Quality Improvement is Free

The point of a quality improvement program should not only be to improve a product or the delivery of healthcare but it should also be to save time and money by reducing or eliminating waste or errors. For example, a doctor or nurse practitioner writes a prescription. We wouldn't deliver some of the best quality pills along with a few randomly chosen pills and we wouldn't completely incorrectly fill the prescription. To do either could create serious consequences. Rather, we want to only deliver the best quality. But there is another side to not achieving the best quality. If we incorrectly fill the prescription, even if there is no patient harm, there is waste. Once the error is found, the prescription must be refilled and paperwork redone. Wasted time and money for the healthcare provider!

Quality projects build processes that prevent errors and waste. In fact, the main goal of lean healthcare is to eliminate waste in a structured approach. The Japanese use the term kaisen event. They use this idea to eliminate waste in any environment, whether manufacturing or service orientated.

Quality projects that I have done have always resulted in avoidance of waste and thus a savings in time and cost. Almost all projects I have read about in journals present the savings of cost and time. Hence, if you are involved in a quality project you need to calculate the costs in time and money of accomplishing a process as it currently exists and then do the same for the "quality improved" process. There should be a substantial savings of both time and money. After all, time is money.

To make the required analysis I suggest that one of the project team members be your cost accountant or chief financial officer. Doing so will improve the accuracy of calculations of savings. Plus, you will impress upon one of the leaders of your healthcare unit the importance of continuing quality projects. In fact, your project team will probably be lauded for their achievement.

Finally, in totaling the costs of a project, don't forget to factor in the costs of the team in time and money. Count the costs of materials used, the pays of all involved and the time spent by all on the project. If the project is well executed and planned, you should realize a substantial cost/benefit ratio. That is, the costs of executing the project should be a fraction of the realized savings. Calculating this ratio speaks the language of upper management and directors and produces positive benefits, such as the demand for more of such projects. You will be able to aptly demonstrate that "Quality is Free."

Overall, as demonstrated, quality improvement projects should not only deliver a superior product but also should demonstrate the savings in time and money. Doing so ensures the continuance of quality improvement at a site, which will produce superior products with little waste.

Donald Bryant helps healthcare providers meet their challenges. If you liked this article and want more free tips, visit http://www.bryantsstatisticalconsulting.com for a free article to help you start making improvements at your site immediately.

In The News:

Yahoo! News: Top Stories

Palestinians survey a kindergarten destroyed after an Israeli air strike in Gaza January 8, 2009. (Mohammed Salem/Reuters)AP - The U.N. Security Council called for an immediate cease-fire in Gaza, but an intense bombardment of missiles from Israeli jets and helicopters early Friday and a barrage of Hamas rockets indicated there may be no quick end to the fighting.



Rep. Jack Franks (D-Woodstock) votes to recommend the impeachment of Illinois Gov. Rod Blagojevich to the House during an Illinois House Impeachment Committee hearing Thursday, Jan. 8, 2009, in Springfield, Ill. The committee voted unanimously to recommend impeachment putting the matter before the full house.  (AP Photo/Seth Perlman)AP - Gov. Rod Blagojevich faces almost certain impeachment by the Illinois House, a historic step that would trigger a trial to determine whether the Democratic governor should be tossed out of office.



President-elect Barack Obama speaks about the economy at George Mason University in Fairfax, Va.,  Thursday, Jan. 8, 2009. (AP Photo/Charles Dharapak)AP - Lawmakers are under orders to finish action on President-elect Barack Obama's nearly $800 billion economic recovery plan by mid-February. But already it is plain that a set of serious fissures need to be bridged if the bill is to be completed within five weeks.



Pay Equity pioneer Lily Ledbetter addresses the Democratic National Convention in Denver, Tuesday, Aug. 26, 2008 file photo. Democrats are ushering in what they believe will be a new labor-friendly era in Washington with House votes on two bills aimed at helping women fight pay discrimination in the workplace. The House was to vote on the bills Friday Jan. 9, 2009, and they could reach Barack Obama's desk soon after he enters the White House.  One of the bills, the Lily Ledbetter Fair Pay Act, is a response to a 2007 Supreme Court decision that made it more difficult to sue over past pay discrimination.  (AP Photo/Ron Edmonds, FILE)AP - Democrats are ushering in what they believe will be a new labor-friendly era in Washington with House votes on two bills aimed at helping women fight pay discrimination in the workplace.



