The God has prescribed excellence in all things and it is the duty of everyone to strive for continuous development in all acts he does. In simple words, excellence is not an event but a journey which everyone has to set upon. Healthcare is one of the largest and sensitive industries in the world and therefore, the importance of excellence in this very sector cannot be undermined. The healthcare directly impacts the quality of human life and is generally responsible for creating a healthy and disease free society.
Five Pillars of Organizational Excellence:
Healthcare leaders can successfully excel in providing top quality healthcare services to the public by focusing on improving following five major aspects of their services. The important thing is to manage all of them together to yield best possible results.
- Process Management
- Project Management
- Change Management
- Knowledge Management
- Resource Management
Domains of Quality in Healthcare:
Healthcare service providers must have to take initiatives in order to ensure that all of their departments are following standard procedures to ensure the quality of service they provide to the customers. In this regard, following are six domains of quality in healthcare.
- The healthcare delivery should be safe that is, all the facilities should be topnotch and ensure patients’ safety.
- The staff should be professional and well trained in order to ensure effective healthcare service delivery.
- The administration should also take keen interest in affairs of the healthcare organization and should leave no stone unturned to increase its efficiency.
- All the policies should be patient centered.
- The healthcare delivery should be timely and equitable.
Desirable Characters in Healthcare:
In the context of abovementioned discussion, following are some of the desirable character of a quality healthcare organization.
Efficacy means to bring about improvements in healthcare through science and technology.
Effectiveness is the degree to which improvements in healthcare are actually attained.
Efficacy means reducing the amount of money spent on care without compromising attainable improvements in health.
Optimality is the process of balancing the improvements in healthcare against the cost of healthcare.
Acceptability is about how happy and satisfied patients and their families are and whether their desires and wishes are being fulfilled or not.
Legitimacy of healthcare service is all about conformation to social preferences expressed in norms, values, ethical principles and laws and regulations.
- Discrepancies in Healthcare System:
Despite all the technological advancement and scientific expertise that are hallmark of healthcare systems of developed countries such as United States, these systems fall short in three specific categories.
- Underuse of resources that are actually beneficial.
- Overuse of procedures that are not medically required or necessary.
- Medical errors that lead to injuries of varying degrees to patient.
However, solutions to these problems are fairly simple. First of all, healthcare executives have to identify the root cause of errors in order to eliminate them forever. Secondly, they need to ensure the optimal utilization of various resources such as technology, human resource and others.
What We are Trying to Accomplish?
In the context of above discussion, it is also important for healthcare executives to be clear in their mind about what they are trying to accomplish. What are the changes they need to make to introduce long lasting improvements in healthcare delivery and what is the criterion to determine whether these changes have actually resulted in the improvement.
Measurement is an integral part of implementing and testing changes. If you cannot explain what you are doing as a process then you don’t know what you are doing. Therefore, you need to set up a good measurement system to better control your organization which will eventually lead to improvements. It is also pertinent to remember that quality improvement will always incorporate the content of care and process of providing care as shown in the following figure.
Finally, there are many approaches and models you can implement to monitor and improve the performance of your healthcare organization. Some of these approaches and models include QI, QA, PI, TQM, CQI and FADE, PDSA and Six Sigma. It has become necessary for healthcare organizations to adopt any of these models and approaches in order to provide better healthcare services otherwise future looks bleak for them despite all technological advancements.