A framework for institutionalizing quality assurance

Area of Science:

• Healthcare Management
• Quality Improvement Science
• Organizational Development

Background:

• Institutionalizing quality assurance (QA) is crucial for sustained healthcare improvement.
• Existing frameworks often lack comprehensive guidance for integrating QA into organizational structures.
• A structured approach is needed to embed QA principles and practices effectively.

Purpose of the Study:

• To develop and describe a comprehensive framework for the institutionalization of quality assurance (QA).
• To provide a model with essential elements and a roadmap for implementing and sustaining QA.
• To support organizations and systems in their journey towards mature quality assurance practices.

Main Methods:

• Development of a conceptual model comprising eight essential elements categorized into enabling environment, organizing for quality, and support functions.
• Description of a phased roadmap for the institutionalization process, from pre-awareness to maturity.
• Application of the model at organizational and system levels.

Main Results:

• The framework includes leadership, policy, core values, resources, structure, capacity building, communication, and rewarding quality as essential elements.
• The institutionalization process is described through five stages: pre-awareness, awareness, experiential, expansion, and consolidation.
• The model is adaptable for diverse organizational and system contexts.

Conclusions:

• The developed framework has been piloted in several countries, demonstrating its practical applicability.
• The conceptual model aids in strategic planning and resource allocation for strengthening QA.
• Future work includes developing an assessment tool to monitor progress in QA institutionalization.