Course Details

Course Number: 90-818

Health Care Quality & Performance Improvement

Units: 6

This course provides an overview of the current state of the quality movement in Health Care. A public health perspective as well as an individual perspective will be considered from both a U.S. and international view. Relevant history, current gurus, landmark publications, theories, tools, and environmental factors will be discussed. We will explore the cost/quality connection and analyze the complex forces that shape or hinder the transformation of health care from the current state to a person centered quality focused Health Care System. We will learn to use industrial models to improve processes in the health care industry. The concepts and skills needed to create a work environment where these tools can be utilized will also be explored.

Learning Objectives:

- Describe the current condition of health care from a global, national, local and individual perspective
- Discuss the complex interrelationships among the factors affecting national, local, and global health
- Discuss the history of the quality movement in health care including the contributions of significant publications and individuals
- List the major regulatory agencies influencing health care quality and describe their contribution
- Explain the complex forces influencing the current health care delivery system
- Identify and utilize resources available to evaluate and improve quality in health care
- Discuss definitions, theories, methods, tools, and systems commonly utilized in quality improvement efforts in health care and other industries
- Identify the major barriers to improvement in health care quality and methods to overcome them
- Formulate and implement an improvement project as team leader or team member
- Utilize an A3 to solve a problem:
- Define the problem and the business case
- Utilize tools to clearly define and focus the need
- Define a focus narrow enough to work
- Define the actionable data collection needed
- Clearly describe the current condition
- Utilize observation skills
- Draw the current condition utilizing process maps, diagrams and other tools
- Add pertinent actionable data
- Clearly describe the target condition
- Make and implemented an action plan
- Show rapid frequent problem solving cycles
- Collect and display appropriate metrics
- Show evidence of use of data to solve problem and use tools correctly to get to Target Condition
- Show evidence of engagement of those doing the work in designing the work
- Show evidence of reflection and learning
- Demonstrate understanding of the rules of work design and show examples of application
- Demonstrate knowledge of the 14 principles
- Show understanding of the 5S process
- Demonstrate ability to engage a team and teach the problem-solving method through example
- Utilize and display data to demonstrate progress
- Demonstrate understanding of basic coaching, change theory and teambuilding
- Discuss the components of a healthy work environment and methods of measurement
- Utilize an A3, a process map and a value stream maps to solve a problem
- Discuss the patient safety movement in the context of performance improvement and quality
- Discuss high reliability organizations and how it relates to patient safety and quality improvement

- Show understanding of the effect of current policies, payment systems and regulatory agencies on quality

Syllabus

Prerequisites:
90-836 Health Systems 6 Credits

Faculty:
Margaret (Mimi) Priselac Falbo