Continuous Quality Improvement: Tools and Techniques

By Dr. Sanjeev Singh   |   Co-Chair of Research Committee at NABH Quality Council of India
Learners enrolled: 4302

About this course

This course is from "Quality Council of India".
You will learn about 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, one 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 learners in structural tools for analysis, decision-making, and performance measurement in healthcare organisations.

Course Status : Completed
Course Type : Core
Duration : 12 weeks
Category :
  • Management Studies
Credit Points : 4
Level : Postgraduate
Start Date : 31 Jan 2023
End Date : 30 Apr 2023
Enrollment Ends : 15 Mar 2023
Exam Date :

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

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
  • Presentation on “Using Root Cause Analysis to Understand Failures & Accidents” by Faith Chandler
  • Presentation on “Guidelines for Conducting a Root Cause Analysis in HealthCare” by Cardinal Health
  • Root Cause Analysis: Improving Performance for Bottom-Line Results Robert J. Latino, Kenneth C. Latino, Mark A.Latino, 2011, CRC Press
  • Root Cause Analysis Handbook: A Guide to Efficient and Effective Incident Investigation: Lee N. Vanden Heuvel, Donald K.Lorenzo, ABS Consulting, Walter E.Hanson, 2008, Rothstein Associates Inc

Instructor bio

Dr. Sanjeev Singh

Co-Chair of Research Committee at NABH Quality Council of India
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, Kolkata (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.

Course certificate


Type of exam: Computer based exam 

You will have to appear at the allotted exam centre and produce your Hall ticket and Government Photo Identification Card for verification and take the exam in person. 
You can find the final allotted exam centre details in the hall ticket. The questions will be on the computer and the answers will have to be entered on the computer; type of questions may include multiple choice questions, fill in the blanks, essay type (subjective) type, etc. 


Weightage: 25% weightage for weekly assignment + 75% weightage for final exam. 

Passing Marks: You will be eligible for Certificate only if you score minimum 40% in Weekly Assessment and minimum 40% in Final Exam. 

If you score less than 40% in either weekly assessments (average) or in final exam, you will not receive the certificate. 

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