PASRR QUALITY IMPROVEMENT. and
|
|
|
- Charlotte Warren
- 9 years ago
- Views:
Transcription
1 QUALITY IMPROVEMENT and PASRR A N D R E A W O M A C K, M A PTAC Consultant, Region #8 Director of Quality Improvement & IC Network, Ascend Management Innovations
2 2 It usually starts with a problem and the need for a SOLUTION Our Level I is not timely and stakeholders are not happy It s unclear if people are getting the specialized and rehabilitative services identified in the PASRR report Our Level II reports and decisions are inconsistent We re not taking full advantage of our categorical and exemption options or our categorical/exemption options are being taken advantage of We can t measure discharge and diversion potential or outcomes
3 3 Today s KEY POINTS Quality assurance and quality improvement are important to PASRR Quality assurance and quality improvement are useful for PASRR Quality assurance and quality improvement are feasible in PASRR
4 4 OUTLINE Brief overview of QI history QI in healthcare and government Discussion of QI frameworks and principles Benefits of applying QI principles to PASRR Examples of potential PASRR QI and QA measures and activities
5 5 What is QUALITY IMPROVEMENT? A formal approach to the analysis of performance and systematic efforts to improve it If you can t MEASURE IT, you can t. MANAGE IT or IMPROVE IT
6 6 HISTORY of QUALITY Medieval Europe 1800s 1900s WWII Quality Revolution (Source: American Society for Quality)
7 7 HISTORY of QUALITY Last Few Decades 1970s Evolution of TQM Six Sigma LEAN Focus on customer Beyond manufacturing
8 8 QUALITY in HEALTHCARE Performance and Process Improvement Population Health and Care Transitions Health Data Analytics Patient Safety Regulatory and Accreditation Quality Review and Accountability
9 9 QUALITY in GOVERNMENT Agency for Healthcare Research and Quality on behalf of the Department of Health and Human Services 3 Aims 6 Priorities Better care Healthy People/ Health Communities Affordable care Patient Safety Person- & Family- Centered Care Effective Communication & Care Coordination Prevention & Treatment Health & Well- Being Affordable Care
10 10 QUALITY in GOVERNMENT Home and Community-Based Services (HCBS) QI framework 2004: QI oversight process identified by CMS CQI approach 2007 & 2014: Revisions Requires quality assurances and subassurances in domains: Level of Care Service Plan Qualified Providers Health and Welfare Financial Accountability Administrative Authority Remediation Reporting
11 11 Quality FRAMEWORKS Model for Improvement: Associates in Process Improvement and Institute for Healthcare Improvement Forming the Team Setting Aims Establishing Measures Selecting Changes Testing Changes Implementing Changes U Spreading Changes Langley, GL, Moen R, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2 nd Edition). San Francisco: Jossey-Bass Publishers; 2009.
12 12 Quality Improvement METHODS SIX SIGMA Motorola and GE Improve performance, minimize variation, and reduce defects manufacturing Data driven 6 sigma = 3 defects per million LEAN Toyota Production System (TPS) Maximize value and minimize waste 7 Wastes: Time, Defects, Motion, Transportation, Overproduction, Inventory, Processing Kaizen continuous improvement Scoville R, Little K. Comparing Lean and Quality Improvement. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; (Available at ihi.org)
13 13 Quality TOOLS & MEASUREMENT Flowcharts PASRR Process PASRR Reviewer Hospital Submits LI via Online system LI reviewed Need LII? N Negative Screen Outcomes Sent Y Meet Categorical or Exemption Criteria? N Y Cat/Ex Outcomes Sent Assessor Referred to assessor For face to face LII
14 14 Quality TOOLS & MEASUREMENT Fishbone diagrams People Policy Hospital staffs have not received training Two MH Dept staffs dedicated to project LIs decisions are made by MH Dept M-F, 8am-4pm Recent change to pre-admission requirement LIs submitted on paper by fax LIs are not timely & providers are frustrated Processes Materials
15 15 Quality TOOLS & MEASUREMENT Check sheets and checklists
