The History of CQI in Healthcare and Strengths and Weaknesses of

Each week, you must make at least 3 posts to the Discussion Board. One post will be your response to the week's topic or question, and the other two posts will be responses to your classmates or the Instructor. To earn full credit, all posts must be substantive and well written and the posts must be on at least three separate days of the week. Please see the Discussion Board Rubric for specific expectations for the Discussion Boards. You must use a citation and reference, APA 6th ed. style, in your initial post and in at least one of your response posts. It is important to review the Discussion Board Rubric to fully understand the grading and expectations. To begin discussing in this forum, click the forum title, "Week 1 Discussion Board". Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply. Thank you. This week's topics: The History of CQI in Healthcare and Strengths and Wea

The History of CQI in Healthcare and Strengths
and Weaknesses of CQI

Continuous Quality Improvement (CQI) in healthcare organizations can be defined as the
structured process that involves different healthcare partners in the process of implementing
proactive improvement in the processes so as to improve the healthcare outcomes. The origins of
CQI can be traced back to the work of Walter Shewart in the year 1920 that included a “plan do
study act cycle” that was further amplified by Deming in 1970s (Fernandez, Rozanski, Rathmell,
& Merrill, 2014). Cantiello, Kitsantas, Moncada, and Abdul (2016) also indicated in their study
that continuous quality improvement was one of the six multi pass elements that can be used for
achieving recognition, such as the NCQA recognition. In the health care sector, CQI gained an
importance because of the issue of resource scarcity that required healthcare organizations to
achieve more with less number of resources. CQI has been considered as the philosophy of care
in the healthcare sector (Bear-Lehman, Chippendale, & Albert, 2016).
One of the major strengths of CQI is that it fosters healthcare services that are evidence-based
along with improving the efficiency of the healthcare settings. The efficiency of healthcare
settings is the outcome of timely available useful data along with the self sustaining capabilities
to manage the quality (McCalman, et al., 2018). Continuous quality improvement in the
healthcare focuses on involving people in the planning and execution phases that will help in
meeting or exceeding the patient expectations. One of the major limitations associated with CQI
is associated with the managerial discretions (Price, Schwartz, Cohen, Manson, & Scott, 2017).
It is generally complex to obtain managerial desecration regarding the decisions related to
continuous improvement in the healthcare setting, in addition, CQI focuses on incremental
improvement but sometimes, a healthcare process or system needs to be completely altered so as
to find a new direction.

References
Bear-Lehman, J., Chippendale, T., & Albert, S. M. (2016). Approaches to screening and
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Perkinson (Eds.), Occupational Therapy with Aging Adults (pp. 74-85). ScienceDirect.
Cantiello, J., Kitsantas, P., Moncada, S., & Abdul, S. (2016). The evolution of quality
improvement in healthcare: patient-centered care and health information technology
applications. Journal of Hospital Administration, 5(2), 62-68.
Fernandez, V. E., Rozanski, M. J., Rathmell, J. P., & Merrill, D. G. (2014). Quality Assessment
and Improvement and Patient Safety in the Pain Clinic. In H. T. Benzon, J. P. Rathmell,
& R. W. Hurley, Practical Management of Pain (pp. 56-77.e5). Science Direct.
McCalman, J., Bailie, R., Bainbridge, R., McPhail-Bell, K., Percival, N., Askew, D., & Tsey, K.
(2018, March). Continuous quality improvement and comprehensive primary health care:
a systems framework to improve service quality and health. Front Public Health, 6,
Article 76.
Price, A., Schwartz, R., Cohen, J., Manson, H., & Scott, F. (2017). Assessing continuous quality
improvement in public health: Adapting lessons from healthcare. Healthc Policy, 12(3),
34-49.