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Using the Baldrige management system framework in health care: the Veterans Health Administration experience
1Departments of Psychiatry, Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA. william.weeks@med.va.gov
The Joint Commission Journal on Quality Improvement
|July 18, 2000
Summary
The Veterans Health Administration
Area of Science:
- Healthcare Management
- Quality Improvement
- Organizational Excellence
Background:
- The Veterans Health Administration (VHA) established the Quality Achievement Recognition Grant in 1998.
- The grant is based on the Baldrige management framework and is open to all Veterans Integrated Service Networks (VISNs).
- Eight VISNs participated, with seven submitting completed applications for review by VHA and external experts.
Purpose of the Study:
- To evaluate the effectiveness of the Baldrige management framework in identifying VHA's strengths and weaknesses.
- To identify best practices among grant applicants.
- To provide recommendations for future grant applicants.
Main Methods:
- Expert review and scoring of grant applications.
- Feedback reports provided to all applicants.
- Site visits to selected applicants.
- Comparison of applications against ideal examples to identify areas for improvement.
Main Results:
- Successful applicants effectively identified and described key processes and improvement methods.
- Exemplary applications demonstrated clear processes for constituent involvement in strategy development.
- Future leading applicants should show evidence of strategy deployment, continuous review, and integration of human resources into strategic planning.
Conclusions:
- The Baldrige management framework effectively identifies areas of achievement and improvement within the VHA.
- Future applicants should focus on application coherence, work systems, and market condition analysis.
- Emphasis on human resources and strategy deployment is crucial for future success.
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