Quality Improvement: Applied to Food, Lodging and Institutional Sanitation Programs

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Quality Improvement Applied to Food, Lodging
and Institutional Sanitation Programs

• Larry D. Michael, RS, MPH
• Program Manager
• Dairy and Food Protection Branch

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Quality Improvement

• Focusing on the process to improve the quality of
  the program
• Why focused (Positive)
• Employee-focused (Involving)

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Why Conduct Program Reviews?

• Consistency
• Prevention
• Accuracy
• Effectiveness
• Local Program
• State Program
• Laws and Rules

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Typical Scope of a Program Review

• Program administration and supervision
• Staffing and workload
• Employee training
• Inspection frequency and accuracy
• Outbreak investigation response and preparedness
• Complaints and reinspections

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Typical Scope of a Program Review

• Technical and educational materials
• Documentation and filing
• Public relations and educational outreach
• Adequate and proper use of equipment

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Quality Control Tools and Techniques

• Field evaluation inspection
• Control charts
• Pareto diagrams

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Field Evaluation Inspections

• Improves consistency
• Interpreting laws and rules
• Improves Focus
• Risk Factors
• Food from Unsafe Sources
• Inadequate Cooking
• Improper Holding Temperatures
• Contaminated Equipment
• Poor Personal Hygiene

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Field Evaluation Inspections

• Uncovers problems
• With an employee
• With a procedure
• With equipment
• With a policy
• With a rule/law

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Measuring Food Protection

• Inspection data
• Overall scores
• Risk factors
• Critical item violations (return visits)
• Foodborne Illness is a poor indicator
• Underreporting
• Milder cases undetected
• Role of food-borne transmission is obscured since
  foodborne pathogens may also be transmitted by
  water or person-to-person.

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Control Charts

• Graphic display of results, over time, of a
  process.
• Can be used to monitor any type of output
  variable.

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Pareto Diagrams

• A histogram ordered by frequency of occurrence.
• Paretos Law
• A relatively small number of causes will
  typically produce a large majority of the
  problems or defects.
• 80-20 Rule
• 80 of the effect is a result of 20 of the
  causes.

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Pareto Diagram
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What do you do with the Results?

• Identify trends
• Why is it occurring?
• Refocus inspection
• Continuing education
• Most frequently violated items
• Why?
• Refocus educational efforts
• Compare over time for improvement
• Dont forget to include the positive

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Quality Improvement

• Management philosophy
• Management method
• Investment in the program

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Questions

• Larry Michael
• [phone]
• Larry.Michael_at_ncmail.net