quality management integration in long-term care: guidelines for excellence (bradley excerpt)

7/21/2019 Quality Management Integration in Long-Term Care: Guidelines for Excellence (Bradley Excerpt)

http://slidepdf.com/reader/full/quality-management-integration-in-long-term-care-guidelines-for-excellence 1/8

Gopyrjhbt © 3::: `y Blcntb ]roilssjoes ]rlss, Jeg. Cnn rjhbts rlslrvld.



GOETLETW

Gbcptlr 3 Fly Goeglpts je Sucnjty Kcechlklet Jetlhrctjoe . . . . . . . . . .3

Hujdlnjels Ior Lxglnnlegl je Gcrl ced Wlrvjgl . . . . . . . . . . . . . . . . .0

Gorl Goeglpt 31Gustoklr Iogus . . . . . . . . . . . . . . . . . . . . . . . . . .7

Gorl Goeglpt 01 Goetjeucn Nlcrejeh . . . . . . . . . . . . . . . . . . . . . . . .4

Gorl Goeglpt 71 Lkpnoyll Jevonvlklet . . . . . . . . . . . . . . . . . . . . . .<

Gorl Goeglpt 41 Wystlks Orjletctjoe . . . . . . . . . . . . . . . . . . . . . . .8

Gorl Goeglpt <1 Goetjeuous ]roglss Jkprovlklet . . . . . . . . . . . . . .2

Gorl Goeglpt 91 Nlcdlrsbjp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Grjtjgcn Jssuls ced Iuturl Trleds je SKJ . . . . . . . . . . . . . . . . . . . .30

Plcgbjeh ior Lxglnnlegl Tbrouhb SKJ . . . . . . . . . . . . . . . . . . . . .34Tbl 7-]bcsl Sucnjty Kcechlklet Jetlhrctjoe ]roglss . . . . . . . . . .34

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Gbcptlr 0 Tbl Lvonutjoe oi SKJ1 Bjstory,Toons, ced Tlgbejquls . . . . . .3:

Lxckjejeh tbl Bjstorjgcn Poots oi TSK ced GSJ . . . . . . . . . . . . .3:

Jkpnlkletjeh TSK ced GSJ je tbl Wlrvjgl Jedustrjls . . . . . . . . . .03

Jkpnlkletjeh TSK ced GSJ je tbl Blcntb Gcrl Jedustry . . . . . . .07

Lxckjejeh SKJ Jkpnlkletctjoe ced Plsunts1

Two Kjej-Gcsls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .02

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73Gbcptlr 7 Jkpnlkletjeh SKJ je tbl Eursjeh Icgjnjty . . . . . . . . . . . . . . .77

Iouedctjoe oi SKJ1 Feowjeh Xbo Js tbl Gustoklr . . . . . . . . . . .74

Jkpnlkletctjoe oi SKJ ]roalgt ]nces1 7-]bcsl

Sucnjty Kcechlklet Jetlhrctjoe ]roglss . . . . . . . . . . . . . . . . .79

]bcsl 31 ]rjorjtjls, Wtrctlhjls, ced O algtjvls . . . . . . . . . . . . . . . . .78

]bcsl 01 Jkpnlkletctjoe oi tbl Sucnjty Jkprovlklet

]roglss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7:

]bcsl 71 Goetjeuous Jkprovlklet oi tbl Sucnjty

Kcechlklet ]roglss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4:

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<0

Gbcptlr 4 Jetlrecn Grjtjgcn Jssuls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<<

SKJ Icgtors \ejqul to Blcntb Gcrl . . . . . . . . . . . . . . . . . . . . . . .<9

Jetlrecn Orhcejzctjoecn @crrjlrs . . . . . . . . . . . . . . . . . . . . . . . . . . .<8

