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Quality Assurance

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Related Experiment Videos

Learning from large-scale quality improvement through comparisons.

John Ovretveit¹, Niek Klazinga

¹Medical Management Centre, Karolinska Institute, Stockholm, Sweden. jovret@aol.com

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care

|August 11, 2012

Summary

Lessons from 10 Dutch health and social care quality programmes show that understanding political processes, leadership influence, and project management skills are key to successful implementation. These factors can inform future large-scale improvement initiatives.

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Area of Science:

Healthcare quality improvement
Health services research
Organizational psychology

Background:

National quality programmes are crucial for enhancing healthcare and social care services.
Evaluating the success factors of these large-scale programmes is essential for optimizing their impact.
Understanding implementation challenges can lead to more effective quality initiatives.

Purpose of the Study:

To identify key lessons learned from 10 national health and social care quality programmes in the Netherlands.
To systematically compare factors influencing the success of these quality improvement programmes.
To provide insights for future large-scale improvement initiatives.

Main Methods:

A mixed-methods comparative approach was employed, utilizing a quantitative summarization of evidence.
Evaluation teams and programme managers assessed 17 hypotheses regarding successful implementation.
Cross-case analysis of assessment scores identified factors affecting programme success.

Main Results:

The comparative method effectively summarized complex information from multiple quality programmes.
Successful implementation was influenced by understanding political processes, leaders' influencing skills, and technical project management abilities.
Specific groups of factors were identified as more critical for certain programme types.

Conclusions:

The described method offers a fast, systematic way to compare improvement programmes and their outcomes.
Understanding political dynamics, leadership, and technical skills are common success factors for quality programmes.
These findings may be transferable to large-scale improvement programmes in other national contexts.