Quality Management Theory
Joseph M. Juran’s major contribution to society was in the field of quality management and he is often called the father of quality (Juran’s Global,2014).
Perhaps most importantly, he is recognized as the person who added the managerial dimension to quality broadening it from its statistical origins (Juran’s Global,2014).
His contributions to quality were so important, and as a result, he is continually written about in many publications. Dr. Juran left us with many important fundamental methods and tools during his years as the leading expert in the field of Quality Management. His writings and teachings were an inspiration to organization leaders (Juran’s Global,2014), quality professionals, and others in many nations. In his early teachings in Japan to executives and managers he emphasized the use of the managerial tools to achieve quality leadership. The Juran Trilogy is made up of three important managerial tools that work together to help organizations realize the full benefits of Quality Management in the pursuit of Quality Leadership (Juran’s Global,2014).
Quality improvement professionals communicate most effectively with managers when they use the language of management and finance (Juran’s Global,2014).
In this regard (Juran’s Global,2014), the Juran Quality Trilogy provides a frame for linking finance and management to quality improvement.
The three trilogy components are:
• Quality planning- A key quality-planning objective is to design new processes to prevent repeating mistakes and without designing deficiencies into the new products (Juran’s Global,2014), processes and services
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• Quality control—keep the process working well is the managerial process that provides stability to prevent adverse change and to maintain the status quo
• Quality improvement—is the most important function to establish an ongoing healthcare organization, which needs to be done via special projects.
Acceptable quality is a prerequisite for entry to your marketplace (Juran’s Global,2014).
A company whose products are not functionally and aesthetically satisfactory soon finds its products off its customers’ must-have list. Joseph Juran (Juran’s Global,2014), often known as the second American to preach the gospel of quality to Japan, advised them that quality must be embedded throughout their organizations. Juran defined quality as fitness for use (Juran’s Global,2014), the product or service must fulfill the consumer’s intended purpose. Fitness has five key dimensions:
• Quality of design
• Quality of conformance
• Availability
• Safety
• Field use.
The impetus for quality in Juran’s opinion must be senior management (Juran’s Global,2014).
Juran believed that fixing poor quality in a product or a process requires total involvement. Quality is too important to be left to the quality department (Raymond, 2008).
Current health care quality performance indicators appear to be inadequate to inform the public to make the right choices. This article explores the analogy between financial accounting (Raymond, 2008), which aims to produce valid and reliable information to support companies informing their shareholders and stakeholders (Raymond, 2008), and healthcare aiming to inform future patients about healthcare quality. The authors suggest a measurement framework and an organizational setting to produce healthcare information and also they suggest a five-quality element framework to structure quality reporting (Raymond, 2008).
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The authors also indicate the best way to report each type of quality (Raymond, 2008), comparing performance indicators with certification/accreditation. Health gain is the most relevant quality indicator to inform the public, but this information is the most difficult to obtain (Raymond, 2008).
The organizational setting, required to provide valid, reliable and objective information on healthcare quality is described.
There are elements that can be implemented right away such as third party validation of healthcare information produced by healthcare institutions (Van den Heuvel, Niemeijer, & J.M.M, 2013).
Given the money spent on healthcare worldwide, valid and reliable healthcare quality information’s value can never be overestimated. It can justify delivering “expensive” institutions (Van den Heuvel, Niemeijer, & J.M.M, 2013) healthcare, but also points the way to savings by stopping useless healthcare. Valid and reliable information puts the patient in the driver’s seat and enables him or her to make the right decision when choosing their healthcare provider. Healthcare quality reporting can improve in a similar way to financial reporting. Quality assurance information institutions (Van den Heuvel, Niemeijer, & J.M.M, 2013), has to be derived from the healthcare institution’s QMS. They identify five healthcare-quality types and provide an overview how they can be measured to produce quality assurance information using PIs and accreditation or certification. Health gain PIs provide the most valuable healthcare-quality information institutions (Van den Heuvel, Niemeijer, & J.M.M, 2013).
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Only by implementing a coherent system can reliable and valid healthcare information can be produced and presented to the public. Certification and accreditation can separately or in addition to PIs also produce valuable healthcare information institutions (Van den Heuvel, Niemeijer, & J.M.M, 2013).
Valid and reliable healthcare quality information must be available if patients are to be in a position to make the right decisions when choosing their healthcare providers.
Resources:
Dr. Joseph M. Juran: Internationally recognized as the father of quality. (2014, 09 02).
Retrieved from Juran’s Global:
Raymond, A. (2008).
Managing for better quality. Trade Journals-Proquest, 28-32.
The Juran Trilogy® Model. (2014, 09 02).
Retrieved from The Universal Sequences of Quality Planning, Quality Control,: http://www.juran.com/elifeline/elifefiles/2009/09/Juran-Trilogy-Model.doc
Van den Heuvel, J., Niemeijer, G. C., & J.M.M, R. (2013).
Measuring healthcare quality: the challenges. International Journal of Health Care Quality Assurance, 269-278.