Quality Management in Military Health Care
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This paper describes and supports a proposal for a research study of the application of quality management techniques in the military health care environment. Included in this chapter are a discussion of the background information on the problem to be investigated; a statement of the problem that will be investigated; a statement of the purpose of the proposed study; a discussion of the rational basis for the conduct of the proposed study; a statement of the research questions that will be investigated, together with a statement of the hypotheses that will be tested; operational definitions of variable terms included in the hypotheses; a statement of the assumptions underlying the proposed study, together with limitations associated with the proposed research; and a description of the organization of the remainder of the proposed study.Dynamic change characterizes the American health care delivery environment in the 1990s. Within such an environment, institutional care providers in particular must develop and implement new and effective strategies if they are to remain viable entities. The changes in the health care delivery environment result from a combination of factors (increasing costs of health care, changing societal values, advances in treatment therapies, changing demographics, and many others). Cost is a major factor involved in changes in the delivery of health care servi
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get higher levels of patient satisfaction (Holleran, 1992, p. 4). Patient satisfaction is best attained through addressing patient needs (Koska, 1992, p. 50).
Continuous Quality Improvement
CQI is based on the work of Genichi Taguchi (1987, p. 5). Taguchi was the principal developer of the CQI concept. Taiichi Ohno, former vice president of Toyota Motor Corporation, was quoted as saying that: "Whatever an executive thinks the losses of poor quality are, they are actually six times greater" (Taguchi and Clausing, 1990, p. 65). Quality is achieved primarily through design, because quality "is a virtue of design" (Taguchi and Clausing, 1990, p. 65).
Customers are not interested in the extent to which a product meets production specifications (Taguchi and Clausing, 1990, p. 65). Thus, the "zero defects" approach to quality employed by most American manufacturers fails to address directly the concerns of the customer (Taguchi and Clausing, 1990, p. 65). By contrast with meeting production specifications, the customer is interested in product quality as quality is reflected in "a product's . . . performance when rapped, overloaded, dropped, and splashed" (Taguchi and Clausing, 1990, p. 65). The Taguchi approach to product quali
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Some common words found in the essay are:
Taguchi Clausing, Synthesis Literature, Larson LaFasto, TQM CQI, Hammonds DeGeorge, Mason Dickel, Armstrong Symonds, Edwards Deming, SMWTs Barton, Mahler Nicholson, health care, quality management, military health, military health care, care environments, health care environments, proposed study, product quality, appropriate health care, appropriate health, health care delivery, concept appropriate health, care delivery, concept appropriate, quality control,
Approximate Word count = 9508
Approximate Pages = 38 (250 words per page)
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