Quality Basics
Webinar Series
This webinar series features expert speakers leading discussions about the basics of healthcare-focused quality improvement topics. It provides participants with a strong foundation for designing and implementing their own QI projects.
These sessions are intended for organizational leadership and others wanting an introduction to, or refresher in, QI concepts.
Session 1—
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This presentation will give you the background and history of the development of quality as a specific discipline. You will learn about the contributions of quality pioneers such as Florence Nightingale, Bell Laboratory statistician Walter Shewhart, founding father of Lean Taiichi Ohno, as well as healthcare quality pioneers Ernest Codman, Avedis Donabedian, and others. You will learn how quality efforts in manufacturing led to the present use of quality improvement in healthcare. Quality concepts such as Outcomes Measurement, PDSA Cycles, the Quality Trilogy, and the Pareto Principle will be introduced and discussed in regard to their application in healthcare. Implementation and sustainability of quality improvement will be discussed. Lastly, the future of quality in healthcare will be explored. |
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Session 2—
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This presentation will answer the questions: What is quality? How is it defined? Who sets the standards? Why is this important? Understand the eleven key dimensions of quality: appropriateness, availability, competency, continuity, effectiveness, efficacy, efficiency, prevention and early detection, respect and caring, safety, and timeliness. You will learn about the pillars of quality such as quality assurance, quality improvement, risk management, and others. Standards of quality will also be discussed, including those of The Joint Commission, CMS, State Departments of Health, and also risk, care, utilization, and outcomes management. |
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Session 3—
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Six Sigma, PDSA, Lean…Has your team identified a quality or process improvement need but you don’t know which improvement model to choose? This presentation will provide an overview of numerous quality improvement models and theories. You will learn basic concepts key to improvement methodologies including Baldrige, ISO, Human Factors, Lean, Six Sigma, and the Model for Improvement. For each methodology we will discuss the format, key tools and concepts, the comparison of resources necessary, and resources available to implement the model. Additionally, you will be introduced to the Reliability and Spread theories—two Institute of Healthcare Improvement theories used in healthcare for expanding “projects” to systemwide improvements. At the conclusion of this presentation you should be able to determine which models will best assist your team in reaching its QI goals. |
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Session 4—
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Measuring and analyzing data is critical to improving healthcare processes and outcomes. This presentation describes types, purposes, and limitations of data that are commonly used in healthcare. Most professionals in healthcare do not have in-depth knowledge of statistics, so this presentation is aimed at providing an overview of common measurement strategies in healthcare. The types of variation are discussed, including what questions can be addressed through variation analysis in order to achieve improved outcomes. Practical statistical analysis methods are explained in order to present data in ways that are actionable in attaining actual improvements in processes and outcomes. Caveats are also delineated, so that appropriate caution is taken with the measurement approaches. |
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Session 5—
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Quality improvement staff must understand the basic "how to" of system measurement and analysis. The presentation will discuss quality measure and control, the quality management function, definitions and descriptions of monitoring processes, and steps in the analysis process such as tracking performance measures. Trigger setting and benchmarking will also be discussed. |
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Session 6—
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Collecting and understanding different types of data is essential for the development of measurement tools, and for designing and conducting data analysis. It is also important to have an understanding of overall process improvement, various epidemiological concepts, and monitoring methods. At the completion of this webinar, the participant will be able to:
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Session 7—
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This course will teach you how to effectively coach or consult with providers on quality improvement even if they are unready for change or not familiar with effective quality improvement methods. This train-the-trainer session will discuss such methods and strategies as:
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Session 8—
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This presentation will assist participants in developing a framework on which leadership might build a written plan for physician engagement in quality and safety. Personal responsibility for quality is powerfully engrained in the physician and the professional culture—whether they are employed by a hospital, outpatient facility, or have their own private practice. In contrast, the lack of time to do a good job is a particularly strong driver of primary care dissatisfaction. Dr. Laiben will discuss successful ways to identify and motivate physician champions, choose innovators, promote their work, and build successful momentum and relationships. |
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Session 9—
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This train-the-trainer session briefly introduces the Model for Improvement and the Plan-Do-Study-Act cycles, and then provides insight and tools into teaching providers these methods. These methods are quick and easy to use by both office and clinical staff. Use what you learn in improving your own work, then take these methods out to other members of your organization. |
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Session 10—
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Lean methodology is a tool to assist organizations with identifying the wastes in any given clinical workflow that may impede process efficiency and lead to poorer workflow outcomes. A key tool in adopting Lean methodology is process mapping. Process mapping allows organizations to bring together a cross-sectional group of people who are entrenched in the process to create a diagram of the current workflow so that inefficiencies can be clearly identified. Once these "wastes" are identified, focused solutions can be generated resulting in more organized efforts at quality improvement. Participants of this webinar will learn:
The presenters will show how to organize and facilitate a Lean workflow workshop and will offer an opportunity for participants to review sample materials. |
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This webinar series was developed by the Performance Improvement QIO Support Center, a 2005-2008 initiative funded by Medicare and managed by Qualis Health.