The Quality Improvement Challenge

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119698987
Total Pages : 499 pages
Book Rating : 4.1/5 (196 download)

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Book Synopsis The Quality Improvement Challenge by : Richard J. Banchs

Download or read book The Quality Improvement Challenge written by Richard J. Banchs and published by John Wiley & Sons. This book was released on 2021-04-19 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Efforts to improve the quality of healthcare have failed to achieve a meaningful and sustainable improvement. Patients continue to experience fragmented, inconvenient, and unsafe care while providers are increasingly becoming overburdened with administrative tasks. The need for change is clear. Healthcare professionals need to take on new leadership roles in quality improvement (QI) projects to effect real change. The Quality Improvement Challenge in Healthcare equips readers with the skills and knowledge required to develop and implement successful operational improvement initiatives. Designed for healthcare providers seeking to apply QI in practice, this valuable resource delivers step-by-step guidance on improvement methodology, team dynamics, and organizational change management in the context of real-world healthcare environments. The text integrates the principles and practices of Lean Six Sigma, human-centered design, and neurosciences to present a field-tested framework. Detailed yet accessible chapters cover topics including identifying and prioritizing the problem, developing improvement ideas, defining the scope of the project, organizing the QI team, implementing and sustaining the improvement, and much more. Clearly explaining each step of the improvement process, this practical guide: Presents the material in a logical sequence, gradually introducing each step of the process with clearly defined workflow templates Features a wealth of examples demonstrating QI application, and case studies emphasizing key concepts to highlight successful and unsuccessful improvement initiatives Includes end-of-chapter exercises and review questions for assessing and reinforcing comprehension Offers practical tips and advice on communicating effectively, leading a team meeting, conducting a tollgate review, and motivating people to change Leading QI projects requires a specific set of skills not taught in medical school. The Quality Improvement Challenge in Healthcare bridges this gap for experienced and trainee healthcare providers, and serves as an important reference for residency program directors, physician educators, healthcare leaders, and health-related professional organizations.

Crossing the Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309132967
Total Pages : 359 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crossing the Quality Chasm by : Institute of Medicine

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

New Manufacturing Challenge

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Publisher : Simon and Schuster
ISBN 13 : 0029320402
Total Pages : 280 pages
Book Rating : 4.0/5 (293 download)

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Book Synopsis New Manufacturing Challenge by : Kiyoshi Suzaki

Download or read book New Manufacturing Challenge written by Kiyoshi Suzaki and published by Simon and Schuster. This book was released on 1987-07-22 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a consultant, Kiyoshi Suzaki has helped scores of Fortune 500 clients improve manufacturing operations and get the job done faster, cheaper, better, and safer. Now, in this detailed "operating manual" -- full of more step-by-step applications than any other book available -- Suzaki spells out new options in production and employee resources that can help American industry regain the cutting edge in price, quality, and delivery of products. A well-known expert in the field, Suzaki begins with the premise that "if it doesn't add value, it's waste" -- a concept devised by Henry Ford and later used by Toyota. He recaps what Toyota identifies as the seven most prominent forms of waste in factories. Most importantly, he meticulously details steps individuals can take to "simplify, combine, and eliminate operations" -- thereby reducing waste, improving quality, and saving money. Describing in detail the basic techniques culled from Japanese industrial philosophy and procedure, Suzaki shows how small, family-run businesses and billion-dollar American corporations from a wide range of industries -- automotive, electronics, cosmetics, and even defense contractors -- are meeting the manufacturing challenge today -- demolishing the widely held belief that most American manufacturers have become distribution organizations for products manufactured overseas. In addition, he links his methodology with several successful production systems, from Just-In-Time Production, Total Quality Control, Total Productive Maintenance to Computer Integrated Manufacturing. Throughout this practical handbook, he places emphasis squarely on the shop floor and grounds his approach in easy, yet powerful techniques everybody can understand and implement today. Illustrated with numerous charts and exhibits, The New Manufacturing Challenge shows how to integrate people and techniques to improve the workplace and, thus, strengthen any company's competitiveness in the global marketplace.

Health Professions Education

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Author :
Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Challenge to Change

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Publisher : Cornell University Press
ISBN 13 : 1501706020
Total Pages : 217 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis The Challenge to Change by : Rebecca Kolins Givan

Download or read book The Challenge to Change written by Rebecca Kolins Givan and published by Cornell University Press. This book was released on 2016-08-19 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455700533
Total Pages : 321 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology by : Alan R. Spitzer

Download or read book Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology written by Alan R. Spitzer and published by Elsevier Health Sciences. This book was released on 2010-04-29 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.

