Deming’s 14 points were first applied to Japan and United States manufacturing but the philosophy can be applied to many different industries now. The theories can be applied to healthcare, including Long Term Acute Care Hospitals (LTACH). These types of hospitals are not as common to people, but were created to deliver care based on patient’s needs. This paper will look at an LTACH located in Denver and like many healthcare facilities, employee morale is down due budget cuts and the rising cost of healthcare. A total quality management program could potentially help the facility develop new processes that allow for positive changes. Deming’s 14 Points could be applied to this hospital and help give direction to the leadership staff of the philosophy needed to make the changes. Dr. W Edwards Deming was a statistician who did not use the word total quality management, but can be accredited with the first movement of these types of programs (Gautschi, 1992). The end product is different than manufacturing but the idea of getting the best possible end product is the same. To understand why the program would help the hospital the organization needs to be explained. Deming’s 14 could be used in the transformation because of theory base of statistical information. Deming’s 14 points would also bring direction and needed transformation to the hospital.
Background of hospital
The intent of long term acute care is to allow people to move from the acute care hospitals into an environment where they can get more attention and services for a longer period of time (http://www.aha.org/advocacy-issues/postacute/ltach/index.shtml). With four Chief Executive Officers, three Clinical Directors and four Human Resource Managers in the past two years, the LTACH in Denver have not been at the top of its performance. With the instability of leadership, employee morale is down and the processes that can keep a hospital running smoothly have not been attended to. Without a direction the hospital has not been able to achieve the performance results that it has been looking for.
Why use Deming’s 14 points
Deming’s 14 points is not just a quality management program, it is a philosophy for leadership to help make the changes necessary (Darr, 1990). The points Deming created are based on his ideas using statistical information. That actual performance and average performance can be compared to determine whether the system is in statistical control. The data gathered would be used in a trend analysis report. This allows management to identify variation, positive or negative. Common variations can be identified, along with special variations. Special variations would be three standard deviations from the mean, that would be seen only a small percentage of the time (Darr, 1990). This may sound confusing, but what are being looked at are specific trends and behaviors. The data will allow the hospital to determine if the occurrences are related to the...