Quality management and Regulatory complaince

Cost-Benefit Analysis

Should be done prior to investing in a new business

An organization wants the return from investing and to see if it will benefit the goal of the business

Opportunity Costs

Benefits given up for new benefits from the new business investment

Productivity Analysis

Healthcare organizations may use this to maximize their productivity

Often linked with the quality

Use of standard-based care or evidence-based practices have positive benefits on outcomes along with using technology

Productivity = output (quality / value of product / services produced) / Input (labor time / cost)

Program Analysis

Important to make sure we get desired outcome from the program

It can help see factors that can make the program success or help look at the barriers / limitations that can hinder success of the program

Centers of Medicare and Medicaid services (CMS)

Managed by Department of Health and Human Services

Responsible for regulating Medicare and Medicaid

Affordable Care Act

Managed by Center of Consumer Information and Insurance Oversight

Often states rely on public health departments to provide state oversight for healthcare facilities

Other states have agencies for health licensures

Joint Commission

Offers certification for healthcare facilities

Participation is voluntary but certification is considered standard of quality

National Committee for Quality Assurance

Provides accreditation for health plan insurers including health maintenance organizations and preferred provider organizations

Quality Assurance Methods

• FOCUS

• PDCA

FOCUS (abbreviation and meaning)

• Find a process to improve

• Organize to improve process

• Clarify what is known

• Understand variation

• Select process for improvement

PDCA (abbreviation and meaning)

• Plan: decide on the end result for improvement and what will be needed to be monitored and measured to achieve those changes

• Do: put the plan in action

• Check: monitor the data to make sure plan is working

• Act: use data gathered to take action; if improvement is success then no changes required but if no improvements then new plan is required

Quality Standards must be

Monitored continuously by every member of the department

Part of the Training for each new employee

Quality Standards

set of standard to check the quality of a product or service

can be unique for different organizations

Quality Control

Proactive approach is required to make sure things are done right

Do not wait for outside organization to critique

The process should be ongoing procedure done by every member of foodservice department to make sure everything is done the right way

Steps of Quality Control

Nine (9) steps are as follows:

1. Establish objectives for department

2. Determine steps needed to achieve objectives

3. Develop specific procedures

4. Establish quality standards

5. Teach employee quality standards and how to achieve them

6. Implement procedure

7. Develop a way to monitor the program / procedure

8. Evaluate outcomes and processes

9. If needed, rewrite procedure and repeat the entire process for better outcome

Self-auditing

A checklist or other form used to review current process or program

Purpose is to self-identify the problems before they become larger problems

Can help to be prepared for the surveys done by Joint Commission or Centers of Medicare and Medicaid services

Self-audit tools can help be prepared for the inspections

Purpose of Test Meal

Tray created alongside normal patient trays to test the temperature, color, place, diet order, and taste of the meal