The occupational health services department for a manufacturing division of a high-technology firm was redesigned from an outsourced model, in which most services were provided by an outside clinic vendor, to an in-house service model, in which services were provided by an on-site nurse practitioner. The redesign and implementation, accomplished by a cross-functional team using Total Quality Management processes, resulted in a comprehensive occupational health services department that realized significant cost reduction, increased compliance with regulatory and company requirements, and improved employee satisfaction. Implications of this project for occupational health nurses are discussed.
References
1.
American Thoracic Society. (1994). Standardization of spirometry: 1994 update. American Journal of Respiratory Critical Care Medicine, 152, 1107–1136.
NapierR., & McDanielR. (2006a). Measuring what matters: Exchanging value with stakeholders. In Measuring what matters: Simplified tools for aligning teams and their stakeholders (pp. 3–26). Mountain View, CA: Davies-Black Publishing.
5.
NapierR., & McDanielR. (2006b). Stakeholders come first: The winning exchange of value. In Measuring what matters: Simplified tools for aligning teams and their stakeholders (pp. 171–183). Mountain View, CA: Davies-Black Publishing.
6.
RooneyJ. J.KubiakT. M.WestcottR.ReidR. D.WagonerK.PylipowP. E. (2009, January). Building from the basics. Quality Progress, 19–29.
7.
Silicon Valley Manufacturing. (2002a). Introduction to TQM. Paper presented at internal meetings of Silicon Valley Manufacturing, Analog Devices, Inc., Santa Clara, CA.
8.
Silicon Valley Manufacturing. (2002b). Project management method. Paper presented at internal meetings of Silicon Valley Manufacturing, Analog Devices, Inc., Santa Clara, CA.
9.
Silicon Valley Manufacturing. (2002c). Statistical process control training manual. Paper presented at internal meetings of Silicon Valley Manufacturing, Analog Devices, Inc., Santa Clara, CA.
10.
Silicon Valley Manufacturing. (2002d). Tool selection chart. Paper presented at internal meetings of Silicon Valley Manufacturing, Analog Devices, Inc., Santa Clara, CA.
11.
Universities Occupational Safety and Health Educational Resource Center & National Institute for Occupational Safety and Health. (2003). NIOSH spirometry training guide. Atlanta, GA: Authors.
12.
WestcottR. (2005, May). Return on investment. Quality Progress, 114.
