Certified Healthcare Quality Management (CHQM)
CHQM Overview
The Certified Healthcare Quality Management (CHQM) program equips healthcare professionals with the essential knowledge, practical skills, and structured tools required to plan, implement, monitor, and improve quality management systems within healthcare organizations.
Designed for professionals working in quality, performance improvement, and healthcare management, the program focuses on translating quality principles into operational systems that enhance patient outcomes, improve safety, and support regulatory and accreditation compliance.
Rooted in real-world healthcare environments, the program provides a comprehensive understanding of healthcare quality frameworks, performance improvement methodologies, data analysis, and governance structures. Participants gain the ability to evaluate performance, identify improvement opportunities, and support leadership decision-making through reliable quality information.
Through a balanced blend of theory, applied tools, and case-based learning, CHQM prepares participants to function effectively as quality management professionals who contribute to continuous improvement, patient safety, and organizational excellence.
Target Audience
Healthcare professionals working in:
- Quality and performance improvement departments
- Patient safety and risk management units
- Hospital administration and operations
- Clinical leadership and supervisory roles
- Accreditation and compliance teams
Learning Objectives
By the end of this certification, participants will be able to:
- Understand core concepts of healthcare quality management
- Apply IOM STEEEP dimensions of quality
- Support development of quality governance structures
- Design and monitor quality indicators and KPIs
- Apply performance improvement models and tools
- Analyze data using basic statistical methods
- Identify and prioritize improvement opportunities
- Support continuous readiness for accreditation
Course Modules
🔹 Module 1: Foundations of Healthcare Quality
- Introduction to healthcare quality
- Evolution of quality in healthcare
- IOM STEEEP dimensions of quality
- Overview of healthcare systems and global perspectives
🔹 Module 2: Leadership, Governance & Quality Management Roles
- Leadership styles in healthcare
- Quality councils and committees
- Teamwork and team formation in performance improvement
- Roles and responsibilities of CHQM professionals
🔹 Module 3: Strategic Planning & Utilization Management
- Strategic planning in healthcare
- Aligning quality goals with organizational strategy
- Utilization management principles
- Identifying improvement opportunities
🔹 Module 4: Performance Improvement Models & Tools
- Performance improvement (PI) models
- Lean, PDCA, FOCUS-PDCA, Six Sigma
- Systems thinking in healthcare
- Quality tools (Fishbone, flowcharts, process mapping)
🔹 Module 5: Measurement, Data & Statistical Analysis
- Setting standards and developing KPIs
- Measuring customer and patient satisfaction
- Descriptive statistics (mean, SD, correlation, t-test)
- Data visualization tools (Pareto, run charts, control charts)
🔹 Module 6: Risk, Safety & Accreditation Readiness
- Root Cause Analysis (RCA)
- Failure Mode and Effects Analysis (FMEA)
- Human Factors Engineering (HFE)
- JCI International Patient Safety Goals (IPSG)
- Accreditation vs certification vs licensure
- Continuous readiness for accreditation
Assessment & Certification
- Module-based quizzes
- Case-based quality scenarios
- Practical application exercises
- Final certification examination
Course Duration
24–30 hours
- Instructor-led sessions
- Applied workshops and case discussions
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Certified Advanced Healthcare Quality Fellowship (CAHQF™)
CAHQF™ Overview
The Certified Advanced Healthcare Quality Fellowship (CAHQF™) is a post-professional fellowship designed for experienced quality professionals and healthcare leaders who aim to lead, govern, and transform healthcare quality at an organizational and system level.
Moving beyond operational quality management, the fellowship focuses on enterprise-wide quality governance, strategic performance management, high-reliability systems, and sustainable quality transformation.
Participants develop the capability to function as quality leaders, advisors, and architects of integrated quality systems—capable of influencing executive decision-making and delivering measurable organizational outcomes.
Completion of a real-world quality transformation project is a core requirement of the fellowship.
Fellowship Target Audience
- Directors of Quality & Performance Improvement
- Accreditation and Compliance Leaders
- Clinical Governance Leaders
- Healthcare Executives and Senior Managers
- Quality Consultants and Advisors
Fellowship Learning Objectives
Fellows will be able to:
- Design and govern enterprise quality systems
- Align quality strategy with organizational goals
- Apply systems thinking at organizational scale
- Use advanced performance measurement and benchmarking
- Integrate financial, operational, and quality perspectives
- Lead accreditation strategy and continuous readiness
- Influence leaders and drive culture change
- Deliver sustainable quality transformation initiatives
Domains & Outlines
Domain 1: Strategic Quality System Design
Outlines
- Quality as an enterprise-wide strategic system
- Alignment of quality with mission, vision, and organizational strategy
- Design of integrated Quality Management Systems (QMS)
- Proactive vs. reactive quality management
- Embedding quality into operational and clinical workflows
- Sustainability of quality systems over time
Domain 2: Governance, Leadership & Accountability in Quality
Outlines
- Principles of healthcare governance
- Board and executive accountability for quality outcomes
- Quality governance structures (committees, councils, reporting lines)
- Leadership roles in quality oversight
- Accountability frameworks and escalation mechanisms
- Executive-level quality reporting and dashboards
Domain 3: Advanced Performance Measurement & Benchmarking
Outlines
- Advanced KPI design and indicator selection
- Outcome, process, and balancing measures
- Leading vs. lagging quality indicators
- Internal, national, and international benchmarking
- Performance trend analysis and variation interpretation
- Using performance data for strategic decision-making
Domain 4: Healthcare Quality Economics & Financial Integration
Outlines
- Economics of healthcare quality and value-based care
- Cost of Poor Quality (COPQ)
- Financial impact of quality and safety failures
- Linking quality initiatives to cost reduction and efficiency
- Business case development for quality improvement
- Measuring return on investment (ROI) of quality initiatives
Domain 5: High Reliability Healthcare & Human Factors Engineering
Outlines
- Principles of High Reliability Organizations (HRO)
- Transition from compliance to reliability
- Human Factors Engineering in healthcare systems
- Cognitive workload, decision fatigue, and error prevention
- Designing error-resistant clinical and operational processes
- Building resilient and learning healthcare organizations
Domain 6: Accreditation Strategy & Continuous Readiness Management
Outlines
- Accreditation, certification, and licensure frameworks
- Strategic accreditation planning (e.g., JCI, CBAHI)
- Continuous readiness system design
- Integration of accreditation requirements into daily operations
- Document control and evidence management
- Tracer methodology and advanced mock surveys
Domain 7: Healthcare Quality Transformation Project
Outlines
- Selection of high-impact quality improvement initiatives
- Baseline assessment and system analysis
- Design and implementation of improvement interventions
- Performance measurement and monitoring
- Sustainability and organizational spread
- Executive reporting and outcome presentation
Domain 8: Influence, Consulting & Thought Leadership in Healthcare Quality
Outlines
- Executive communication and influence strategies
- Leading change without formal authority
- Coaching and mentoring quality and clinical teams
- Development of quality frameworks and policies
- Consulting approaches in healthcare quality
- Professional ethics and thought leadership development
⏱ Fellowship Duration
40 hours, including:
- Advanced interactive sessions
- Applied workshops
- Mentored fellowship project work
- Final assessment and presentation