QCI July August 2015
QCI July August 2015
A QCI Publication
JulyAugust 2015
india
Creating an Ecosystem
for World Class
Quality
10th National Quality Conclave, August 7-8, 2015, Siri Fort Auditorium, New Delhi
Excellence
is a continuous
process
and not
an accident.
A tribute!
To succeed in your
mission, you must have
single-minded devotion
to your goal!
Dr A. P. J. Abdul Kalam
(1931-2015)
Message
Quality India - August 2015
n the last issue of Quality India, I had apprised you about the mega event on
Quality which is held every year since 2005 to brainstorm on quality issues in the
country and promote quality in every walk of life.
The Theme this year for the 10th National Quality Conclave is Creating an Ecosystem
for World Class Quality in India, that will help develop successful strategies for an
effective ecosystem essential to achieve the stringent Quality targets.
Dr. R. P. Singh
Secretary General
Quality Council of India
In NQC 2015 many luminaries who have helped develop successful models in other
countries have shown interest to be a part of the growth story in India in view of the
progressive initiatives of the Government. Several national and international experts
including policy makers and decision makers are participating as speakers in various
sessions. Most of the delegates are industry leaders and other stakeholders interested
in promoting quality along with participation of students who are expected to carry
the torch of quality in India.
The NQC 2015 has interesting sessions on the following topics:
1. Emerging Environmental Standards for an improved Ecosystem.
2. Interventions to improve quality in healthcare: Global, regional and country
perspectives.
3. Improving the Process of Education for effectiveness.
4. Quality in Indian traditional medicine, yoga and Ayurveda.
5. Quality healthcare for Universal Health Coverage.
6. Creating Quality infrastructure, promoting quality of products and services and
improving the quality of life.
7. Enhancing Employability through interventions of quality and acquiring skills for
mobility across borders.
The National Quality Conclave is a platform for a holistic view to know the best
practices around in the world and how India can build an Ecosystem of Quality in
every sphere of life. It is an opportunity to interact with some of the best International
Experts who drive the quality movement in the world and a platform to build
relations with Industry and academia and also to commit to competitivenessin the
world market.
On behalf of Quality Council of India, I invite you to be a part of NQC, our flagship
Annual Event!
We also will welcome any feedback / suggestions that you may like to give to
add further value to the work that we do at QCI and for organising such events
more effectively.
Jai Hind!
JulyAugust 2015 |
quality india
By | Vipin Sahni
CEO-NABET, QCI
in India, not just to the big names in the domestic sector but
also to the international business community.
Taking a cue from the Honble Prime Ministers speech, NABET,
QCI along with the industry stakeholders,
has developed the Zero Defect Zero
Effect (ZED) maturity assessment model
to assess, rate and handhold the SMEs of
India and take them to higher maturity
levels. ZED is a model where concept
of quality has a holistic change from
a tool for compliance to a source of
competitiveness. Operationally it is
meant to evolve from a total dependency
on inspection of the final product to
correct defect, to a proactive process
of enablers of quality like quality
planning, product and process designing,
optimum processes, efficient resource
management, effective outsources
activities and breakthrough outcomes.