Kcechlklet ]lrglptjoes oi @crrjlrs to SKJ . . . . . . . . . . . . . . . . .8=

Otblr Grjtjgcn Jssuls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Sucnjty Kcechlklet irok tbl Gorporctl ]lrsplgtjvl . . . . . . . . . . .87

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8<

Gbcptlr < Lxtlrecn Grjtjgcn Jssuls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8:

Ijecegjcn Pljk`urslklet Wystlks . . . . . . . . . . . . . . . . . . . . . . . . .8:Plhunctory Plqujrlklets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

C ]jgturl oi tbl Iuturl1 Jetlhrctld Dlnjvlry Wystlks . . . . . . . . . . .2<

@crrjlrs ced Grjtjgcn Jssuls (Jetlrecn ced Lxtlrecn) . . . . . . . . . . . . .28

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

v

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl v




Gbcptlr 9 Kcechlklet `y Icgt1 Dctc Gonnlgtjoe ced Cecnysjs

Crl tbl Iouedctjoes oi Dlgjsjoes . . . . . . . . . . . . . . . . . . . . . . .:3Gokkoe Gcusl Cecnysjs oi Gcrl Dlnjvlry Wystlks

ced ]roglssls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:0

\sls oi Dctc je SKJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:7

Dctc Gonnlgtld Durjeh tbl Xoodnced Gcrl Gletlr ]roalgt1

Kltbods,Plsunts, ced Lvcnuctjoes . . . . . . . . . . . . . . . . . . . . . . .3=<

\sl oi Wurvly Dctc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3=9

]roglss Icgtors to Trcgf SKJ Jkpnlkletctjoe . . . . . . . . . . . . . . .333

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337

Gbcptlr 8 ]ctbwcy to Wugglss1 Wtrctlhjg Cpprocgbls toJkpnlkletjeh SKJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33<

Elw Ponls ior Kcechlklet ced Lkpnoylls, Ionnowjeh

SKJ Jkpnlkletctjoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .332

Xorfjeh wjtb Jetlrecn ced Lxtlrecn Goesuntcets . . . . . . . . . . . . . .332

Csslssjeh tbl @rlcdtb ced Dlptb oi SKJ Dlpnoyklet

je ce Orhcejzctjoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .307

Xoodnced Gcrl Gletlr1C ]ostsgrjpt . . . . . . . . . . . . . . . . . . . . . . .307

Ijvl Hrlct Plcsoes to Jkpnlklet SKJ . . . . . . . . . . . . . . . . . . . .304

Wtctus oi SKJ Jkpnlkletctjoes1 Sulstjoes Plkcje . . . . . . . . . . .30<

Wukkcry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309

Cppledjxls

C1 Tbl 7-]bcsl Sucnjty Kcechlklet Jetlhrctjoe ]roglss . . . . . .30:

@1 Lxlgutjvls‚ ced Kcechlrs‚Hujdl to Jetlhrctjoe oi Elw

Sucnjty Kcechlklet Gunturl . . . . . . . . . . . . . . . . . . . . . . . .37=

G1 Blcntb Gcrl Grjtlrjc ior ]lriorkcegl Lxglnnlegl—3:::1

C Ircklworf ior Orhcejzctjoe Wlni-Csslssklet . . . . . . . . . . .373

D1 Dctc-Drjvle SKJ1C Kjej-Bced`oof . . . . . . . . . . . . . . . . . .370

L1 SKJ Wurvly Plsunts1Xoodnced Gcrl Gletlr1 ]rl- ced

]ostlvcnuctjoes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372I1 Ickjny Wctjsicgtjoe Wurvlys . . . . . . . . . . . . . . . . . . . . . . . . . .343

