Introduction in Healthcare Quality

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Introduction to HealthcareQuality

By Doctor Mazen Mohamed Abd Al AzeemHealth Care Quality Specialist

MB BCh Cairo University

TQM American University in Cairo


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The definition of insanity is

continuing to do the same thing over

and over again and expecting a

different result

Albert Einstein


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-as Dictionary :Quality is Defined

Degree or grade of excellence.Noun :

Having a high degree ofAdjective :.excellence

Websters new World College and American Heritage Dictionaries


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Quality is:-Doing the right thing right first time and everytime.

With StandersStanders are created when experts are able tounderstand what the right things are an how theright things are best achieved based onResearch and Clinical Evidence.

Standers serve as guidelines for excellence .


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Other definitions

The Centers for Medicare and Medicaid service(CMS) defines healthcare quality as The rightcare for every person every time

The Juran institute :-

Free from Deficiencies:

Nosocomial infection, excessive waiting time, lost labresults etc.

Service features :

Pleasant waiting room, computerized healthrecords, follow-up care etc.


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The Institute Of Medicine collected andanalyzed over 100 definitions of quality

of care and came for this definition :-

The quality of care is the degree to whichhealth services for individuals and

populations increase the likelihood of

desired health outcomes and are

consistent with current professional

knowledge.


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Aspects of Quality

1. Measurable

2. Appreciative

3. Perceptive


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Measurable quality :-

Defined objectively as compliance or

adherence to standers .

Clinical as Protocols and clinical

guidelines.

Performance measures or indicators.


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Appreciative quality :-

Is a comprehensive and appraisal of

excellence beyond minimal standers

and criteria .

None articulate judgment of skilled

,experienced practitioners andsensitive ,caring persons .


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Perceptive quality :-

Is the degree of excellence that is

perceived and judged by the recipient

or the observer of care rather than theprovider .


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The ideal organizational widehealthcare quality strategy is effective

in tracking Measurable quality .


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Key Dimensions:-

Provide the Framework for the quality

management activities in all healthcare

setting.


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1 ) Appropriate :-

Relevant to individual clinical needs.

Doing the right thing in accordance to

purpose.

2) Available : -

Accessible and obtainable to meet

individual needs .


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3) Competence :-

The practitioners ability to produce

both the health and satisfaction of

customers.

4)Continuous : -

Delivery of needed healthcareunbroken succession.


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7)Efficiency : -

The relationship between Outcomes

and resources used to deliver care.

Relationship between inputs and

outputs .

8)Prevention and early detection :-

Identification of risk factors to promote

health and prevent diseases .


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9)Respect and caring:-The degree to which those providingservices do so with sensitivity for theindividuals needs, expectations and

individuals differences.

10)Safety :-

The degree to which the healthcareintervention minimizes risks of adverseoutcome for both patient and provider .


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Introduction in Healthcare Quality