Is that an ISOlated case of the flu?

Quality management standards seem rare to come across when you look at the health system in Iowa. Specifically their hospitals. Iowa Lutheran is the first hospital in Iowa to achieve their ISO certification.

ISO 9000 standards are well known to American manufacturers as they have used ISO for quality assurance in their products. ISO gives suppliers a peace of mind that what they are receiving, follow international standards in their quality management. That means that a company’s upper management has set up a processes for all steps of their respective system. Six procedures are required by ISO; control of documents, control of quality records, internal audit, nonconforming control, corrective action, preventive action. The organization’s mission is to set standards for goods and services, ensuring efficient processes.

Iowa Lutheran Hospital

 
Iowa Lutheran Hospital

When you look at healthcare and hospitals, quality care is necessary and could be the difference between life and death. Should it be troubling that this is the first hospital in Iowa that follows ISO standards? Not necessarily. Prior to seeking ISO 9000-certification hospitals were granted certification through the Joint Commission on Accreditation of Hospitals (JCAHO). The largest and oldest accrediting organization for healthcare, they set standards for the quality and safety of health care provided to patients.

What could be the implications of switching from a healthcare specific accreditation organization to an international standard organization? Is ISO 9000 a better quality tool overall for healthcare?

According to the article, “Iowa Lutheran has implemented a quality management system that includes review of acute medical, surgical, critical care , rehabilitative, obstetrical, emergency care, laboratory and radiology services.” It is obvious to see that the hospital is striving for excellence in healthcare and providing the patients with the best services, as any hospital should. It seems to me that any hospital would have the best possible standards set in place for all their different systems. Not only does ISO set up certain guidelines, but it also allows for collaboration between members for best practices, and this is an international group. Iowa Lutheran specifically attained 9001:2008 ISO certification. It takes a process-oriented approach. The requirement ensures ‘what’ an  company must do to meet customer needs and expectations. ‘How’ this is done is left up to the company, or in this case, the hospital. Hospitals are a lucrative business in the way they charge for a doctor to visit a patient, to take and x-ray, virtually everything they do. Insurance companies, healthcare systems and providers, and pharmaceutical companies. There are so many systems, guidelines, and protocols to follow. The four sections that make up ISO 9001:2008 would really benefit a hospital and how it is run. The sections include management responsibility, resource management, product and/or service realization, and measurement, analysis and improvement.

The other metropolitan hospital in Des Moines refuses to change to ISO 9000 standards.   How else can ISO 9000 benefit hospitals?

Article: http://www.businessrecord.com/Content/Health—Wellness/Health—Wellness/Article/Iowa-Lutheran-is-first-Iowa-hospital-certified-for-quality-management/174/836/58139

Source: http://www.ada.org/2702.aspx?currentTab=2

If Time Heals Wounds, Why Do We Still Use a 93-Year Old Band-aid?

Band-Aids; we have all used them, from minor scrapes to cuts and even bug bites. We see them at the doctor’s office, the hospital, and the pharmacy. Generally, Band-Aids are the same: a piece of gauze surrounded by an adhesive strip. Though they do come in all shapes and sizes, we usually see and experience them looking like this:

That’s right! They were invented in 1920, which in turn makes the Band-Aid 93 years-old. They were created by Earle Dickinson and manufactured by Johnson & Johnson. What is interesting to look at is the innovation of the Band-Aid over its long life span. We have Band-Aids that are for large wounds, ones that wrap around, others with built in antiseptic on the gauze pad, and even little circle ones for small cuts. The product itself has undergone changes, but understandably, the process remains the same, attaching a gauze pad to a piece of tape (later a vinyl adhesive) and covering it in crinoline to keep it sterile. This process is done regardless of shape and size, and for the antiseptic ones, there is one extra step in the manufacturing process to add the disinfectant.

Enter Tsai Cheng-Yu and Hsu Hao-Ming. They have created the new Band-Aid, the AmoeBand. It claims to be more comfortable thanks to it being adjustable with perforated edges as well as a pH sensitive gauze pad which will tell the consumer whether or not the wound is infected. This design is a drastic change from the original that is mass produced. How could a company compete with this product, if it’s popular with consumers, if they have to change their whole process design of manufacturing?

AmoeBAND

Think of how much money would have to be spent either creating new manufacturing facilities or altering current ones. Even further, this process would have to be planned, designed, tested, and eventually perfected. The AmoeBAND adds the necessity to purchase pH sensitive gauze and add a manufacturing step to ensure the perforations. It is easy to understand from labs in class that a process is never perfect and differs. While each AmoeBand manufacturer may believe they have the fastest process, another may have a cheaper process. There are a lot of factors that will go into actual implementation of this product, if it were to become popular amongst consumers.

However, before all that, there will be the need to convince upper management of companies that this is the product of the future, a product that will reap larger reward, and could be easier to manufacture. That will take research, development, and sturdy planning. Band-Aids have not changed much since the 1920’s, so this could revolutionize the industry and push forward innovation.

Do you think a product like this could be produced by companies to net a positive gain? Would the AmoeBand even catch on with consumers?

 

Sources:

Mary Bellis: http://inventors.about.com/od/bstartinventions/a/bandaid.htm

Article:

Cristina Lindblad: http://www.businessweek.com/articles/2013-03-14/reinventions-band-aid