A sign instructs job seekers at the California Employment Development Department in Sunnyvale, Calif., Tuesday, Jan. 6, 2009. The country lost nearly 2 million jobs through November and more bad news is expected this week when the government releases data on weekly jobless claims and December unemployment. No matter how bad those numbers are, and economists expect at least another 500,000 jobs were lost last month, the pain is stretching into 2009.  (AP Photo/Marcio Jose Sanchez)AP - Trying to survive a deepening recession, employers are cutting their work forces to the bone, leaving more Americans unemployed and with dim prospects of finding a new job any time soon.



In this Monday, Dec. 29, 2008 file image provided by Greenpeace, coal ash slurry left behind in a containment pond near the Tennessee Valley Authority's Kingston Fossil Plant is shown  in Harriman, Tenn., after the dyke at left broke Dec. 22, 2008. Millions of tons of toxic coal ash is piling up in power plant ponds in 32 states, a practice the federal government has long recognized as a risk to human health and the environment but has left unregulated. (AP Photo/Greeenpeace, Wade Payne)AP - Millions of tons of toxic coal ash is piling up in power plant ponds in 32 states, a practice the federal government has long recognized as a risk to human health and the environment but has left unregulated.



In this Dec. 5, 2006 file photo, Leon Panetta, then a member of the Iraq Study Group, walks into a Washington hotel.    (AP Photo/Kevin Wolf, File)AP - President-elect Barack Obama is completing his national security team by announcing his unusual choices for CIA director and a national intelligence director who may face tough Senate confirmation questioning over how he confronted the Indonesian military when civilian massacres were occurring in East Timor.



In this Dec. 1, 2008 file photo, Defense Secretary Robert Gates, second left, speaks as Vice President-elect Joe Biden, left, President-elect Barack Obama; and Secretary of State-designate Hillary Rodham Clinton, far right, listen at a news conference in Chicago.  (AP Photo/Charles Dharapak, File)AP - Just minutes after George W. Bush took the oath of office eight years ago, he signed papers formally nominating 13 Cabinet-level officials. Several hours later, the Senate, meeting in a special Saturday session, confirmed seven Cabinet secretaries, including the heads of the key posts at State, Treasury and Defense.



Freida Pinto backstage with the best picture award for 'Slumdog Millionaire' at the 14th Annual Critics' Choice Awards on Thursday Jan. 8, 2009 in Santa Monica, Calif. (AP Photo/Dan Steinberg)AP - The critics have spoken, and "Slumdog Millionaire" is their final answer.



Florida coach Urban Meyer is doused during the fourth quarter of the BCS Championship NCAA college football game against Oklahoma in Miami, Thursday, Jan. 8, 2009. Florida defeated Oklahoma 24-14. (AP Photo/Lynne Sladky)AP - The game defied expectations. Tim Tebow fulfilled them. He rescued No. 1 Florida, running through and throwing over No. 2 Oklahoma for a 24-14 victory Thursday night that gave the Gators their second BCS championship in three years.



Jaclyn Holt (R) fills out an application form at a job fair organized by the New Hampshire Employment Security agency in Salem, New Hampshire December 17, 2008. (Brian Snyder/Reuters)Reuters - U.S. employers probably cut the most jobs in at least 34 years last month as the global economic crisis gathered pace and moves by policy makers took time to filter through to struggling companies.



An Israeli soldier covers his ears after firing a mortar mounted on an armoured personal carrier (APC) towards Gaza from its position outside the northern Gaza Strip January 9, 2009. (Yannis Behrakis/Reuters)Reuters - Israel pushed ahead with its two-week-old offensive in the Gaza Strip, ignoring a U.N. Security Council resolution calling for an immediate ceasefire.



Reuters - A report being released on Friday alleges that the U.S. Treasury has failed to reveal its strategy for stabilizing the financial system, not answered questions asked by a government watchdog, and has done nothing to help struggling homeowners, the Wall Street Journal said.

