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Performance improvement with a hybrid FOCUS-PDCA methodology
1Hardin Memorial Hospital, Elizabethtown, KY 42701, USA.
The Joint Commission Journal on Quality Improvement
|October 1, 1996
Summary
A unified quality improvement system integrating FOCUS-PDCA with Joint Commission standards was developed. This flexible hybrid model facilitated process redesign, exemplified by creating an innovative antibiogram.
Area of Science:
- Healthcare Quality Improvement
- Organizational Performance Management
- Process Redesign Methodologies
Background:
- A unified system integrating FOCUS-PDCA with Joint Commission's Improving Organizational Performance (IOP) was created.
- This initiative aimed to simplify tools and activities for quality improvement (QI) in a hospital setting.
Purpose of the Study:
- To develop and document a hybrid model for performance improvement and redesign.
- To demonstrate the model's flexibility in addressing complex design needs, not just incremental improvements.
Main Methods:
- Developed documentation tools and educational activities for a performance improvement cycle (plan, design, measure, assess, improve).
- Created an IOP Notebook and workshop to guide the process.
- Broadened the 'C' phase (clarify) to include internal and external process clarification.
- Utilized a hybrid FOCUS-PDCA model to redesign an antibiogram, incorporating physician input and literature review.
Main Results:
- The hybrid model successfully supported the redesign of an antibiogram, meeting key quality characteristics.
- Documentation through IOP Notebook templates confirmed adherence to performance improvement standards.
Conclusions:
- The developed hybrid FOCUS-PDCA model offers a flexible framework for both process improvement and redesign.
- This integrated approach enhances organizational performance by systematically addressing QI needs.