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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: 
  1. Demonstrate knowledge and skills necessary to effectively participate as a contributing member or leader of a CQI effort.
  2. 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
Start Date : 15 Jul 2019
End Date : 31 Oct 2019
Exam Date : 10 Nov 2019
Category :
  • Management Studies
Level : Postgraduate



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



Course certificate

25% Internal Assessment and 75% Final Exam


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