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From quality assurance to quality improvement: the Joint Commission and the new quality paradigm.
J Qual Assur 1991 Sep-Oct; 13(5):26-9JQ

Abstract

Frank Appel, NAQAP's representative on the Joint Commission's QI Task Force, describes the ongoing Agenda for Change as progressively defining a new vision of effectiveness in healthcare organizations. This vision, first articulated in 1989 in the Principles of Organization and Management Effectiveness in Healthcare Organizations, is based on the fundamental concepts of total quality management (TQM), the new paradigm in healthcare. The first direct outcome of these principles is a new set of leadership standards that will appear in the 1992 Accreditation Manual for Hospitals (AMH). The Joint Commission is using the mechanism of standards' revision to lead healthcare organizations into a transition to continuous quality improvement (CQI). The 1992 AMH contains a revision of the current QA standards in the direction of quality assessment and improvement standards. The transition to CQI standards will be complete by 1994, when the data-driven process of CQI will also be incorporated into information management. Major CQI revisions also will occur in other parts of the management. Major CQI revisions also will occur in other parts of the AMH. "Second generation" clinical indicators presently under development reflect the process and cross-functional orientation of CQI. TQM is seen by the Joint Commission as the next step in a logical progression in QI methods, while CQI offers answers to the weaknesses of current QA programs. Mr. Appel concludes with an outline of these weaknesses, and a strong message of encouragement to the quality professional to meet the challenge of leadership during this transition.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10112984

Citation

Appel, F. "From Quality Assurance to Quality Improvement: the Joint Commission and the New Quality Paradigm." Journal of Quality Assurance : a Publication of the National Association of Quality Assurance Professionals, vol. 13, no. 5, 1991, pp. 26-9.
Appel F. From quality assurance to quality improvement: the Joint Commission and the new quality paradigm. J Qual Assur. 1991;13(5):26-9.
Appel, F. (1991). From quality assurance to quality improvement: the Joint Commission and the new quality paradigm. Journal of Quality Assurance : a Publication of the National Association of Quality Assurance Professionals, 13(5), pp. 26-9.
Appel F. From Quality Assurance to Quality Improvement: the Joint Commission and the New Quality Paradigm. J Qual Assur. 1991;13(5):26-9. PubMed PMID: 10112984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - From quality assurance to quality improvement: the Joint Commission and the new quality paradigm. A1 - Appel,F, PY - 1991/8/7/pubmed PY - 1991/8/7/medline PY - 1991/8/7/entrez SP - 26 EP - 9 JF - Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals JO - J Qual Assur VL - 13 IS - 5 N2 - Frank Appel, NAQAP's representative on the Joint Commission's QI Task Force, describes the ongoing Agenda for Change as progressively defining a new vision of effectiveness in healthcare organizations. This vision, first articulated in 1989 in the Principles of Organization and Management Effectiveness in Healthcare Organizations, is based on the fundamental concepts of total quality management (TQM), the new paradigm in healthcare. The first direct outcome of these principles is a new set of leadership standards that will appear in the 1992 Accreditation Manual for Hospitals (AMH). The Joint Commission is using the mechanism of standards' revision to lead healthcare organizations into a transition to continuous quality improvement (CQI). The 1992 AMH contains a revision of the current QA standards in the direction of quality assessment and improvement standards. The transition to CQI standards will be complete by 1994, when the data-driven process of CQI will also be incorporated into information management. Major CQI revisions also will occur in other parts of the management. Major CQI revisions also will occur in other parts of the AMH. "Second generation" clinical indicators presently under development reflect the process and cross-functional orientation of CQI. TQM is seen by the Joint Commission as the next step in a logical progression in QI methods, while CQI offers answers to the weaknesses of current QA programs. Mr. Appel concludes with an outline of these weaknesses, and a strong message of encouragement to the quality professional to meet the challenge of leadership during this transition. SN - 1062-0273 UR - https://www.unboundmedicine.com/medline/citation/10112984/From_quality_assurance_to_quality_improvement:_the_Joint_Commission_and_the_new_quality_paradigm_ DB - PRIME DP - Unbound Medicine ER -