All along with quality of products and
JulyAugust 2015 |
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Table 1: FSSAI recommended limits for metal contaminants in foods and beverages
Metal Contaminant
Article of Food
Load
Beverages:
Concentrated soft drinks
Tomato juice & other fruit and vegetable juices
Lime juice & lemon juice
Tea
Foods:
Edible oils, fats and refined white sugar
Ice cream & ice lollies
Canned fish & meat, meat extracts, hydrolyzed protein,
dried and dehydrated vegetables
All types of sugar: raw sugar, sugar syrup, invert sugar,
edible molasses, caramel liquid, solid glucose
Iron fortified common salt
Meat and meat products
Solid pectin
Hard boiled sugar confectionery
Foods not specified
Copper
Beverages:
Soft drinks excluding concentrates and carbonated water
Carbonated water
Concentrates of soft drinks
Coffee beans
Tea
Juice of orange, grape, apple, tomato, pineapple and lemon
7.0
1.5
20.0
30.0
150.0
5.0
Foods:
Iron fortified common salt
Pulp and pulp products of any fruit
Infant milk substitute and Infant foods
Caramel
Tomato puree, paste, powder, juice and cocktails
Tomato ketchup
Edible gelatin
Pectin solid
Hard boiled sugar confectionery
Foods not specified
2.0
5.0
15.0 (but not less than 2.8)
20.0
100.0 on the dried tomato solid
50.0 on the dried total solids
30.0
300.0
5.0
30.0
Arsenic
Foods:
Infant milk substitute and infant foods
Pulp and pulp products of any fruit
Preservatives, anti-oxidants, emulsifying and stabilising
agents and synthetic food colours
0.5
1.0
2.0
10.0 on the dry matter
0.5
1.0
5.0
5.0
2.0
2.5
50.0
2.0
2.5
0.1
0.5
0.25
0.2
0.05
0.2
3.0 on dry matter
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Tin
Beverages:
Juice of orange, apple, tomato, pineapple and lemon
250.0
Foods:
Processed and canned products
Jam, jellies and marmalade
Hard boiled sugar confectionery
Pulp and pulp products of any fruit
Infant milk substitute and infant foods
Meat and meat products
Foods not specified
250.0
250.0
5.0
250.0
5.0
250.0
250.0
Zinc
Beverages:
Ready-to-drink beverages
Juice of orange, grape, tomato, pineapple and lemon
Foods:
Pulp and pulp products of any fruit
Infant milk substitute and infant foods
Edible gelatin
Fruit and vegetable products
Hard boiled sugar confectionery
Foods not specified
Cadmium
Foods:
Infant milk substitute and infant foods
Turmeric whole and powder
Other foods
0.1
0.1
1.5
Mercury
Foods:
Fish
Other foods
0.5
1.0
12
5.0
5.0
20 ppb
5.0
1.0
1.0
1.1
5.0
50.0 (but not less than 25.0)
100.0
50.0
5.0
50.0
0.5
2.0
1.5
Table 2: FSSAI recommended limits for metal contaminants in foods and beverages
Metal Method(s)
Lead, Cadmium, Copper, Iron, Zinc
Mercury
Arsenic
dithiocarbamate method
Cadmium
Copper
Iron
Lead
Tin
Volumetric method
Zinc
Conclusion
From the foregoing discussion, it is evident that testing for
contaminating metals is a very important aspect of maintaining
food safety. These metals, particularly, the heavy metals should
not exceed the permissible limits in food and beverages, as
recommended by the FSSAI. Now-a-days, there are a number
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Creating an ecosystem
for quality is teamwork
By | Dr. T. Devanthi
M.B.B.S., MBA, Dy QMR
Manipal Hospitals, Salem
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PLATINUM AWARD
Company Name of Project
VIVO Healthcare, Gurgaon
Programme
Rauni, Ludhiana
GOLD AWARD
Company Name of Project
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Time Reduction.
e-Alerta
GOLD AWARD
BHEL - Bhopal
SILVER AWARD
Company Name of Project
Dr. Bhanuben Mahendra Nanavati College
(Cost of Failures)
Shades of Innovation
quality india
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industry, but the projected 18-20 per cent growth rate should
soon place them in 4th place.
Packaging serves to increase the value of products across a
wide variety of industries, and so makes itself a valuable market.
Through improved packaging technologies, foods are kept fresh
for longer duration, drugs and medicines have a longer shelf life
and are packaged safely, and goods can be transported without
a fear of damage. These benefits have served the Indian economy
well, and new technologies are expanding the economic benefits
gained through employment and added product value.
Industry overview
The Indian PackagingIndustry is growing continuously. The
total worth is about USD 24.6 billion. The average annual growth
rate is about 13-15 per cent. However, there is great growth
potential since Indias per capita consumption of packaging is
only 4.3 kgs whereas neighbouring Asian countries such as China
and Taiwan show about 6 kgs and 19 kgs, respectively. This
clearly indicates that there are many more commodities which
need to be marketed in packaged condition and thus, a great
business opportunity stands for the Indian packaging industry.
Moreover, the Indian retail market is the 5th largest retail
destination, globally and has been ranked the second most
attractive emerging market for investment. The market is
currently valued at USD 350 million and is expected to rise to
USD 1.3 trillion by 2016.
20
Glimpses of 9 National
th
The 9th National Quality Conclave was held on April 15-16, 2014 at Hotel Le-Meridien, New
Delhi. Over the years, the Council has been taking various initiatives to promote the cause of
good governance, empowerment and quality of public services and accordingly themes for the
conclaves are selected. The theme, for the 9th National Quality Conclave was Build and Sustain
a Culture of Excellence through Collaborative Effort.
