Baldrige for Not-for-Profits Passes Senate Unanimously

The U.S. Senate recently and una-nimously passed the U.S. House of Representatives bill that creates a not-for-profit category for the Malcolm Baldrige National Quality Award. President Bush signed the bill into law on Oct. 5.

The bill had passed the House unanimously last March. Passage of the legislation caps a two-year effort
by ASQ and its members aimed at gathering support from key legislators, including Representatives Brad Miller, North Carolina Democrat; and Melissa Hart, Pennsylvania Republican. Miller and Hart introduced the original legislation in the House.

Other House supporters were Sher-wood Boehlert, New York Republican; Bart Gordon, Tennessee Democrat; and Vern Ehlers, Michigan Republican. Boehlert is chair of the House Science Committee, where the bill originated. Senate supporters were John McCain, Arizona Republican; and Ernest Hollings, South Carolina Democrat.

Not-for-profits are expected to be eligible for Baldrige Awards beginning in 2006, assuming the necessary funds are appropriated by Congress or available through other sources.


Patient Safety and Quality Award Recipients Named

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the National Quality Foundation have named recipients in the four categories of the annual John M. Eisenberg Patient Safety and Quality Awards:

  1. Individual achievement—Lucian Leape, M.D., of the Harvard School of Public Health for his contributions to understanding the nature of medical errors and the extent of the patient safety problem and his efforts to improve the safety of care for all patients.
  2. Research achievement—Peter Pronovost, M.D., of the Johns Hopkins University School of Medicine for initiatives that led to dramatic improvements in the safety and quality of care in intensive care units.
  3. Innovations in patient safety and quality at a national or regional level—Kaveh G. Shojania, M.D., and Robert M. Wachter, M.D., of the University of California at San Francisco for the creation of a case based approach to patient safety education through professional literature, the Web and a best-selling nonfiction book; and Maj. Danny Jaghab of Brooke Army Medical Center, San Antonio, for the creation of a distant learning program, now available through the U.S. Department of De-fense, that provides education about sentinel events, root cause analyses, risk reduction strategies, and policies and recommendations associated with JCAHO’s national patient safety goals.
  4. Innovation in patient safety and quality at a local or organizational level—University of Pittsburgh Medical Center for development of personalized patient safety self-learning packets that have demonstrated their effectiveness in creating an organizational culture of patient safety that facilitates the resolution of problems associated with hospital acquired infections and falls.

Eighty nominations were received for the 2004 Eisenberg awards.


ISO 9001 and 14001 Numbers Reflect Transition

The International Organization for Standardization (ISO) has released the results of its 2003 survey of ISO 9001 and ISO 14001 certificates.

Principal results of the survey are:

  • At the end of December 2003, just two weeks after the deadline for transition to the 2000 version of the standard, more than a half million ISO 9001:2000 certificates had been issued in 149 countries and economies.
  • The total represents an increase of more than 200% over the total at the end of 2002 and is more than 10 times higher than the figure at the end of 2001. (The 2001 and 2002 totals do not include certifications to ISO 9001:1994. If those numbers are added, the half million total for 2003 represents 89% of the 2002 world total for the quality management standard.)
  • More than 66,000 certificates to ISO 14001 had been issued in 113 countries and economies, an increase of more than 34% over 2002. This is the most growth shown in the nine ISO surveys that have included the environmental standard.

The survey identifies two developments as being responsible for reducing the actual worldwide total of ISO 9001 certificates when both the 1994 and 2000 versions of the standard are considered:

  1. The evolution from multiple, single site to single, multiple site certificates.
  2. Several major global industrial sectors are implementing quality management requirements that incorporate ISO 9001 with additional requirements specific to their sector.

ISO says it has not been able to precisely analyze the im-pact of these two factors but intends to clarify these issues when collecting data for the 2004 survey.

Since ISO does not perform certification audits or issue certificates, its numbers, collected from various sources, are merely indications of the standards’ use.