H1 ]rlnjkjecry Wtrctlhjg ]nceejeh ior SKJ (Wckpnl) . . . . . . . . . .3<3

B1 Okej`us @udhlt Plgoegjnjctjoe Cgt oi 3:28 (O@PC) . . . . . .3<0

J1 SKJ Ellds Csslssklet Jetlrvjlw oe Gurrlet

Wtctus oi Icgjnjty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3<7

A1 Ior Iurtblr Plcdjeh ced Yjlwjeh—SKJ ct tbl Nj`rcry . . . . .3<4

F1 Cgglnlrctors ced Jebj`jtors Plqujrl Sucnjty

Gouegjn‚s Cttletjoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3<:

N1 Sucnjty Kcechlklet ]nce (Wckpnl) . . . . . . . . . . . . . . . . . . . .39=

K1 Csslssklet Toon ior SKJ Dlpnoyklet1 Wtrctlhjg]nceejeh ior Orhcejzctjoecn Dlvlnopklet . . . . . . . . . . . . . . .394

Jedlx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .398

vj Goetlets

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl vj




NJWT OI LRBJ@JTW

SKJ Jkpnlkletctjoe Hujdlnjels

Gustoklr Iogus Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Goetjeucn Nlcrejeh Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . . . . . . . . . . . .<

Lkpnoyll Jevonvlklet Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . . . . . . . . . .9

Wystlks Orjletctjoe Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . . . . . . . . . . . .8

Trcesiorkjeh Jeputs (Plsourgls) jeto Outputs (Wlrvjgls ced ]rodugts) . . . . . . . . . . . . .:

Goetjeuous ]roglss Jkprovlklet Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . .:

]roglssls ced Wystlks1 Dojeh Zour Xorf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3=

Nlcdlrsbjp Jkpnlkletctjoe Hujdlnjels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Aurce‚s Sucnjty Trjnohy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03Tbl ]nce‗Do‗Wtudy‗Cgt Gygnl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00

Kcfjeh Gustoklr Wlrvjgl Korl tbce c Wnohce . . . . . . . . . . . . . . . . . . . . . . . . . . . .07

„Dctc‛ vlrsus „Jeiorkctjoe‛ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .04

Sucnjty Cssurcegl vlrsus Sucnjty Jkprovlklet . . . . . . . . . . . . . . . . . . . . . . . . . . . .0:

Nlcdlrsbjp Ponls je SKJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4=

Kuntjicgjnjty Orhcejzctjoe Sucnjty Gouegjn Jeircstrugturl (Wckpnl) . . . . . . . . . . . . .43

Sucnjty Jkprovlklet ]roalgts je tbl Dlpcrtklets . . . . . . . . . . . . . . . . . . . . . . . . . .49

To Tlck or Eot to Tlck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Csslssjeh SKJ Trcjejeh Ellds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<3C Wystlkctjg Cpprocgb to ]roglss Jkprovlklet

Gouetlrcgts ]onjtjgs/Turi @cttnls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9<

Jedjgctor ]rjorjty Kctrjx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

33 @crrjlrs to SKJ Jkpnlkletctjoe—Kcechlklet‚s ]lrglptjoes . . . . . . . . . . . . . .83

Wtrctlhjg Sucnjty ]nceejeh @lhjes wjtb tbl @ocrd oi Djrlgtors

ced Inows Tbrouhb tbl Orhcejzctjoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

Kcjetcjejeh Gokpnjcegl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Orhcejzctjoecn Jkpcgt oi Ylrtjgcnny Jetlhrctld Wystlks

oe Lkpnoylls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29]roglss Jkprovlklet je tbl Klcn-Dlnjvlry ]roglss (\sjeh tbl SKJ Toons) . . . . . . . .:7

]crlto Djchrck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:4

Pue Gbcrt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:4

]roglss Inow Djchrck (Inowgbcrt) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:<

Gcusl-ced-Liilgt Djchrck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:9

Koejtorjeh Orhcejzctjoecn Outgokls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .::

Gnjejgcn Dctc1 Jedjgctors tbct Trcgf ]roglss Outgokls . . . . . . . . . . . . . . . . . . . . . .3=3

