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The Total Quality Strategy Health Care Needs

​April 30, 2020

  • Laura Haubner, MD, CQO, Vice President and Chief Quality Officer, Tampa General Hospital
  • Jennifer Lenoci-Edwards, RN, MPH, CPPS, Head of North America Region, Institute for Healthcare Improvement (IHI)


The story goes like this: Quality improvement work (QI) was humming along at Tampa General Hospital (TGH) in Florida as it had been for decades. Hospital-acquired infection prevention and reduction were especially notable. But QI wasn’t everyone’s job — it wasn’t always top of mind among leaders, and there were a lot of projects underway not widely known about across the system. Questions about focus and sustainability of gains were common. 

Meanwhile, in Boston, IHI’s QI experts had started to think hard about why QI efforts seemed to be hitting a wall in many health care organizations. A theory they wanted to test found its way to TGH, and a partnership was formed. 

What happened next? Join us for the April 30 WIHI: The Total Quality Strategy Health Care Needs to hear more. 

In this episode of WIHI, IHI’s Jennifer Lenoci-Edwards invites you to get a little wonky and refresh your knowledge of  the Juran Trilogy, named after American engineer, Joseph Juran, one of the fathers of quality and an evangelist on the costs of poor quality. He died at the age of 103 in 2008, leaving behind a rich legacy centered around three key principles: quality planning, quality control, and quality improvement. It’s IHI’s belief that improvement is running into some headwinds at many organizations because of the almost singular focus on QI while the other two components of the Juran Trilogy, quality planning and quality control, are neglected. 

TGH has spent more than a year on quality planning and the organization is now guided by a new, five-year strategic plan. TGH’s Chief Quality Officer, Laura Haubner, has all of the details and, in the final analysis, she’ll tell you there’s no magic formula worthy of sharing so much as an edict to look to your staff and all the assets you have that can be optimized. Another big hint: everyone in the organization can become a quality data geek. She cannot wait to describe TGH’s journey.