Quality Management: Does it Pay Off?

Health care today is facing serious quality problems while costs are exploding. Quality management therefore becomes a major strategic challenge. In this article, we go through the strategy deployment and quality management process of the Red Cross Hospital in the Netherlands. Growth, efficiency improvement, and optimizing quality of care were chosen as our main strategic goals. To enable achievement of these goals, we implemented and integrated an ISO 9001:2000 quality management system with Six Sigma, a quality improvement approach from industry. The results of 5 years of quality management illustrated by the scores of a number of performance indicators clearly show that we were able to achieve all our strategic goals. On the basis of our findings, we believe that the combination of ISO 9000 and Six Sigma provides the proper tools to bring health care organizations to a higher level of performance.

[1]  D. Berwick.  Quality of health care. Part 5: Payment by capitation and the quality of care. , 1996, The New England journal of medicine.

[2]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[3]  Ronald J. M. M. Does,et al.  Dutch hospital implements Six Sigma , 2005 .

[4]  Joseph Moses Juran.  Juran on planning for quality , 1988 .

[5]  R. dan Reld.  Healthcare Agreement Revision Nears Release , 2004 .

[6]  C M Bliersbach,et al.  Quality assurance in health care: current challenges and future directions. , 1988, QRB. Quality review bulletin.

[7]  M. Kelemen.  Managing quality : managerial and critical perspectives , 2005 .

[8]  Martha M. Gardner.  Implementing Six Sigma: Smarter Solutions Using Statistical Methods , 2000, Technometrics.

[9]  Leonard Steinborn.  International Organization for Standardization ISO 9001:2000 Quality Management Systems — Requirements , 2004 .

[10]  A Donabedian,et al.  Five essential questions frame the management of quality in health care. , 1987, Health management quarterly : HMQ.

[11]  Jeffrey A. Willey,et al.  The Six Sigma Book for Healthcare , 2003 .

[12]  Jon B Christianson,et al.  Deploying Six Sigma in a health care system as a work in progress. , 2005, Joint Commission journal on quality and patient safety.

[13]  Edward G. Schilling,et al.  Juran's Quality Handbook , 1998 .

[14]  Marc Warnack.  Continual Improvement Programs and ISO 9001: 2000 , 2003 .

[15]  L. D. Eicher.  The ISO 9000 family of International Standards , 1997 .

[16]  Ronald J. M. M. Does,et al.  Six Sigma in a Dutch Hospital: Does It Work in the Nursing Department? , 2004 .

[17]  Tom Redman,et al.  Managing strategic change through TQM: learning from failure , 1999 .

[18]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[19]  B. E. Carson,et al.  Iso 9001:2000: A New Paradigm for Healthcare , 2003 .

[20]  D M Berwick,et al.  Continuous improvement as an ideal in health care. , 1989, The New England journal of medicine.

[21]  P. Maurette.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.

[22]  D Blumenthal,et al.  Quality of health care. Part 4: The origins of the quality-of-care debate. , 1996, The New England journal of medicine.

[23]  John E. West,et al.  Amendment to ISO 9001:2000 - Quality Management Systems - Requirements and Revision of ISO 9004:2000 - Quality Management Systems - Guidelines for Performance Improvement , 2007 .

[24]  Marc Berg,et al.  An ISO 9001 quality management system in a hospital: bureaucracy or just benefits? , 2005, International journal of health care quality assurance incorporating Leadership in health services.

[25]  J Bowe,et al.  Total quality management. , 1992, Contemporary longterm care.

[26]  Gene Placzkowski,et al.  Implementing Six Sigma , 2003 .

[27]  Ronald J. M. M. Does,et al.  Six Sigma in Health Care: Lessons learned from a Hospital , 2005 .

[28]  Ronald D. Snee,et al.  Six–Sigma: the evolution of 100 years of business improvement methodology , 2004 .