Sucnjty Jedjgctors Iogus ]roglss Kcechlklet/Sucnjty Jkprovlklet Liiorts . . . . .3=4

\sjeh Gbcrts to Cecnyzl Dctc ced Gokkuejgctl Plsunts . . . . . . . . . . . . . . . . . . . .3=8]crlto Djchrck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3=2

Pue Gbcrt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3=:

Jedjgctor Wlnlgtjoe Plgord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .330

Goetjeujeh Ldugctjoe ior Sucnjty Nlcdlrs1 Glrtjijld Sucnjty

Kcechlr (GSK) @ody oi Feownldhl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303

vjj

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl vjj




]PLICGL

]rjor to tbl nctl 3:2=s, „noeh-tlrk gcrl‛ wcs prjkcrjny c rcehl oi slrvjgls tbct wlrl

oiilrld to ircjn ondlr cdunts njvjeh je jestjtutjoes tbct provjdld blcntb gcrl, plrsoecn gcrl,

ced rlbc`jnjtctjoe slrvjgls, usucnny ior lxtledld plrjods oi tjkl. Tbl goetlkporcry

lkpbcsjs oe blcntb rlstorctjoe ced rlturejeh lndlrs to eoejestjtutjoecn slttjehs (l.h., jedj-

vjducn‚s bokl, òcrd ced gcrl bokl) iorgls icgjnjtjls to rlspoed to tbl hrowjeh lxplgtc-

tjoes oi blcntb gcrl proilssjoecns, rlhunctory ced pcylr hroups, ickjny klk`lrs, ced

rlsjdlets.Sucnjty kcechlklet prcgtjgls cnnow noeh-tlrk gcrl icgjnjtjls to rlspoed to levj-

roekletcn ced jedustry gbcehls, wbjnl lebcegjeh rlspoesjvlelss to gustoklrs. Tbjs

rlspoesjvlelss to gbcehl js c fly icgtor je cey icgjnjty‚s sugglss.

Tbl tlrk „totcn qucnjty kcechlklet‛ (TSK) rlprlslets orhcejzctjoe-wjdl qucnjtyjkprovlklet ced qucnjty kcechlklet ior cnn lkpnoylls ced kcechlrs je cnn dlpcrtklets

ced proglssls. Wokl orhcejzctjoes gcnn tbl TSK proglss goetjeuous qucnjty jkprovlklet

(GSJ), rlilrrjeh to tbl stlcdy gbcehls je worf proglssls tbct jkprovl rlsjdlet gcrl ced

ce orhcejzctjoe‚s „òttok njel.‛Tbl iogus oi òtb GSJ ced TSK js provjdjeh slrvjgl to

ce orhcejzctjoe‚s gustoklrs `y klltjeh tbljr ellds ced rlqujrlklets, dlnjhbtjeh tblk

wjtb tbl slrvjgls provjdld, ced cetjgjpctjeh iuturl ellds. @lgcusl noeh-tlrk gcrl icgjnj-

tjls vcry wjdlny je dlsjhectjeh tbljr qucnjty kcechlklet proglssls cs TSK or GSJ, wl

ilnt tbl elld ior c sjehnl dlsjhectjoe—qucnjty kcechlklet jetlhrctjoe, or SKJ—tbct

gok`jels òtb pbjnosopbjls ced ùjnds oe tbljr iouedctjoe.

S\CNJTZ KCECHLKLET JETLHPCTJOE (SKJ)

SKJ gok`jels tbl goeglpts oi TSK ced GSJ

Goetjeuous qucnjty jkprovlklet (GSJ)

Goetjeuousny jkprovjeh tbl lxglnnlegl oi proglss outgokls/rlsunts to

optjkjzl gustoklr sctjsicgtjoe

Totcn qucnjty kcechlklet (TSK)

Jevonvjeh cnn pcrts oi tbl orhcejzctjoe ced cnn oi tbl lkpnoylls je

goetjeuous proglss jkprovlklet

SKJ cddrlssls qucnjty kcechlklet jssuls sugb cs

• Xbo js jevonvld je SKJ ced je wbct crlcs oi tbl orhcejzctjoe?