16 16 Quality TOOLS & MEASUREMENT Run charts Control charts % LII Rule Out Determinations % LII Rule Outs Median (2.3%)
17 17 KEYS to a SUCCESSFUL QI Project 1 Identify the problem you want to study 2 Get stakeholder involvement and buy-in early: Sell the problem Invoke principles of change and transition management 3 Pick the QI method and tools that best meet the project s needs All models are wrong, and some are useful. 4 Establish your baseline, then reassess (PDSA) 5 Start small and build a portfolio of success 6 Feed QI results back to stakeholders 7 Use stories from the field to illustrate data
18 18 Quality Improvement and PASRR WHY? Again If you can t measure it, you can t manage or improve it Improve outcomes and quality of life for individuals with disabilities Support effective and efficient administration of the PASRR program (Source: Ed Kako, PTAC, )
19 19 But it s not required! That s true, BUT CMS, through PTAC, has signaled that it may likely be required in the future: Must be informative: The data should give us information about a state's PASRR program that we would not otherwise have. Must be reasonable for states to report: Should be data the states are already collecting for other purposes for example, monitoring the performance of a contractor that performs Level II evaluations and determinations. You don t have to stop there. (Source: Ed Kako, PTAC, )
20 The ultimate goal of PASRR is to optimize an individual s placement success, treatment success, and QUALITY OF LIFE 20
21 21 COMPLEMENTARY goals CFR compliance Stakeholder satisfaction Placement success, treatment success, QOL Olmstead compliance Program efficiency
22 22 How states REACH that GOAL: Identify the Person Identify Needs Provide Needed Services (Source: Dan Timmel, CMS, , 2013)
23 23 Align your quality efforts to your goals: Identifying the right PEOPLE %/# of positive and negative LI %/# of positive and negative LIIs MDS and PASRR data analysis Identifying the right people Quality look behinds
24 24 Align your quality efforts to your goals: Identifying NEED Assurances and checks on personcenteredness Qualitative and evidencebased review Service response analysis Identifying the right services
25 25 Align your quality efforts to your goals: Ensuring DELIVERY of services and supports Resource & Service gap analysis Specialized Service delivery analysis Delivery of needed services Discharge and diversion data
26 26 KEYS to QI and PASRR Build quality into your program design Quality measurement activities and deliverables Database management system Discrete variable collection, storage, and analysis Data integrity Push button reporting Workflow solutions Real-time data
27 PASRR Quality Basic Measures and Data 27 Level I (grouped by MI, ID/RC, Dual) Number of Level I s completed annually Number and percentage of positive Level I s completed annually Number and percentage of negative Level I s completed annually Level II (grouped by MI, ID/RC, Dual) Total # of PAS and RR completed annually For PAS and RR - # and % of positive LIIs For PAS and RR - # and % of negative LIIs
28 28 PASRR Quality Intermediate Measures & Data Average time (days) between LI and LII PAS determination Average time (days) for RR determination For PAS and RR: # and % of positive LIIs leading to institutional placement For PAS and RR: # and % of positive LIIs leading to community placement For PAS and RR: # and % of categorical determinations For PAS and RR: # and % of exemption determinations For PAS and RR: # and % of positive LIIs with SS For PAS and RR: # and % of positive LIIs for veterans
29 PASRR Quality Advanced Measures & Data Comparison of MDS data and PASRR data to ensure program efficacy and quality of care Delivery of specialized services Outcome of specialized service delivery Individual Satisfaction/Quality Outcome Surveys Population, Provider, Regional analyses (outcomes, services) Quality look behinds to identify under-reporting of PASRR disabilities Analysis of time-limited categorical and exemption decisions in which the individual exceeded length of stay Many more 29
