While Deming’s approach, almost 70 years ago, is credited for the success of post WWII Japanese industrial growth and for transforming the American automobile industry, his principles are easily adapted to health care and even more valuable today as our payment system shifts to a value-based model.
Laboratory professionals inherently strive for excellence. By concentrating on consistent processes and setting clear expectations, variation decreases and quality increases. This requires leadership principles that empower individuals and place managers in charge of improving processes, not policing workers. This is why your leadership education is so important, and why hiring or training a laboratory professional that specializes in quality management can be so impactful to your organization.
Create a Just Culture so that everyone is unafraid to report errors and encouraged to suggest innovation. Without fear of reprimand, team members will learn to report all variances, which will enhance the data pool for greater learning. See how fast this culture grows when a punitive model for errors is replaced with one of reward for reporting errors and where laboratory improvements are celebrated. Lead by example! Showing your vulnerability to make mistakes makes you a more authentic leader. We are all in this together, and a strong leader educates, inspires and empowers others.
Meaningful QI is data-driven. Data is non-emotional. It is what it is. Stephen R. Covey, in his book The 7 Habits of Highly Effective People, said, “Start with the end in mind. Find out what it is you want to improve and then start collecting the data. The data will turn your suspicions into fact and provide you with areas of opportunity.” This is your calling to get outside of the lab and collaborate with other departments. Break down institutional silos to see how other departments handle data and discover how working together accelerates positive patient outcomes. Make a friend in the IT department who can ﬁnd ways to collect data that you would have never thought possible.
Creating quality initiatives around laboratory inspections and artiﬁcial targets or remaining reactive to variances in quality will not fully embrace long-lasting and measurable success. While Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations ensure that labs are meeting minimal quality requirements, it is no longer sufﬁcient when considering the signiﬁcant contribution the lab has to patient outcomes and value-based reimbursement. This is an opportunity to empower your team to look beyond the laboratory inspection checklist and think outside of the box. Develop a quality manual that provides guidance and sets expectations.
A successful QI program empowers everyone to do their best. Because we inherently strive for excellence and are often competitive by nature, laboratory professionals are hard-wired to fix problems. Creating a loop that continually evaluates the process allows everyone to be involved in the laboratory’s success, which increases engagement and improves company loyalty. Win points with your administrative team by reducing employee turnover while reducing costs by improving quality.
Where can you go to get more information on laboratory quality and identify the tools you need to succeed in your quest for a successful QI program? Search no further than the Quality Insights for Quality Outcomes series brought to you by LabLeaders and CLMA. Thought leaders from CLMA met with LabLeaders for a discussion on quality management. Check out the video for a behind the scenes look at this collaboration and review additional content from the series here.
How to Choose a Quality Improvement Project
By Michael Astion, MD, PhD
This articles shares ten helpful strategies for choosing a Quality Improvement project that will have a high-impact and boost ROI.
How Does a Laboratory Measure Process Improvement?
By Michael A. Noble, MD, FRCP(C) and Paul Valenstein, MD
This article shares how to use the Clinical and Laboratory Standards Institute’s approved guidelines to select the best quality indicators to measure.