Introduction to Quality Improvement
Appreciation of a System
First, there is appreciation of a system.
The current process needs to be understood before system level changes are made.
The process map should be completed as a group by everyone who has a role in the process, done by those actually doing the work and reflect what is actually done, rather than what is supposed to happen!
Understand Process and Interdependencies
PATIENT
ACCESS
INTAKE
ASSESSMENT
DIAGNOSIS
TREATMENT
OUTCOMES
Why this is important: What ignited Japan
"The flow diagram … was the spark that in 1950 and onward that turned Japan around. It displayed to top management and to engineers a system of production. The Japanese had knowledge, great knowledge, but it was in bits and pieces, uncoordinated. This flow diagram directed their knowledge and efforts into a system of production, geared to the market- namely, prediction of needs of customers."
The New Economics- Deming, MIT Press, 1994