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Article
Publication date: 1 March 1992

Hugh Koch

Explores the Total Quality programme adopted by the National Health Service, highlighting the issues which make sustaining the commitment of all staff to quality…

Abstract

Explores the Total Quality programme adopted by the National Health Service, highlighting the issues which make sustaining the commitment of all staff to quality improvement processes possible. Discusses the tension created by linking quality improvement to reducing quality costs of health care. Outlines the timetabling of strategy development and implementation, and the management of he timetabled process. Reviews key milestones in staff awareness, looking at co‐ordination and management of quality improvement activities; understanding of the design/conformance/corrective action cycle; understanding of the relationship between quality improvement and costs; and sustaining involvement of staff. Suggests that despite concerns from clinicians and managers alike, regarding the pressures involved with implementing TQM, a successful team should improve service to the patient.

Details

Managing Service Quality: An International Journal, vol. 2 no. 3
Type: Research Article
ISSN: 0960-4529

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Article
Publication date: 1 March 1991

Hugh Koch

As the pressure and concern for quality throughout all hospitals and community services develops, provider units are beginning to appreciate the relevance of management…

Abstract

As the pressure and concern for quality throughout all hospitals and community services develops, provider units are beginning to appreciate the relevance of management and organisational approaches to achieving Total Quality Service. A brief overview of Total Quality Management in health care is given and the difficulties experienced in introducing such a system are outlined.

Details

International Journal of Health Care Quality Assurance, vol. 4 no. 3
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 February 1992

Hugh Koch, Don White and Charles Chan

Senior managers from several of Hong Kong′s 36 hospitals gave their views, during a management development programme, as to what issues were relevant to the ongoing…

Abstract

Senior managers from several of Hong Kong′s 36 hospitals gave their views, during a management development programme, as to what issues were relevant to the ongoing quality of hospital care in Hong Kong. Results indicated different priorities for five main areas: corporate culture, staff involvement, staff recognition, quality systems and consumerism.

Details

International Journal of Health Care Quality Assurance, vol. 5 no. 2
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 May 1992

Hugh Koch and John M. Sabugueiro

Outlines team development at the Aylesbury Vale Community Health Care NHS Trust, highlighting structure, culture and techniques of QITs, and the bias for action. Suggests…

Abstract

Outlines team development at the Aylesbury Vale Community Health Care NHS Trust, highlighting structure, culture and techniques of QITs, and the bias for action. Suggests that the key to empowerment is showing staff that they have gained the skill, confidence and support from senior management to innovate and change/improve the service.

Details

Managing Service Quality: An International Journal, vol. 2 no. 5
Type: Research Article
ISSN: 0960-4529

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Article
Publication date: 1 April 1991

Hugh Koch and Adrian Higgs

Achieving the best health care delivery involves a tension between quality and quantity of health care and its cost. Usually the latter ‐ the cost ‐ is debated in terms of…

Abstract

Achieving the best health care delivery involves a tension between quality and quantity of health care and its cost. Usually the latter ‐ the cost ‐ is debated in terms of its insufficiency. In addition, however, the amount of revenue tied up in “failure costs” or the cost of poor quality can, in any hospital or community service, be appreciable. A model of quality costing to address these issues is outlined.

Details

International Journal of Health Care Quality Assurance, vol. 4 no. 4
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 March 1989

Chris Plaster

This article is a report of a symposium on quality assurance in mental health services which took place on 10 March 1989 at Tone Vale Hospital, Taunton.

Abstract

This article is a report of a symposium on quality assurance in mental health services which took place on 10 March 1989 at Tone Vale Hospital, Taunton.

Details

International Journal of Health Care Quality Assurance, vol. 2 no. 3
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 August 1995

Hugh C.H. Koch

Outlines four interconnecting factors which are essential tomotivating staff: an understanding of the “psychology ofexcellence in teams”; establishing cross‐functional…

Abstract

Outlines four interconnecting factors which are essential to motivating staff: an understanding of the “psychology of excellence in teams”; establishing cross‐functional quality improvement teams; understanding and reviewing processes of care and service; and the use of data display.

Details

Health Manpower Management, vol. 21 no. 4
Type: Research Article
ISSN: 0955-2065

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Article
Publication date: 1 September 1994

Beng Hong Ong and Hugh Koch

A second article describing the significant move of United ChristianHospital towards “continuous quality improvement”. Describes the generalsurgery CQI programme, its…

Abstract

A second article describing the significant move of United Christian Hospital towards “continuous quality improvement”. Describes the general surgery CQI programme, its problems and successes.

Details

International Journal of Health Care Quality Assurance, vol. 7 no. 5
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 April 1994

Ma Hok Cheung and Hugh Koch

Outlines and discusses the implementation plan and associated trainingprogramme for establishing TQM in one of the hospitals in Hong Kong.Gives examples of the training…

Abstract

Outlines and discusses the implementation plan and associated training programme for establishing TQM in one of the hospitals in Hong Kong. Gives examples of the training programme and outlines quality management plans.

Details

International Journal of Health Care Quality Assurance, vol. 7 no. 2
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 April 1995

Hugh Koch and Jane Davies

Outlines the introduction of total quality systems into allclinical services within a community‐based NHS Trust in the WestMidlands. Provides practical details of each…

Abstract

Outlines the introduction of total quality systems into all clinical services within a community‐based NHS Trust in the West Midlands. Provides practical details of each aspect of the quality‐planning process. Shows the commitment of clinicians to “managing quality improvement”.

Details

International Journal of Health Care Quality Assurance, vol. 8 no. 2
Type: Research Article
ISSN: 0952-6862

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