Quality Management Integration in Long-Term Care Guidelines for Excellence By Maryjane G. Bradley, C.Q.M., C.Q.A., M.B.A., & Nancy R. Thompson, R.N.

1. Key Concepts in Quality Management Integration
   
   Guidelines For Excellence in Care and Service
   Core Concept 1: Customer Focus
   Core Concept 2: Continual Learning
   Core Concept 3: Employee Involvement
   Core Concept 4: Systems Orientation
   Core Concept 5: Continuous Process Improvement
   Core Concept 6: Leadership
   Critical Issues and Future Trends in QMI
   Reaching for Excellence Through QMI
   The 3-Phase Quality Management Integration Process
   Summary
   
   
2. The Evolution of QMI: History, Tools, and Techniques
   
   Examining the Historical Roots of TQM and CQI
   Implementing TQM and CQI in the Service Industries
   Implementing TQM and CQI in the Health Care Industry
   Examining QMI Implementation and Results: Two Mini-Cases
   Summary
   
   
3. Implementing QMI in the Nursing Facility
   
   Foundation of QMI: Knowing Who Is the Customer
   Implementation of QMI Project Plans: 3-Phase
   Quality Management Integration Process
   Phase 1: Priorities, Strategies, and Objectives
   Phase 2: Implementation of the Quality Improvement Process
   Phase 3: Continuous Improvement of the Quality Management Process
   Summary
   
   
4. Internal Critical Issues
   
   QMI Factors Unique to Health Care
   Internal Organizational Barriers
   Management Perceptions of Barriers to QMI
   Other Critical Issues
   Quality Management from the Corporate Perspective
   Summary
   
   
5. External Critical Issues
   
   Financial Reimbursement Systems
   Regulatory Requirements
   A Picture of the Future: Integrated Delivery Systems
   Barriers and Critical Issues (Internal and External)
   Summary
   
   
6. Management by Fact: Data Collection and Analysis
   
   Are the Foundations of Decisions
   Common Cause Analysis of Care Delivery Systems and Processes
   Uses of Data in QMI
   Data Collected During the Woodland Care Center Project: Methods, Results, and Evaluations
   Use of Survey Data
   Process Factors to Track QMI Implementation
   Summary
   
   
7. Pathway to Success: Strategic Approaches to Implementing QMI
   
   New Roles for Management and Employees, Following QMI Implementation
   Working with Internal and External Consultants
   Assessing the Breadth and Depth of QMI Deployment in an Organization
   Woodland Care Center: A Postscript
   Five Great Reasons to Implement QMI
   Status of QMI Implementations: Questions Remain
   Summary
   

Appendixes

1. The 3-Phase Quality Management Integration Process
   
2. Executives’ and Managers’ Guide to Integration of New Quality Management Culture
   
3. Health Care Criteria for Performance Excellence — 1999: A Framework for Organization Self-Assessment
   
4. Data-Driven QMI: A Mini-Handbook
   
5. QMI Survey Results: Woodland Care Center: Pre- and Postevaluations
   
6. Family Satisfaction Surveys
   
7. Preliminary Strategic Planning for QMI (Sample)
   
8. Omnibus Budget Reconciliation Act of 1987 (OBRA)
   QMI Needs Assessment Interview on Current
   Status of Facility
   
9. For Further Reading and Viewing — QMI at the Library
   
10. Accelerators and Inhibitors Require Quality
    Council’s Attention
    
11. Quality Management Plan (Sample)
    
12. Assessment Tool for QMI Deployment: Strategic
    Planning for Organizational Development
    

Index