Tuesday, June 2, 2015

Ways Quality Circles and Feedback Loops are used within Health Care Organizations to Strengthen Quality Management


Ways Quality Circles and Feedback Loops are used within Health Care Organizations to Strengthen Quality Management

 

... in order to overcome usability problems and to improve product quality

 

Title

Quality circles (QC) are described as groups of employees, that meet formally to consider how to resolve problems that exist in a health facility, while at the same time improving the organization’s production. Feedback Loop (FL) groups are likewise people, however with this particular group, they act as an automated interactive voice response system that initiates phone conversations with patients with the permission of the patient. They then asks questions about the patient’s visit with the healthcare organization and look for ways the visit could be improved. This blog will identify ways QCs and FLs are used within health care organizations to strengthen quality management initiatives and activities.

Quality circle

Quality Circles

One definition of a QC is that it is a participatory management technique that recruit the help of employees in solving problems related to their jobs (Karou, 2012). Examples of QC groups are policy review boards, risk management councils, safety committees, and clinical quality councils. These groups serve meritoriously for the hospitals they work in; they help the organization by, problem identification, problem selection, problem analysis, they generate alternative solutions, they select the most appropriate solution, they prepare plan of action, they present solutions to management, and then help to implement the solutions (Karou, 2012).  

Problem identification is one of the primary functions of a QC group. A company’s perceived problem is the very reason the group is called upon to analyze specific functions within the organization that have questionable performance (Karou, 2012). The purpose of this type of QC is to gather, fact find and determine if an actual problem exist and label and name the problem. Linked to problem identification is selection and analysis; these two functions may be performed by the same group and often are. But in some situations, perhaps for advanced technical reasons, a facilitator is needed to help guide or keep the group on track.  The analysis and selection of the type of problem will directly speak to solution and resolution (Karou, 2012).

 

Hospitals spend millions of dollars correcting and changing problem processes in efforts to maximize customer service and minimize litigious patient complaints (Karou, 2012). QC groups are also known by less formal actions such as suggestion boxes, where feedback is provided in the form of written suggestions for problems or possible changes believed needed repaired (Karou, 2012). QC groups are renowned for improving performance, lowering cost, enhancing test results, and clarifying clinical guidelines. QC groups help provide a more value added processes for patient care and quality measures with early indicators of negative change in performance (Karou, 2012).

Client IQ Analytics (2012). Measurementand Quality Improvement ... 

Feedback Loop

The escalation of healthcare cost in today’s medical society provide anxiety and unstable assurance to patients giving them ample reason to have concerns over the affordability of healthcare (McLaughlin, Kaluzny, 2013). FLs and their processes provide healthcare organizations needed tools and information to provide better value for patient satisfaction (McLaughlin, Kaluzny, 2013). Vital to effective patent care is the ability of providers to be able to comprehensively evaluate the effectiveness of medical care already provided, this is where FL processes play pinnacle roles in this examination of quality (McLaughlin, Kaluzny, 2013). 

There are a number of ways hospitals use FL in the care of their patients, one such way is the use of surveys (Mehen, 2011). In studies at the Cleveland clinic, response rates for in-clinic surveys were about 67% positive, and out-side clinic surveys where slightly higher at 73%, while mailed surveys only yielded a 24% return rate and a very meager 35% favorability (Mehen, 2011). Clinicians used these results to make adjustments to seven clinical processes and resent surveys for evaluation of services and overall results netted an average of 15% increase in satisfaction across the board (Mehen, 2011). 

          Health managers of 306 branch offices and five call centers are responsible to manage direct patient response through customer call-backs (Mehen, 2011). As an integral part of a new focus on direct customer feedback that the firm’s CEO credits with turning around the company (Mehen, 2011). There had been a precipitous drop in customers and their appreciation of services, due to a variety of medical variable mostly centered on customer service. Within three years the firm saw its revenues increase by 7% and customer satisfaction jumped 25% (Mehen, 2011). While a lot of the health services industry met choppy financial waters; through profits and investor contributions, net assets topped $113 billion by 2012 (Mehen, 2011).

 

References

Karou, D. (August, 2012). Effectiveness of Quality Circles, Boston Medical

          Review, 9 (4), pg. 6-13

McLaughlin, C. P., Kaluzny, A. D. (2013). Measuring Consumer Satisfaction,

Continuous Quality Improvement in Health Care, pg. 181-196

Mehen, L. (September, 2011). Feedback Loops are Changing Health Behavior,

          American Journal of Sociology, 120 (3), p.701-749

 

 

My blog address is: carl1sthndrsn@gmail.com

Sunday, November 23, 2014

Corporate Social Ethics a Mix Bag of Tricks


 

I am to contrast Entine and Jenning’s views on corporate social responsibilities with those of Friedman and Freeman. And what I find is this, it appears to be mostly Jenning’s perspective that ethics in corporations are largely a product of advertising that is not truly representative of ethical practices. Jennings contends that the organizations have used the image of corporate goodwill and concern for ethical causes to detract the public from the revelation of exercises of immoral behavior perpetrated by their company, are their true ethical skeleton. Such things as the oil company purporting adoration for the environment all the while decimating any vestige of ecology for the sake of profit, is a prime example of this false propaganda. (Jennings, 2012)

In contrast, companies that actually try to facilitate ethical practices into their business models are excoriated by rival companies and political affiliates with vested interest in the success and failure of the principle parties’ outcome. The strategic castigation of the supposed ethical companies follow a simple but albeit effective plan, the annihilation of rival company’s caricature is mystifying how the pubic willfully refuses to see through the thin veil of hypocrisy provided by the offending actors. It is blatantly apparent the qualification for ethical behavior as defined by ethicist, is not a measure based on ethical disciplines but instead an abundant amount of weight is placed on political issues or self-promotion. (Jennings, 2012)

While Friedman and Freeman take a different perspective on corporate social responsibility. Friedman feels that only people have an obligation for social responsibility, further, that corporate make-up is that of an artificial person, thereby not having traditional social responsibilities but having a different, select set of social responsibilities. (Jennings, 2012) Current business practices has the pretense of pseudo ethics in that it espouses their civic contributions are in the best interest of society at large and that business have a social responsibility to maintain these ethical contributions that are so wanted by society, but in truth the real benefactor is the company and its shareholders.