Improving Healthcare Quality Through Tools

This assignment discusses the implementation of various quality management tools, such as Total Quality Management (TQM), Just-In-Time (JIT), in healthcare settings. It emphasizes how these tools can enhance the quality of services provided to patients by increasing employee involvement, streamlining processes, and reducing waiting times. The paper cites relevant research and examples to support its claims about the positive impact of these tools on hospital operations.

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Table of Contents
INTRODUCTION...........................................................................................................................1
Introduction of the company and the two selected topics ..........................................................1
Managing quality .......................................................................................................................2
JIT, lean and agility ....................................................................................................................4
Triple bottom line model ............................................................................................................5
CONCUSSION................................................................................................................................6
Recommendation.............................................................................................................................6
REFERENCES ...............................................................................................................................7

INTRODUCTION
Operational management refers to a focus on the practices that is designed to monitor and
manage all the processes within the production and the distribution of products and services. The
product and creation and the service development are the largest activities that operation
management mainly focuses on (McFadden, Stock and Gowen III, 2015). The primary goals of
the operation management is to manage purchase, monitor inventory and preserving the quality.
The analysis of the company's internal process is also included in the operation management.
The supply chain management and the logistics are the two terms that for operation management.
In both areas' operation management has firm foundations. For an instance in order to meet
demand of the customers the understanding of global trend in supply chain management can be
useful. The careful planning of resources can be done with the help of logistics. In order to fulfil
the strategic goals of the business the operation management can be used.
The process of planning, implementing, controlling procedures for the efficient
transportation and storage of good is known as logistics. The aim of the logistics is to satisfy the
needs of the customers. For very company the operation management is the core function. By
using the concept of operation management the people, technology, and all other good services
can be managed that are needed in production goods and services (Mitra, 2016. ).
Introduction of the company and the two selected topics
The Cambridge University Hospital NHS foundation trust is one of UK's NHS
foundation trust. In the Cambridge area and in the south-east England this trust provides healthy
care for people. The specialist care is being offered by this hospital. For the efficient
functionality and provision of health serveries operation management is essential. A considerable
amount of reform is being there in health care sector and also the jobs of these who manage the
heath care operations is also changing as well. All the needs of the patients is being looked after
in this hospital (Mosadeghrad, 2014.).
The two selected topics is the managing quality and the second one is JIT, lean and
agility. The effectiveness of the treatment can be improved through the quality management and
also the with the service that is being given to the patients the satisfaction will be increased.
Quality management in the health care is gaining increased attention with an ageing population
and increase in health care costs. On the needs of the patients the effective quality management
will focus as the effectiveness of the treatments and appropriateness of the service will be judged
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by thermite management system can be used in the hospital in order to minimize the cost while
maintaining the quality patients care. Due to spoilage of perishable goods this has also helped he
hospital to reduce the waste. The maximum value for the patients can be created by using lean as
it reduces the wastes. The consideration of the needs of the customers, employee engagement
and continuous important is emphasized by the lean. By using the agility in the health care the
quality care to the patient will be given (Secanell and Garel, 2014.).
Managing quality
The Cambridge University Hospital NHS foundation trust can implement total quality
management or TQM for the continuous growth and improvement in the service that is being
given to the patient at this hospital. For the development of the healthcare service continuous
quality improvement can be very essential (Kerzner and Kerzner, 2017.). On the three principles
that is continuous quality improvement, customer focus and the team work TQM mainly focuses.
The customer satisfaction is one of the long-term benefit of TQM The aim of TQM in hospital
will be to improve the quality and the best measures that will match the expectation of customers
will be identified by this tool. The problems are being identified by TQM interventions. For an
example in this hospital TQM will help to reduce the waiting time by changing a method of
appointment. Through this satisfaction among customers will be more has they don't have to wait
for longer time for their appointment. By making use of TQM both the external factors and
internal factors of this hospital can be analysed to enhance the quality of the service. Many
challenges are being faced by the hospital due to increase in cost and rapidly growing
technology. There is a pressure on organization to make use of a tool that will to provide a high-
quality services to the customer. In order to deal with the challenged that is being faced by the
hospital TQM tools can be used. To the safety of health are security, attitude of staff, role of
doctors the TQM is related to it.