• Xble ced bow dols ce orhcejzctjoe jkpnlklet SKJ prcgtjgls?

• Xbct js tbl lst wcy to jkprovl ce orhcejzctjoe‚s worf proglssls?

• Xbct js tbl jetledld liilgt oe gustoklrs?

• Bow dols ce orhcejzctjoe slt prjorjtjls?

Tbl two prjkcry qulstjoes tbct crl cddrlssld je tbjs òof crl

3. Bow gce wl jkprovl noeh-tlrk gcrl ior lcgb rlsjdlet, wbjnl sjkuntcelousny`lgokjeh korl liilgtjvl tbrouhbout tbl icgjnjty cs c wbonl?

0. Bow gce wl `l korl liijgjlet ced rldugl tbl rjsf oi lrror, ylt kcjetcje our iogus

oe tbl gustoklr sctjsicgtjoe oi lcgb rlsjdlet ced bjs or blr ickjny?

@lgcusl tbl goeglpts ced outgokls oi TSK ced GSJ crl so gnoslny rlnctld, wl

dlvlnopld tbl SKJ kodln ced jts sjx gorl goeglpts. Lcgb oi tbl sjx goeglpts js iouedld

jx

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl jx




oe dctc gonnlgtjoe ced cecnysjs, cs dlsgrj`ld je Gbcptlr 3 (sll tbl SKJ kodln ct tbl

`lhjeejeh oi lcgb gbcptlr). Xl strlss jetlhrctjoe je SKJ `lgcusl tbl gorl goeglpts cedtbljr rlnjcegl oe dctc crl jetlhrctld jeto tbl dcjny worf oi tbl letjrl orhcejzctjoe ced do

eot stced cnoel cs c slpcrctl qucnjty proalgt.

Cppnyjeh tbl sjx gorl goeglpts oi SKJ js vjtcn ior sugglssiun strctlhjg pnceejeh, trcje-

jeh/ldugctjoe, ced jkpnlkletctjoe. @lgcusl wl tcfl c rlcnjstjg cpprocgb to jkpnlkletc-

tjoe, `crrjlrs ced grjtjgcn jssuls crl jdletjijld ced dlijeld gnlcrny, cs crl „rlcn-wornd‛

suhhlstjoes oe worfjeh tbrouhb o`stcgnls. ]owlriun SKJ toons ced tlgbejquls crl dl-

tcjnld to lesurl tbct tlcks ced jedjvjducn lkpnoylls or kcechlrs wjnn `l sugglssiun,

wbltblr jejtjctjeh strctlhjg pnceejeh ior qucnjty jkprovlklet or jkprovjeh ce lstc`njsbld

proglss.Tbl 7-pbcsl qucnjty kcechlklet jetlhrctjoe proglss (p. 3< ced Gbcptlr 7 sbow

tbjs proglss je dltcjn) lesurls tbct nlcdlrsbjp cgtjvjtjls, sugb cs tbl orhcejzctjoe‚s qucnjty

gouegjn, crl liilgtjvl.

Ce cgtucn gcsl study je noeh-tlrk gcrl—Xoodnced Gcrl Gletlr ct tbl `lhjeejeh oi

jts qucnjty aourely—js jetrodugld ced ionnowld tbrouhb tbl `oof. (Xoodnced Gcrl Gle-

tlr js c psludoeyk tbct js usld to protlgt tbl trul jdletjty oi tbl icgjnjty.Kost oi tbl otblr

kjej-gcsls crl syetblsjzld irok tbl cutbors‚ gok`jeld lxplrjlegls je noeh-tlrk gcrl.)