30 30 OPERATIONS MANAGEMENT DATA Basic Level II Turnaround Reporting Level II Turnaround 42 CFR Part 483, Subpart C requirement: Sees that Level II determinations are made within an annual average of 7-9 working days of a Level I identification. [ (c)] 7 9 days: compliant, but untenable Goal: speed, with good quality how to improve? Measure Break down steps in the process Analyze by factors that influence the quality and speed of each step
31 PROGRAM MANAGEMENT DATA Level II Turnaround Report Example 31
32 32 PROGRAM MANAGEMENT DATA Level II Turnaround Breakdown LI determination to LII assignment LII assignment to LII submission Calendar Days LII submission to LII determination
33 33 APPLYING THE MODEL FOR IMPROVMENT Model for Improvement Framework Aim: What are we trying to accomplish? (SMART) Measures: How will we know that a change is an improvement? Changes: What changes can we make that will result in an improvement? Aim: Over the next X months, decrease the rate of EHD approvals to less than X% of the total number of PASRR outcomes Measures: Percentage of EHD approvals out of the total number of PASRR outcomes Change: Require all EHD request to be reviewed and approved
34 34 QUALITY IMPROVEMENT Outcome Analysis Exempted Hospital Discharge Analysis Policy EHD outcomes were self-selected by the LI submitter and not vetted through an approval authority Data showed - Large % of individuals with EHD approvals ended up staying longer than 30 days. Policy change EHDs were submitted for review and approval through Level 1.5 Outcome Reduction in EHD requests, reasonable % stayed past 30 days
35 35 QUALITY IMPROVEMENT Outcome Analysis Decision concordance study - Demonstrates decision integrity and reliability
36 36 PASRR Resources PTAC PASRR Self-Assessment Tool PTAC National Reports and Fact Sheets
37 37 RESOURCES Institute for Healthcare Improvement American Society for Quality National Association for Healthcare Quality National Institute of Standards and Technology: Baldrige Performance Excellence Program
38 38 CONTACT INFORMATION A N D R E A W O M A C K PTAC Consultant, Region #8 Director of Quality Improvement & IC Network, Ascend Management Innovations [email protected]
IOWA NURSING FACILITY PROVIDER TRAINING
IOWA NURSING FACILITY PROVIDER TRAINING Changes in Iowa PASRR Learning Objectives 2 By the end of the training, you will understand: Nursing Facility (NF) tracking system PathTracker Admissions, discharges,
Performance Management Plan 2014-2015
North Dakota Department of Health Performance Management Plan 2014-2015 1 North Dakota Department of Health Performance Management Plan 2014-2015 CONTENTS Purpose 3 Policy Statement 3 Organizational Structure
Lean and Six Sigma Healthcare Fad or Reality. Vince D Mello President
Lean and Six Sigma Healthcare Fad or Reality Vince D Mello President TODAY S DISCUSSION About Lean Methodologies Application benefits and outcomes About Six Sigma Key learning's QUALITY FUNDAMENTALS Function
Quality Improvement Primers. Change Concepts and Ideas
Quality Improvement Primers Change Concepts and Ideas ACKNOWLEDGEMENTS This workbook is the result of the efforts of the Health Quality Ontario (HQO). For additional information about other resources,
MEDICAL QUALITY MANAGEMENT: THEORY AND PRACTICE Previously titled: Core Curriculum for Medical Quality Management
MEDICAL QUALITY MANAGEMENT: THEORY AND PRACTICE Previously titled: Core Curriculum for Medical Quality Management CHAPTER OUTLINES Note: All chapters open with an introduction, learning objectives and
Primary Care Practice Facilitation Curriculum
Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice
UCLA FIELDING SCHOOL OF PUBLIC HEALTH DEPARTMENT OF HEALTH POLICY AND MANAGEMENT
UCLA FIELDING SCHOOL OF PUBLIC HEALTH DEPARTMENT OF HEALTH POLICY AND MANAGEMENT HPM 215A Quality Improvement and Performance Excellence in Healthcare Organizations Spring 2016 Instructor: Moira Inkelas,
Part 1 Overview of clinical governance 1-1 1 Clinical governance the concept 1-3
Page Part 1 Overview of clinical governance 1-1 1 Clinical governance the concept 1-3 Purposes 1-3 Why clinical governance 1-3 The evolution to accountability for patient care quality and safety 1-4 The
