Quality Improvement: Joseph Juran Trilogy Program

The Total Quality Management model is limited in its scope of improvement. Total Quality Management establishes targets for performance rather than focusing on continuous improvement. This perspective is to narrow because it fails to consider the overall improvement process. To be effective, management must incorporate all aspects of the business into a dynamic improvement process.

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.

Quality Improvement (QI) is an organizational approach that leads to the quality of patient care and services through use of specific set of guidelines, principles, and methodology. This is so that there is assurance that quality care is provided for every patient. Principles of quality improvement focus on measurements. These measurements involve data collection used to improve the quality of care, and patient outcomes. Any good quality improvement program ensures strengthening the systems through analyzes and processes.

Juran 's perspective on quality was based on five general measures, the measures being the cost of poor quality, defects, product/process features, customer needs, and customer behavior. Deming 's measurements were based on the Kaizen approach, which involved the evaluation of each operation

Falls are a major cause of injury and death in the frail older population with Alzheimer’s disease. Residents in the long-term care settings experience falls for many reasons and are likely to endure injuries more than those in other settings. Preventing falls in this setting posed significant challenge, many have cognitive problems, aged related changes, chronic medical conditions, medication effects, and physical limitations requiring dedicated interdisciplinary efforts (Vance, 2011).

Quality improvement is a systematic and continuous process which leads to improvements in healthcare services. The health services are then a reflection of the improving health status of a patient population (Health Resources & Services Administration, n.d.). Quality improvement strategies are the actions which a team will take to accomplish the goals of process improvement. The Institute of Medicine (2001) has developed a vision of six aims for improvement in healthcare which include, safe, effective, patient-centered, timely, efficient, and equitable care. Making improvements in these areas will better meet the needs of patients.

Various methodologies exist for the integration of quality improvement strategies into performance improvement measures. With concepts of total quality management (TQM) and quality improvement (QI) being introduced to health care organizations; administrators have had to decide which methodology is right for the organization. There are numerous methodologies: Six Sigma, Lean, and Customer Inspired Quality. Each has its own pros and cons. A key component of quality improvement is the technology that gathers and compares the data that the quality improvement measure

Continuous quality improvement also known as CQI is an implementation means for advancing the excellence of value presented by associations. Continuous quality improvement appertains to encompassing a standardized way to accumulating and evaluating information or data, in pursuance of to classify contingency to progress the process of a business with the conclusion of distributing improved benefits to consumers or patrons. CQI is a guided path to superiority development that accentuates a continuing or recurrent development of enhancement and assessment.

367). QI is continual because improvement can always be done in any circumstance. There are six steps to follow in the QI process. The first two steps in the QI process are to identify and review a healthcare need or service that could be improved. Next, the appointed QI team would need to research and gather data in regards to the current need or service. The fourth step, is to set an attainable goal that can be measured. Fifth, implementation must be placed in the organization. Finally, research again will occur, this time to determine if the outcome was achieved following the improvements that were made within the organization (Yoder-Wise, 2105). Quality improvement is a way that a healthcare organization can provide the best services

Yasin and Alavi (1999) conducted a quantitative study to determine if Total Quality Management (TQM) can produce quality improvement

Quality of conformance includes technology, manpower and management while availability focuses on reliability, maintainability and logistics support. Juran emphasized that good service quality composed of promptness, competence and integrity. Like Deming, Juran advocated a never-ending spiral of activities that includes market research, product development, design, production process control and inspection and testing, followed by customer feedback. In his view, senior management may play an active and enthusiastic leadership role in the quality management process.

Deming Juran and Crosby considers measurement as very important to improve quality but they use it in different ways. For Juran and Crosby they view the cost of quality as a focus of measurement. Cost can measured in dollars and for both Crosby and Juran they consider that money is the language of management. Success of the efforts of the quality will be ultimately measured by meeting customer requirements. Juran normally considers the cost of all the poor quality as a important factor because it shows how much they are losing. He also knows they are other factors which are important to measure such as how the organization compares with the competition and how customers perceive

What is quality improvement? Why is it necessary? Who benefits from having a Quality Improvement Team? What can we do to improve their performance? Quality improvement is a “structured

Juran’s definition of quality focuses 100% of the customer’s satisfaction of the product. He stresses a balance between product features and products free from deficiencies and believes a quality product is free from deficiencies (Suarez, 1992, p.4). In order to achieve this