Transcript QUALITY MANAGEMENT IN IMAGING SCIENCES

QUALITY MANAGEMENT IN
IMAGING SCIENCES
INTRODUCTION TO QUALITY
MANAGEMENT
CHAPTER 1
EXPECTED
QUALITY
PERCEIVED
QUALITY
ACTUAL QUALITY
MAIN CHANGES IN
HEALTHCARE DELIVERY
1) ADVANCEMENT IN TECHNOLOGY
2) LEGISLATION & GOVERNMENT
REGULATIONS
3) JCAHO
4) CORPORATE BUYOUTS &
MERGERS
5) METHODS OF REIMBURSEMENT
FOR SERVICES RENDERED
QUALITY
MANAGEMENT
HISTORY
• GOVERNMENTAL
ACTION
• JOINT COMMISSION ON
THE ACCREDITATION OF
HEALTHCARE
ORGANIZATIONS
QUALITY
ASSURANCE
QUALITY
CONTROL
Level 1:
Noninvasive & Simple
Level 2:
Noninvasive & Complex
Level 3:
Invasive & Complex
Continuous Quality Improvement
• 14 points of Management:
1)Create Constancy (improve service &
product)
2) Adopt a new philosophy
3) Build quality in product first
4) Minimize total cost
5) Improve constantly
6) Train on the job
7) Institute leadership
8) Drive out fear
9) Break down barriers
10) Eliminate slogans
11) Eliminate work quotas
12) Eliminate merit rating systems
13) Education & self-improvement
14) Involve everyone ( TQI)
Process improvement through
continuous quality improvement
• 85/15
• 80/20
• Workers near problem
• Structured problemsolving
• Improving quality
•
•
•
•
•
•
•
Process
System
Supplier
Input
Action
Output
Customer (internal & external)
• Manpower
Materials
• Machines
Environment
•
Politics
PROBLEM IDENTIFICATION &
ANALYSIS
GROUP DYNAMICS
* BRAINSTORMING
• FOCUS GROUPS
• QUALITY IMPROVEMENT
TEAM
• QUALITY CIRCLES
• MULTI-VOTING
• CONSENSUS
• WORK TEAMS
• PROBLEM-SOLVING TEAM
JCAHO
10 step process
•
•
•
•
1)
2)
3)
4)
Assign responsibility
Delineate the scope of care
Identify Important Aspects
Identify Indicators
• Sentinel Event Indicator
• Aggregate Data Indicator
• APPROPRIATENESS OF
PERFORMANCE
CARE
INDICATORS
• CONTINUITY OF CARE
• EFFECTIVENESS OF
CARE
• EFFICACY OF CARE
• EFFICIENCY OF CARE
JCAHO
10 step process
•
•
•
•
•
5)
6)
7)
8)
9)
Establish a means
Collect & Organize Data
Initiate Evaluation
Take Actions to Improve
Assess Effectiveness
• DESIGN
• MEASURE
• ASSESS
• IMPROVE
• BENCHMARKING
• QUALITY
ASSURANCE
• QUALITY
CONTROL
QUALITY MANAGEMENT
TOOLS & PROCEDURES
CHAPTER 2
• INFORMATION
ANALYSIS:
• Population
• Sample
• Data set
• Frequency
• Continuous Variables
• Dichotomous Variables
• Central tendency: Mean,
Median, Mode
• Reliability
• Standard Deviation
• Variance
INFORMATION ANALYSIS
TOOLS
• Flowchart
• Cause-and-Effect
diagram
• Histogram
• Pareto Chart
• Scatter Plot
• Trend Chart
• Control Chart
CHAPTER 2
ASSIGNMENT
• CHAPTER 2
WILL NOT BE ON
TEST
DUE TO THIS,
DEVELOP A
PROCESS BY
USING ONE OF THE
CHARTS WE
TALKED ABOUT
TODAY
•
•
•
•
•
•
•
•
•
FILM DARKROOMS
CHAPTER 3
Latensification
Static electricity
Humidity & temperature
Ventilation
Overhead Lighting &
Safelight
Sensitometer
Densitometer
Viewbox Illuminator
Image Duplicating Units