Xoodnced‚s aourely rlinlgts kcey grjtjgcn jssuls ced `crrjlrs tbct kust `l icgld `y otblr

NTG orhcejzctjoes ced jnnustrctls tbl SKJ proglss.

Lcgb gbcptlr goetcjes djspncys tbct bjhbnjhbt tbl bukce or prcgtjgcn csplgts oi SKJ

jkpnlkletctjoe je noeh-tlrk gcrl icgjnjtjls.Tblrl crl euklrous jnnustrctjoes oi jkpnl-kletctjoe progldurls ced vcrjous gcsl kctlrjcns crl jegnudld.

Gbcptlr 3 provjdls ce ovlrvjlw oi tbl sjx gorl goeglpts tbct crl jevonvld je jkpnl-

kletjeh ce liilgtjvl SKJ proglss ced jnnustrctls tbljr rlnjcegl oe dctc-drjvle dlgjsjoe

kcfjeh.Tblsl sjx goeglpts kcfl up wbct wl gcnn tbl SKJ kodln.Lcgb gorl goeglpt js

dlsgrj`ld je dltcjn ced js cggokpcejld `y prcgtjgcn jkpnlkletctjoe hujdlnjels ior tbljr

jetlhrctjoe je dcjny worf.C euk`lr oi fly tlrks ced tlgbejquls crl jetrodugld, jegnud-

jeh tbl 7-pbcsl qucnjty kcechlklet jetlhrctjoe proglss.Tbjs proglss js c hujdl tbrouhb

tbl qucnjty aourely.

Elxt,wl dlsgrj`l tbl jssuls tbct crl icgld y tbl noeh-tlrk gcrl jedustry wjtbje tbl

`rocdlr bjstory oi TSK ced GSJ. Gbcptlr 0 lxckjels tbl roots oi qucnjty kcechlkletced jts dlvlnopklet je otblr slrvjgl jedustrjls ced je tbl blcntb gcrl jedustry. Wugglssiun

tlgbejquls cs wlnn cs potletjcn pjticnns je jetrodugjeh SKJ to c icgjnjty crl bjhbnjhbtld.

Jssuls sugb cs gustoklr slrvjgl6 kcechlklet‚s ronl je jkpnlkletjeh qucnjty kcechlklet

proglssls6 ced dctc gonnlgtjoe ced cecnysjs, or kcechlklet `y icgt, crl djsgussld. Xl

jegnudl two kjej-gcsls tbct dlkoestrctl tbl jkpnlkletctjoe oi SKJ prjegjpnls.Tbl gcsls

jnnustrctl `otb tbl jkprlssjvl gost scvjehs ced tbl gustoklr sctjsicgtjoe jkprovlklets tbct

crl possj`nl tbrouhb SKJ.

Je Gbcptlr 7, wl dlsgrj`l tbl cppnjgctjoe oi tbl 7-pbcsl qucnjty kcechlklet jetl-

hrctjoe proglss ct Xoodnced Gcrl Gletlr.Tbl Xoodnced gcsl cnso dlkoestrctls tbl usl

oi c euk`lr oi sugglssiun tlgbejquls ced toons tbct crl grjtjgcn to SKJ jkpnlkletctjoe.

Dltcjnld lxckpnls crl drcwe irok cgtjvjtjls ct Xoodnced. Jestlcd oi cddjeh gokpnlx worf

systlks, wl lxpnorl bow SKJ gce kcfl worf proglssls korl liijgjlet ior stcii, wbjnl

jkprovjeh rlsjdlet ced ickjny sctjsicgtjoe.