Developing a Formidable Business / Continuous Improvement Methodology in Africa. By: Frederick O Popoola
Developing a Formidable Business / Continuous Improvement Methodology in Africa By: Frederick O Popoola INTRODUCTION The Challenge: How do Organizations survive in a competitive environment? Need to change
Process Improvement Handbook. A Commitment to Ongoing Improvement Using a QAPI Framework
Process Improvement Handbook A Commitment to Ongoing Improvement Using a QAPI Framework This material was prepared by the New York State Offi ce of Mental Health, Offi ce of Quality Management, and adapted
Creating a Human Capital Management Quality Management System
Creating a Human Capital Management Quality Management System An FPMI Solutions, Inc. White Paper Stephen A. Moffett President, FPMI Solutions, Inc. FPMI Solutions, Inc. 1033 N. Fairfax Street Alexandria,
A Brief Overview of Quality Assurance and Quality Improvement for Public Health. Jim Butler James Butler & Associates September 2008
A Brief Overview of Quality Assurance and Quality Improvement for Public Health Jim Butler James Butler & Associates September 2008 Presentation Objectives 1) Define the terms QA and QI. 2) Relate QA,
Overview of Lean at URMC
Overview of Lean at URMC Agenda Introduction to Lean at URMC Strategy for Lean at URMC Understanding Waste Introduction to Tools & Techniques 1 Healthcare, As It Is Currently Delivered in The US, is Unsustainable
Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH
Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH 3 Agenda Need for Lean in Healthcare Lean at UHS Lean & Green Questions McGlynn EA, Asch
Public Health Accreditation Board STANDARDS. Measures VERSION 1.0 APPLICATION PERIOD 2011-2012 APPROVED MAY 2011
Public Health Accreditation Board STANDARDS & Measures VERSION 1.0 APPLICATION PERIOD 2011-2012 APPROVED MAY 2011 Standard 9.1: Use a performance management system to monitor achievement of organizational
Body of Knowledge for Six Sigma Lean Sensei
Body of Knowledge for Six Sigma Lean Sensei What to Prepare For: The following is the Lean Six Sigma Certification Body of Knowledge that the exam will cover. We strongly encourage you to study and prepare
BEGINNING THE LEAN IMPROVEMENT JOURNEY IN THE CLINICAL LABORATORY
BEGINNING THE LEAN IMPROVEMENT JOURNEY IN THE CLINICAL LABORATORY Author: Jason A. Coons, Program Manager, TechSolve Abstract Lean is an extremely powerful tool in identifying and eliminating waste. The
Lean thinking and Six sigma at the level of Clinical Service Delivery
Lean thinking and Six sigma at the level of Clinical Service Delivery Hugh Rogers FRCS Associate, Service Transformation NHS Institute for Innovation & Improvement Healthcare Events 26 th February 2008
MULTIMEDIA COLLEGE JALAN GURNEY KIRI 54100 KUALA LUMPUR
STUDENT IDENTIFICATION NO MULTIMEDIA COLLEGE JALAN GURNEY KIRI 54100 KUALA LUMPUR FIFTH SEMESTER FINAL EXAMINATION, 2014/2015 SESSION MGT2063 TOTAL QUALITY MANAGEMENT DMGA-E-F-3/12, DMGW-E-F-3/12, DMGQ-E-F-3/12
Lean Test Management. Ban Waste,Gain Efficiency. Bob van de Burgt Professional Testing
Lean Test Management Ban Waste,Gain Efficiency Bob van de Burgt Professional Testing 1 I will show you differently! 2 Agenda - Lean Manufacturing - Lean Six Sigma - Roadmap to Lean Test Management - Conclusions
Quality Process in Engineering ISO 9000 and Beyond. Presented by: Roxanne L. Pillar, P.E. October 2014
Quality Process in Engineering ISO 9000 and Beyond Presented by: Roxanne L. Pillar, P.E. October 2014 Good morning Introductions: Quality Management Systems (QMS) What are they? Where do they come from?
The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into
The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material,
The Seven Elements of a Vendor Oversight Program
The Seven Elements of a Oversight Program DST Health Solutions September 2014 The Seven Elements of a Oversight Program The Seven Elements of a Oversight Program Medicare Advantage plans must gain efficiencies
Purchasing Success for the Service Sector: Using Lean & Six Sigma.
