Accession Number : ADA324226

Title :   The Practice of total Quality Management in the Clinical Setting.

Descriptive Note : Final rept. Jul 95-Jul 96,

Corporate Author : TRIPLER ARMY MEDICAL CENTER HI

Personal Author(s) : Houser, Joseph B.

PDF Url : ADA324226

Report Date : JUN 1996

Pagination or Media Count : 61

Abstract : The institution of Total Quality Management (TQM) at Tripler Army Medical Center (TAMC) is occurring in various stages. TAMC is implementing TQM using the FOCUS-PDCA methodology to improve performance throughout the facility. The use of this methodology assumes that some benefit will accrue. This paper examines the implementation of the FOCUS-PDCA methodology to determine if performance improvement techniques can be applied successfully at the unit level within TAMC to reduce patient waiting times. A participative observational study is used to analyze the effectiveness of TQM in the orthopedic clinic using a template adapted from the Hospital Corporation of America's FOCUS-PDCA model. Results indicate that average patient waiting times decreased by 27 percent using the FOCUS-PDCA performance improvement methodology but barriers to implementation exist that limit the effectiveness of the model. Institutionalization of TQM can only be achieved through acceptance by both senior leadership and physician groups.

Descriptors :   *CLINICAL MEDICINE, *TOTAL QUALITY MANAGEMENT, SETTING(ADJUSTING), MANAGEMENT PLANNING AND CONTROL, LEADERSHIP, MANAGEMENT, BUDGETS, HOSPITALS, OUTPATIENT CLINICS, HEALTH CARE FACILITIES, PHYSICIANS, ORTHOPEDICS.

Subject Categories : Administration and Management
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE