The Application of Quality

Improvement, Lean and Health

Economics
 Quality Improvement (QI)
• A framework for improving care systematically.
• Reduce variation by standardizing processes and
structures
• Ensure predictable outcomes
• Provide better outcomes to patients, organizations, and
healthcare systems.
• Technology, culture, leadership, and physical capital
comprise a company's structure
• Processes may include knowledge capital (e.g., standard
operating procedures) or human resources (e.g., education
and training)

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-
Quality-Improvement-
Diabetes Mellitus in Tasmania
 In Tasmania, 23,147 people have been diagnosed with type 2
diabetes.
 The average monthly diagnosis of type 2 diabetes is 129 in
Tasmania.

 Tasmania has a higher age-standardised admission rate, than

the national rate , for potentially preventable diabetes
complications.

 Diabetes has an increasing economic and social cost.

 Recent developments estimates place the nation's annual cost
at $14.6 billion.
 In this category are healthcare costs, lost productivity, and
personal and family costs.
 Approximately $30 billion will be spent by the Australian
government alone on diabetes by 2025 if trends continue.
https://www.parliament.tas.gov.au/ctee/Joint/Submissions/PHC%20No.%2021%20-%20Diabetes%20Tasmania%20Submission%20160215.pdf
 Requirement of Diabetes Mellitus
Improvement in Tasmania
A. Case for change
Tasmania has a higher age-standardised admission rate, than the national rate , for potentially preventable diabetes
complications.
Recent developments estimates place the nation's annual cost at $14.6 billion for diabetes.
• Around 23,000 Tasmanians are diagnosed with type 2 diabetes
• Approximately 10,000 are living with it but have not been diagnosed
• 45,000 are at high risk
• The consequences of uncontrolled type 2 diabetes can be numerous if not well managed.
Purpose:
• Supporting people with diabetes through a support system.
• Ensure Tasmanians have access to safe, high quality health care services to protect, promote, and maintain their
health
• Spreading awareness among the community.
• Increasing active participation of the people residing in Tasmania.
• Increasing the rate of potentially preventable hospitalization OF Tasmanians.
• Preventing diabetes complications.
https://doh.health.tas.gov.au/__data/assets/pdf_file/0004/375025/The_State_of_Public_Health_Tasmania_2018_v10.pdf
 Reason for Change
• Diabetes constitute 2.6% of the total
disease burden in Tasmania.
• Females is highly prevalent than
males and the disease is more
prevalent among older people
among Tasmanians.
• The average length of stay in
hospital was higher among the
diabetic patients.
• Diabetes complications was the
main cause of hospital stay in
Tasmania
1. AIHW, Aust Burden of Disease Study 2011. Diabetes and CKD as risks for other diseases, s.l.: s.n.
2. DHHS, 2013. Health Indicators - Tasmania 2013, Hobart: Department of Health and Human Services.
 Model for Improvement
Structure + Process = Outcome
Structure: individual proficiency, training,
amenity, quality improvement
framework, information technologies,
and strategies require for delivering care
Process: evidence-based practices for
improving health quality in diabetic
patient.
Outcome: To evaluate whether care
improve clinical outcomes or not
<https://www.researchgate.net/publication/343600935_MyCare_-
_Enhancing_community_mental_health_care_in_Tasmania_Australia_Program_description_and_implementation_findings>.