Safe Patients, Smart Hospitals

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Publisher : Penguin
ISBN 13 : 1101185279
Total Pages : 237 pages
Book Rating : 4.1/5 (11 download)

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Book Synopsis Safe Patients, Smart Hospitals by : Peter Pronovost

Download or read book Safe Patients, Smart Hospitals written by Peter Pronovost and published by Penguin. This book was released on 2010-02-18 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: The inspiring story of how a leading innovator in patient safety found a simple way to save countless lives. First, do no harm-doctors, nurses and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70%. Today, all fifty states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past twenty-five years. But his ideas are just the beginning of the changes being made by doctors and nurses across the country making huge leaps to improve patient care. In Safe Patients, Smart Hospitals, Dr. Pronovost shares his own experience, anecdotal stories from his colleagues at Johns Hopkins and other hospitals that have made his approach their own, alongside comprehensive research-showing readers how small changes make a huge difference in patient care. Inspiring and thought provoking, this compelling book shows how one person with a cause really can make a huge difference in our lives.

McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284126595
Total Pages : 373 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care by : Julie K. Johnson

Download or read book McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care written by Julie K. Johnson and published by Jones & Bartlett Learning. This book was released on 2018-10-05 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through a unique interdisciplinary perspective on quality management in health care, this text covers the subjects of operations management, organizational behavior, and health services research. With a particular focus on Total Quality Management (TQM) and Continuous Quality Improvement (CQI), the challenges of implementation and institutionalization are addressed using examples from a variety of health care organizations, including primary care clinics, hospital laboratories, public health departments, and academic health centers. Significantly revised throughout, the Fifth Edition offers a greater focus on application techniques, and features 14 chapters in lieu of the prior edition's 20 chapters, making it an even more effective teaching tool. New chapters have been incorporated on Implementation Science (3), Lean Six Sigma (6), and Classification and the Reduction of Medical Errors (10).

Quality Improvement Through Planned Experimentation 3E (PB)

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Publisher : McGraw Hill Professional
ISBN 13 : 0071759670
Total Pages : 497 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Quality Improvement Through Planned Experimentation 3E (PB) by : Ronald Moen

Download or read book Quality Improvement Through Planned Experimentation 3E (PB) written by Ronald Moen and published by McGraw Hill Professional. This book was released on 2012-06-05 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: The latest experimental design techniques for quality improvement "The methods taught in this book are a major contribution to statistical methods as an aid to engineers, as well as to those in industry, education, or government who are trying to understand the meaning of fi gures derived from comparisons or experiments." -- W. EDWARDS DEMING Co-written by three recipients of the Deming Medal awarded by the American Society for Quality (ASQ), Quality Improvement through Planned Experimentation, Third Edition discusses the principles and methodologies for planning and conducting experiments to improve products, processes, or systems. Fully revised with up-to-date case studies and incorporating new software, this authoritative guide fosters the sequential building of knowledge essential for implementing effective improvements. End-of-chapter exercises reinforce what you've learned, and forms for designing planned experiments help you to integrate the methods in the book into your daily work. The methods of planned experimentation provide an opportunity to better meet the needs of customers, reduce costs, and increase productivity by effecting verifiably beneficial changes. COVERAGE INCLUDES: * Improvement of quality * Principles for design and analysis of planned experiments * Experiments with one factor * Experiments with more than one factor * Reducing the size of experiments * Evaluating sources of variation * Sequential experimentation * Using a time series response variable * Designs with factors at more than two levels * Applications in health care * New product design NEW: Study-it software available for download!

Evidence-Based Practice for Nursing and Healthcare Quality Improvement

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323480004
Total Pages : 515 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Evidence-Based Practice for Nursing and Healthcare Quality Improvement by : Geri LoBiondo-Wood

Download or read book Evidence-Based Practice for Nursing and Healthcare Quality Improvement written by Geri LoBiondo-Wood and published by Elsevier Health Sciences. This book was released on 2018-07-25 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Quality Improvement** 2019 AJN Book of the Year Award Recipient in the Advanced Practice Nursing category. Equip yourself to expertly conduct EBP or quality improvement projects. Written by renowned EBP experts LoBiondo-Wood, Haber, & Titler, Evidence-Based Practice for Nursing and Healthcare Quality Improvement provides a straightforward yet comprehensive guide to planning and conducting EBP and quality improvement projects This brand-new, full-color, richly illustrated textbook begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information. The book's content and approach have been developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key Points to ground concepts in a "real-life" context. - NEW! Written by renowned EBP experts LoBiondo-Wood, Haber, & Titler to provide a straightforward yet comprehensive guide to planning and conducting EBP and QI projects. - NEW! A straightforward, practical approach begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information. - NEW! Developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key Points to ground concepts in a "real-life" context.

