All Features
National Committee for Quality Assurance
(NCQA: Washington) -- “The State of Health Care Quality 2009,” an annual report, now in its 13th year, provided by the National Committee for Quality Assurance (NCQA), finds that the quality of U.S. health care was virtually stagnant in 2008, a disturbing slowdown after a decade of improvements.…
Michelle LaBrosse
A couple of years ago, I was featured on CNN pouring out the contents of my backpack. The story was about how I ran my business, virtually, from wherever I was with the trusty items carried on my back.
As you might imagine, there were all the usual suspects: my laptop, iPhone, digital camera,…
Jim Jubelirer
Story update 10/23/2009: The link to the prerecorded webinar mentioned at the end of the article has been corrected.
The U.S. economy runs on service. From front-line service in transactional industries such as retail, banking, hospitality and food service, to technical support for high-tech…
Steve Arbogast
A quality management system is a framework of processes and procedures that are used to ensure that an organization can fulfill all tasks required to achieve its goals, strategies, and objectives.
The majority of businesses around the world have some sort of well-defined quality management…
Ten years after the Institute of Medicine released its influential report "To Err Is Human" (www.iom.edu/en/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx), hospital care still has many safety problems, and the quality of care remains lower than it should be in many institutions…
In 2005, according to a BBC News report at the time, operating rooms all over the United Kingdom were thrown into chaos and operations canceled due to broken, missing, or dirty surgical instruments. The Royal College of Surgeons called for a national audit of decontamination units, following a…
Andrea Kabcenell
What if hospital leaders had an easier, more streamlined way to chart an improvement path for their organizations? Imagine a list of key processes that could—if implemented reliably—lower mortality, reduce harm, lessen delays, create a better patient experience, and lower costs. This possibility…
GKS Global Services
In this case study of reverse engineering and rapid prototyping we will look at a company that developed an initial prototype of an anti-snoring device based on many years of research in the field of dentistry. The company’s main dental advisor is a pioneering dentist in the research and…
Bill Kalmar
Regular readers of my column know that I abhor surveys that don’t provide some type of incentive or discount on a future purchase for completing the survey. I realize that I may have discussed this subject ad nauseam, but have you noticed that every store, restaurant, gas station, doctor’s office…
Georgia Institute of Technology
Radio frequency identification (RFID) systems are widely used for applications that include inventory management, package tracking, toll collection, passport identification, and airport luggage security. More recently, these systems have found their way into medical environments to track patients…
A
n emergency response organization differs substantially from our usual public health organization for day-to-day business. However, as the spring 2009 H1N1 (also referred to as swine flu) outbreak highlighted, usual public health processes are fundamental for effectively responding to a…
Dirk Dusharme @ Quality Digest
All the talk of health care reform has resulted in many hospitals turning to lean Six Sigma to help improve efficiency and aid in cost cutting. However, health care efficiency expert Ron Wince contends that many of these facilities are not applying the tools properly and therefore will not reap…
Matthew J. Savage
As companies downsize, they cut down on the number of employees, or move, or close, and thousands find themselves without jobs in a highly competitive job market that they never anticipated. A 55-year-old former NCR systems engineer is in line for jobs along with whiz-bang new college graduates,…
The Un-Comfort Zone With Robert Wilson
“Writing is not a job; it’s a hobby!” thundered my father when I told him my plans for college. “You need to get a profession: Medicine, law, engineering, or accounting.”
I cheerlessly acquiesced and enrolled in a pre-med program, but at the end of my first year, after struggling through…
Chris Hardee
As moviegoers, we have all seen a wide range of animation—from early Disney features, such as “Snow White,” to Japanese anime, and Pixar’s “Toy Story,” to an assortment of recent blockbusters that seamlessly integrate animation with real actors. With each release, the movie magic gets more amazing…
Donald J. Wheeler
Following my article on Leptokurtophobics (Do You Have Leptokurtophobia?) it was almost inevitable that we should hear from one. We were fortunate to have someone as articulate as Forrest Breyfogle III to write the response. However, rather than offering a critique of the points raised in my…
Mark Graban
A couple of Sundays ago, I read this New York Times article about Apple's "App Store" for the iPhone and iPod Touch (I've been a pretty happy iPhone user for the past three months after switching over from BlackBerry).
I'm going to try to use this example to teach about two concepts that can be…
Bill Kalmar
The band “Chicago” sang those words about "time" decades ago. The second line “Does anybody really care?” seems to sum up what is still in vogue today, especially in the workplace. Just as with vacations where workers are reluctant to leave for fear that someone will discover that their job is…
David C. Crosby
When I say quality manager, of course I’m talking about the department he or she manages as well.
I’ve been in the “quality business” for fifty years now. That’s right, fifty years. Much of my career—from source inspector to quality engineer, to corporate director of quality—was spent in other…
Georgia Institute of Technology
In 2008, Children’s Healthcare of Atlanta saw more than 170,000 patients across all three of its three emergency departments. That kind of volume demands an effective and efficient process, and staff spent the past three years developing a master facility plan to do just that. However, moving into…
Davis Balestracci
Click here to read part 1 of this series.
Analytic statistical methods are in very strong contrast with what is normally taught in most statistics textbooks, which describe the problem as one of “accepting” or “rejecting” hypotheses. In the real world of quality improvement, we must look for…
The New Yorker magazine featured a cartoon showing a discussion between a salesman and his sales manager. The despondent salesman asked, “I know you’re always telling us to sell the sizzle and not the steak, Mr. Bollinger, but just what is the sizzle of a 90º elbow, flexible-copper fitting?”…
Donald J. Wheeler
Some authors recommend that you have to wait until you have the range chart “in control” before you can compute the limits for the average chart or the X chart. Why this is not true will be the subject of this column.
To illustrate the issues we will once again use the NB10 data. The 100 values are…
H. James Harrington
I often get assignments at organizations where I am required to take aside a group of people, either within the building facility or off campus, to focus on issues or problems. Typically these groups spend a considerable amount of time to summarize and present a well-defined problem. The next step…
David C. Crosby
The most important element in producing a quality product or service is the attitude of the people doing the work—not only the worker—but the attitude of all levels of management. Employee attitude about the product, about the work, about the boss, and about the company will pretty well determine…