Quality Improvement Model

 

Choose a Quality Improvement Model from Chapter 5 in the Spath (2018) textbook and apply this model to your practice problem. Please do not choose Lean or Six Sigma as your quality model unless you have an expert in these quality models in your organization to guide you through the process.

PDSA (p.124).
RCI (p.127).
FOCUS PDCA (p.128).
FADE (p.129).

Post a Discussion entry describing the model that you selected and how each step of the model will be used to develop the plan for the Practice Experience Project. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project and share this information with your group.

Sample Solution

Once a team has set an aim, established its membership, and developed measures to determine whether a change leads to an improvement, the next step is to test a change in the real work setting. The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change – by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method, used for action-oriented learning. Depending on their aim, teams choose promising changes and use PDSA cycles as necessary before implementing it on a broader scale. For example: Diabetes: planned visits for blood sugar management: Plan – ask one patient if he or she would like more information on how to manage his or her blood sugar; Do – ask your first patient with diabetes; Study – patient is interested, the doctor is pleased at the positive response; Act – the doctor will continue with the next five patients and set up a planned visit for those who say yes.

In 1991, the Bank of Credit and Commerce International was closed and led a substantial debate over the auditing function in banks. The official report on the closure was more inclined to a direct reporting of auditors to the senior bank management instead of the actual audit process and their reasoning was that information should be accessed by senior experts with the technical knowledge only. It highlighted the expectation gap between how the company sees itself through the lens of their knowledge and how financial auditors are recognized for their expertise in fraud detection.

Social Work

1) In 1992 a voluntary scheme was introduced as a regulation by the name – EC Environmental Management and Audit (EMA) scheme in UK. It was introduced to validate a restricted statement for support in terms of legal compliance, cost management and reworked efficient systems. The contribution of said system was imprecise on how it would empower public sector or public in general. Government however, decided to withdraw it before it was introduced due to the uncertainties which were clearly highlighting the statistics of contaminated land. The transparency of this report could have affected the government plans and therefore was removed from public scrutiny to hide the details that could have landed the government in problems.

2) In child care, the unambiguity with establishing defined standards is still under construction. Therefore, it is natural to focus on efficient cost cutting and basic parameters that are mutual to industrial standard setting instead of narrowing down to an improved rapport between outputs and inputs in terms of productivity.

NHS

England in 2001 introduced an annual ‘star rating’ system for the public health care institutions. As a result, managers in health care were prone to being fired if the results reflected poor performance when measured and were subjected to ‘naming and shaming’ for poor performance (Anonymous 2001).

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