A man works near a pressure gauge at a district heating plant in Skopje January 8, 2009. (Ognen Teofilovski/Reuters)Reuters - Europe sought a swift restoration of gas supplies on Friday after striking a deal with Moscow on monitoring gas shipments via Ukraine that have been halted by a pricing dispute with Kiev.



People taking the Long Island Foreclosure Tour arrive at a foreclosed home for sale in New Hyde Park, New York in this May 17, 2008 file photo. Citigroup could soon agree to principles that would let troubled borrowers save their homes through bankruptcy, sources familiar with the talks said on Thursday, while industry groups are easing their opposition to the plan. (Shannon Stapleton/Reuters)Reuters - Financial giant Citigroup Inc will support a proposal in Congress to rewrite U.S. bankruptcy law to help troubled mortgage borrowers avoid foreclosure, Chief Executive Vikram Pandit said on Thursday.



Illinois Governor Rod Blagojevich gestures as he announces former Illinois Attorney General Roland Burris as his choice to fill the vacant U.S. Senate seat of President-elect Barack Obama during a news conference in Chicago, Illinois December 30, 2008. (Frank Polich/Reuters)Reuters - A legislative committee on Thursday recommended the impeachment of Illinois Gov. Rod Blagojevich, citing widespread abuse of power including allegations he tried to sell the U.S. Senate seat vacated by President-elect Barack Obama.



Timothy Geithner (R), pictured in Chicago, November 24, 2008. (Jeff Haynes/Reuters)Reuters - President-elect Barack Obama's economic team is urgently overhauling the $700 billion financial rescue package to broaden its scope beyond Wall Street, The Washington Post reported on Friday.



Usama al-Kini, Al Qaeda's operations chief in Pakistan, is pictured in this undated FBI Most Wanted photograph. Al-Kini, also known as Fahid Mohammed Ally Msalam, and a top aide are believed to be dead, a U.S. counterterrorism official said on January 8, 2009, in what appeared to be the latest results of a campaign targeting the militant group's leadership. Operations chief al-Kini was thought responsible for attacks, including the bombing of a Marriott hotel in Islamabad that killed 55 people in September, and an unsuccessful attempt to kill former Pakistani Prime Minister Benazir Bhutto, who was later assassinated in a separate attack, the official said. (FBI/Handout/Reuters)Reuters - Al Qaeda's operations chief in Pakistan and a top aide are believed to be dead, a U.S. counterterrorism official said on Thursday, in what appeared to be the latest results of a campaign targeting the militant group's leadership.



US Secretary of State Condoleezza Rice speaks to an unidentified aide during a Security Council meeting at the United Nations. Israel and Hamas have launched heavy air strikes and rocket attacks on each other, ignoring a UN Security Council order on the warring rivals to end their conflict.(AFP/File/Timothy A. Clary)AFP - Israel and Hamas launched heavy air strikes and rocket attacks on each other Friday, ignoring a UN Security Council order on the warring rivals to end their conflict.



A man carries firewood in the suburbs of Sofia, Bulgaria. The European Union demanded that Russian gas supplies to Europe resume immediately now that details of a mission to monitor the flow through Ukrainian pipelines have been agreed.(AFP/Dimitar Dilkoff)AFP - The European Union demanded Friday that Russian gas supplies to Europe resume immediately now that details of a mission to monitor the flow through Ukrainian pipelines have been agreed.




Innovation Management ? how does the user benefit?

Creativity can be defined as problem identification and idea generation whilst innovation... Read More

Overcoming the Document Tracking Challenge

"Where did it go? It was here yesterday. Wait. Here it is.... Read More

Management & Leadership - Doing it right in the 21st Century

The Old Way ? Command and ControlAlthough workplaces and management styles have... Read More

Character: Is It Necessary In Leadership? (Part Two)

In the first part of this two part article, I talked about... Read More

On the Road to Assertiveness

Learning to be assertive takes time, courage and the ability to recognize... Read More

Organisation Tips For The Mobile Executive

Despite the fact that everyone sighs "How glamorous!", the life of the... Read More

Quality Standards with ISO 9001

Standardizing Quality SystemsThe ISO, or International Organization for Standardization, was established in... Read More

Outsourcing Problem Analysis

As an HR professional, you have responsibilities in several broad areas that... Read More

Cultural Awareness - an HR Perspective

The use of cultural awareness training has increased rapidly in the majority... Read More

Recruitment - Do You Know What Youre Looking For?

