Continuous Quality Improvement: Tools and Techniques

By Dr Sanjeev Singh | Quality Council of India

Learners enrolled: 1907

This course is from Quality Council of India.
In this course, you will learn the importance of quality in a healthcare organization and how you can contribute by implementing a project to improve processes of care and outcomes. By learning the methods of QI and implementing these methods, you will add powerful QI tools to your ‘toolbox.’ This training helps you use structural tools for analysis, decision making and performance measurement. Healthcare environments are complex settings and call for a sophisticated set of collaborative teamwork skills and systems thinking is essential.

The objective of this course is to empower you to improve your knowledge and skills in the science of quality improvement so that you can take action in your own organization to improve the quality of care for your customers. This course encourages people to think creatively about what it means for an organization to make quality the highest priority. It includes practical application of Quality management processes and tools are presented for the continuous improvement of organizational quality. You will learn how continuous quality improvement is part of a hospital’s culture, how it benefits a healthcare organization, and about one of the most popular methods of implementing CQI.

After completion of the continuous quality improvement course, you should be able to:

Demonstrate knowledge and skills necessary to effectively participate as a contributing member or leader of a CQI effort.
Demonstrate an appreciation for the need to improve quality in an Organization and the contribution that CQI methodology can make to the Organization system and its patients.

CQI is the process-based, data-driven approach to improving the quality of a product or service. It operates under the belief that there is always room for improving operations, processes, and activities to increase quality. The underlying philosophy of continuous quality improvement is that when problems arise it is generally a result of poor work design, unclear instructions, or the failure of leadership not the people performing the processes. Within Quality improvement, employees are encore.

What you'll learn (Learning Objectives)

This course will help you in demonstrating structural tools for analysis, decision-making, and performance measurement in healthcare organisations.

Summary

Course Status :	Completed
Course Type :	Core
Duration :	12 weeks
Category :	Management Studies
Credit Points :	4
Level :	Postgraduate
Start Date :	15 Jul 2019
End Date :	31 Oct 2019
Exam Date :	10 Nov 2019 IST

Note: This exam date is subjected to change based on seat availability. You can check final exam date on your hall ticket.

Page Visits

Course layout

Week 1: Introduction to Quality and Quality in Healthcare

About Quality
The Factory System
Scientific Management
Life of Taylor
Statistical Quality Control
World War II
History of Japan’s Quality Movement
Present Scenario
Quality in Healthcare
Need of Quality in Healthcare
History of Quality in HealthCare

Week 2: Quality Pioneers and Quality Improvement

Quality Guru like Walter A. Shewhart
Dr. W Edwards Deming
Early life and work , Work in Japan
Later work in U.S, Deming’s 14 points
Joseph M. Juran
Major Points of Joseph M. Juran
Key Ideas of Joseph M. Juran
Quality Trilogy of Joseph M. Juran, Kaoru Ishikawa
Kaoru Ishikawa- One Step Further
Definition of Quality Improvement, Difference between Change & Improvement

Week 3: CQI and Quality Tools

What is CQI
Principles of CQI
Components of CQI Culture
Facilitating Factors
Barriers
Benefits of CQI and using Tools
Focus
Where to Begin ?
Data , Method of Data Collection
Way to Do Quality Improvement
Quality Tools
Seven Basic Tools

Week 4: PDCA Cycle

PDCA Cycle
PDCA Introduction
PDCA Implementation
Phase of the PDCA Model: Plan & Case Study

Week 5: PDCA Tools and Techniques

PDCA Introduction
Tools & Technique
Cause and Effect Diagram
Pareto Chart
Flow chart
Benefit of PDCA Cycle.

Week 6: Root Cause Analysis

Introduction of RCA
RCA in Healthcare
Purpose of RCA
Characteristics of RCA
RCA assumption
Who is responsible for RCA
Purpose of RCA
Technique of RCA

Week 7: RCA Tools and Techniques

Introduction of RCA Tools and Techniques
Five Whys
Causal Tree Tool
Five Rules of Causation
Decision Table

Week 8: Failure Modes and Effects Analysis (FMEA) Implementation, Limitations and Template

Introduction & Objective of FEMA
Type of FEMA
Tool for Predicting FEMA
SFEMA, DFEMA,PFEMA, FEMA in Healthcare ,
FEMA vs HFEMA

