#دحاتم_البيطار #timodentist drhatemelbitar@yandex.com Dr Hatem ElBitar د حاتم البيطار أستشاري وجراح أسنان زميل الزمالة المصرية محاضر ادارة المستشفيات ومكافحة العدوى 01005684344 #دحاتم_البيطار All copy rights © reserved to Dr Hatem El Bitar2099

1. ‫الصحية‬ ‫الجودة‬ ‫إدارة‬ ‫كورس‬
By
DR.Hatem ELBitar

2. THE CONCEPT OF
T.Q.M. IN HEALTHCARE

4. “Quality”
 Having high degree of excellence
 Doing right things right first time
 Is cost - reduction, not a cost

5. Concepts
WHAT IS QUALITY?
 Freedom from deficiency
 Product feature

6. TQM as a management philosophy
Aims to:
Customer service
Productivity
Profits
Market share
Cost

7. T.Q.M.
It is a broad management philosophy,
espousing quality and leadership
commitment, which provides the energy and
the rationale for implementation of the
process of continuous quality improvement
within the organization wide quality strategy.

8. Aspects of Quality
1. Measurable
2. Appreciative
3. Perceptive

9. Dimensions of Quality
 Appropriateness
 Competency
 Effectiveness
 Efficiency
 Timeliness
 Prevention and early detection
 Availability
 Continuity
 Efficacy
 Safety
 Respect and care

10. Key Concepts of TQM
 Top management leadership
 Creating corporate framework for quality
 Transformation of corporate culture
 Customer focus
 Process-focus
 Collaborative approach to process improvement!
 Employee education & training
 Learning by practice & teaching
 Benchmarking
 Quality measurement & statistics
 Recognition & reward
 Management integration

11. TQM believes in the values of:
1. Customers:
- Needs
- Expectations
- Opinions
2. Staff:
- Willingness & desire
- Abilities & desire
- Opinions
- Access to Top Management
- Involvement in:
1. DECISION MAKING
2. PROBLEM SOLVING
3. GOAL SETTING
4. PLANNING

12. 3. Management:
- Commitment & Visibility
- Active Leadership
- Participation
- Empowerment of Employee
- Accountability
4. Teamwork:
- Unity
- Ownership
- More & better ideas
- Openness
- Encouragement
- Mutual respect
- Incentive & reward

13. Basic Elements of A Process
Supplier Processors Customers
Inputs Sequence of steps Output
System, Function, Process & Step
System
Function Function
Process Process Process Process
Step Step Step Step

14. Module of Donabedian
CAUSAL RELATIONSHIP
Structure Process Outcome
Effective Efficient Good

15. Change in Emphasis
In part focus on
- What of care i.e. patient care GIVEN.
- Who of care i.e. patient care GIVER.
Concentrate on improving system & process,
most of the time:-
- The how of care patient care PROCESS
- The result of care patient care OUTCOME

16. Structure
The arrangement of parts of care system or
elements that facilitate care
e.g.
Resources
Equipment
Number of staff
Qualification of staff
Work space

17. Process
Refer to the procedures, methods, means
or sequence of steps for providing or
delivering care, producing outcomes.
- Clinical process
- Care delivery process

18. Outcome
Refers to the results of care, adverse or
beneficial e.g.
CLINICAL
- Short term
- Complication
FUNCTIONAL
- Long term health status
- Activities of daily living
PERCEIVED
Patient / family satisfaction

19. Quality Management Trilogy
 Control / measurement
 Improvement
 Planning

20. Continuous Quality Improvement
Process
DO
PLAN STUDY
ACT

21. Decision Making: Traditional Model
(Data Deficient)
Intuition
Opinion
Logic Recommendations/
Rationalization Action
Rumor
Hearsay
NO DEFINED PROCESS

22. Decision Making: Q.M. Model
(Data-based)
Q. Planning Q. Improvement Q. Control
Decision Decision
Interpretation/ Proposal/
Understanding Hypothesis
Statistical
Analysis Collection
Knowledge
Data
Information Design

23. General Management Functions
Management is the sum of these
activities to improve human and material
resources toward achievement of stated
goals.
 PLANNING
 ORGANIZING & STAFFING
 DIRECTING
 COORDINATING
 IMPROVING

24. Core Quality Improvement Standards
 Quality leadership
 Data collection for quality monitoring
 Analysis of monitoring data
 Quality improvement

25. Do We Need These?
 Medical record
 Information system
 Protocol & clinical guidelines
 Teaching session
 Appraisal system
 Review / audit of mortality & morbidity
 Quality department

27.  All copy rights © reserved to
 Dr Hatem El Bitar