A copy of the survey’s principal findings is available at http://www.iso.ch/iso/en/iso9000-14000/pdf/survey2003.pdf. The full survey can be ordered at http://www.iso.ch.


Updated Future Of Statistics Report Issued by NSF

The National Science Foundation (NSF) has issued an update of its report Statistics: Challenges and Opportunities for the Twenty-First Century, edited by John Kettenring, Bruce Lindsay and David Siegmund.

To deal with opportunities, limited resources, an insufficient pipeline of students and the constrained support infrastructure, the report recommendations include the following:

  • Statisticians must take responsibility for more effectively articulating the unique capabilities of their discipline and explaining modern statistics’ similarities and differences with mathematics and computer science.
  • NSF should support the core of statistics research to avoid re-search fragmentation and should support multidisciplinary research activities.
  • NSF should encourage the development of new models for statistics education at all levels.
  • NSF should join forces with leaders of the statistics profession to spur interest in statistics training.

The report can be read on the American Statistical Assn. website at http://www.amstat.org/index.cfm?fuseaction=main.

ASQ News

CLEVELAND SECTION MARKS ANNIVERSARY ASQ’s Cleveland Section, a founding member of ASQ, is celebrating its 60th year. An appearance by W. Edwards Deming in the city in the fall of 1944 during World War II inspired local manufacturing workers to form the Ohio Quality Control Society. That’s two years before the organization today called ASQ came into existence. The section’s membership has declined along with its area’s manufacturing jobs in recent years, but it’s now concentrating on reaching out to service sectors such as healthcare and banking.

HOMELAND SECURITY ASSESSMENT MANUAL PUBLISHED Quality Press has just released Home-land Security Assessment Manual: A Comprehensive Organizational Assessment Based on Baldrige Criteria. The book by Donald C. Fisher is accompanied by a CD-ROM with self-assessment scoring documents and questions to ask when analyzing an organization. A homeland security plan and budget forms are included to allow assessment re-sults to be transformed into a strategic plan, with costs identified for each objective, strategy and action item. For more information or to order, call 800-248-1946 or 414-272-8575 or go to http://qualitypress.asq.org/perl/catalog.cgi?item=H1237. (case sensitive)

APPLIED STATISTICS CONFERENCE DEC. 8 The 60th Annual Deming Conference on Applied Statistics will be held Dec. 8 in Atlantic City, NJ. The event is sponsored by ASQ’s Statistics Division, the New York and New Jersey Metropolitan Section and the Biopharmaceutical Division of the American Statistical Assn. Short courses will follow the conference on Dec. 9 and 10. For additional information and registration materials, go to http://www.demingconference.com.

STAFF TRAINS AS BALDRIGE EXAMINERS Eight ASQ staffers recently completed Baldrige Award examiner training and participated in Wisconsin Forward Award application review activities. They are Jen Czajka, production services; Tatrice Edwards, event management; Anita Fox, customer care; Annemieke Hytinen, knowledge offerings; Peter LaBonte, Baldrige contract administration; Paul Malek, market development; Paula O’Connell, customer care; and Stefanie Pettigrew Simmons, event management.

EACH ONE REACH ONE WINNERS NAMED In August, two members were recognized for their part in recruiting new members through ASQ’s Each One Reach One (member-get-a-member) program. Charles R. Hankins of Omaha, NE, recruited 11 new members, and Jon Morningstar from Salt Lake City was chosen as the random winner after sponsoring three members. Both received Quality Press gift certificates. For more on the Each One Reach One program, go to http://www.asq.org and click on Membership.

TEAM VIDEO DEADLINE DEC. 17 The deadline to enter videos in the 2005 International Team Excellence Competition is Dec. 17. Finalists will be selected for live presentations at ASQ’s World Conference on Quality and Improvement (until this year called the Annual Quality Congress) May 16-18, 2005, in Seattle. The team competition is a program of ASQ’s Teamwork and Participation Forum (formerly the Assn. for Quality and Participation). For the competition criteria or additional information, go to http://www.asq.org under Forums, e-mail gbalagopal@asq.org or call 800-248-1946 or 414-272-8575 x7303.

