Quality Assurance Continuous Quality Improvement Thesis

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However, measurement became periodic rather than continuous. According to D'Aquila, Habegger, and Willwerth, continuous monitoring of the process-related monitoring should begin only when periodic reporting demonstrates less than 100% compliance. In contrast to QA teams who look for wrongdoers to blame, CQI focuses on finding problems to correct. D'Aquila, Habegger, and Willwerth explain that when goals are not achieved, CQI attempts to prove that a higher level of performance is not possible in order to demonstrate that the highest possible quality of care is defined and offered.

Some critics of CQI believe that it is too expensive because of things such as tedious reporting requirements. However, D'Aquila, Habegger, and Willwerth report that there were no incremental staffing costs to implement the ambulatory quality assurance program, but they do admit that that the process was difficult and collecting...

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The authors emphasize having the right tools and cite the use of comprehensive relational database program as well as spreadsheet-statistical/graphics software. Ease of use and the ability to produce timely reports are recommended success criteria.
In summary, CQI brings different assumptions and practices than QA. D'Aquila, Habegger, and Willwerth have highlighted these differences in their description of how the University of Cincinnati Ambulatory Care Services moved from QA to CQI. In moving from thresholds to goals, the university has reshaped participation, emphasized selection of the right goals, fixed problems for optimal performance and implemented a flexible and responsive reporting system.

Bibliography

D'Aquila, N.W.,

Habegger D., and Willwerth E.J. (1994, October). Converting a QA program to CQI. Nursing Management. Vol. 25 (10):68-71.

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Bibliography

D'Aquila, N.W.,

Habegger D., and Willwerth E.J. (1994, October). Converting a QA program to CQI. Nursing Management. Vol. 25 (10):68-71.


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