Quality Management and Continuous Improvement

| March 5, 2014

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In your own words, post a substantive response to each assessment separately that are listed below:
Assessment One:
Pick a company or industry. Choose a potential area of improvement for this company or industry. Benchmarking is a key component of quality improvement methods (Hutton, n.d.). It can benefit the organization very quickly because once data is gathered and analyzed process improvements can be implemented immediately rather than having to do improvements over time (Career Education Corporation [CEC], 2010). Customer service call centers in any industry can usually benefit from quality improvement, either to change inefficient processes or poor customer service or enhance processes that are working. Customer service call centers in healthcare usually focus on key performance indicators which creates a simple way to establish a scoring system that is simple and effective.
Discuss two benchmark companies or industries you would use for the previously listed improvement area”.
Other industries that can be used for benchmarking are airline and retail customer service call centers. These can be used to analyze best practices because even if they are offering different products, all call centers focus on very similar key performance indicators to gauge their success (Scafario, 2010). An example is Southwest Airlines who takes a proactive approach to anticipate customer dissatisfaction and leverages technology to alert customers about cancellations and gate changes. Enhance the customer’s booking and check-in procedures. An example in the retail industry is L.L. Bean who conducts most of its business over the phone and online. It is known for its superior customer service and it’s “no questions asked” return policy. L.L. Bean places a high emphasis on keeping customers loyal to their brand and trains its call center agents the art of engaging in conversation that may not be related to the sale.
1. Select a benchmark in a like company or industry
A similar industry to healthcare is the hotel or hospitality industry. The healthcare customer service call center focuses on key performance indicators such as call abandon rates, average talk time, after call work, and average handle time. These key performance indicators are also used in the hotel industry call centers (Scafario, 2010)
2. Select a benchmark company or industry that does not participate in the same type of business.
A different type of company that can be used for benchmarking is Zappos.com, an online shoe and clothing shop that views the phone experience as a branding action and encourages customers to call about almost anything. The call center uses cloud computing technology and social media networking. Call center employees are not required to keep their calls short but are given ample latitude to ensure a positive outcome (Scafario, 2010).
3. Why would you choose these companies (industries)?
These companies would be good benchmarking options because they all use a customer service call center to interact with their customers and sell their product or service and to enhance the customer experience.
4. Discuss pertinent benchmarking information (lessons learned) that makes them a good choice.
The overall lessons learned from these companies include information on what makes their call center efficient. Some of the best practice strategies include (Scafario, 2010):
1. Develop a customer service strategy
2. Use targeted, strategic training
3. Measure training effectiveness
4. Using representatives as idea collectors and keeping mail lists up to date
5. Implementing a balanced scorecard
6. Monitor social network sites
Using benchmarking to get best practices from other organizations can promote quality improvements by providing pertinent information on a specific practice. Companies can use this information to set goals to meet the benchmark data as well as get useful insight on how to accomplish those goals (Hutton, n.d.). For example, the general industry standard for percentage of calls answered within a predetermined period is generally 80% in 30 seconds. Most organizations encourage their representatives to have low call times, but in this case Zappos.com encourages long conversations with the longest documented call time of 4 hours (Scafario, 2010).
References:
Career Education Corporation. (2010). The narrative essay [Multimedia]. Retrieved from
https://class.aiuniv.edu/_layouts/MUSEViewer/Asset.aspx?MID=MU18401&aid=AT97393
Hutton, D. (n.d.). The search for best practices. Retrieved from
http://www.dhutton.com/samples/sampbench.html
Scafario, C. (2010). Customer service call center benchmark study. Retrieved from

