Recurrent superficial thrombophlebitis; or Severe and persistent pain and swelling interfering with activities of daily living and requiring chronic analgesic medication. Surgical ligation including subfascial endoscopic perforator vein surgery SEPS or endovenous ablation procedures are considered medically necessary for the treatment of incompetent perforating veins with vein diameter measured by recent ultrasound of 3.
Reston, VA U. TQM is a managed process of continuous improvement. It calls for cultural change in organization through instituting a broader vision of management encompassing improvement of every process critical to organizational success.
TQM integrates fundamental management techniques, existing improvement efforts, and technical tools under a disciplined approach focused on continuous process improvement. Each TQM element is institutionalized by implementing a structured approach to continuous process improvement through training at each level, starting with top manage- ment.
Essential TQM elements include: Total Quality Management Model 13 Presents a seven-step model for continuous process improvement. The critical role of management is emphasized. The use of a tool s depends on the circumstance.
Some of these initiatives are not entirely compatible with the TQM philosophy. Additional Information 77 Presents a list of suggested readings. Definition Total Quality Management TQM consists of continuous process improvement activities involving everyone in an organization-managers and workers-in a totally integrated effort toward improving performance at every level.
This im- proved performance is directed toward satisfying such cross-functional goals as quality, cost, schedule, mission need, and suitability. TQM integrates fundamen- tal management techniques, existing improvement efforts, and technical tools under a disciplined approach focused on continuous process improvement.
The focus is to: Know Your Customers User satisfaction is the ultimate requirement to which everyone must strive whether the user is an internal customer or an external customer. The only way the user can ultimately be satisfied is if the product or service meets the user's need or intended use at a reasonable cost.
The ultimate users are the officers and servicemen in the field. They require products and services that satisfy their expectations for technical performance including logistic supportschedule available when neededand cost within budget.
Set True Customer Requirements Knowledge of the user's needs and expectations internal and external is a pre- requisite to satisfying them. It is critical that these requirements be understood and reflected accurately in specifications for products, services, and processes.
The manufacturing oriented definition of quality, "conformance to requirements," only leads to user satisfaction when there is alignment between user expectations and user requirements. For example, meeting procurement specifications becomes a concern to be pur- sued only after the user's requirements have been defined.
Quality products and services result from processes that meet user requirements. Thus, in procurement, conformance to Government or industry specifications will result in quality products only when those specifications properly identify user requirements.
If they do not, blind adherence to specifications can easily become counterproduc- tive. It is then that many problems can be prevented. There- after, the leverage of prevention is reduced as correction of problems-a more costly procedure-becomes the dominant mode.
A key aspect of this concept is de- signing products and services that can be produced with high-yield within the ca- pability of the manufacturing or service process. Designs that are immune to manufacturing and operational use variability are said to be robust.
Whatever the exact numbers are, they illustrate the extraordinary opportunity for reducing costs through improvement of quality. Much of the high cost of poor quality comes from processes that are allowed to be wasteful. This waste is often chronic and is accepted as the normal cost of doing business.
The conventional approach to quality is not to get rid of chronic waste but to prevent things from getting worse by "putting out the fires. True breakthroughs are hard to pre- dict. While waiting for a breakthrough to arrive, a company's level of perfor- mance often declines because of a lack of sustained attention.
The Japanese place a high priority on continuous incremental improvements called Kaizen that, over time, leapfrog the competitors who are depending on the "Hail Mary touch- down pass.
Taken together, infrequent innovations and continuous improvement result in superior productivity gains. Applying Kaizen to routine work is the key to success. Working on special projects is important, but in the long run, it is the day-to-day application of Kaizen to routine work that gets results.
Every work activity also called work function or work process has inputs and outputs.Research at PNNL consists of finding solutions for difficult problems in energy, national security, fundamental and computational sciences and the environment. Materials and Methods.
The simple threshold technique generally used in micro-CT analysis cannot be used to segment the areas of absorbable implants and bone. Instead, a region-based segmentation method, a region-labeling method, and subsequent morphological operations were successively applied to micro-CT images.
Principle stating that when two businesses have interrelated operations, central control of labor relations, common management, and common ownership, they are considered alter ego employers, and the National Labor Relations Board (NLRB) may determine that employees of the alter ego employer are part of the bargaining unit.
The Validate Scope process DIFFERS from the Control Quality process in that the former is primarily concerned with acceptance of the deliverables, while quality control is primarily concerned with correctness of the deliverables and meeting the quality requirements specified for the deliverables.
Quality control in IHC is one of the major problems in daily practice. Even though IHC has been in use now for decades, there is still a high variability of intralaboratory and interlaboratory results, mainly because of interlaboratory differences in antigen retrieval, staining protocols, antibodies used, and in the interpretation of staining results.
Port Manteaux churns out silly new words when you feed it an idea or two. Enter a word (or two) above and you'll get back a bunch of portmanteaux created by jamming together words that are conceptually related to your inputs..
For example, enter "giraffe" and you'll get back words like "gazellephant" and "gorilldebeest".