Continuous Quality Assurance is a quality management approach that borrows a lot from quality control methods that are traditional and lays emphasis mostly on the system and organization. The main focus is on the process as opposed to individual details. It identifies with internal and external clients. In addition, it enhances the need data that is objective for the purpose of analysis and enhancement of processes. CQI institutions believe that almost everything can be improved. CQI meets the need of people at everyday basis through a series of scientific experiments for the purpose of enhancing the services being offered. CQI has put in place basic concepts to make sure it achieves its objectives. Value is indicated by customers anticipation and success is realized by meeting the needs of clients. Issues are detected through processes as opposed to individuals and the need for improvement arises. Improvements are made through scientific processes to bring out the desired change. Efficacy in improvement is achieved through continuous trials. To realize continuous improvement, there are basic steps which must be adhered to. They include formation of teams to enhance the system, selection of goals, realization of clients desires, recognition of mode for measure of success, strategies poised to improve the system, collection and planning of data to develop effective decision making and, in addition, incorporate experts to determine the perfect transformation required.

ORYX is one of the initiatives developed by JCAHO in its initial focus in the accreditation process concerning care of the patients, treatment and issues arising in the process of service provision. JCAHO has been applying ORYX as a way to transform the accreditation process, where organizations that are healthcare based are reviewed after every three years for the purpose of building on the quality of services within their domain.

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CQI in healthcare sector refers to the improvement of products for the purpose of meeting the needs of the clients. In this sector the improvement and performance is determined by clinical results, client satisfaction, errors rating, cost of unit production, productivity, state of market share, and other indicators. Improvement in CQI is the core aspect in realization of better quality and this is achieved through scientific methodologies. Methodologies play central role in the process of transforming inputs and outputs of organizations healthcare sector. CQI incorporates effective developments and simple techniques that are readily available to employees with proper educational knowledge for appliance in scientific approaches relevant for improvement of work process on the daily basis (Alhatmi, 2010). In recent times CQI has supported devolved approaches in health service industries in measuring and improvement of quality. It includes measurement of outcomes, criteria, clinical conduits and specification in disease management. CQI has its own unique characteristics in the sense it seeks to teach and enhance the appliance of analytical methods that are generic for improved facilitation of processes, which are clinical and nonclinical. This is in contrast with the other method, which applies the technologies that are common in clinical fields. CQI also goes a step further by enhancing management changes structured for facilitation of organizational transformation.

Facts and data supporting the standard, guideline or criteria

Quality reports of hospitals that are public together with physicians and health strategies are used in enhancing efficacy in the health care industry. Shrinkage estimators have been used as superior determinant of the level of quality applied in preparation of these reports due to their ability to provide conservative rankings that are stable compared to the previous non-shrinkage estimators (Makumel, 2010). In recent times in America the measuring of performance in the health care industry has become critical in the health care system. It was fostered through Value Driven Health Care initiative that incorporated the measuring and analyzing information concerning health care quality by using the same information to enhance quality and promote efficacy in the health care sector (Makumel, 2010). The measure of quality was based on the outcome of patients or process measurement. The accuracy levels of measurements depended on the data quality, influence of risk adjustment, the number of the clients being sampled, and the specification involved in the quality measurement. The issue will be addressed in the perspective aspect of a patient, where the main objective is selection of the best health care provider in the region based on the evaluation of importance of quality measures. The main focus will be on the patient outcomes that compare with quality measures relating to the service provider in the region. While undertaking the choice of estimators, it must be put into perspective though shrinkage is preferred over non-shrinkage. In either way, there is no clear solution concerning the issue at hand and further studies can be carried out to ascertain the solution by increasing sample component and usually this is considered impractical in relation to the realities that exist in the health care industry.

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Common misconceptions involved in ICQs implementation

There have been numerous accomplishments in the health sector but the need to adapt continuous improvement strategies still persist despite such accomplishments. Knowledge and advancement realized in the health sector have been beneficial and in some cases retrogressive. The pressure to reduce the cost of health care services has made health institutions restructure their work force. This to a greater scale has resulted to overloading of work in the health organizations (Tubbs & Jensen, 2011). As a result of this, such issues as omission, errors, improper approximation, refusal in task handling, and overcrowding of patients in health institutions are on the rise.

The assumption of consultation experts by health care institutions do not always translate to help in achieving the desired objectives. This is because such experts bring out the required recommendations for quality improvement and some institutions just shelve such reports on recommendations without implementing them. Consultants have the ability of assisting organization in identification of improvement strategies in the health care sector but unfortunately they are not retained to ensure that their recommendations are executed.

Another common misconception is appliance of improvement groups that are conflicting when it comes to function with an aim of achieving success. In the health care sector, it is common not to have stakeholders involved in the process of improvement of services. It proves a challenge to incorporate physicians and advanced nurses in the team that is responsible for improvements (Tubbs & Jensen, 2011).

For the purpose of realizing full benefits in ICQ other strategies may be incorporated. One of them is the quality and productivity tools and techniques. These strategies have been widely used in the manufacturing and service providing industries and they can be successfully used in the health care organizations. This should be done in an effort to realize the highest level of efficacy when it comes to the quality improvement (Bandyopadhyay & Hayes, 2009). This method involves Statistical Quality Control, Total Quality Management, and Six Sigma quality-improvement strategy to make the appropriate changes required. This is important to the hospitals that are accredited by JCAHO in the U.S., which have commitment concerning quality as opposed to others that operate without heeding to the importance and gain that accrued by enhancing patient services.

In conclusion, health care operators have the mandate of ensuring that the right tools and conditions are applied to realize desired results concerning quality improvement. Health organizations should use a systematic approach when it comes to the change in order to attain the developmental efforts perquisite for success in SQI. In addition, accreditation of JCAHO is not mandatory in the USA. The situation can be reversed and become mandatory in the operation of delivering health care services to the public in a bid to improve the quality of health care services that organizations in this industry provide.

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