22
JulyAugust 2015 |
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Abstract
A weak HIMS hampers the productivity of a hospital badly. The
huge amount of information generated in hospitals is of no use if
not captured and analysed properly to increase the productivity
and patient satisfaction. Effective strategies must be in place for
implementing proper HIMS so that there is a better coordination
between different departments and it decreases the discharge
time as it is the final step in the hospital experience and is likely
to be well remembered by the patient. Slow or unpredictable
discharge translates into a reduction in effective bed capacity
and admission process delays. We modified and implemented
certain changes in the existing software and integrated all
the medical and operational modules of the software such as
pathology, radiology, patient care and billing. We also tested
the effectiveness of the software on the workflow by comparing
outcomes between the pre-implementation control group and
the post-implementation experimental group. The implementation
of the software, resulted in a drastic decrease in discharge time
and resulted in increased patient satisfaction and decrease in the
number of payment defaulters.
Introduction
Hospital bed demands occasionally exceed capacity, especially
during high-census periods such as viral respiratory seasons
(winter seasons). When bed demand exceeds capacity, patient
IT
Management
Operation
Management
Clinical
System
Hospital Mgmt
System
24
HMIS
Finance & HR
System
Support
Services System
37
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41
13
11
14
i) Approach to solving the problem:The major problem with the software being used was that all the
modules were working as standalone individuals. It was decided
to review the HMIS system of the hospital and work on the
feasibility of integrating all the major modules of the software
which could result in improving the workflow and efficiency of
the various services of each department.
We decided to act on the same and the following steps were taken:a) It was decided to update the inpatient files on a daily basis
and the provision for the same was provided at each patient
care department.
b) A new post of floor coordinators was created and the primary
responsibility of the coordinators was to update the inpatient
files and enter any procedure that takes place in the software.
c) The billing module was also integrated with the clinical.
module and hence any entries made in the clinical module,
the entries were reflected in the billing module as well.
d) All the details were being entered online and any patient likely
to be discharged the next day, the Medical officer on duty was
asked to update the file and keep it ready for the next day.
e) The laboratory module was also connected with the Clinical
module.
S.N. ACTIVITY
1
2
3
4
5
6
10
7
11
6
10
7
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b) Billing module and hence whenever the result of any test was
entered in the system, the doctor could view the same in his
department without waiting for hardcopy of the report and the
charges of the tests were reflected in the bill of the patient as
well.
c) As all the entries were being done online, it was easy for the
billing department to generate interim bills and inform the
patients about their billing status till date.
d) The incidents of default of payment by the patients also came
down drastically as the billing staff was able to keep a daily
track of the indoor bill of all patients and were able to ask the
relatives to clear the outstanding bill from time to time.
e) The reports of patients can be viewed online which helps the
clinical team to start the treatment without wasting precious
time.
a) Default in payment of hospital bills which was as high as 1012 per cent earlier came down drastically to 2-3 per cent.
b) Smoothening of discharge process resulted in increased
satisfaction among the patients, which in turn resulted in
repeat visits of the patients. It was found on analysing the
feedback form of patients that 22 per cent of the patients
wrote that they would recommend the hospital to their family
members and friends for their health care needs.
c) Improvement in the services resulted in an increase in referral
cases from the medical fraternity. The occupancy of the
hospital, which was around 45-50 per cent rose to 65-70 per
cent.
d) Improvement in the services also motivated other visiting
consultants to admit their patients in our hospital.
The project demonstrated the importance of a strong HMIS
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AFTER
IMPROVMENT
37
10
15
41
7
11
13
11
6
10
References:
Discharge by Appointment: Freeing Up In-Patient Bed Capacity
: By Andrew Wilson MD, Chief of Emergency Medicine, William
Beaumont Hospital, Royal Oak, MI
A Tool for Improving Patient Discharge Process and Hospital
Communication Practices: the Patient Tracker Christopher G.
Maloney, MD PhD,1 Douglas Wolfe, MBA,2 Per H. Gesteland, MD
MS,1 Joe W. Hales, PhD,1,2 and Flory L. Nkoy, MD MS MPH1
. Myers C, Green T. Forecasting demand and capacity
requirements. Healthc Financ Manage. 2004 Aug;58(8):347.
