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Driving quality through Hoshin planning

R S Hyde1, J M Vermillion

  • 1Quality Management, E.L. French Center, Devon, Pennsylvania, USA.

The Joint Commission Journal on Quality Improvement
|January 1, 1996
PubMed
Summary

Hoshin planning, a strategic management approach, improved resource allocation and customer satisfaction in a psychiatric center. This continuous quality improvement initiative streamlined the admissions process and enhanced patient care.

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Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Psychiatric Services

Background:

  • Hoshin planning was implemented in 1994 at a 160-bed residential psychiatric center to enhance a continuous quality improvement (CQI) program.
  • The goal was to strategically allocate resources to critical improvement opportunities for significant results.

Purpose of the Study:

  • To evaluate the effectiveness of Hoshin planning in a residential psychiatric setting.
  • To identify and address key areas for improvement in patient care and operational efficiency.

Main Methods:

  • Management identified 15 key care functions and surveyed customers to pinpoint high-importance, low-satisfaction areas.
  • Three top improvement areas were selected, including admissions, based on survey data and impact on other functions.
  • Staff input was gathered, and empowered teams addressed process improvements, such as reducing admission times.

Main Results:

  • A one-year assessment, including customer resurveys, indicated a shorter admissions process.
  • Treatment planning was rescheduled for optimal staff and patient input.
  • Treatment units actively addressed safety concerns.

Conclusions:

  • Hoshin planning facilitated targeted resource allocation, employee involvement, and consumer-visible improvements.
  • Integration of Hoshin planning with the overall quality improvement process from the outset is recommended.

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