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Healthcare Workshop
Healthcare Quality
Integrated Lean Healthcare Quality Management
This requires putting together effective use of Integrated Quality Management System to measure and improve quality. We begin with an introduction of Built-in-Quality using theories and tools of Lean Thinking based on the Toyota Production System. Based in this foundation we will delve into two quality management tools, Statistical Process Control and Process Failure Mode and Effects Analysis (PFMEA).
Built-in-Quality (Error Proofing)

This part of quality deals with selection and use of error-proofing (Poka-Yoke) tools to ensure that quality is built into the process. The following items are covered under this section of Lean Healthcare Quality Management:

¨Root Cause Analysis of issues using Fishbone or Ishikawa diagrams.

¨Defects in patient care and in-process quality defects will be identified and resolved.

¨Error and mistake proof the process to prevent recurrence.

¨Calculate and understand First Time Quality (FTQ).

¨Use multiple, redundant, simple, and cheap error-proofing techniques.

¨Implement inexpensive, simple error-proofing devices.

¨Use Standardized Work to support the operator without increasing work burden.

¨Avoid complex, expensive Quality Control Methods.

¨Build JIDOKA (quality in station).

¨Develop quality problem solving circles.

Process Failure Effect Mode Analysis and

Statistical Process Control

In this area, we will use a structured process to resolve issues and problems. Also, the following items will be developed and implemented to effectively manage and control quality of patient care.

¨Use of Process Failure Effect Mode Analysis (PFEMA) to fulfill internal and external quality requirements of regulatory agencies.

¨Implementation of Statistical Process Control (SPC) tools for management and tracking of patient care quality performance.

¨Review the external issues and requirements that promote the use of PFEMA and SPC tools. Examples consist of specific performance improvement measurements, patient safety standards and the steps in performing a root cause analysis.

¨Review and discuss PFEMA and use this approach to evaluate a healthcare quality issue.

¨Review and discuss the use of SPC tools to measure and improve specific

healthcare quality issues.

 

Note:The Lean Metrics will be easy to use and understand, tracked at the workplace, used to identify and solve problems, have goals linked to Healthcare strategy by providing a Balanced Scorecard to Management.