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Published on: February 16, 2011
The revolution in hospital management
John R Griffith1, Kenneth R White
1Department of Health Policy and Management, The University of Michigan, Ann Arbor, USA. jrg@umich.edu
Summary
Leading healthcare systems utilize a management model focused on mission, performance measurement, continuous quality improvement, and stakeholder responsiveness. This approach yields superior results in acute care settings and is poised to become the industry standard.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Health Services Research
Background:
- Many healthcare systems struggle to achieve consistent high performance.
- Exceptional healthcare organizations often share underlying management principles.
- The Malcolm Baldrige National Quality Award recognizes high-performing organizations.
Purpose of the Study:
- To identify common management models in high-achieving healthcare systems.
- To analyze the characteristics of hospitals with exceptional performance records.
- To explore the potential for these models to become a standard in healthcare.
Main Methods:
- Examined case studies of healthcare systems that won the Malcolm Baldrige National Quality Award.
- Reviewed published studies of hospitals with documented exceptional performance.
- Analyzed shared management principles including mission, performance measurement, continuous improvement, and stakeholder responsiveness.
Main Results:
- Five healthcare systems demonstrated a common management model.
- Key elements include a clear mission, measured performance, continuous quality improvement, and responsiveness to patients, physicians, employees, and community stakeholders.
- This model leads to uniformly better-than-average results across diverse acute care settings.
Conclusions:
- The identified management model is associated with superior healthcare outcomes.
- Growing recognition by external stakeholders suggests this model may become the standard for hospitals.
- Adoption of these principles can drive significant improvements in healthcare delivery.
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