Triple Aim
1. Ensure quality of care for individual
2 Improve health of the population
3. Control costs
Critical components of a leadership
... [Show More] team
Understand the concepts of organizations as complex systems, culture, strategic planning, change, innovation and creativity
IOM definition of healthcare quality
The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge
Quality Management definition
A strategic, integrated management system, which involves all managers and employees and uses quantitative methods to continuously improve an organization's processes to meet and exceed customer needs, wants and expectations
IOMs 6 aims for healthcare improvement
Safety
Effectiveness (avoid overuse and underuse)
Patient-centeredness - ensure patient values guide all clinical decisions
Timeliness - reduce waits and sometimes harmful delays
Efficiency - avoiding waste
Equity - providing care that does not vary in quality with respect to personal characterisitics, ethnicity, geographic location or socioeconomic status
system definition
A regularly interacting or independent group of items forming a unified whole
Benefits of system thinking
Aiding in identifying and understanding the big picture
Facilitating the identification of major components
Identifying important relationships and providing proper perspective
Avoiding excessive attention to a single part
Allowing for a broad-scope solution
Fostering integration
Providing a basis for redesign
Healthcare organizations are ...
Complex Adaptive Systems (CASs)
Making change in one process or dept naturally requires changes in other processes, functions and depts. Effectiveness is dependent on alignment of parts of the system.
InterRelationships (between individuals is a critical component of the model)
Not linear
Characteristics of leaders in CASs
Value persons and relationships
Use loose coupling
Complicate or link
Diversify
Make sense
Think about the future
Are collaborative
Listen and learn
Are adaptable
Offer alternatives
Characteristics of Leaders in CASs
Value persons and relationships
Use loose coupling
Complicate or link
Diversify
Make sense
Think about the future
Are collaborative
Listen and learn
Are adaptable
Offer alternatives
Characteristics of Leaders in traditional systems
Value positions
Use tight structuring
Simplify
Socialize
Make decisions
Do planning based on forecasting
Are controlling, in charge
Know
Are self-preserving
Repeat the past
True or False
The HCQP assists organization leaders and employees in understanding the principles and common frameworks for healthcare quality strategies.
True
Which evidence based framework model for studying systems is best?
Donabedian
Baldrige Performance Excellence
Any, as long as the manager uses it to properly recognize, understand and anticipate how the parts of the system interact as a whole
Who is the founder of the quality assurance field and the first to describe an approach to assessing quality through a systems framework?
Avedis Donabedian
Donabedian's framework
Focus on structures (resources available for care delivery) processes (involves the care, how diagnoses and treated) and outcomes (results of the care, increased satisfaction, decreased morbidity, improved QOL) for patient care evaluation
Limitations of the Donabedian framework
Very basic and does not sufficiently describe interrelationships
What is a required component of quality performance?
Interrelationships [Show Less]