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Quality Management Concepts and Tools for Healthcare in Low and Middle Income Countries

2nd term
Online Programs for Applied Learning
4 credits
Academic Year:
2021 - 2022
Instruction Method:
Auditors Allowed:
Undergrads Allowed:
Grading Restriction:
Letter Grade or Pass/Fail
Course Instructors:
Cristina Salazar

The field of healthcare quality is rapidly evolving. Over the past decade its use has led to improved patient outcomes, lower costs, and improved efficiency of healthcare services in diverse contexts. As demand for better healthcare escalates, leaders and managers face the imperative to improve efficiency and quality and eliminate error and wasteful procedures. The dynamic transformations in the healthcare landscape require system-wide performance improvement to ensure evidence-based standards of practice; effective engagement of all stakeholders; and options for reconfiguring healthcare to optimize the care process. Healthcare leaders are the primary audience for this course.

Presents the concepts, principles, and tools of total quality management methods for health systems in low and middle income economies. Emphasizes integrated health systems management; fostering a genuine team approach in the face of an hierarchical tradition; central importance of community governance; interventions designed based on evidence and standards of practice and in an equitable fashion; introducing a measurement-based approach to problem solving, emphasizing analysis of service delivery process and outcome; and integrating implementation science as an integral component of the management system.

Learning Objectives:

Upon successfully completing this course, students will be able to:

  1. Describe the principles, tools and methods for developing quality improvement initiatives
  2. Determine stakeholder expectations to design appropriate delivery systems and metrics of performance standards
  3. Determine the root cause of quality deficiencies and apply team based problem solving methods to optimize systems and address poor performance
  4. Assess the costs of poor quality and of quality improvement
  5. Develop performance monitoring systems and indicators to manage performance of healthcare
  6. Apply concepts and tools to design quality improvement initiatives for healthcare improvement in various systems
  7. Explain the importance of data in measuring the quality of a health activity
  8. Discuss why good two-way communication up and down the health structure is critical to high quality of services
Methods of Assessment:

Participation in Livetalks and quiz: 10%, Case study on application of QI tools: 20%, Case study critique of QI research: 20%, QI team project: 50%

Enrollment Restriction:

Restricted to students in MAS in Global Health Planning and Management

Instructor Consent:

No consent required