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Quality Assurance or Quality Improvement: What’s the Difference?. Johanna Buck* Title I Mental Health Providers Quality Learning Network October 3rd, 2005 *With thanks to Lori DeLorenzo, Susan Weigl and others. Quality Alphabet Soup. Quality Assurance.

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quality assurance or quality improvement what s the difference

Quality Assurance or Quality Improvement:What’s the Difference?

Johanna Buck*

Title I Mental Health Providers

Quality Learning Network

October 3rd, 2005

*With thanks to Lori DeLorenzo, Susan Weigl and others

quality assurance
Quality Assurance

“The planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled.”

American Society for Quality

examples of quality assurance activities
Examples of Quality Assurance Activities
  • Annual child abuse and domestic violence training
  • Chart review for patient's signature on consent forms
  • Utilization Review process

Activities that are based on public health standards, licensing standards, institutional policies, etc.

Can help identify a problem, but are more often used to comply with the standards.

quality improvement
Quality Improvement

“Continuous improvement is an ongoing effort to improve products, services or processes. These efforts can seek “incremental” improvement over time or “breakthrough” improvement all at once.”

American Society for Quality

goals of quality improvement
Goals of Quality Improvement
  • The goals of QI are to understand the process, reduce the unintended variation in care, eliminate errors, remove unnecessary steps, and improve communication and accountability.
  • The process is designed toward outcomes. Quality improvement depends on measurement.
core concepts of cqi
Core Concepts of CQI
  • Quality is defined as meeting and/or exceeding the expectations of our customers.
  • Success is achieved through meeting the needs of those we serve.
  • Most problems are found in processes, not in people.  CQI does not seek to blame, but rather to improve processes. 
core concepts of cqi1
CORE CONCEPTS OF CQI
  • Unintended variation in processes can lead to unwanted variation in outcomes, and therefore we seek to reduce or eliminate unwanted variation.
  • It is possible to achieve continual improvement through small, incremental changes using the scientific method. 
  • Continuous improvement is most effective when it becomes a natural part of the way everyday work is done.
cqi vs research
Quality Improvement

Aim: make changes that result in improvement

Methods:

Test observable

Stable bias

Just enough data

Adaptation of the changes

Sequential tests

Research

Aim: gain new

knowledge

Methods:

Test blinded

Eliminate bias

More data, just in case

Fixed hypotheses

One large test

CQI vs. RESEARCH
what is quality
What is Quality?

Quality is a never-ending cycle of continuous improvement.

-Deming

final thought
Final Thought…

If you don’t have time to do it right, when will you have time to do it over?