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Mike StoeckleinHealth Care Manager – ASQ
1st presented to Cleveland ASQ Section #800 (9-18-02)
Adapted for SGV ASQ Section # 702 by Diane Blixt, CLS, CQMgr (ASQ)
A Vision For Health CareQuality Improvement (Part 2)
3a. Health Care DivisionDevelop One Common Plan
• Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership
3. Health Care Division
ASQ Sections
• Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003
3a. Health Care DivisionDevelop One Common Plan
• Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership
3. Health Care Division
ASQ Sections
• Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003
www.healthcare.org
3b. ASQ SectionsQuality Improvement Occurs on a Local Level
• Assessment of Current State: - E-mail survey to Section Chairs - Personal visits with Sections - Concept of “Deputy Regional Counselor”
3. Health Care Division
ASQ Sections
• Proposing and Testing Various Models: - Health Care Programs at Section Meetings - Health Care Practitioners “sponsored” by a Section - Other?
4. System Inputs (cont.)
• NPSF – Patient Safety Summits in Milwaukee, Denver and San Jose
4 Inputs
Collaborationw/ Partners
FundDevelopment
Authors &Thought Leaders
Knowledgefr. other indust.
*• American College of Health Care Exec. - Joint publication of books - ASQ presentation scheduled for 2003
• National Assoc’n for Health Care Quality - Exploring options for collaboration
• Midwest Business Group on Health - Volunteers to review report
4. System Inputs (cont.)
• Institute for Hlth Care Improvement (IHI) - Tools & Techniques Course Curriculum
4 Inputs
CollaborationW/ Partners
FundDevelopment
Authors &Thought Leaders
Knowledgefr. other industries
*• JCAHO - Presentation in May 2003 - Co-publish books
• Dept. of Health and Human Services Region V Representative, Corey Hoze.
• American Hospital Association (AHA) - Six-Sigma course for AHA Pt Safety Fellowship
• Milwaukee Mayor’s Task Force on Hlth Care $
4. System Inputs (Cont.)
• Association for Healthcare Research & Quality (AHRQ), request funding for IWA-1
4 Inputs
CollaborationWith Partners
FundDevelopment
Authors &Thought Leaders
KnowledgeFrom other industries
*
4. System Inputs (Cont.)
• “Health Care Dialogue Session” Convening 20 top leaders and authors from around the country to dialogue around current state of health care quality
4 Inputs
CollaborationWith Partners
FundDevelopment
Authors &Thought Leaders
Knowledgefr. other industries
*
• First ASQ Health Care Web Chat Event: “Role(s) That ASQ Should Play in Health Care Quality Improvement”
4. System Inputs (Cont.)
• Convening experts in Design FMEA to assist West Bend Hospital
4 Inputs
CollaborationWith Partners
FundDevelopment
Authors &Thought Leaders
Knowledgefr other industries *
• 2nd ASQ Health Care Web Chat Event “Human Factors Science in Health Care Quality Improvement”
3 Historic Pathways *
Regulation Learning ScienceManagement
Science
* Dr. Martin Merry, MD
5. Design & Redesign of Products & Services
3 Historic Pathways *
Regulation Learning ScienceManagement
Science
Hippocrates
Nightingale
ACS/Hospital Standardization
M&M Conferences
Donabedian
* Dr. Martin Merry, MD
5. Design & Redesign of Products & Services
3 Historic Pathways *
Regulation Learning ScienceManagement
ScienceHammurabi
Legal system
State Boards
Inspection
Report Cards
Hippocrates
Nightingale
ACS/Hospital Standardization
M&M Conferences
Donabedian
* Dr. Martin Merry, MD
5. Design & Redesign of Products & Services
3 Historic Pathways *
Regulation Learning ScienceManagement
ScienceHammurabi
Legal system
State Boards
Inspection
Report Cards
Hippocrates
Nightingale
ACS/Hospital Standardization
M&M Conferences
Donabedian
Industrial Technology
Frederick Taylor
Shewhart
Deming, Juran
Six Sigma, ISO, Human Factors
* Dr. Martin Merry, MD
5. Design & Redesign of Products & Services
3 Historic Pathways *
Regulation Learning ScienceManagement
ScienceHammurabi
Legal system
State Boards
Inspection
Report Cards
Hippocrates
Nightingale
ACS/Hospital Standardization
M&M Conferences
Donabedian
Industrial Technology
Frederick Taylor
Shewhart
Deming, Juran
Six Sigma, ISO, Human Factors
* Dr. Martin Merry, MD
5. Design & Redesign of Products & Services
5. Design & Redesign of Products & Services
5Design &
Redesign ofProducts &Services
What can ASQ offer to health care providers?
