QUALITY MANAGEMENT IN IMAGING SCIENCES

INTRODUCTION TO QUALITY MANAGEMENT

CHAPTER 1

EXPECTED QUALITY

PERCEIVED QUALITY

ACTUAL QUALITY

MAIN CHANGES IN HEALTHCARE DELIVERY

1)ADVANCEMENT IN TECHNOLOGY

2) LEGISLATION & GOVERNMENT REGULATIONS

3) JCAHO

4) CORPORATE BUYOUTS & MERGERS

5) METHODS OF REIMBURSEMENT FOR SERVICES RENDERED

QUALITY

MANAGEMENT

HISTORY

• GOVERNMENTAL ACTION

• JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS

QUALITY

ASSURANCE

QUALITY CONTROL

Level 1:

Noninvasive & Simple

Level 2:

Noninvasive & Complex

Level 3:

Invasive & Complex

Continuous Quality Improvement• 14 points of Management:

1)Create Constancy (improve service & product)

2) Adopt a new philosophy

3) Build quality in product first

4) Minimize total cost

5) Improve constantly

6) Train on the job

7) Institute leadership

8) Drive out fear

9) Break down barriers

10) Eliminate slogans

11) Eliminate work quotas

12) Eliminate merit rating systems

13) Education & self-improvement

14) Involve everyone ( TQI)

Process improvement through continuous quality improvement

• 85/15• 80/20

• Workers near problem• Structured problem-

solving• Improving quality

• Process• System• Supplier• Input• Action• Output• Customer (internal & external)

• Manpower Materials• Machines Environment

• Politics

PROBLEM IDENTIFICATION & ANALYSIS

* BRAINSTORMING• FOCUS GROUPS• QUALITY IMPROVEMENT

TEAM• QUALITY CIRCLES• MULTI-VOTING• CONSENSUS• WORK TEAMS• PROBLEM-SOLVING TEAM

GROUP DYNAMICS

JCAHO10 step process

• 1) Assign responsibility• 2) Delineate the scope of care• 3) Identify Important Aspects• 4) Identify Indicators

• Sentinel Event Indicator• Aggregate Data Indicator

PERFORMANCE INDICATORS

• APPROPRIATENESS OF CARE

• CONTINUITY OF CARE

• EFFECTIVENESS OF CARE

• EFFICACY OF CARE

• EFFICIENCY OF CARE

JCAHO10 step process

• 5) Establish a means• 6) Collect & Organize Data• 7) Initiate Evaluation• 8) Take Actions to Improve• 9) Assess Effectiveness

• DESIGN

• MEASURE

• ASSESS

• IMPROVE

• BENCHMARKING

• QUALITY ASSURANCE

• QUALITY CONTROL

QUALITY MANAGEMENT TOOLS & PROCEDURES

CHAPTER 2• INFORMATION

ANALYSIS:• Population• Sample• Data set• Frequency• Continuous Variables• Dichotomous Variables• Central tendency: Mean,

Median, Mode• Reliability• Standard Deviation• Variance

INFORMATION ANALYSIS TOOLS

• Flowchart• Cause-and-Effect

diagram• Histogram• Pareto Chart• Scatter Plot• Trend Chart• Control Chart

CHAPTER 2 ASSIGNMENT

• CHAPTER 2

WILL NOT BE ON TEST

DUE TO THIS, DEVELOP A PROCESS BY USING ONE OF THE CHARTS WE TALKED ABOUT TODAY

FILM DARKROOMSCHAPTER 3

• Latensification• Static electricity• Humidity & temperature• Ventilation• Overhead Lighting &

Safelight• Sensitometer• Densitometer• Viewbox Illuminator• Image Duplicating Units