Week 9: Six Sigma

FEMA Implementation, Limitation & template, Implementation Process,
Step 1: Defining the Topic
Step 2: Assembling a committed Team
Step 3: Developing a Process Map
Step 4: Conducting a risk or Hazard Analysis for Each Sub-Process
Step 5: Developing and implementing an action plan to redesign the process
Step 6: Monitoring, Sustaining, Sharing and Re-evaluating the Improvement.
Advantages of FEMA , Limitation of FEMA,
FEMA vs. RCA, FEMA Template, Weak Spots of Traditional FEMA , Fault Tree Analysis (FTA) Vs FEMA

Week 10: Lean

Six Sigma : Definition
Six Sigma’s Heroic Goal
Application in Healthcare
Need of Six Sigma
Six Sigma Methodology
DMAIC, DMADV
DMAIC Vs. DMADV
Tools
Affinity Diagram
5W1H

Week 11: Lean

History of Lean
Lean in Healthcare
Category of Waste
Tactical Tools of Lean
Value –Stream Mapping
5S
Lean Vs. Six Sigma

Week 12: Lean Six Sigma

Introduction of Lean Six Sigma (6σ) (LSS)
Roles and Responsibility of LSS Green Belt (GB)
Alignment of Lean Six Sigma (6σ)
Statistical Process Control (SPC)
Statistical Analysis Tools
Tools for LSS
Future Challenges in LSS.

Books and references

A History of Managing for Quality: Joseph M. Juran
Quality in HealthCare: Theory, Application, and Evolution: Nancy O. Graham
The Textbook of Total Quality in Healthcare: A.F. Al-Assaf, June Schmele
Health Care Quality: The Clinician's Primer; David B. Nash, MD, Janice Clarke, RN, Alexis Skoufalos, Ed Dand Melissa Horowitz
Education Management, Education Theory and Education Application: Yuanzhi Wang, 2011
Quality Management for Organizations Using Lean Six Sigma Techniques: ErickJones, 2014, CRCPress
Creative, Efficient, and Effective Project Management, Ralph L. Kliem, 2013, CRCPress.The Certified Quality Inspector Handbook, Second Edition: H. Fred Walker, Ahmad K. Elshennawy, Bhisham C. Gupta, Mary Mcshane Vaughn
Quality Control for Dummies: Larry Webber, Michael Wallace, 2011, John Wiley & Sons.

Instructor bio

Dr Sanjeev Singh

Dr Sanjeev Singh is a pediatrician by training and did his masters in Hospital Management. He completed his PhD in Hospital Management and Infection Control in 2013.

He worked as a Regional Coordinator at WHO-India in a disease eradication program for couple of years before joining as Sr Medical Superintendent at a 1350 bed university teaching super specialty hospital - Amrita Institute of Medical Sciences at Kochi.

He has done his fellowship on Healthcare worker Safety from University of Virginia and fellowship on Health Technology Assessment (HTA) from University of Adelaide. He is an Improvement Advisor at Institute of Healthcare Improvement, US. He is a faculty at Indian Institute of Management, Calcutta (HEMP) and at IIM Bangalore.

Dr Sanjeev is also an Ambassador from India to Society of Healthcare Epidemiology of America (SHEA) and has been adjudged as “Heros of Infection Control” by Association of Professionals of Infection Control (APIC), US. He was member of Technical Committee at NABH and is presently the Co-Chair of Research Committee at NABH. He is Chairman of Technical Committee at AHPI and Health Sector Council of India (GOI). He is member of Drug Safety Council, GOI and member National Advisory Body on Occupational Exposures. He is Chair of National Advisory Board on Vascular Access and Infusions.

He is an external consultant to WHO on regulatory and licensing policy issues. He is a Technical Advisor to several State govt healthcare projects (E learning, reduction of IMR, Antibiotic Stewardship and Infection Control), Technical Expert for University of Antwerp’s Point Prevalence Surveillance and Institute of Healthcare Improvement’s (US) on Neonatal Collaborative program.

He has written a book "Hospital Infection Control Guidelines: Principles & Practices" and has several international and national publications. He has been awarded "Best Practices" in Infection Control" by GOI and QCI in 2010, "QIMPRO Quality award" for 5 Lean Six Sigma implementation in 2012, Outstanding Healthcare Professional by ITP Publishing, Dubai in 2014 and FICCI patient safety award in 2015. He won British Medical Journal for South Asia for “Infectious Diseases Initiative of the year” in Nov 2016.

He is at the editorial committee for Asian Society of Quality Journal, International Journal for Research & Hospital Management and NABH Journal for Quality & Patient Safety. He is a Green Belt in Lean Six Sigma