BALDRIGE CONTRACT RENEWED The Society will continue to administer the Malcolm Baldrige National Quality Award for the National Institute of Standards and Technology under a new five-year contract. ASQ’s involvement with the award program goes back to 1989.

QUALITY PIONEER DIES AT 89 One of ASQ’s designated American Quality Pioneers, Leonard A. Seder, died Aug. 31 at the age of 89. Over the course of his 40-year career in quality control, Seder served as a consultant, engineer, author, educator, lecturer and practitioner. He was an engineer at General Electric, chief of quality engineering at Gillette Co. in Boston and head of a consulting firm and a placement company for quality control personnel. Seder directed the quality control program at Northeastern University in Boston for 25 years and lectured at several other universities. He edited the Quality Control Handbook, was the first recipient of ASQ’s Brumbaugh Award and served on the Society’s board of directors and editorial board.


JCAHO and Medicare/Medicaid To Align Hospital Quality Measures

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare and Medicaid Services (CMS) plan to completely align their hospital quality measures.

The current measures are included in JCAHO’s core measures and CMS’s quality of care measures on heart attack, heart failure, pneumonia and surgical infection prevention.

Both have released and made available on their websites a common measures specification manual, which includes a data dictionary, measure information forms, algorithms and other technical support information. The intent is to achieve total identity of common measures by the time data collection for January 2005 patient discharges begins.

For additional information, visit http://www.jcaho.org.

The FACE of Quality

Name: Bengt Klefsjö.

Residence: Luleå, just 81 miles south of the Arctic Circle in Sweden.

Education: Doctorate in mathematical statistics in 1980 from Umeå University in Sweden, with a thesis in reliability theory.

Current job: Professor and head of the Luleå University of Technology’s Division of Qual-ity Technology and Statistics since 1990. Since 1971, when he joined the teaching staff, the university has grown from four instructors and 48 students to 1,300 staff and 13,000 students. In January 2003, the division changed its name to the Division of Quality & Environmental Management.

ASQ activities: Conference speaker; author or co-author of 19 books, including Quality: From Customer Needs to Customer Satisfaction, second edition, published by ASQ Quality Press in 2003; Quality Progress book reviewer.

Other activities and honors: Member of the editorial board of eight international scientific journals; member of the editorial board of Sweden’s only quality management journal and juror for the Swedish Quality Award; driving force behind creation of a regional quality award in northern Sweden and establishment of the Center for Quality Improvement at Luleå University, which encourages and assists organizations in northern Sweden in quality management efforts.

Personal: Married to Gunilla; one daughter and one son.

Favorite ways to relax: Travel, wine production and photography, which includes a gallery of photos of many quality gurus taken at various conferences.

Quality quote: Some people say quality management is a fad, but its development has just started. We have moved from product quality via process quality to a deeper understanding of quality of life issues. Leaders need to understand social and environmental issues are global. We must move from learning organizations to a learning society in which customer needs and expectations are the focus of all processes and the aim is continuous improvement to create what we can call a “total quality society.”


URAC Seeks Feedback on Medical Management

URAC, a nonprofit organization that promotes healthcare quality, is seeking feedback to increase understanding of the role of medical management in the evolving healthcare system.

In response to the Institute of Med-icine’s (IOM) Crossing the Quality Chasm report, URAC previously held five focus groups with practitioners from utilization management, case management, disease management and provider networks.

Key points from sessions were:

  • Medical management practitioners support the IOM’s six aims that the system be more equitable, safe, timely, efficient, effective and patient centered.
  • Medical management is uniquely positioned to promote patient safety by supporting care coordination across many settings of healthcare delivery.
  • Evidence based medicine is the key to improving the delivery of care that meets the IOM aims.
  • Data integration from multiple sources is a prerequisite to improving healthcare quality.
  • Engaging patients to increase their healthcare knowledge, support self-management and empower decision making is a necessary prerequisite for the system to meet the IOM’s aims.
  • Engaging providers by aligning incentives to increase the use of evidence based medicine is a critical step.
  • A longitudinal approach by medical management will support an increased opportunity to consider patient centered factors.
  • Outcomes analyses and data collection with standardized measurement principles, are essential.