In order to reduce the cost, improve efficiency and give a high quality standard care to
the patient this hospital have adopted this tool. The prospects of the market share the profitable is
being offered by TQM. In the quality of health care system TQM can be an essential part of the
hospitals competitive strategy. The process approach, continual improvement, leadership, focus
on the customers etc are some principles of TQM. Through the customer focused this hospital
will try to understand the current and future needs of the customers and also try to meet up these
needs. The efforts will also be made by the hospital in order to exceed the expectation of the
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customer (Jacobs, Chase and Lummus, 2014.). The leadership in this hospital will help to create
and develop internal environment. The unity will be there in hospital and all the staff and
employees will work together in the achievement of the objective of the organization. The
involvement of the people that are working in the hospital will be there as each and every team
member will make sure the good quality and the improvement will also be recommended by
them. There will also be a continual improvement in hospital. The better care and better services
will be given to the patient in Cambridge University Hospital NHS foundation trust due to
implementation of TQM. And also this will develop more satisfaction among the patient
regarding the services that is being given to them at the hospital.
The other hospital such as Arnold palmer hospital is also implementing TQM in their
hospital in order to manage quality of their services. This will help the hospital to increase sales
and reduce the cost. With the implementation of this the billing system at this hospital is accurate
and in the timely manner the work is being done. The standard of service that is given to the
patient have being improved due to implementation of TQM (Gratwohl and Apperley, 2014).
However on the other side in Cambridge University Hospital NHS foundation trust TQM is used
as a method of leadership and management that the errors in the system and variation rather than
blaming the people. With the external and internal suppliers the long term relationship will be
developed. In order to analyse the process and measure the system improvement it makes use of
accurate data. The staff who can work in system analysis and improvements are involved. As the
basis of team-work this tool will help the hospital to set up effective collaborative meetings. In
the leading ongoing improvement process it will help to training supervisors and managers.
In order to implement TQM in this hospital firstly the quality improvement
organizational structure need to be designed.
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The responsibility for the top management committee will be given to the quality steering
committee and also they will be given the responsibility for laying out policy guidelines for total
quality initiative of the hospital. For the two-way communication the quality resource groups
will be responsible and also they will be responsible for the overall supervision of the process
improvement teams (Gratwohl and Apperley, 2014.).
In the next step the raring will be given to the each operating groups. Under the
supervision of the quality resource group the mission, visions ,quality definition will be
developed by each operating group. The quality improvement model will be adopted by the
hospital in order to provide a heigh level road map to the team. By each department customer
awareness initiative will be developed for both external and internal customers. A result-drive
approach will be sued in the hospital to focus on the targeted areas.
JIT, lean and agility
JIT tool can be applied to both manufacturing and non-manufacturing operations. The
end product and service can be created by both service and manufacturing forms so JIT tool is
applicable to both environments (Emilsson and Ludvigsson, 2015). If the JIT is implemented in
the health care then the supply chain management of healthcare operations can be affected
positively. In the supply chain the JIT enables great enhancement by providing the accurate
materials, low cost and efficient services to facilitate care of patients. The successful example of
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Illustration 1: Implementation of TQM
(Source: Total quality management implementation in the healthcare industry, 2017. )

adopting the JIT management system is the medical sterilization inc(MSI). A highly hospital-
tailored version of JIT is employed by the MSI.
By implementing the JIT tool in the Cambridge University Hospital NHS foundation trust
the various advantages will be gained by this hospital in comparison with other hospital that have
not adopted this tool. With the hospital will be able to reduce their overhead expensed and at the
same time it will make sure that excellent services will be given to the patients at the hospital. In
order to services their customer better this tools is mainly used by the companies. In order to
handle the supply chain the just-in time tool will help the hospital to be more efficient and
competitive in the way they handle their supply chains. Throughout the process of manufacturing
a more efficient supply chain can offer a lower cots and then to the customer those lower cost
can be passed. The services that is being provided in the hospital to the customers will become
more affordable and with this they will able to gain more market share and will stay ahead of the
rival hospitals such as Arnold palmer hospital. With this tool the hospital will able to provide
better services to its patient and thus there will be more satisfaction among them. In a faster and
efficient way they will be able to services the customers. This will also help the hospital to
respond more quickly to the changing needs of the customers (Cascio, 2018).