[PubMed]
2. Falvo T, Grove L, Stachura R, et al. The Opportunity Loss of
Boarding Admitted Patients in the ED. Acad Emerg Med. 2007
Mar
3. Clayton PD, Narus SP, Huff SM, Pryor TA, Haug PJ, Larkin
T, Matney S, Evans RS, Rocha BH, Bowes WA, 3rd, Holston FT,
Gundersen ML. Building a comprehensive clinical information
system from components. The approach at Intermountain
Health Care. Methods Inf Med. 2003;42(1):17. [PubMed]
Initiatives taken by
Shri Prakash Javadekar, Minister of State for Environment, Forests & Climate Change (Independent Charge), at QCI-EIA workshop, Vigyan Bhawan, New Delhi
28
Dr. R. P. Singh, SG-QCI, at the QCI YOGA Scheme launch by Honble Home Minister Shri Rajnath Singh along with MoS Shri S.Y. Naik
Yoga Certification Steering Committee on May 25, 2015 in Bengaluru at Sri Sri Ravi Shankar Ashram
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NABH Assessor (4th from left) with Staff of Hospital in Doha, Qatar (June 2015)
H.E. Mr. Debnath Shaw, Indian High Commissioner to Tanzania holding a copy of NABH Brochure during Dar-es-Salaam International Trade Fair (June 30, 2015)
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Accessible
The Indian Spinal Injury Centre is situated at Vasant
Kunj, Delhi, virtually next to the airport. It is easily accessible for
patients who come here not only from across India but from all
over the world. Further, the whole infrastructure is barrier free and
accessible to wheelchair users.
Relevance
ISIC was conceived to provide services in a field in which was
none available in the country. The spinal injury of Major Ahluwalia
as a result of a bullet injury in Indo Pak war of 1965 and the lack
of services for management, set him and a few like minded people
thinking about recreating similar services for the citizens of the
country who couldnt afford to avail services abroad as was arranged
for Maj Ahluwalia.
Today, ISIC is a model institution comparable to the best in the
world and has become a major referral centre. Its patients come not
only from across India, but from all over the world.
Equity of Services
The philosophy of our centre is to provide equal services
irrespective of the paying capacity of the individual. ISIC is 146bedded hospital, in which 15 beds reserved for poor patients who
cannot afford to pay. No one is turned away due to lack of funds
and there is no discrimination in the quality of medical care.
Effectiveness of Healthcare
ISIC is recognised internationally for having set excellent
standards in delivery of medical care. The Centre has a good
spinal injury design, latest state-of-the-art diagnostic and surgical
equipment and a highly qualified team of doctors, surgeons and
health professionals who have all been appropriately trained. ISIC is
totally barrier-free with spacious corridors, well lit rooms as well as
Conclusions
Acceptability
References:
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PROCESS CONTENT
(TANGIBLE)
Product
CONTENT (TANGIBLE)
PURE
PRODUCT
A: Product
oriented
Product related
Advance and
Consultancy
36
B: Use oriented
Product lease
Product renting
or sharing
Product pooling
C: Result
oriented
Activity
management
Pay per
service unit
Functional result
Value Mainly
in service
content
PURE
PRODUCT
JulyAugust 2015 |
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Achievements So Far
The Scheme has been able to achieve following:
i. For the first time in the country, a list of capability verified
EIA Consultant Organisations is available in the public domain
with sectors of expertise, category, contact details, etc.
ii. The fly by night operators have been weeded out from the
scene.
iii. The crucial concept of team work by the EIA Coordinator and
Functional Area Experts for preparation of quality EIA was
recognised.
iv. The concept of system based approach for EIA preparation,
Stakeholders Feedback
As the Scheme has entered the final phase covering all
three processes of accreditation (IA, SA and RA), the MoEF
& CC desired that QCI/ NABET should organise one such
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Way Forward
QCI/NABET is open to new ideas which may help
improving the accreditation mechanism further. However,
to expect that accreditation of EIA Consultant Organisations
alone would bring improvement in the quality of EIA may
not be fully justified. Government and QCI need to work
together to a) further professionalise the appraisal process
and b) incentivise the consultants producing good EIA and
c) implement the EIA/EMP report on project site with desired
efficacy.
42
How do you create transparency and facilitate communication in the management of energy resources?
In the age of technology, we have incorporated lab performance
system; it helps us to share and monitor employee health and
safety, energy conservation, social compliance and not just the rev-
How Intertek builds its trust amongst the perspective consumers especially in relation to electrical
products?
