Quality Costs for Building a Dementia Nursing Home

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Identifying Quality Costs for the Construction

The cost of quality of a product stretches from the preventive expenditure used to minimize failure to those costs involved in maintaining quality levels. Firstly, there will be the inclusion of the appraisal costs (AC) which entails the inspection and measurement of activities when the operation is ongoing to determine their conformity to the required standards (Afthanorhan et al., 2019). Some appraisal costs include testing, inspection, and equipment (Syreyshchikova et al., 2021). Secondly, preventive costs (PC) consist of all activities done before the start of the operations to warrant the good quality and inhibit poor quality services. Preventive costs include training, quality improvement teams, and process reviews (Sousa and Nunes, 2019). Thirdly, the construction of the dementia nursing home will involve internal failure costs (IFC), which entail all the expenses incurred to cater to the defects identified before product delivery (Mills et al., 2020). For instance, a product may warrant re-inspection and re-testing before delivery. Lastly, the construction will involve external failure costs (EFC) incurred after a customer gets the products or services. These quality costs have been tabulated in Table 1 of the following section.

Calculating the Estimates

Cost of Quality= PC+AC+IFC+EFC

Table 1. Estimates of Quality Costs Involved in Dementia Nursing Home Construction

Failure Cost (IFC and EFC) Amount ($) % COPQ
Rework and repair 45000 18.42
Scrap due to defect 3259 1.33
Warranty Failure 56500 23.13
Production material waste 38550 15.78
Total 143300 58.66
Appraisal Cost (AC) Amount % COPQ
In-process inspection 35250 14.43
Incoming inspection 22500 9.21
Pre-dispatch Inspection 28000 11.56
Total 85750 35.10
Prevention Cost (PC) Amount % COPQ
Destructive Performance Testing 15250 6.24
Total 15250 6.24
Grand Total 244300

The grand total in the above table represents the cost of quality involved in the construction. The reason is that:

  • Grand Total= AC+PC+ Failure Cost (IFC and EFC) = Cost of Quality

Therefore, the cost of quality, in this case, would be $244,300 for a fully working dementia nursing home.

Cost of Quality Involved in Insufficient Quality Management Staff

For a business to attain prosperity, a quality management system must sustain its economic relevance in the market. Therefore, the quality management staff is important as it helps the business see that key organizational principles are not overlooked (Prístavka and Krištof, 2018). These include; strong leadership, customer focus, people’s involvement, system approach, process approach, factual decision making, continuous improvement, and improving the value of the company, the suppliers, and its clients (Ghayour and Dehghan, 2021). The lack of quality management staff leads to a lack of these important elements (Balouchi et al., 2019). Poor quality products and services often lead to customer dissatisfaction, leading to decreased customer loyalty and hence loss of revenue by the business.

Cost of Quality Involved when Offering Services without Customer Expectation Survey

Cost of quality is when the management fails to deliver according to customers’ expectations. It refers to the losses the organization may incur if its deliveries do not match the customer’s expectations (Amado et al., 2022). Some of them include; that they are most likely to lose their customers because, in this case, the customer’s expectations will not match the services delivered to them (Al-hamad, K.S., and Abdul-Sattar, 2022). At some point, they might ask for compensation for the losses they might have made in the process (Obaid et al., 2019). Some decide to do business elsewhere where the deliveries match their expectations (Castro et al., 2019). It might also lead to a loss in potential customers since they might come across people complaining about that organization’s ignorance of the customer expectations (Huckfeldt et al., 2018). A customer expectation survey ensures they understand that the survey is about them and that they know how important their feedback is to you (Feng et al., 2019). It is used to measure whether your services satisfy your customers and help them achieve success.

Reference List

Afthanorhan, A., Awang, Z., Rashid, N., Foziah, H. and Ghazali, P. (2019) ‘Assessing the effects of service quality on customer satisfaction’, Management Science Letters, 9(1), pp.13-24.

Al-hamad, K.S. and Abdul-Sattar, R.R. (2022) ‘Relationship Analysis between Mass Customization and Rationalized Quality Costs’, Journal of Madenat Alelem University College, 14(1), pp.228-237.

Amado, G.C., Ferreira, D.C. and Nunes, A.M. (2022) ‘Vertical integration in healthcare: What does literature say about improvements on quality, access, efficiency, and costs containment?’, The International Journal of Health Planning and Management, 37(3), pp.1252-1298.

Balouchi, M., Gholhaki, M. and Niousha, A. (2019) ‘Prioritizing the Main Elements of Quality Costs in Design-Build Mass-Housing Projects’, Civil Engineering Journal, 5(5), pp.1136-1146.

Castro, G.R., Nariño, A.H., Crespo, M.I.G. and Bango, M.A.G. (2019) ‘Procedure for quality costs assessment in health care institutions of Matanzas’, Business Informatics, 15(30), pp.1-12.

Feng, T., Ren, Z.J. and Zhang, F. (2019) ‘Service outsourcing: Capacity, quality and correlated costs’, Production and Operations Management, 28(3), pp.682-699.

Ghayour, F. and Dehghan, K. (2021) ‘The Impact of Quality Costs on Brand Equity Considering the Mediating Role of Green Innovation in Tehran Stock Exchange’, Accounting and Auditing Review, 28(4), pp.691-712.

Huckfeldt, P.J., Weissblum, L., Escarce, J.J., Karaca‐Mandic, P. and Sood, N. (2018) ‘Do skilled nursing facilities selected to participate in preferred provider networks have higher quality and lower costs?’, Health services research, 53(6), pp.4886-4905.

Mills, A., Sorensen, A., Gillen, E., Coomer, N.M., Theis, E., Scope, S., Beadles, C. and Quraishi, J. (2020) ‘Quality, costs, and policy: Factors influencing choice of anesthesia staffing models’, Journal of Healthcare Management, 65(1), pp.45-60.

Obaid, A.M., Al Dulamy, JAAA, AL-Furat, A.L. and Muter, K.J. (2019) ‘The impact of integration of quality costs and targeted cost in achieving a competitive advantage: a perspective from hospitality’, African Journal of Hospitality, Tourism and leisure, 8(5), pp.159-168.

Prístavka, M. and Krištof, K. (2018) ‘Evaluation of quality costs in the production organization’, Manufacturing Technology, 18(3), pp.466-476.

Sousa, S. and Nunes, E. (2019) ‘Integrating quality costs and real time data to define quality control’, Procedia Manufacturing, 38, pp.1600-1607.

Syreyshchikova, N.V., Pimenov, D.Y., Kulygina, I.A. and Moldovan, L. (2021) ‘Hybrid Model for Calculating Quality Costs’, Russian Engineering Research, 41(4), pp.382-386.

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