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Published on: February 16, 2011
Measuring success for health care quality improvement interventions
Kristy G Morganti1, Susan Lovejoy, Amelia M Haviland
1RAND Corporation, Pittsburgh, PA, USA. kmorgant@rand.org
Background:
The lack of a standard measure of quality improvement (QI) success and the use of subjective or self-reported measures of QI success has constrained efforts to formally evaluate QI programs and to understand how the various contextual factors impact QI success.
Objectives:
The objective of this study was to assess how best to measure "QI success" by comparing self-reported and externally rated measures of QI success.
Research Design:
We performed a retrospective evaluation that analyzed data on different measures of QI success for organizations after their staff completed the QI training.
Subjects:
The sample included 30 organizations whose staff had received QI training during 2006-2008, and who had used this training to carry out at least some subsequent QI initiative in their organizations.
Measures:
We developed 2 measures of self-reported QI success based on survey responses and 4 externally rated measures of QI success based on outcome data provided by the participating organizations in addition to qualitative data generated from the interviews.
Results:
We found some variation in the mean scores of the different QI success measures and only moderate to small correlations between the self-report and externally rated QI measures.
Conclusions:
This study confirms that there are important differences between self-reported and externally rated measures of QI success and provides researchers with a methodology and criteria to externally rate measures of QI success.
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