Orange County NC Website
Carla Julian, Quality Improvement Manager in the Health Department, made a <br /> PowerPoint presentation. <br /> Continuous Quality Improvement: Principles and Applications <br /> Orange County Health Department <br /> April 12, 2011 <br /> What is Quality Improvement (QI) <br /> ■Continuous and ongoing effort and organizational culture to best achieve measurable <br /> improvements in the: <br /> ❑efficiency, <br /> ❑effectiveness, <br /> ❑quality, <br /> ❑performance, and <br /> ❑outcomes of services and systems <br /> Key Features of QI <br /> ■Focus on systems, not individuals <br /> ■Ideas/changes from customers &front line staff <br /> ❑The "intervention" is designed through testing of ideas/changes <br /> ■Frequent, ongoing measurement and data driven decision making <br /> ■Never ending process (never"done") <br /> Elements of QI <br /> ■ Hands on experience <br /> ■ Managers believe in the value of QI <br /> ■ Experts are those on the front line <br /> ■ Staff buy-in and staff involvement critical to success <br /> ■ Small changes can create big results <br /> What QI is NOT <br /> ■Quality Assurance (QA) <br /> ❑Monitoring and evaluating a service to assure minimum quality standards are met (i.e. audits) <br /> ❑Measuring programs and services against protocols or policies & procedures <br /> Principles of Improvement <br /> 1. Know why you need to improve (AIM) <br /> 2. Have feedback mechanism to show improvement (MEASURES) <br /> 3. Develop effective changes for improvement (IDEAS) <br /> 4. Test changes before implementing (TEST) <br /> 5. Know when and how to make changes spread (IMPLEMENT/SUSTAIN) <br /> QI Teams <br /> ■Members should be knowledgeable of & involved in the process <br /> ■Teams typically 3 to 5 members <br /> ■Team role assignments <br /> ❑Senior Leader (Senior Management— not day to day member but supports process and <br /> receives reports) <br />