913 resultados para Total quality management in government


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The paper presents the findings of the first year of a nationally funded Australian Learning and Teaching Council (ALTC) project on the quality management of online learning environments by and through distributed leadership. The project is being undertaken by five Australian universities with major commitments to online and distance education. Each university, however, has a distinctive location, history and profile in the sector. The first year of the project has seen the development of a quality management framework with six interrelated elements. The framework is being applied, refined and validated in the second year of the project. Allied with the development of the framework, was the conduct of focus groups at each of the five partner institutions in the middle of the first year. These focus groups composed a range of staff involved collectively in the leadership of the organisation's online learning environment. Prominence was given to the nature and value of strategic planning, due diligence conducted in selecting and mainstreaming technologies, evaluation approaches informing decision making, and the various relationships between different leadership levels and domains. A number of key issues which emerged relating to the elements identified in the framework are examined.

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 The project developed and disseminated, through a distributed leadership approach, an overall framework for the quality management of online learning environments (OLEs) in Australian higher education. The Six Elements of the Online Learning Environment (6EOLE) Quality Management Framework and its guidelines was constructed based on various data collection methods deployed in the project.

The 6EOLE Quality Management Framework, displayed on page six, and accompanying guidelines (i.e. An evidence-based approach to implementation, and A condensed guide) can be used to guide management action to assure and continuously improve the quality of an organisation’s OLE where environmental factors are relatively stable, at least for a period....


This report shows how the project’s objectives were achieved through the project approach and methodology, which in turn led to a set of project outcomes and key deliverables. Moreover, a consideration of these key outcomes and deliverables has led to the presentation of recommendations to the Office for Learning and Teaching and the higher education sector. We argue these recommendations are pertinent to the consideration of distributed leadership and the quality management of OLEs at any tertiary institution.

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This article reports on the findings of senior leadership interviews in a nationally funded project on distributed leadership in the quality management of online learning environments (OLEs) in higher education. Questions were framed around the development of an OLE quality management framework and the situation of the characteristics of distributed leadership at the core of the framework. The project’s premise is that distributed leadership is a descriptive reality of managing OLEs given the various leadership parties involved and the complexities of the contemporary technological landscape. Leaders’ understandings of distributed leadership were examined—its nature, value and potential for advancing the quality management of OLEs. There was confirmatory evidence of its reality, but its meaning and value were not uncritically accepted. It can be concluded that building distributed leadership must start through deliberative formal leadership commitment and action starting at the highest levels of the institution.

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Industrial producers face the task of optimizing production process in an attempt to achieve the desired quality such as mechanical properties with the lowest energy consumption. In industrial carbon fiber production, the fibers are processed in bundles containing (batches) several thousand filaments and consequently the energy optimization will be a stochastic process as it involves uncertainty, imprecision or randomness. This paper presents a stochastic optimization model to reduce energy consumption a given range of desired mechanical properties. Several processing condition sets are developed and for each set of conditions, 50 samples of fiber are analyzed for their tensile strength and modulus. The energy consumption during production of the samples is carefully monitored on the processing equipment. Then, five standard distribution functions are examined to determine those which can best describe the distribution of mechanical properties of filaments. To verify the distribution goodness of fit and correlation statistics, the Kolmogorov-Smirnov test is used. In order to estimate the selected distribution (Weibull) parameters, the maximum likelihood, least square and genetic algorithm methods are compared. An array of factors including the sample size, the confidence level, and relative error of estimated parameters are used for evaluating the tensile strength and modulus properties. The energy consumption and N2 gas cost are modeled by Convex Hull method. Finally, in order to optimize the carbon fiber production quality and its energy consumption and total cost, mixed integer linear programming is utilized. The results show that using the stochastic optimization models, we are able to predict the production quality in a given range and minimize the energy consumption of its industrial process.

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Background/Aims Obesity has become a global epidemic, and a major preventable cause of morbidity and mortality. Management strategies and treatment protocols are however poorly developed and evaluated. The aim of the Counterweight Programme is to develop an evidence-based model for the management of obesity in primary care.

