LeadershipLeadershipQuestion-1Quality in Health system with TQM and CQI elements The term ‘Quality’ means the degree/ grade of excellence. According to Institute of-Medicine, health care quality is defined as ‘the grade/ degree to which the health-related servicesthat are rendered to persons and communities maximizes the chance of getting desired health-related outcomes as well as consistent with prevailing health care professional knowledge’(AHRQ, 2012). Quality in health organization involves practicing health care interventionsappropriately based on the pre-established procedural standards, with an objective of satisfyingthe patients as well as maximizing health outcomes without creating health- related risks and/orunnecessary expenditure. The elements of quality include providing safe, effective, patient- centered, timely,efficient and equitable care (AHRQ, 2017). There are various approaches of quality managementin which total quality management (TQM) that is called as continuous quality improvement(CQI) in a health system, indulges itself in analyzing the health- related issues, planningcorrective actions, implementing these actions in needed areas and evaluating the effectivenessof these action (NCCHC, 2017). TQM helps to constantly improve the work performance at allthe levels of system in each and every departmental (functional) area of a health organizationutilizing man, money and material resources. AIHW (2017) has stated that Australia peaks highinternationally in quality improvement and remains as one of the top performer in OECDcountries. CQI aims to minimize the capital and waste of poorer quality-care. The elements ofTQM and CQI are as follows: a). the customer/patients focus, whose health-needs are paramountin quality determination. Customer satisfaction, analyzing ownership with services by customer/1

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