Assessment Two
According to “A Guide to the Project Management Body of Knowledge”, “Benchmarking involves comparing actual or planned practices, such as processes and operations, to those of comparable organizations to identify best practices, generate ideas for improvement, and provide a basis for measuring performance. The organizations compared during benchmarking can be internal and external” (2013).
In past years IBM was the top computer technology company in their industry. In 1995 they purchased Lotus for several Billion dollars and developed Lotus Notes which became one of the most powerful collaborative software tools in the workplace. Today they seem to have stalled in this new age of fast paced technology advances. Lotus Notes now seems to be the system of the past and IBM has not advanced the collaborative tool quickly enough to stay on top of the industry and keep the product sold to their current customers. Unfortunately, they have fallen behind such innovative companies as Apple, Google and Yahoo.
1. Select a benchmark in a like company or industry
Google Apps for Business has become one of the Industry standards due to their innovation and their tenacious ability to strive for improvement. Google and its cloud-based applications fit many companies due to its mobile connectivity domestically and globally. Mail, Calendar and Contacts are easily accessible “on-the-go” and storage is virtually unlimited. Other collaborative apps such as Google Docs & Drive, Google Groups, Google Plus and Google Hangouts all provide the ability to share, meet and communicate easily amongst co-workers.
2. Select a benchmark company or industry that does not participate in the same type of business.
Amazon is another company that is very innovative and is constantly striving to improve all their processes. As of lately they have talked about the future of the company and their vision to utilize unmanned aerial vehicles to deliver products to the customer.
3. Why would you choose these companies (industries)?
Both industries continue to lead their peers and constantly strive to stay ahead of their competition through technology advancements and continuous process improvements. They continue to be innovative by staying in touch with their customers through reviews, feedback, social media and blogs. They also sink a lot of dollars into IR&D to stay ahead of the pack.
4. Discuss pertinent benchmarking information (lessons learned) that makes them a good choice.
Complacency can be the death of a company, by getting to comfortable in their successes they lose focus on improving their product or service. Staying focused on customer satisfaction through surveys, feedback and reviews can provide valuable information on where to take the product next or how to decrease costs and improve profits. Also, investing money into the product for improvements or coming up with related products. Both these companies don’t allow complacency to become part of their culture and for this they stay ahead of their peers.
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Assume you are interviewing a 65 year old African American woman

All documents need to be submitted in doc or docx format.
Health History and Narrative summary need to be one document.
Genogram can be submitted as separate document.
PLEASE NOTE : This is part one of two and care plans would be done in a later assignment. Keep that in mind.
Biographical Data
Date/Time:
Initials:
Address:
Source of Information: DOB:
Age:
Gender:
Race:
Marital Status:
Ethnic Identity/Culture:
Religion:
Occupation:
Health Insurance (Type/Coverage):
LIVING ARRANGEMENTS:
Number in household:
Designated Caregiver: Home Conditions:
?Clean ? Unclean Safety:
?Good ?Fair ?Poor Hygiene:
?Good ?Fair ?Poor
Comments: (Identify potential risks)
Present Health or Illness:
VITAL SIGNS:
TEMP:
Source:
PULSE:
Source: BP
Site: Respiration
Rhythm: Pain Score Height (ft/in) Weight (lbs)(kgs)
Health Beliefs and Practices, health patterns
Medications: (Be sure to include OTC and Herbals, in addition to prescription medications)
Current Medications Name: Dose Schedule Prescribing Physician
ACTIVITIES OF DAILY LIVING:
ACTIVITY INDEPENDENT NEEDS ASSISTANCE DEPENDENT RECOMMENDATIONS/COMMENTS
Feeding
Ambulating
Transfer Bed
Transfer Toilet
Transfer Tub
Grooming
Oral hygiene
Dressing
Bathing
Food preparation
Shopping
Medications
Finances
Access ER services
Past Medical History (PMH)
CHRONIC CONDITIONS: (Year diagnosed, treatment, status, managing PCP)
ALLERGIES:
Medications:
Foods:
Environmental:
Other:
COMMENTS:
IMMUNIZATIONS:
• Are childhood/adolescent up to date: Yes No
• Immunizations in past year:
• Adverse Reaction to immunization: Yes No
• If yes describe:
Surgical History: Year, Procedure, (Physician and Institution, if known)
SEXUAL HISTORY
Any concerns:
For females: Age at Onset of Menses/Menarche
Family History:
• Immediate Family
• Extended family
• Complete your family history utilizing the following link and create a Genogram for your client. https://familyhistory.hhs.gov/fhh-web/home.action
For optimal assignment credit, please take a screen shot or copy and submit electronically as a separate attachment with this assignment.
Psychosocial History
• Occupation History
• Education
• Financial Background
• Roles and Relationships
• Family
• Social Structure/Emotional Concerns
• Self-Concept
• Spirituality
Review of Body Systems (ROS)
This is an interview about current or significant past medical issues/concerns (Head to Toe) that may impact planning of care.
• Skin, Hair, and Nails
• Head Neck and Lymphatic
• Eyes
• Ears, nose, Mouth, and Throat
• Respiratory
• Breast and Axillae
• Cardiovascular
• Peripheral Vascular
• Abdomen
• Urinary
• Male/Female Reproductive
• Musculoskeletal
• Neurologic
List any Safety Concerns:
Nursing Narrative Note:
Health history and care plans
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