Gbcptlrs 4 ced < crl gletrcn to our djsgussjoe oi qucnjty kcechlklet je noeh-tlrk

gcrl1Tbly blnp cddrlss tbl qulstjoe, wbct `crrjlrs ced grjtjgcn jssuls wjtbje tbl icgjnjty

x ]rlicgl

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl x




ced je tbl `rocdlr noeh-tlrk gcrl levjroeklet kjhbt you icgl cs your orhcejzctjoe jk-

pnlklets SKJ? Gbcptlr 4 lxpnorls je dltcjn tbl potletjcn `crrjlrs ced grjtjgcn jssuls tbctcrl jetlrecn to noeh-tlrk gcrl icgjnjtjls ced stroehny ciilgt tbl sugglss oi SKJ jkpnlkle-

tctjoe je tblk.Tbl potletjcn rocd`nogfs to jkpnlkletjeh SKJ rcehl irok sbort-tlrk

iogus ced rlsourgl njkjtctjoes to turi wcrs ced jeliilgtjvl gokkuejgctjoe.Tbl jssuls tbct

crl grjtjgcn to sugglssiun jkpnlkletctjoe oi SKJ jegnudl tbl pjvotcn ronl oi kcechlklet,

bow to hcje support irok pbysjgjces, tbl ickjny cs c systlk, ced tbl gorporctl or kuntj-

icgjnjty vjlwpojet còut SKJ.

Gbcptlr < lxpnorls potletjcn crrjlrs ced grjtjgcn jssuls tbct crl lxtlrecn to tbl noeh-

tlrk gcrl icgjnjty.Xl lxckjel powlriun drcw`cgfs oi tbl gurrlet systlk, je pcrtjguncr tbl

rlhunctory rlqujrlklets ced ijecegjcn rljkùrslklet strugturls je noeh-tlrk gcrl. Xl

`lnjlvl tbct tbl goetlkporcry lkpbcsjs oe klltjeh stcedcrds rctblr tbce lxglldjeh tblk

prokotls qucnjty cssurcegl , eot qucnjty jkprovlklet , ced jebj`jts gost-goetcjeklet liiorts

uejetletjoecnny. Je cddjtjoe, wl lxpnorl tbl dlgjsjvl jkpcgt oi ijecegjcn rljkùrslklet

systlks ced rlhunctory rlqujrlklets oe ponjgy ced proposld proglss gbcehls je blcntb

gcrl.

C slgtjoe je Gbcptlr < iogusls oe jetlhrctld dlnjvlry systlks (JDWs6 l.h., eltworfs,

klrhlrs, kcechld gcrl orhcejzctjoes) ced cddrlssls tbl gokpnlxjty oi iuturl blcntb gcrl

systlks. Je kcey icgjnjtjls JDWs bcvl iorgld proioued gbcehls je systlks ced gcrl proglssls.

Ji pro`nlks lxjst je irll-stcedjeh nogcn icgjnjtjls, jkchjel bow tbosl pro`nlks gce `l gok-

pouedld je klrhld eltworfs.Tbl sjx gorl goeglpts oi SKJ ced tbl toons oi dctc gon-nlgtjoe ced cecnysjs lec`nl kcechld gcrl orhcejzctjoes to

• Njkjt rjsf

• ]rovjdl gost-liilgtjvl slrvjgls

• Klcsurl gustoklr sctjsicgtjoe

• Trcgf tbl sugglss oi rlsjdlets‚ noeh-tlrk gnjejgcn outgokls

• ]rovjdl rlsjdlets‚ goetjeuuk oi gcrl cgross ce jetlhrctld blcntb gcrl systlk

Gbcptlr 9 govlrs tbl grugjcn ronl tbct dctc gonnlgtjoe ced cecnysjs pncy je SKJ ced

goesjdlrs tbl dctc gonnlgtld durjeh Xoodnced‚s qucnjty proalgt ced je slvlrcn kjej-gcsls.

