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Philosophical and structural elements of a continuous quality improvement
1. Select and profile (a) a high-level job position you aspire to secure in your chosen allied health field and (b) a same-level position in a different and unrelated allied health care field. What educational and professional qualifications must an individual in each of these positions possess? What is the typical career path to arrive at each position? Compare and contrast the responsibilities of each position with regard to workplace safety, risk management, and/or quality of service, and identify one element from each career path that might benefit the other.
2. Discuss the philosophical and structural elements of a continuous quality improvement initiative. Why are these elements important in new initiatives? Why does health care use the Deming cycle (Plan, Do, Check (Study), and Act)?
Sample Answer
. High-Level Allied Health Positions
I will profile two high-level positions: Director of Physical Therapy (PT), representing a chosen field, and Chief Diagnostic Medical Sonographer (CDMS), representing an unrelated allied health field.
Position Profiles
Feature
(a) Director of Physical Therapy (DPT)
(b) Chief Diagnostic Medical Sonographer (CDMS)
Field
Rehabilitation Services
Diagnostic Imaging
Primary Setting
Large hospital system, Outpatient clinic network, or Academic medical center.
Hospital Radiology Department, Large Imaging Clinic, or Specialty Ultrasound Lab.
Educational Qualifications
Doctor of Physical Therapy (DPT) degree (entry level). Advanced training or certification in management/administration (e.g., MBA or MHA is highly beneficial).
Associate's or Bachelor's degree in Diagnostic Medical Sonography. Advanced Master’s degree (e.g., MHA, Healthcare Administration) is often required for a Chief/Director level role.
Professional Qualifications
State PT License. Board Certification in a specialization (e.g., Orthopedics). Clinical leadership experience (5-10 years).
Registered Diagnostic Medical Sonographer (RDMS) certification (e.g., through ARDMS). Advanced certification in multiple specialties (e.g., Vascular, Cardiac). Supervisory/Management experience (5-8 years).
Element of Mutual Benefit
DPT Benefit to CDMS: The DPT's experience with standardized, metric-driven functional outcomes tracking (using tools like FOTO) could benefit the CDMS. Applying similar rigorous, patient-reported metrics to diagnostic quality could help the CDMS department better link technical quality to patient care perceptions.
CDMS Benefit to DPT: The CDMS's experience in managing high-cost, complex equipment maintenance and calibration could benefit the DPT. This expertise in precise asset management and vendor relations is crucial for ensuring the PT department's diagnostic and therapeutic equipment is always safe, accurate, and operational.
2. Continuous Quality Improvement (CQI)
Continuous Quality Improvement (CQI) is an ongoing effort to improve products, services, or processes. It is a fundamental philosophy in modern healthcare management.
Philosophical Elements of CQI
The philosophical elements define the core beliefs and culture required for successful CQI:
Customer/Patient Focus: The primary goal is to meet or exceed the needs and expectations of the patient. This requires understanding the patient's voice and viewing quality from their perspective.
Systemic View: Quality failures are attributed to poor processes or systems, not poor individuals. This removes blame and encourages open reporting and analysis of issues.
Data-Driven Decisions: Improvement efforts must be based on objective data and metrics (evidence) rather than assumptions or personal opinions.