Foundation for Quality
Target ofExcellence
ISO For Health Care, CQIA Certification,Quality 101, Quality Press Books, HealthCare Division Membership, Discussion Group, Quality Progress Magazine.
Baldrige Criteria For Health Care
State-Level Excellence Awards
5. Design & Redesign of Products & Services
5Design &
Redesign ofProducts &Services
What can ASQ offer to health care providers?
Foundation for Quality
Models, Methods and Toolsto Bridge the Gap
Target ofExcellence
ISO For Health Care, CQIA Certification,Quality 101, Quality Press Books, HealthCare Division Membership, Discussion Group, Quality Progress Magazine.
Baldrige Criteria For Health Care
State-Level Excellence Awards
5. Design & Redesign of Products & Services
5Design &
Redesign ofProducts &Services
What can ASQ offer to health care providers?
Foundation for Quality
Models, Methods and Toolsto Bridge the Gap
Target ofExcellence
ISO For Health Care, CQIA Certification,Quality 101, Quality Press Books, HealthCare Division Membership, Discussion Group, Quality Progress Magazine.
Basic Process Improvement Tools, Quality Press Books, SixSigmaSafetyDiscussion Group, Health Care Web Chats, Section-Level Programs
SPC for Health Care, Failure Mode andEffects Analysis (FMEA), Certified Quality Manager, Quality Function Deployment, Lean Enterprise.
Six Sigma for Health Care (Executive,Champion, Greenbelt and Black BeltTraining, Six Sigma Forum)
Baldrige Criteria For Health Care
State-Level Excellence Awards
5. Design & Redesign of Products & Services
• Six-Sigma for Health Care - 1-Day Health Care Executive Session Ready - Developed and offered on-line pre-course Green Belt instr’n - 2-Week Green Belt Course Ready - 4-Week Black Belt Course (in process)5.
Design & Redesign ofProducts &Services
• ISO - IWA-1 for Health Care Division Business Plan
• Quality Conversation “Six Sigma in Health Care”
5. Design & Redesign of Products & Services
• Publications - Co-published Six-Sigma book with ACHE - September, 2002 issue of Quality Progress
5.Design &
Redesign ofProducts &Services
• Certification - Possible patient safety certification with NPSF
• Education Department - FMEA for Healthcare - SPC for Healthcare - Improving Business Performance: ISO 9001:2000 as a Means to Support Compliance in Health Care - Baldrige for Healthcare - IWA Train the Trainer
• On-line: - Six-Sigma-Safety List Serve - Health Care Division Discussion Group - Health Care Electronic Newsletter
5. Design & Redesign of Products & Services
5.Design &
Redesign ofProducts &Services
• Membership - Exploring feasibility of joint memberships with other organizations
• Collaboration with Association for Quality and Productivity (AQP)
6. Creating Awareness & Marketing
• Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September)
6.Creating
Awareness
&
Marketing• Health Care Flyer “Why Reinvent the Wheel”
• Developing “next level” health care brochure
• Developing Health Care CD
6. Creating Awareness & Marketing
• Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September)
6.Creating
Awareness
&
Marketing• Health Care Flyer “Why Reinvent the Wheel”
• Developing “next level” health care brochure
• Health care web pages www.asq.org/healthcare
• Developing Health Care CD
8 System Measures - How Are We Doing?
8Measures
HC Division Annual Membership
0
500
1000
1500
2000
2500
3000
3500
4000
4500
1992 1993 1994 94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
Health Care Reveune
$-
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
1998
1999
2000
2001
2002
(5 mo)
Dolls
ars
8 System Measures (Continued)
8Measures
Overall Effectiveness of Training ProgramsProportion "Very Satisfied"
0%
20%
40%
60%
80%
100%
22-
Mar
9-M
ay 13-
Jun
15-
AugP
erce
nt
"Ver
y S
atis
fied
"
8 System Measures (Continued)
8Measures
Health Care Division Discussion Group
020406080
100120140160180200
Jun-02 Jul-02 Aug-02 Sep-02
Number Posts
Number Subscribers
Six Sigma Safety List Serv
0
10
20
30
40
50
60
Apr-02 May-02 Jun-02 Jul-02 Aug-02
Number Posts
Number Subscribers
Strategic Direction
• Work must be carried out in all 8 components of the system
• Priority will be: - Focus on the customer (component #2) - Collaborate with other organizations (#4a) - One unified plan with Health Care Division (#3a)
• Important to establish some “early wins”
• Important to have a long-term focus - Scope of the challenge - Establish our role - Can’t do all things, but need to be a relevant player