Quality MANAGEMENT skills- 2023-.ppt
- 1. ( التوفيق هللا نسأل للجميع هدية المحاضرات هذه ) Medical Audit (TQM & Audit Management الصحة في ألجودة Dr EZIZ ALFAHD afkaabba@gmail.com
- 2. Objectives The Definition of Quality &Audit . What is Medical Audit applications ? Audit Planning & Cycles How to practice Quality and Audit in medical field ?
- 3. INTRODUCTION & DEFINITIONS Quality Investment of the best skill & effort possible to produce excellent results.
- 5. 5 Definitions: Quality!!! Healthcare Quality • “The degree to which health care services for individuals and populations increase the probability of health outcomes and are consistent with current professional knowledge of best practice” The Institute of Medicine
- 6. 6 Definitions: Quality Control & Quality assurance • Quality assurance: All the planned and systematic actions implemented within the quality system, and demonstrated as needed to provide adequate confidence that an entity will fulfill requirements for quality • Quality Control: Operational techniques and activities that are used to fulfill requirements for quality
- 7. 7 Benchmarking (مرجعية المعيار - عالمة ) • A basis for comparison; a reference point against which other things can be evaluated • A standard, a reference point, or a criterion against which the quality of something can be measured, judged, and evaluated, and against which outcomes of a specified activity can be measured. The UNESCO definition of
- 8. Key performance indicators KPIs (الرئيسية األداء )مؤشرات • Key Performance Indicators: • are preset quantifiable measurements that reflect the critical success factors of an organization • They are measures that describe how well a program/ institution is achieving its objectives
- 9. Quality is a Journey, not a Destination
- 10. Other Definition Clinical Audit (Medical Audit) “The systematic critical analysis of the quality of medical care, including diagnosis, treatment, outcome, use of resources & effects on quality of life of the patient”.
- 11. (More than 50 meaning of Audit )By combining any word from each columns in Table I in order, it is possible to produce more than 50 phrases that either have been or can be used to mean review of health care (audit).
- 12. TABLE I: AUDIT BY ANY OTHER NAME? Medical Health Clinical Professional Care Standards Activity Quality Evaluation Assessment Assurance Improvement Review Monitoring
- 13. What is a Standard? A standard is the level of care to be achieved for any particular criterion. For example: 1. 95% of the female population at risk should receive protection against rubella. Antenatal care standard
- 14. CRITERIA & STANDARDS “Criterion” ( ( يقاس معيار measurable item of health care which describes quality. They are usually written in the form of statements which describe what should happen, eg. all females of susceptible age should be immunized against rubella.
- 16. How to Do An Audit Medical audit can be seen as a series of steps (The audit cycle): Step 1: Choosing a topic & setting a standard Step 2: Collecting data from the practice Step 3: Analysis of the collected data
- 17. Step 4: Interpretation & compare the result with the standard Step 5: Modifying the practice to make the standard attainable Step 6: Repeating the process to confirm improvement
- 18. The Audit Cycle Step 1: Defined Standard Step 2: Data Collection Step 3: Data Analysis Step 4: Interpretation & Compare with Standards Step 5: (Change) Corrective Actions Step 6: Follow-up
- 20. THE BENEFITS OF AUDIT Meeting patients’ needs & expectations Educational stimulation Demonstrating good care Improving effectiveness Changing the future Avoiding frustration Lasting improvement Allocate resources appropriately Use & promote higher standards of care Dynamic promotion of standards of medical care Investigate & reduce organizational error Team work & communication enhancement
- 22. Areas Of General Practice Which Can Be Audited Clinical Practice: Diabetes, asthma & hypertension are major areas, but almost any clinical area can be audited. Practice Finance: Income areas are particularly popular, eg. How you are performing on items of service payments like tetanus vaccination or contraceptive claims (as a % of the eligible practice population.
- 23. Prescribing: Audit can concern itself with wider, perhaps financial issues or narrower specific areas; eg. HRT prescription. Referrals: An audit of referral patterns is a relatively simple & painless exercise. Practice Management: Eg. The appointment system, the visiting system, or the computer prescribing system.
- 24. THANK YOU