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A report card on continuous quality improvement

D Blumenthal1, C M Kilo

  • 1Health Policy Research and Development Unit, Massachusetts General Hospital, Boston 02114, USA.

The Milbank Quarterly
|January 8, 1999
PubMed
Summary
This summary is machine-generated.

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Continuous quality improvement (CQI) in healthcare shows progress in process focus and customer care. However, widespread impact is limited without profound, organization-wide commitment to CQI principles.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science

Background:

  • Continuous quality improvement (CQI) principles have been applied in healthcare for approximately ten years.
  • Past efforts have focused on integrating CQI into healthcare systems.

Purpose of the Study:

  • To evaluate the lessons learned from a decade of CQI implementation in healthcare.
  • To identify barriers and facilitators to successful CQI adoption in the U.S. healthcare system.

Main Methods:

  • Interviews were conducted with senior organizational leaders and experts in the healthcare field.
  • Qualitative data from interviews were analyzed to understand experiences with CQI.

Main Results:

  • Concrete accomplishments include a shift from blaming individuals to identifying process issues and an increased focus on the healthcare customer.

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  • Numerous valuable CQI projects have been initiated.
  • The overall impact of CQI on the U.S. healthcare system remains limited.

    • Conclusions:

    • While progress has been made, CQI has not yet significantly impacted the U.S. healthcare system.
    • Achieving universal commitment to CQI requires a profound, organization-wide recognition of the need for change.