1. Mike Stoecklein Health Care Manager – ASQ 1st presented to Cleveland ASQ Section #800 (9-18-02) Adapted for SGV ASQ Section # 702 by Diane Blixt, CLS, CQMgr (ASQ) A Vision For Health Care Quality Improvement (Part 2)

2. 3a. Health Care Division Develop One Common Plan Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership 3. Health Care Division ASQ Sections Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003

3. 3a. Health Care Division Develop One Common Plan Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership 3. Health Care Division ASQ Sections Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003 www.healthcare.org

4. 3b. ASQ Sections Quality Improvement Occurs on a Local Level Assessment of Current State: - E-mail survey to Section Chairs - Personal visits with Sections - Concept of “Deputy Regional Counselor” 3. Health Care Division ASQ Sections Proposing and Testing Various Models: - Health Care Programs at Section Meetings - Health Care Practitioners “sponsored” by a Section - Other?

5. 4. System Inputs (cont.) NPSF – Patient Safety Summits in Milwaukee, Denver and San Jose 4 Inputs Collaboration w/ Partners Fund Development Authors & Thought Leaders Knowledge fr. other indust. * American College of Health Care Exec. - Joint publication of books - ASQ presentation scheduled for 2003 National Assoc’n for Health Care Quality - Exploring options for collaboration Midwest Business Group on Health - V olunteers to review report

6. 4. System Inputs (cont.) Institute for Hlth Care Improvement (IHI) - Tools & Techniques Course Curriculum 4 Inputs Collaboration W/ Partners Fund Development Authors & Thought Leaders Knowledge fr. other industries * JCAHO - Presentation in May 2003 - Co-publish books Dept. of Health and Human Services Region V Representative, Corey Hoze. American Hospital Association (AHA) - Six-Sigma course for AHA Pt Safety Fellowship Milwaukee Mayor’s Task Force on Hlth Care $

7. 4. System Inputs (Cont.) Association for Healthcare Research & Quality (AHRQ), request funding for IWA-1 4 Inputs Collaboration With Partners Fund Development Authors & Thought Leaders Knowledge From other industries *

8. 4. System Inputs (Cont.) “Health Care Dialogue Session” Convening 20 top leaders and authors from around the country to dialogue around current state of health care quality 4 Inputs Collaboration With Partners Fund Development Authors & Thought Leaders Knowledge fr. other industries * First ASQ Health Care Web Chat Event: “Role(s) That ASQ Should Play in Health Care Quality Improvement”

9. 4. System Inputs (Cont.) Convening experts in Design FMEA to assist West Bend Hospital 4 Inputs Collaboration With Partners Fund Development Authors & Thought Leaders Knowledge fr other industries * 2 nd ASQ Health Care Web Chat Event “Human Factors Science in Health Care Quality Improvement”

10. 3 Historic Pathways * Regulation Learning Science Management Science * Dr. Martin Merry, MD 5. Design & Redesign of Products & Services

11. 3 Historic Pathways * Regulation Learning Science Management Science Hippocrates Nightingale ACS/Hospital Standardization M&M Conferences Donabedian * Dr. Martin Merry, MD 5. Design & Redesign of Products & Services

12. 3 Historic Pathways * Regulation Learning Science Management Science Hammurabi Legal system State Boards Inspection Report Cards Hippocrates Nightingale ACS/Hospital Standardization M&M Conferences Donabedian * Dr. Martin Merry, MD 5. Design & Redesign of Products & Services

13. 3 Historic Pathways * Regulation Learning Science Management Science Hammurabi Legal system State Boards Inspection Report Cards Hippocrates Nightingale ACS/Hospital Standardization M&M Conferences Donabedian Industrial Technology Frederick Taylor Shewhart Deming, Juran Six Sigma, ISO, Human Factors * Dr. Martin Merry, MD 5. Design & Redesign of Products & Services