Purchasing Success for the Service Sector: Using Lean & Six Sigma. Gurpreet Singh Khurana, MBA, C.P.M., Lean Six Sigma Green Belt Process Improvement Director, AmeriHealth Mercy Family of Companies [email protected]
Adopting Quality Management for Business Success
Adopting Quality Management for Business Success Abstract Many organizations are taking advantage of Quality Management methodologies (such as Six Sigma ) to improve productivity, efficiency, and customer
Lean Six Sigma Training The DMAIC Story. Unit 6: Glossary Page 6-1
Unit 6: Glossary Page 6-1 Glossary of Terms Unit 6: Glossary Page 6-2 Action Plan A technique that documents everything that must be done to ensure effective implementation of a countermeasure or improvement
Process Improvement Program Project Process
Process Improvement Program Project Process 1 P a g e 12/3/2014 The Process Improvement Program is part of the City of Fort Lauderdale s FL 2 STAT Approach to Exponential Improvement. Its objective is
Washington County Public Health Division. Performance Management and Quality Improvement Plan
Washington County Public Health Division Performance Management and Quality Improvement Plan Plan developed by the PMQI Council Prepared by Erin Mowlds and Chelsea Larsen Adopted on 8/7/2014 1 TABLE OF
Topic 7: Introduction to quality improvement methods
Why students need to know about quality improvement methods 1 Students will be familiar with the term evidence-based medicine and the randomized controlled trial, which has enabled medicine to establish
Operational Excellence using Lean Six Sigma Amit Dasgupta
Operational Excellence using Lean Six Sigma Amit Dasgupta Amit Dasgupta 1 Contents Introduction to Operational Excellence Deployment Practice Our Services Amit Dasgupta 2 Operational Excellence using Lean
Lean, Six Sigma, and the Systems Approach: Management Initiatives for Process Improvement
PREPRINT Lean, Six Sigma, and the Systems Approach: Management Initiatives for Process Improvement Robert B. Pojasek Pojasek & Associates, Boston, USA This paper will be published as a featured column
GE Capital. Driving change and continuous process improvement. how-to
Driving change and continuous process improvement Process improvement or PI involves applying tools and techniques to help a company achieve its goals Characteristics Aligned around what customers value
The Lego Lean Game. Danilo Sato, Francisco Trindade XP 2009 Sardinia - Italy. 25 th May 2009
The Lego Lean Game Danilo Sato, Francisco Trindade XP 2009 Sardinia - Italy 25 th May 2009 Agenda! Quick introduction! Simulating a production line!"#$%&'#& -)./0)1#2&! How about software? ()%*+,%& Why
Sanford Improvement Making Lean Work in Healthcare
Sanford Improvement Making Lean Work in Healthcare David Peterson Enterprise Director of Continuous Improvement Outline/Agenda Office of Continuous Improvement Who are we and what do we do? History/Journey
Hospital Performance Management: From Strategy to Operations
Hospital Performance Management: From Strategy to Operations Every hospital wants to be on top in terms of revenue and quality of care. It is tough enough to get to the top, but tougher still to stay there.
INCITO CONSULTING GROUP 8 R E A S O N S W H Y L E A N M AT T E R S M AY 2 7, 2 0 1 5
INCITO CONSULTING GROUP 8 R E A S O N S W H Y L E A N M AT T E R S M AY 2 7, 2 0 1 5 QUICK INTRODUCTION (THANK YOU!) 2 2015 Incito Consulting Group 6/2/2015 ISIDRO IZZY GALICIA PRESIDENT & CEO San Francisco,
Patient Safety And International Hospital Accreditation. Model Partnership in Healthcare: United States & Turkey
Patient Safety And International Hospital Accreditation Model Partnership in Healthcare: United States & Turkey Dr. David Jaimovich President uality Resources International National Healthcare Accreditation
Effectively Managing EHR Projects: Guidelines for Successful Implementation
Phoenix Health Systems Effectively Managing EHR Projects: Guidelines for Successful Implementation Introduction Effectively managing any EHR (Electronic Health Record) implementation can be challenging.