Methods The Counterweight Programme is based on the theoretical model of Evidence-Based Quality Assessment aimed at improving the management of obese adults (18–75 years) in primary care. The model consists of four phases: (1) practice audit and needs assessment, (2) practice support and training, (3) practice nurse-led patient intervention, and (4) evaluation. Patient intervention consisted of screening and treatment pathways incorporating evidence-based approaches, including patient-centred goal setting, prescribed eating plans, a group programme, physical activity and behavioural approaches, anti-obesity medication and weight maintenance strategies. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation. Eighty practices were recruited of which 18 practices were randomized to act as controls and receive deferred intervention 2 years after the initial audit.

Results By February 2004, 58 of the 62 (93.5%) intervention practices had been trained to run the intervention programme, 47 (75.8%) practices were active in implementing the model and 1256 patients had been recruited (74% female, 26% male, mean age 50.6 years, SD 14). At baseline, 75% of patients had at one or more co-morbidity, and the mean body mass index (BMI) was 36.9 kg/m2 (SD 5.4). Of the 1256 patients recruited, 91% received one of the core lifestyle interventions in the first 12 months. For all patients followed up at 12 months, 34% achieved a clinical meaningful weight loss of 5% or more. A total of 51% of patients were classed as compliant in that they attended the required level of appointments in 3, 6, and 12 months. For fully compliant patients, weight loss improved with 43% achieving a weight loss of 5% or more at 12 months.

Conclusion The Counterweight Programme is an evidence-based weight management model which is feasible to implement in primary care.

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Background:  As obesity prevalence and health-care costs increase, Health Care providers must prevent and manage obesity cost-effectively.

Methods:  Using the 2006 NICE obesity health economic model, a primary care weight management programme (Counterweight) was analysed, evaluating costs and outcomes associated with weight gain for three obesity-related conditions (type 2 diabetes, coronary heart disease, colon cancer). Sensitivity analyses examined different scenarios of weight loss and background (untreated) weight gain.

Results:  Mean weight changes in Counterweight attenders was −3 kg and −2.3 kg at 12 and 24 months, both 4 kg below the expected 1 kg/year background weight gain. Counterweight delivery cost was £59.83 per patient entered. Even assuming drop-outs/non-attenders at 12 months (55%) lost no weight and gained at the background rate, Counterweight was ‘dominant’ (cost-saving) under ‘base-case scenario’, where 12-month achieved weight loss was entirely regained over the next 2 years, returning to the expected background weight gain of 1 kg/year. Quality-adjusted Life-Year cost was £2017 where background weight gain was limited to 0.5 kg/year, and £2651 at 0.3 kg/year. Under a ‘best-case scenario’, where weights of 12-month-attenders were assumed thereafter to rise at the background rate, 4 kg below non-intervention trajectory (very close to the observed weight change), Counterweight remained ‘dominant’ with background weight gains 1 kg, 0.5 kg or 0.3 kg/year.

Conclusion:  Weight management for obesity in primary care is highly cost-effective even considering only three clinical consequences. Reduced healthcare resources use could offset the total cost of providing the Counterweight Programme, as well as bringing multiple health and Quality of Life benefits.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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This paper presents a proposal for a Quality Management System for a generic GNSS Surveying Company as an alternative for management and service quality improvements. As a result of the increased demand for GNSS measurements, a large number of new or restructured companies were established to operate in that market. Considering that GNSS surveying is a new process, some changes must be performed in order to accommodate the old surveying techniques and the old fashioned management to the new reality. This requires a new management model that must be based on a well-described procedure sequence aiming at the Total Management Quality for the company. The proposed Quality Management System was based on the requirements of the Quality System ISO 9000:2000, applied to the whole company, focusing on the productive process of GNSS surveying work.