When delivering care to patient the lean principle can be applied in the hospital in order to
become more effective and efficient. By using the lean principle the hospital will be able to
improve quality, better services will be given to the patients and with this there will be less harm
due to preventable errors. By making use of lean the work life of the hospital will improve as the
in the hospital the waste will be reduce, stress levels will be less and also the hospital personnel
will be able to spend more tome on and focus more on patient care. In along term perspective the
hospital will be benefited as will reduce the capital costs and ongoing expenditures. From the
better quality and services it will also improve the reputation of the hospital in the market. In
order to crate a good patient management the lean and agile can be combined in the hospital.
With this the better care and service will be given to the patient in this hospital.
Triple bottom line model
This model is being adopted by this hospital in order to evaluate the performance in a
broader prospective to develop greater value for the business. On the assumption this model
works and it is being assumed the corporation is the member of the moral community and this
will give it social responsibilities. On the sustainability this theory will focus and on three
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independent scales the company will weigh its actions. The three independent scales are
economic sustainability, social sustainability and environmental sustainability. On the long term
the economic sustainability will focus as this is the nature of the persistent company. In the
society on the balance of precedence is given by the social sustainability. With this the hospital
will be allowed to continue to exist and the good will be foster in between the hospital and in the
society in which it exists. The benefit to the environment need to be provided by the hospital and
must not harm and reduce the environmental impact. The ecological footprint will be reduced by
and it will carefully manage the consumption of energy and non -renewable resources. Also in
this hospital the water will be disposed properly. The harmful or destructive products will also
not be produced by the company (Carayon and Gurses, 2014).
CONCUSSION
Thus summing up the above report it can be concluded that by using the concept of
operation management in the company the process of production can be designed and controlled.
In order to improve the quality and efficiency of care the hospital also need to be adopted the
operation management. The two methods such as mange quality and JIT, lean and agility is
being is used in the hospital in order to enhance the quality of their services.
Recommendation
It is being recommended that the hospital Cambridge University Hospital NHS
foundation trust need to make use of tools such as quality control, TQM, JIT etc in order to
enhance the quality of the services that is given to the patients. With the implementation of these
tools the involvement of the employees will be more in the work and also the faster services will
also be given to the customers as the waiting time will reduce. So, in a way positive impact will
be their in the hospital due to all these tools.
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REFERENCES
Books and journals
Carayon, P. and Gurses, A.P., 2014. Human factors systems approach to healthcare quality and
patient safety. Applied ergonomics, 45(1), pp.14-25.
Cascio, W., 2018. Managing human resources. McGraw-Hill Education.
Emilsson, L. and Ludvigsson, J.F., 2015. Review of 103 Swedish healthcare quality registries.
Journal of internal medicine, 277(1), pp.94-136.
Gratwohl, A. and Apperley, J., 2014. Use of the quality management system'JACIE'and outcome
after hematopoietic stem cell transplantation. haematologica, pp.haematol-2013.
Jacobs, F.R., Chase, R.B. and Lummus, R.R., 2014. Operations and supply chain management
(pp. 533-535). New York, NY: McGraw-Hill/Irwin.
Kerzner, H. and Kerzner, H.R., 2017. Project management: a systems approach to planning,
scheduling, and controlling. John Wiley & Sons.
McFadden, K.L., Stock, G.N. and Gowen III, C.R., 2015. Leadership, safety climate, and
continuous quality improvement: impact on process quality and patient safety. Health
care management review, 40(1), pp.24-34.
Mitra, A., 2016. Fundamentals of quality control and improvement. John Wiley & Sons.
Mosadeghrad, A.M., 2014. Factors influencing healthcare service quality. International journal
of health policy and management, 3(2), p.77.
Secanell, M. and Garel, P., 2014. Deepening our understanding of quality improvement in
Europe (DUQuE): overview of a study of hospital quality management in seven
countries. International journal for quality in health care, 26(suppl_1), pp.5-15.
Online
Total quality management implementation in the healthcare industry. 2017. [PDF] Available
through:<file:///home/user1/Desktop/MIHS-2017-001%20(1).pdf/>
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