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Related Experiment Videos

How to develop a business case for quality.

Kristin L Reiter1, Kerry E Kilpatrick, Sandra B Greene

  • 1Department of Health Policy and Administration, 1104H McGavran-Greenberg Hall, CB #7411, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, USA. reiter@email.unc.edu

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|December 19, 2006
PubMed
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Developing a business case for quality-enhancing interventions (QEIs) in healthcare requires 11 detailed steps. This structured approach aims to overcome barriers to implementing effective quality improvements in healthcare organizations.

Area of Science:

  • Health Services Research
  • Health Economics
  • Quality Improvement Science

Background:

  • Healthcare organizations often delay implementing evidence-based quality-enhancing interventions (QEIs) due to a lack of clear business cases.
  • Decades of research demonstrate the effectiveness of QEIs, yet adoption remains suboptimal.
  • A standardized approach to business case development is needed to facilitate the widespread adoption of quality improvements.

Purpose of the Study:

  • To outline the essential steps for constructing a robust business case for QEIs in healthcare.
  • To provide a framework that addresses the economic and financial implications of investing in quality improvement.

Main Methods:

  • A systematic 11-step process for developing a business case for QEIs is described.

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  • Steps include defining the intervention, identifying costs and benefits, selecting financial metrics, and assessing organizational readiness.
  • A readiness assessment checklist is provided to guide organizations.

    • Main Results:

    • The 11 steps cover critical aspects from intervention description to financial analysis and organizational preparedness.
    • Key considerations include perspective, quality effects, study design, cash flow analysis, capacity constraints, return on investment, time horizon, discount rate, and inflation adjustments.
    • Organizational readiness is identified as a crucial factor for successful business case development and implementation.

    Conclusions:

    • The lack of a compelling business case is a significant barrier to implementing effective QEIs in healthcare.
    • Delineating the cost and economic implications of QEIs is critical for their widespread adoption.
    • Standardizing business case analysis approaches will advance the field and promote evidence-based quality improvements.