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The effect of swine manure fertilization on the water quality of zooplankton artificial culture in two ponds was measured in diel cycles on different months (October 1999, January and March 2000). Fertilization affected directly water quality; values for total phosphorus were above 1.4 mgL(-1) and maximum rates for ammonia reached 108 mu gL(-1). Zooplankton community comprised four species, namely, Brachionus calyciflorus, B. falcatus, Moina sp. and Thermocyclops sp. B. falcatus (Rotifera) and Moina sp (Cladocera) were dominant respectively in January and in March. There was no difference in abundance of zooplankton between the two ponds (p>0.05), although adult cyclopoid Thermocyclops sp was different between diel cycles (p<0.05). There were significant differences (p<0.05) in dissolved oxygen, ammonia, total phosphorus, orthophosphate, nitrite and nitrate between ponds. In fact, only dissolved oxygen and pH were significantly different (p<0.05) between the ponds' surface and bottom. Organic fertilization also provided greater amount of nutrients and higher pH and conductivity, coupled to greater oscillations in the concentration of dissolved oxygen, directly affecting the zooplanktonic composition.

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Includes bibliography

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Abstract The goal of this project is to evaluate the effectiveness of bioswells in protecting water quality from urban runoff. The hypothesis tested in this project is that water in bioswells improves water quality. Water quality in both a bioswell and an underground concrete lined ditch, both containing ground and surface water, were tested for certain water quality parameters. These parameters consisted of: Dissolved Oxygen, pH, water temperature, weather temperature, Total Dissolved Solids, Specific Conductivity, Alkalinity, Total Dissolved Carbon, Chemical Oxygen Demand, and depth and width of the sampling site. An additional contaminant that was looked at was motor oil. This was measured by comparing Total Organic Carbon with Chemical Oxygen Demand. A variety of different methods to measure the water quality parameters were utilized. The concrete site had more stable readings, but much higher water temperatures. However, the bioswell water is mainly from surface water runoff, and the underground concrete lined pipe is from underground water, so the two cannot be directly compared. The bioswell had high readings, especially pertaining to Oxygen Demand, Total Organic Carbon, and Specific Conductivity in early test dates. But, these readings improved as they were filtered though the bioswell. As plant activity increased and the weather began to warm up there were more stable readings. It is concluded that bioswells are an effective way to reduce problems associated with urban runoff pertaining to certain water quality parameters.

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This descriptive study addresses the job satisfaction of nurse managers and clinical nurses working at the Hematology and Hemotherapy Services of a public hospital in Sao Paulo. The study objectives were to identify the factors that caused job satisfaction among nurse managers and clinical nurses, and support the results in the development of indicators to evaluate the quality of nursing human resource management. The components of the study were: autonomy, interaction, professional status, job requirements, organizational norms and remuneration. Participants were 44 nurses. Data were collected using a Job Satisfaction Index (JSI) questionnaire. In conclusion, this study permitted the identification of the clinical nurse group, which was the most satisfied, with a JSI of 10.5; the managerial group scored 10.0. Regarding the satisfaction levels in regards to the current activity, 88.9% of the nurse managers reported feeling satisfied, as did 90.9% of clinical nurses. For both groups, autonomy was the component with the highest level of professional satisfaction.

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Although the effects of quality management on social work are still widely unexplored, critics suspect that it will lead to a negative standardization of working conditions, whereas supporters of quality management hope for a greater transparency and effectiveness of service delivery. This article reports on a survey of 30 managers, 261 professionals, and 435 families in 30 family intervention service organizations. It uses cluster analysis to explore the relationship between quality management and different forms of work formalization. Results showed that working conditions generally are enabling for professional practice, but differences exist between what is called here a managerialist machine bureaucracy, an atomistic professional organization, and a collegiate professional organization.

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Quality data are not only relevant for successful Data Warehousing or Business Intelligence applications; they are also a precondition for efficient and effective use of Enterprise Resource Planning (ERP) systems. ERP professionals in all kinds of businesses are concerned with data quality issues, as a survey, conducted by the Institute of Information Systems at the University of Bern, has shown. This paper demonstrates, by using results of this survey, why data quality problems in modern ERP systems can occur and suggests how ERP researchers and practitioners can handle issues around the quality of data in an ERP software Environment.