In terms of our responsibility towards consumers as well as government, we actively take part in all the development initiatives that
are being launched by our Prime Minister Narendra Modi from time
to time. One of the examples is Charging Bharat concept which has
been showcased in our offices and portrays how Interteks quality
services are impacting the life of consumers, whether they are at
home, office or village. This enables heavy industries to grow along
the lines of renewable energy and also helps in assisting various
original equipment manufacturers (OEM) with diverse technologies.
Interteks quality service gives trust and assurance to the end
customers that they are using the best quality products as per the
industry standards
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R N Kalita
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Amitabh Nigam
JulyAugust 2015 |
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By | Robey Lal
54
cargo terminals, and hold the operators, AAI and private parties,
accountable to achieve them.
Secondly, the current approach in airport planning is to prepare
a traffic forecast for 15 to 25 years and then develop terminal and
support facilities at the airport to match that forecast. The rest of
the land is then considered for commercial exploitation. However,
experience has shown that such forecasts, in a volatile aviation
market, can be wide off the mark. The end result is that airport
facilities are playing catch up with the traffic volumes rather than
preceding the demand. Therefore, a planning paradigm used for
planning of airports to ensure that a longer-term view is taken is
required.
The priority ought to be to maximize the capacity of aeronautical
services provided at the airport for the long-term on the land
available. The land at an airport is the most precious of resources
and its use for operational purposes must be top priority. Only after
it is ensured the operational needs over an extended period of time
can be served then one must allow the rest of the airport land, and
in its near vicinity, for commercial development and increasing nonaeronautical revenues.
Such planning ought to be related to the economic benefits
that the airport brings to the region and the city that it serves.
Present economic analysis seems to consider airports and facilities as
56
Kaoru Ishikawa
A Great Practical Philosopher
By | Kiran Deshmukh
Managing Director of Sona Skill Development Centre Ltd,
President of Indian Society for Quality
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Management Representatives
role in FDIs 9001:2015
What has changed in ISO/FDIS 9001:2014 with
respect of appointment of a Management Representative in organizations?
60
Documented Information
What has changed in ISO/FDIS 9001:2015 in
respect of documentation requirement?
As part of the alignment with other management system
standards a common clause on Documented Information has
been adopted without significant change or addition.
Where ISO 9001:2008 would have referred to documented
procedures (e.g. to define, control or support a process) this is now
expressed as a requirement to maintain documented information.
Where ISO 9001:2008 would have referred to records this is
now expressed as a requirement to retain documented
information.
JulyAugust 2015 |
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Last Note
uality versus
reliability
he everyday usage term quality of a product is loosely taken to mean its inherent
degree of excellence. In industry, this is made more precise by defining quality to be
conformance to requirements at the start of use. Assuming the product specifications
adequately capture customer requirements, the quality level can now be precisely
measured by the fraction of units shipped that meet specifications.
But how many of these units still meet specifications after a week of operation? Or after a
month, or at the end of a one year warranty period? That is where reliability comes in. Quality
is a snapshot at the start of life and reliability is a motion picture of the day-by-day operation.
Time zero defects are manufacturing mistakes that escaped final test. The additional defects
that appear over time are reliability defects or reliability fallout.
The quality level might be described by a single fraction defective. To describe reliability
fallout a probability model that describes the fraction fallout overtime is needed. This is known
as the life distribution model.
Accurate prediction and control of reliability plays an important role in the profitability of a
product. Service costs for products within the warranty period or under a service contract are a
major expense and a significant pricing factor. Proper spare part stocking and support personnel
hiring and training also depend upon good reliability fallout predictions. On the other hand,
missing reliability targets may invoke contractual penalties and cost future business.
Companies that can economically design and market products that meet their customers
reliability expectations have a strong competitive advantage in todays marketplace.
Sometimes equipment failure can have a major impact on human safety and/or health.
Automobiles, planes, life support equipment, and power generating plants are a few
examples.
From the point of view of assessing product reliability, we treat these kinds of catastrophic
failures, no differently from the failure that occurs when a key parameter measured on a
manufacturing tool drifts slightly out of specification, calling for an unscheduled maintenance
action.
It is up to the reliability engineer (and the relevant customer) to define what constitutes a
failure in any reliability study. More resource (test time and test units) should be planned for
when an incorrect reliability assessment could negatively impact the safety and/or health.
Reliability theory developed apart from the mainstream of probability and statistics, and
was used primarily as a tool to help nineteenth century maritime and life insurance companies
compute profitable rates to charge their customers. Even today, the terms failure rate and
hazard rate are often used interchangeably.
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