Please use this identifier to cite or link to this item: http://hdl.handle.net/10603/123783
Title: Impact of Total Quality Management Accreditation and Electronic Medical Records on the Outcomes of a Healthcare Organization
Researcher: UJJWAL M. RAO
Guide(s): Rajeev Boudhankar
Keywords: Total Quality Management, Accreditation, Electronic Medical Records
University: Birla Institute of Technology and Science
Completed Date: 
Abstract: Quality is at the core of the health systems framework. Although ubiquitous, quality is notoriously difficult to define. Since ancient times the distinction between primary and secondary quality has been made. In modern times quality is deemed to have six dimensions newline newline Safety, Effectiveness, Efficiency, Patient-Centeredness, Equity and Timeliness. Total Quality Management (TQM) has wide applicability in healthcare. Although extensively researched, TQM in healthcare has not been validated by objective-element measures, especially in the context of quality Certification and Accreditation. There has been no published study in India quantifying the impact of National Accreditation Board of Hospitals and Healthcare Providers (NABH) accreditation through clinical quality metrics. Moreover, the expert opinion of accreditation Assessors, on whether NABH is aligned with TQM constructs and if it actually improves clinical outcomes, has never been scrutinized. The new and scantily-researched frontier of Clinical Transformation through Electronic Medical Records (EMR) presents an opportunity that is bound to significantly expand the possibilities in healthcare quality improvement. newline newlineObjectives newline newlineDeduce the impact of ISO 9001 on the quality of a healthcare organization. Implement NABH Standards in a participatory action research framework to enable translational research and experiential learning, eventually achieving the goal of NABH accreditation. Continuously monitor improvements in clinical quality indicators during the active study period to test the impact of accreditation. Test the validity of TQM constructs with NABH Assessors and cross-validate perceptions with measurable clinical, safety and satisfaction outcomes. Introduce EMR and Emergency Department Information System (EDIS) and measure the potential quality and safety outcomes. newline newlineMethods newline newlineDeductive as well as inductive approaches were adopted to study micro-environmental elements of Quality in health systems, and extrapolate inferences for macro-environmental newline newline newline newline
Pagination: 10.0 MB
URI: http://hdl.handle.net/10603/123783
Appears in Departments:Management

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