Teaching the Science of Quality Improvement to Graduate Students: Practical Steps for Success. Michelle Freeman PhD, RN
Teaching the Science of Quality Improvement to Graduate Students: Practical Steps for Success Michelle Freeman PhD, RN University of Windsor Windsor, Ontario Faculty of Nursing Quality Improvement (QI)
Performance Management Readiness Survey
Performance Management Readiness Survey Attachment for Deliverable # 2 The following survey has been designed to help agencies determine their readiness for implementing, and/or level of implementation
SCPC's Quality Improvement is the Science of Process Management
SCPC's Quality Improvement is the Science of Process Management Identifying and implementing Processes of Care within your hospital will help transform your organization, improve healthcare processes,
Six Sigma in Action. Data-driven process improvement. Process Improvement Brief February 2015 www.datamark.net
Six Sigma in Action Data-driven process improvement Process Improvement Brief February 2015 www.datamark.net Six Sigma Methodology Applied to clients business processes at our U.S. and offshore sites,
Business Process Optimization w/ Innovative Results
Business Process Optimization w/ Innovative Results Sam DiSalvatore Introduction The principle of continuous process improvement is based on the belief that even excellent products and services can be
Getting Started with Lean Process Management
Getting Started with Lean Process Management Hi-Tec Exchange Conference San Francisco July 25, 2011 Missions To team with Organizational Leaders, Managers, & Employees to focus on customers & improve competitiveness,
Lean Thinking in Healthcare WESTERN STATES MEETING JUNE 26-27, 2014
Lean Thinking in Healthcare WESTERN STATES MEETING JUNE 26-27, 2014 Outline Implementing Lean In Healthcare What is Lean? Why Lean? Lean Principles and Concepts Spotlight on two lean applications: Clinical
Legal Project Management
Legal Project Management Steven B. Levy Author, Legal Project Management Rick Kathuria PMP, P. Eng, CMC Who Are We, Anyway? Rick Kathuria, PMP, P. Eng, CMC Director, IT Development and PMO for McCarthy
Six Sigma in Healthcare Industry : Some Common Barriers, Challenges and Critical Success Factors
Six Sigma in Healthcare Industry : Some Common Barriers, Challenges and Critical Success Factors Professor Jiju Antony Director, Centre for Research in Six Sigma and Process Improvement Caledonian Business
Department of Veterans Affairs VHA DIRECTIVE 1026. Washington, DC 20420 August 2, 2013 VHA ENTERPRISE FRAMEWORK FOR QUALITY, SAFETY, AND VALUE
Department of Veterans Affairs VHA DIRECTIVE 1026 Veterans Health Administration Transmittal Sheet Washington, DC 20420 August 2, 2013 VHA ENTERPRISE FRAMEWORK FOR QUALITY, SAFETY, AND VALUE 1. REASON
Quality Improvement & Performance Management Survey
Quality Improvement & Performance Management Survey Michigan Department of Community Health Public Health Administration February 2012 Prepared by the PHA Office of Performance Improvement and Management
Nova Software Quality Assurance Process
Nova Software Quality Assurance Process White Paper Atlantic International Building 15F No.2 Ke Yuan Yi Road, Shiqiaopu, Chongqing, P.R.C. 400039 Tel: 86-23- 68795169 Fax: 86-23- 68795169 Quality Assurance
TRAINING SESSION SUMMARIES FOR SERVICE
TRAINING SESSION SUMMARIES FOR SERVICE Central to the lean philosophy is the mandate to educate everyone in an organization. Productivity s lean training has been called the best in the business, and for
Insulin Administration and Meal Delivery Coordination for Hospitalized Patients
The Ochsner Journal 13:327 333, 2013 Ó Academic Division of Ochsner Clinic Foundation Insulin Administration and Meal Delivery Coordination for Hospitalized Patients Patrick M. Houck,* Naga Nalini Tirumalasetty,
Successfully deploying Lean in healthcare
Successfully deploying Lean in healthcare Preface This white paper provides strategic guidance for successfully deploying a Lean Program in your healthcare organization. The objective of this white paper
Implementation of Lean Six Sigma Principles: Making Data Cleansing Lean
Implementation of Lean Six Sigma Principles: Making Data Cleansing Lean Nityanand Wachche B.E in Computer Engineering University of Mumbai Mumbai, India ABSTRACT Data cleansing is required before performing
Request for Proposals for Website Design and Development with Hosting and Support
Request for Proposals for Website Design and Development with Hosting and Support Consultant Services Solicited by the Spokane Valley Fire Department Released: March 31, 2016 Submissions Due: April 26,
Understanding the Variety of Total Quality Management Applications. Eric M. Gatmaitan
Understanding the Variety of Total Quality Management Applications Eric M. Gatmaitan Total Quality Management (TQM) A customer-driven quality initiative. Customer satisfaction can only be realized with
Information Technology Services Project Management Office Operations Guide
Information Technology Services Project Management Office Operations Guide Revised 3/31/2015 Table of Contents ABOUT US... 4 WORKFLOW... 5 PROJECT LIFECYCLE... 6 PROJECT INITIATION... 6 PROJECT PLANNING...