14. 3 Historic Pathways * Regulation Learning Science Management Science Hammurabi Legal system State Boards Inspection Report Cards Hippocrates Nightingale ACS/Hospital Standardization M&M Conferences Donabedian Industrial Technology Frederick Taylor Shewhart Deming, Juran Six Sigma, ISO, Human Factors * Dr. Martin Merry, MD 5. Design & Redesign of Products & Services

15. 5 Design & Redesign of Products & Services What can ASQ offer to health care providers? Foundation for Quality Target of Excellence ISO For Health Care, CQIA Certification, Quality 101, Quality Press Books, Health Care Division Membership, Discussion Group, Quality Progress Magazine. Baldrige Criteria For Health Care State-Level Excellence Awards

16. 5. Design & Redesign of Products & Services 5 Design & Redesign of Products & Services What can ASQ offer to health care providers? Foundation for Quality Models, Methods and Tools to Bridge the Gap Target of Excellence ISO For Health Care, CQIA Certification, Quality 101, Quality Press Books, Health Care Division Membership, Discussion Group, Quality Progress Magazine. Baldrige Criteria For Health Care State-Level Excellence Awards

17. 5. Design & Redesign of Products & Services 5 Design & Redesign of Products & Services What can ASQ offer to health care providers? Foundation for Quality Models, Methods and Tools to Bridge the Gap Target of Excellence ISO For Health Care, CQIA Certification, Quality 101, Quality Press Books, Health Care Division Membership, Discussion Group, Quality Progress Magazine. Basic Process Improvement Tools, Quality Press Books, SixSigmaSafety Discussion Group, Health Care Web Chats, Section-Level Programs SPC for Health Care, Failure Mode and Effects Analysis (FMEA), Certified Quality Manager, Quality Function Deployment, Lean Enterprise. Six Sigma for Health Care (Executive, Champion, Greenbelt and Black Belt Training, Six Sigma Forum) Baldrige Criteria For Health Care State-Level Excellence Awards

18. 5. Design & Redesign of Products & Services Six-Sigma for Health Care - 1-Day Health Care Executive Session Ready - Developed and offered on-line pre-course Green Belt instr’n - 2-Week Green Belt Course Ready - 4-Week Black Belt Course (in process) 5. Design & Redesign of Products & Services ISO - IWA-1 for Health Care Division Business Plan Quality Conversation “Six Sigma in Health Care”

19. 5. Design & Redesign of Products & Services Publications - Co-published Six-Sigma book with ACHE - September, 2002 issue of Quality Progress 5. Design & Redesign of Products & Services Certification - Possible patient safety certification with NPSF Education Department - FMEA for Healthcare - SPC for Healthcare - Improving Business Performance: ISO 9001:2000 as a Means to Support Compliance in Health Care - Baldrige for Healthcare - IWA Train the Trainer

20. On-line: - Six-Sigma-Safety List Serve - Health Care Division Discussion Group - Health Care Electronic Newsletter 5. Design & Redesign of Products & Services 5. Design & Redesign of Products & Services Membership - Exploring feasibility of joint memberships with other organizations Collaboration with Association for Quality and Productivity (AQP)

21. 6. Creating Awareness & Marketing Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September) 6. Creating Awareness & Marketing Health Care Flyer “Why Reinvent the Wheel” Developing “next level” health care brochure Developing Health Care CD

22. 6. Creating Awareness & Marketing Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September) 6. Creating Awareness & Marketing Health Care Flyer “Why Reinvent the Wheel” Developing “next level” health care brochure Health care web pages www.asq.org/healthcare Developing Health Care CD

23. 8 System Measures - How Are We Doing? 8 Measures

24. 8 System Measures (Continued) 8 Measures

25. 8 System Measures (Continued) 8 Measures

26. Strategic Direction Work must be carried out in all 8 components of the system Priority will be: - Focus on the customer (component #2) - Collaborate with other organizations (#4a) - One unified plan with Health Care Division (#3a) Important to establish some “early wins” Important to have a long-term focus - Scope of the challenge - Establish our role - Can’t do all things, but need to be a relevant player

27. Questions Suggestions ?