The time will come when you'll need to interview someone to join... Read More

Motivating For Higher Performance

Employee motivation is probably the most important single manageable factor for success... Read More

Can You Sleep While The Wind Blows?

Let me repeat a story I heard many years ago that has... Read More

Three Professional Services Resolutions for 2005

With client expectations higher than ever before, and the gradual industry recovery... Read More

How Can A Communications Audit Help You?

Organizations communicate in two directions: internally to staff and externally to clients,... Read More

What Consultants Want You to Know (But You Never Ask)

I've been both a CEO and a consultant, so I've seen from... Read More

Group Discussion Guidelines

DISCUSSION METHODS: There are two basic types of discussion methods; the conference... Read More

Great Employees = Passionate Consumers

Companies spend millions of dollars each year identifying their brand, and then... Read More

Lessons From Innovative Companies

What do the companies 3M, Polaroid, and Walt Disney have in common?... Read More

Book Summary: Mind Your Own Business

A maverick is an independent person who will not go along with... Read More

Future Business Success - What Does Good Look Like?

When you know you need to shift up a gear, in any... Read More

Forecasting Support Costs

Did you know that maintenance accounts for 50% to 80% of the... Read More

How To Turn Business Losses Into Cash Flow

When the typical new business operator starts a business, they concentrate on... Read More

Christmas Carol Coaching - Help to Get Ahead at Holiday Time!

I've always been fascinated by situations where art imitates real life and... Read More

Why Outsourcing Could Be The Best Thing You Do For Your Business

While it's probably not true to say that the traditional 9-5 job... Read More

Tales from the Corporate Frontlines: Training is in the Eye of the Beholder

This article relates to the Training competency, commonly evaluated in employee surveys.... Read More

Be a Leader - The Importance of Going Home Early!

How you run your business is, of course your business. A little... Read More

The Top 5 Signals That Your Business Is Running You

Starting your own business is a great undertaking but running the day-to-day... Read More

Disaster Prevention Tips For Hiring A New Manager

It happens over and over in businesses every day.Within large companies, people... Read More

Five Strategies for Profitable Services Growth

In today's era of Professional and IT Services competition and consolidation, some... Read More

Forget The Sandwich Technique

Do you remember being told to use the "sandwich" technique when you... Read More

6 Ways to Keep Things Simple

Six Ways to Keep Things Simple We can have greater success with... Read More

Birds of a Feather May Be Turkeys

Birds of a Feather May Be TurkeysBy Gene Griessman, PhD Birds... Read More

People Skills: Eight Essential People Skills

Being able to communicate effectively with others requires people skills, and here's... Read More

Change Management: Avoid Havoc In Very Uncertain Times

Escalating gas prices...tensions and turmoil in the Middle East...a struggling world economy.... Read More

How Managers Can Help Retain Their Best Employees

A major problem for employers today is attracting the best talent, and... Read More

5 Ways of Increasing Business Profits

The economy may finally be turning around and showing signs of a... Read More

Business Opportunity - Leverage Your Employees!

As a business asset, they don't sit well on the P&L statement.... Read More

Allan Kempert Discovers That Truly All You Gotta Do Is Ask

A year or so ago, I met Allan Kempert. Allan was the... Read More

Parenting Your Employees to Better Performance

Have you ever worked for someone who was such a micro-manager that... Read More

Ten Secrets of Super Successful Meeting Planners

Whoever said that being a meeting planner was easy, lied! Rather, it... Read More

Entitlement Programs Kill Productivity

In articles I've written over the years, I have used "laissez-faire," a... Read More

Focus On the Prize

People talk to me about making personal and professional changes in their... Read More

Interviewing Candidates: 3 Ways to Avoid Snap Judgments

Have you ever hired the wrong person? If so, perhaps you are... Read More

Take the Easy Route - Delegate

It was 2.30 am. It was cold and dark and I'd been... Read More

Understand What Flows Through Your Business to Find Improvement

I remember once seeing a cartoon which showed two people working a... Read More

Dealing with Difficult People

You know, this would be a great business if it weren't for... Read More

Maximizing Sales through the Ultimate Tracking Software

Every small to mid-sized business owner would love to know how to... Read More