Planning for a Successful Information Governance Program. Kathy Downing, MA, RHIA CHPS,PMP AHIMA Senior Director IG
Planning for a Successful Information Governance Program Kathy Downing, MA, RHIA CHPS,PMP AHIMA Senior Director IG Objectives Overview of Project Management Applying Project Management techniques to Information
Revealing the Big Picture Using Business Process Management
Revealing the Big Picture Using Business Process Management Page 1 of 20 Page 2 of 20 Introduction In today s business environment, change is inevitable. Changes in technology, organizational structure,
Lean Healthcare Metrics Guide
Lean Healthcare Metrics Guide Lean Metrics Guide Page 1 This Lean Metrics Guide is a resource to help organizations understand and select metrics to support their implementation of Lean and Six Sigma two
Business Architecture A Balance of Approaches to Implementation. Business Architecture Innovation Summit June 2013 Presenter: Andrew Sommers
Business Architecture A Balance of Approaches to Implementation Business Architecture Innovation Summit June 2013 Presenter: Andrew Sommers Implementing Business Architecture at Capital Group Positioning
Aligning Quality Management Processes to Compliance Goals
Aligning Quality Management Processes to Compliance Goals MetricStream.com Smart Consulting Group Joint Webinar February 23 rd 2012 Nigel J. Smart, Ph.D. Smart Consulting Group 20 E. Market Street West
Lean Six Sigma Lean 201 Introduction. TECH 50800 QUALITY and PRODUCTIVITY in INDUSTRY and TECHNOLOGY
TECH 50800 QUALITY and PRODUCTIVITY in INDUSTRY and TECHNOLOGY Before we begin: Turn on the sound on your computer. There is audio to accompany this presentation. Audio will accompany most of the online
MANAGEMENT INFORMATION SYSTEMS COURSES Student Learning Outcomes 1
MANAGEMENT INFORMATION SYSTEMS COURSES Student Learning Outcomes 1 MIS 180: Principles of Information Systems 1. Explain the importance of determining information system requirements for all management
Lean Six Sigma Black Belt Certification Recommendation. Name (as it will appear on the certificate) Address. City State, Zip
Lean Six Sigma Black Belt Certification Recommendation Name (as it will appear on the certificate) IQF Member Number Address City State, Zip Country We the undersigned, on behalf of the Sponsoring Organization,
Lean Six Sigma. Instructor Guide. Corporate Training Materials
Lean Six Sigma Instructor Guide Corporate Training Materials TABLE OF CONTENTS Preface...1 What is Courseware?... 1 How Do I Customize My Course?... 1 Materials Required... 4 Maximizing Your Training Power...