Operations Management: Concepts and Problems

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Author :
Publisher : Cybellium
ISBN 13 : 1836795718
Total Pages : 229 pages
Book Rating : 4.8/5 (367 download)

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Book Synopsis Operations Management: Concepts and Problems by : Cybellium

Download or read book Operations Management: Concepts and Problems written by Cybellium and published by Cybellium. This book was released on with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: Welcome to the forefront of knowledge with Cybellium, your trusted partner in mastering the cuttign-edge fields of IT, Artificial Intelligence, Cyber Security, Business, Economics and Science. Designed for professionals, students, and enthusiasts alike, our comprehensive books empower you to stay ahead in a rapidly evolving digital world. * Expert Insights: Our books provide deep, actionable insights that bridge the gap between theory and practical application. * Up-to-Date Content: Stay current with the latest advancements, trends, and best practices in IT, Al, Cybersecurity, Business, Economics and Science. Each guide is regularly updated to reflect the newest developments and challenges. * Comprehensive Coverage: Whether you're a beginner or an advanced learner, Cybellium books cover a wide range of topics, from foundational principles to specialized knowledge, tailored to your level of expertise. Become part of a global network of learners and professionals who trust Cybellium to guide their educational journey. www.cybellium.com

Quality Management for the Technology Sector

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Publisher : Elsevier
ISBN 13 : 0080515517
Total Pages : 219 pages
Book Rating : 4.0/5 (85 download)

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Book Synopsis Quality Management for the Technology Sector by : Joseph Berk

Download or read book Quality Management for the Technology Sector written by Joseph Berk and published by Elsevier. This book was released on 2000-06-30 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are many standards, methods and perhaps most confusing, but most importantly of all acronyms in use in the field of quality management, and especially so in the field of technology-based products. From the seemingly simple concepts of ISO 9000 (and the military MIL standards from which that grew) to statistical and analytical methods like Statistical Process Control (SPC) the range of complexity and compliance is staggering. What the average quality engineer or manager needs is a simple guide to what these are, how they relate to one another and most critically how to take advantage of and implement the benefits of each. This book provides that guidance. Written by a quality consultant with over 20 years experience in precisely these fields, including work with the US Defense Department, Boeing, Lockheed-Martin, Raytheon, and many other leading companies, this book provides an easily digestible toolbox of solutions to quality and management problems for every engineer, manager and even student looking for those answers for the medium to high-technology sector manufacturing company. This is a highly practical book which includes all the major topics in quality as well as case studies from relevant real-world situations yet without the need to wade through reams of reference materials and international standards verbiage. If you need to get to the bottom of problems like these, you need this book.Targetted at the Technology company engineer and quality managerHighly illustrated, comprehensive subject coveragePractical examples and case studies used throughout

Priority Areas for National Action

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Publisher : National Academies Press
ISBN 13 : 0309085438
Total Pages : 160 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Priority Areas for National Action by : Institute of Medicine

Download or read book Priority Areas for National Action written by Institute of Medicine and published by National Academies Press. This book was released on 2003-04-10 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.

Total Quality Management for Hospital Nutrition Services

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834205512
Total Pages : 394 pages
Book Rating : 4.2/5 (55 download)

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Book Synopsis Total Quality Management for Hospital Nutrition Services by : M. Rosita Schiller

Download or read book Total Quality Management for Hospital Nutrition Services written by M. Rosita Schiller and published by Jones & Bartlett Learning. This book was released on 1994 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to help nutrition professionals build and sustain an effective total quality management program for nutrition services in hospitals, skilled nursing facilities, nursing homes, etc. Provides a discussion of quality assessment, monitoring, and evaluation. Includes background information on total quality management and its adaptation to health care settings and a discussion of departmental systems and tools for quality management. Deals with the quality monitoring and evaluation process, and offers suggestions for managing the quality process. Contains references and examples from dietetic practice.

TOTAL QUALITY MANAGEMENT

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Author :
Publisher : PHI Learning Pvt. Ltd.
ISBN 13 : 9788120329959
Total Pages : 264 pages
Book Rating : 4.3/5 (299 download)

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Book Synopsis TOTAL QUALITY MANAGEMENT by : B. JANAKIRAMAN

Download or read book TOTAL QUALITY MANAGEMENT written by B. JANAKIRAMAN and published by PHI Learning Pvt. Ltd.. This book was released on 2006-01-01 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing accessible coverage of the basics and practical aspects of total quality management, this book is intended for students of management and engineering. The text adopts a realistic approach to the teaching of the subject with the principal focus on the philosophy of total quality management and its role in today’s world of fierce business competition. Discusses the mechanism of quality control, quality assurance and different types of quality control tools and their usage. Features the Japanese management philosophy, quality awards and standards. Presents the differences between total quality management and business process re-engineering and approaches to integrate them. Describes the various aspects of benchmarking, capability maturity model and customer relationship management.

A Total Quality Management Process Improvement Model

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Author :
Publisher : DIANE Publishing
ISBN 13 : 9780788101823
Total Pages : 284 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis A Total Quality Management Process Improvement Model by :

Download or read book A Total Quality Management Process Improvement Model written by and published by DIANE Publishing. This book was released on 1993-07 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contents: the beginnings of TQM, the management challenge, the principles of TQM, areas for practice improvement, the cost of poor quality, the medical practice in transition, the tools of TQM, TQM methods, applying TQM to the practice, and implementing.