Trcgfjeh nlvlns ced trleds je noeh-tlrk gcrl dctc ced klcsurjeh otb your worf proglsslsced your rlsunts crl iuedckletcn to kcechlklet-`y-icgt SKJ proglssls. Wlts oi fly

qucnjty jedjgctors ced slvlrcn kjej-gcsls jnnustrctl tbl cppnjgctjoe oi SKJ toons ced goe-

glpts to lvlrydcy jssuls je noeh-tlrk gcrl icgjnjtjls.Tblrl js ce lkpbcsjs oe cecnyzjeh ced

studyjeh noeh-tlrk dctc cgross kuntjpnl rlsjdlet hroups cs wlnn cs oe studyjeh jedjvjducn

rlsjdlets to koejtor gbcehls je gnjejgcn ced iuegtjoecn liilgtjvlelss.Tbl usliunelss ced

jetlrprltctjoe oi sctjsicgtjoe survly dctc ior òtb gustoklrs ced lkpnoylls cnso crl

goesjdlrld.

Ijecnny, Gbcptlr 8 punns tohltblr tbl qucnjty kcechlklet prjegjpnls ced jssuls tbct

kust l cddrlssld to jetlhrctl SKJ sugglssiunny jeto your orhcejzctjoe‚s dcjny worf.Jssuls

to `l cddrlssld `y SKJ nlcdlrs crl dltcjnld, ced tbl trcjejeh ced glrtjijgctjoe oi qucnjty

kcechlrs crl djsgussld.Xorfjeh wjtb òtb jetlrecn ced lxtlrecn qucnjty goesuntcets cnso

js lxckjeld. Cppledjxls C‗K provjdl SKJ jkpnlkletctjoe toons ced otblr rlilrlegl

kctlrjcns.

Xl bcvl gok`jeld two vojgls je tbjs òof, ce jetlrecn ced ce lxtlrecn goesuntcet.

Oel oi tbl cutbors js c vjgl prlsjdlet oi orhcejzctjoecn plriorkcegl wbo worfs iunn tjkl

]rlicgl xj

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl xj




je c ncrhl, kuntjicgjnjty orhcejzctjoe6 tbl otblr cutbor js ce lxtlrecn goesuntcet wbo sup-

ports noeh-tlrk gcrl orhcejzctjoes ior c splgjijg proalgt or ior c splgjijld plrjod oi tjkl,`rjehjeh ce „outsjdlr‚s‛ irlsb vjlwpojet ced `rlcdtb oi lxplrjlegl to tbl jssuls tbct sur-

roued c SKJ proglss.Our tcsfs crl vlry sjkjncr,lvle ji our dcjny proilssjoecn njvls cpplcr

djiilrlet1Xl `otb provjdl support ced goesuntctjoe to orhcejzctjoes tbct crl struhhnjeh

wjtb tbl gokkuejgctjoe pro`nlks ced grjtjgcn jssuls tbct surroued lvlry SKJ jkpnlkle-

tctjoe je noeh-tlrk gcrl.Tbus, our vjsjoes oi tbl outgokls oi sugglssiun SKJ proglssls

crl pcrcnnln je kost cppnjgctjoes.

Tbl vcrjlty oi our proilssjoecn lxplrjlegls gokls jeto usl durjeh lcgb SKJ jkpnl-

kletctjoe proalgt cs kcechlklet ced stcii hroups icgl SKJ‚s gunturl gbcehls, tbl elld

ior lebcegld gokkuejgctjoe, ced tbl sbjits je ao` ronls.Xl gokkuejgctl tbl „wje-wje‛

`lelijts ior lvlry jedjvjducn. Our goeijdlegl je SKJ dlrjvls irok slljeh sugglssiun orhc-

ejzctjoes trcesiorkld cs tbly provjdl `lttlr slrvjgl to tbljr gustoklrs ced gnjlets ced

irok worfjeh wjtb orhcejzctjoe nlcdlrs to dlvlnop liijgjlet worf proglssls ced lvlr-

jkprovjeh lkpnoyll sctjsicgtjoe.

xjj ]rlicgl

@rcd/Tbokp IK 3=/32/:: 71<4 ]K ]chl xjj


quality management integration in long-term care: guidelines for excellence (bradley excerpt)

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