MERCER WEBCAST INVESTMENT MANAGEMENT FUNCTION IN PRIVATE FOUNDATIONS & EDUCATIONAL ENDOWMENTS: TRENDS IN PAY, PERFORMANCE & ROLES
INVESTMENT MANAGEMENT FUNCTION IN PRIVATE FOUNDATIONS & EDUCATIONAL ENDOWMENTS: TRENDS IN PAY, PERFORMANCE & ROLES SEPTEMBER 30, 2014 Rashid Hassan, Investment Consulting Susan Lemke, Talent Anna Orgera,
Developing and Implementing Integrated Care Pathways Guide 2: Developing Integrated Care Pathways
Effective Interventions Unit pathways Developing and Implementing Integrated Care Pathways Guide 2: Developing Integrated Care Pathways WHAT IS THE PURPOSE OF THIS GUIDE? This is the second in a series
LEAN CERTIFICATION BODY OF KNOWLEDGE RUBRIC VERSION 3.0
MODULE 1 LEAN CERTIFICATION BODY OF KNOWLEDGE RUBRIC VERSION 3.0 1. Cultural Enablers 15% 20% 25% 1.1. Principles of Cultural Enablers 3% 4% 5% 1.1.1. Respect for the individual 1.1.2. Humility 1.2. Processes
How Lean Six Sigma can Change Higher Education. Norma Simons Performance Innovation LLC Secretary ASQ Education Division
How Lean Six Sigma can Change Higher Education Norma Simons Performance Innovation LLC Secretary ASQ Education Division Learning Outcomes Understand the value of project selection Identify the parameters
Stacy McLaughlin, RN, MSN. Director of Quality & Performance Improvement
Stacy McLaughlin, RN, MSN Director of Quality & Performance Improvement 25-bed CAH 21 beds: acute / observation / swingbed 4 bed ICU ED volumes: 14,400 encounters/year 5 Clinics: Rural Health / Primary
Your asset is your business. The more challenging the economy, the more valuable the asset becomes. Decisions are magnified. Risk is amplified.
Asset management Your asset is your business. The more challenging the economy, the more valuable the asset becomes. Decisions are magnified. Risk is amplified. Data is about more than numbers. It tells
MPR 1 Use a performance management system to monitor achievement of organizational objectives.
MPR 1 Use a performance management system to monitor achievement of organizational objectives. Reference: PHAB Standards and Measures 1.5, Standard 9.1 Indicator 1.1 Staff at all organizational levels
The NCCTS Learning Collaborative Model for the Adoption & Implementation of Evidence-Based Mental Health Treatment
The NCCTS Learning Collaborative Model for the Adoption & Implementation of Evidence-Based Mental Health Treatment NCCTS GUIDELINES FOR CONDUCTING A LEARNING COLLABORATIVE A large gap exists between best
Learning Six Sigma Theory
Independent Learning Pursuit FX Competency The following essay was written by a student in the School for New Learning, in support of an Independent Learning Pursuit (ILP). The student has agreed to share
PMP Examination Tasks Puzzle game
PMP Examination Tasks Puzzle game Here is a great game to play to test your knowledge of the tasks you will be tested on in the actual examination. What we have done is take each of the domain tasks in
Readiness for Lean/Six Sigma Key success factors for integrating Lean/Six Sigma in a Healthcare setting
Readiness for Lean/Six Sigma Key success factors for integrating Lean/Six Sigma in a Healthcare setting D. Junell Scheeres, MA, BS, CSSBB VHA s Integrated Delivery Team SHS 2005 Conference Co-Chair [email protected]
Enterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
Performance Management System Workplan (Indicator 1.2)
Performance Management System Workplan (Indicator 1.2) I. Policy Statement: The Branch-Hillsdale-St. Joseph Community Health Agency has adopted a performance management system approach to its services
Online School Accreditation Plan and Annual Performance Report. Colorado Digital BOCES Kim McClelland Kindra Whitmyre Denise Mund
Online School Accreditation Plan and Annual Performance Report Colorado Digital BOCES Kim McClelland Kindra Whitmyre Denise Mund CD BOCES The CD BOCES will fulfill the promise for any student, any time,
Trends and Drivers. Global Order Management and Master Data Management
Trends and Drivers Global Order Management and Master Data Management Table of contents Trends and Drivers Master Data Management Trends and Drivers Global Order Management Page 2 Multiple MDM Domains