking but we would appreciate any advice, direction, etc. on what projects have been done out there and/or what quality structure you have in place in your organization that works or doesn’t work well.Β 

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    #60392

    Jonathon Andell
    Participant

    Sounds like you run the risk of an “end-world-hunger” kind of project. I’d advise you to seek a Baldrige-based evaluation, and use the primary weaknesses to focus your limited resources.

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    #60413

    Scott
    Member

    Our health system is a venture of two previously competing hospitals.Β  Both hospitals had quality methods a different levels of success.Β  It was only when we adopted the Six Sigma methodology (3 years ago) as a system methodology that we were able to see the steady improvement with common objectives and project teams.Β  Integration of Six Sigma or any improvement method, from what I have witnessed at 3 companies, always must journey through the forming, storming, norming and performing phases (with emphasis on the storming phase).Β  Each organizations travel time through these phases occurs at different speeds and depends on the support of leadership.Β  If your organizantion can build on some early, quick wins from Six Sigma efforts, once you get three years out you will see the change in the culture and acceptance of the method.Β  Feel free to contact me to discuss further.Β  724-773-2017.

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    #60446

    rigoberto.soto
    Member

    It is exciting to see the progress you have made and the intitiatives in six sigma. I have worked in the Quality field many years and my advice in assuring that you have a program in place that will help you improve is the following, establish metrics that are meaningful and are collecting the data of concern areas. Also assure that the data provided is accurate. Establish meetings with matter experts to look at this data to select the areas to work on and start the initiatives for improvement. Use the preferred methodology to get at the root cause. Some action will take time but it is exciting to see progress.These projects can be selected on reducing costs, reducing process times(lean) or reducing defects. Using simple quality tools such as pareto charts or fish bone you will be able to organize the data.You might also select based on risk to the patients. As you see progress made be sure to reward the teams and have representationΒ from the ones who do the job.

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    #60522

    G Dahlen
    Participant

    Devon,
    If you are still interested in getting outside input, please give me a call at 608-832-6609 central time zone.Β  My experience is that the Quality Mgmt. accountability needs to be integrated with your routine healthcare/hospital organizational structure, i.e., line operations structure.
    As long as primary accountability remains with staff functions, it runs a greater risk of being second in priority to other activities and projects.Β  Staff functions, however, are critical to providing needed project support and expertise to the line employees.

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