To comment on the role of medical management in improving healthcare, go to http://www.urac.org/mmandqualitychasm.asp.

Short Runs

STANDARDS DEVELOPERS need to notify the U.S. Department of Justice of their work in order to be protected by HR 1086, the Standards Developing Organizations Advancement Act of 2004. The act provides a degree of shelter for certain standards developers from the treble damages liability in current antitrust laws. Details can be found at http://web.ansi.org under News & Publications.

THE QUALITY AND STANDARDIZATION ASSN. of Serbia and Montenegro (JUSK) has issued a call for papers and presentations for its total quality management event May 22-28 in Belgrade, Yugoslavia. The conference’s official language will be English. For additional information, contact conference chairman Vidosav Majstorovic at majnem@EUnet.yu or go to http://www.jusk.org.yu/eng/e_index.html.

THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) has released the most recent update of its database of health plan performance information, Quality Compass 2004. The database includes information on NCQA accreditation and plan-specific results on various measures, data sets on its measurements of clinical performance and member satisfaction. The update has information on 262 health plans that cover more than 60 million Americans. For more information, go to http://www.ncqa.org.

SOFTWARE DIFFICULTIES COST BUILDERS BILLIONS According to a study commissioned by the National Institute of Standards and Technology (NIST), inadequate software interoperability in the capital facilities industry cost the commercial, institutional and industrial building sectors nearly $16 billion in 2002 in lost efficiency. The amount covers avoidance, mitigation and delay activities caused by data exchange problems and redundant paper management. It breaks down losses for architects and engineers, general contractors, specialty fabricators and suppliers, and owners and operators at three different stages of a building’s life: design and engineering, construction, and operations and maintenance. Electronic copies are available at http://bfrl.nist.gov/oae/oae.html.

THE NAHB RESEARCH CENTER, a subsidiary of the National Assn. of Home Builders, has announced winners of its 2005 National Housing Quality Awards. The awards for home builders are patterned after the Malcolm Baldrige National Quality Award. Gold award recipients were Grayson Homes LLC, Ellicott City, MD, and Pulte Homes, Bloomfield Hills, MI. Silver awards went to Estes Builders LLC, Sequim, WA; Ideal Homes, Norman, OK; and Veridian Homes, Madison, WI. Pringle Development Inc. of Leesburg, FL, received honorable mention.

THE SOCIETY OF MANUFACTURING ENGINEERS plans to fund an automation education program. SME’s Education Foundation has granted more than $200,000 for a center for advanced manufacturing automation at Alexandria Technical College in Alexandria, MN. The center will have four primary functions: serve as a benchmark center for advanced manufacturing automation education; leverage the internet to achieve interinstitutional cooperation to support curriculum and professional development, current workforce development and future economic development; train Minnesota manufacturers to use the internet for remote monitoring and management of advanced manufacturing automation systems; and serve as the core model for the regional Center for Advanced Packaging Automation.


Leapfrog Group Provides Incentive Program Summary

The Leapfrog Group has developed a Web based compendium of incentive and reward programs aimed at improving healthcare in both inpatient and outpatient settings.

The compendium provides details on both financial and public recognition programs initiated mainly by health plans, purchasers or purchasing coalitions and aimed at hospitals, physicians, health plans and consumers.

Freely available on the Leapfrog Group website at http://www.leap-froggroup.org/rewards_compendium, the summary allows users to sort by location and program target and search the programs using a built-in keyword search function, such as one related to quality and safety practices.

The compendium has been supported by the Commonwealth Fund and the Robert Wood Johnson Foundation. The Leapfrog Group’s mission is to support informed healthcare decisions by users and payers and to promote high value healthcare through incentives and rewards. The group includes more than 150 Fortune 500 companies and other large private and public sector representatives of more than 34 million healthcare users.

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