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Quality
by Hal Moyers, James G. Shaw, and Wayne New, FACHE Copyright 2004 Shaw Resources
With the concepts of Total Quality Management and Continuous Quality Improvement being introduced to hospital
operations over the last fifteen years, hospital executives and quality improvement managers have had differing
degrees of success. Knowledge and skill levels have increased as different methodologies of quality improvement
have been studied, transferred from non-healthcare industries, and implemented in hospitals. Hospitals have
expended enormous fiscal and human resources implementing leading methodologies, achieving some short-
term successes but then becoming frustrated and uncertain as quality and cost effectiveness initiatives are not
sustained. Executives continue to be dedicated to quality improvement but are left with the question What is
the quality improvement methodology that is right for success in my organization?
The purpose of this analysis is to review four leading quality improvement methodologies utilized in the market
today to help you answer one of the most important questions that healthcare executives face today How do you
choose the one thats right for your organization? The quality improvement methodologies reviewed in this
analysis are:
1. Six Sigma Pioneered by Motorola and made famous by General Electric, this manufacturing
methodology focuses on variance reduction through a problem solving approach that will improve output
quality.
2. Lean Thinking Touted by Toyota as its key to success, this methodology strives to reduce waste to
improve business performance through improved workflow.
3. Theory of Constraints TOC addresses manufacturing system constraints, emphasizing faster system
throughput in system processes.
4. Customer-Inspired
Quality (CIQ), was created for the healthcare service industry, addressing
quality and cost effectiveness from a holistic perspective as seen by the patient.
Do the three manufacturing methods bring value to service organizations? Certainly, addressing specific
problems or constraints will definitely improve quality. However, the manufacturing originated methodologies
approach things first from managements point of view, not the customers. By employing a management
perspective, it is difficult, if not impossible, for these methodologies to be used as the vehicle for attaining top
performance in high-touch patient-care environments or similar service settings.
In summary, the Shaw Resources Customer-Inspired
Quality takes the quality methods used in manufacturing and adapts them so that the
healthcare industry can successfully achieve short and long-term improvements in quality, safety,
and customer satisfaction.
Copyright Shaw Resources, 2004, all rights reserved. (888-742-9737), email: Info@ShawResouces.com;
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