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Project quality management |
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ensures that the project will satisfy the needs for which it was undertaken |
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Planning quality management: |
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Identifying which quality standards are relevant to the project and how to satisfy them; a metric is a standard of measurement |
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Performing quality assurance: |
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Periodically evaluating overall project performance to ensure the project will satisfy the relevant quality standards |
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Performing quality control: |
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Monitoring specific project results to ensure that they comply with the relevant quality standards |
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Quality= Results of Work EffortConsistency-reduction of variation - Consistency-reduction of variation |
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“The planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled.” |
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“The observation techniques and activities used to fulfill requirements for quality.” |
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“Continuous improvement is an ongoing effort to improve products, services or processes. These efforts can seek “incremental” improvement over time or “breakthrough” improvement all at once.” |
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The cost of quality is the cost of conformance plus the cost of nonconformance |
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means delivering products that meet requirements and fitness for use |
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means taking responsibility for failures or not meeting quality expectations |
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Cost of planning and executing a project so it is error-free or within an acceptable error range |
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Cost of evaluating processes and their outputs to ensure quality |
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Cost incurred to correct an identified defect before the customer receives the product |
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Cost that relates to all errors not detected and corrected before delivery to the customer |
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Measurement and test equipment costs: |
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Capital cost of equipment used to perform prevention and appraisal activities |
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- NCQA - 400+ Health Plans Use HEDIS Measures (90%) - 76 Measures (2014) - 5 Domains + Effectiveness of Care + Access/Availability of Care + Experience of Care + Use of Services + Cost of Care |
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Physician Quality Reporting System (PQRS) |
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287 Quality Measures (25 “group measures”) - Mechanism for medical group reporting - Payment adjustment in 2016 based on 2014 submission (2% reduction) |
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are any mistakes or errors that are passed on to the customer. (Medication errors, medical errors, chart errors, death, complications, never events, rehospitalizations, etc) Defects per million opportunities(DPMO)= Number of defects discovered / 1,000,000 |
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- Six 9s of quality is a measure of quality control equal to 1 fault in 1 million opportunities - In the telecommunications industry, it means 99.9999 percent service availability or 30 seconds of down time a year - This level of quality has also been stated as the target goal for the number of errors in a communications circuit, system failures, or errors in lines of code |
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Problem Statement Who is the customer Clarify facts What do you want to accomplish Project Charter |
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Data collection Define inputs and outputs How are you going to measure process |
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Gaps between current performance and “goal” performance Describe data (statistically) Identify sources of variation Statistical analysis Control charts? Pareto charts? |
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Solutions to “fix” the problem KISS Occam’s razor Create implementation plan Implement solutions |
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Monitor the improvements Measure variation (control charts) Update policy, procedures, process documentation |
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- Remember it is cyclical and you keep doing it till you get it right Plan Do Study Act |
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- What are we trying to accomplish? - What changes can we make that will result in an improvement? - How will we know that a change is an improvement? |
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-Understand and clarify the process -Data -Flowcharting -Brainstorming |
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- Collect data - Analyze and prioritize - Determine most likely solutions - Test whether our action really works before we make it a routine part of our daily operations |
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- At the end of the pilot period, determine whether the action has had the desired effect. - Is the modified process stable? - Did the process improve? |
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- If the action works: - Make it part of routine operations - Continue to gather data to make sure you are holding the gains If the action does not work: - Return to the Plan stage - Use the test to plan a better action |
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Flowcharts Run Charts and Control Charts Check sheets Histograms Pareto Diagrams Cause-and-Effect Diagrams Scatter Diagrams |
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- When the data are numerical. - When you want to see the shape of the data’s distribution, - especially when determining whether the output of a process is distributed approximately normally. - When you wish to communicate the distribution of data quickly and easily to others (Bar charts use categorical data and histograms use discrete data) |
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A Pareto chart is a bar graph. The lengths of the bars represent frequency or cost (time or money), and are arranged with longest bars on the left and the shortest to the right. |
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- Variable data are measured on a continuous scale. For example: time, weight, distance or temperature can be measured in fractions or decimals. - Applied to data with continuous distribution |
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Attributes control charts |
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- Attribute data are counted and cannot have fractions or decimals. Attribute data arise when you are determining only the presence or absence of something: success or failure, accept or reject, correct or not correct. For example, a report can have four errors or five errors, but it cannot have four and a half errors. - Applied to data following discrete distribution |
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Patterns in control Chart |
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Trends in either direction, 6 points. Investigate for cause of progressive change |
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When to use a control chart? |
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- Controlling ongoing processes by finding and correcting problems as they occur. - Determining whether a process is stable (in statistical control). - Analyzing patterns of process variation from special causes (non-routine events) or common causes (built into the process). - Determining whether the quality improvement project should aim to prevent specific problems or to make fundamental changes to the process. |
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Fishbone Diagram (Cause-effect, Ishikawa) |
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The fishbone diagram identifies many possible causes for an effect or problem. It can be used to structure a brainstorming session. It immediately sorts ideas into useful categories. - People - Software + Hardware - Interfaces - Management - Vendor |
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Cause and Effect Diagram Causes |
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The four M’s - Methods, Materials, Machines, Manpower The four P’s - Place, Procedures, Policies, People The four S’s - Surroundings, Suppliers, Systems, Skills |
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- People: Anyone involved with the process - Methods: How the process is performed and the specific requirements for doing it, such as policies, procedures, rules, regulations and laws - Machines: Any equipment, computers, tools etc. required to accomplish the job - Materials: Raw materials, parts, pens, paper, etc. used to produce the final product - Measurements: Data generated from the process that are used to evaluate its quality - Environment: The conditions, such as location, time, temperature, and culture in which the process operates |
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generates ideas for quality improvements by comparing specific project practices or product characteristics to those of other projects or products within or outside the performing organization |
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is a structured review of specific quality management activities that help identify lessons learned that could improve performance on current or future projects |
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The main outputs of quality control are: |
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Acceptance decisions Rework Process adjustments |
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