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Metro Health



Little girl and mother Quality at Metro Health is everyone’s job, from members of the board of directors to front-line caregivers. Two approaches to quality commonly used at Metro Health include the PDSA Cycle and Lean.

The PDSA Cycle is a continuous quality improvement model consisting of a logical sequence of four repetitive steps for continuous improvement and learning: Plan, Do, Study and Act. The PDSA cycle is also known as the Deming Cycle, after the late total quality management guru and renowned statistician, Edward W. Deming.

The four steps of the PDSA or Deming cycle include:

  • PLAN Plan ahead for change. Analyze and predict the results.
  • DO Execute the plan, taking small steps in controlled circumstances.
  • STUDY Check and study the results.
  • ACT Take action to standardize or improve the process.

Lean describes a philosophy that incorporates a collection of tools and techniques to optimize time, human resources, assets, and productivity, while improving the level of quality for customers. The term Lean refers to the Toyota Production system established by the Toyota Corporation. Metro Health has successfully utilized Lean to improve quality in clinical and administrative areas, improving the quality of care and services for our patients and their families.

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