The effectiveness of quality management strategies in health care organizations: an analysis of quality standards implementation and clinical performance improvement
Keywords:
improvement, ISO 9001, personnel competence, quality management strategy, quality management system.
Abstract
Quality management strategies in healthcare institutions require an increasingly refined quality management system. This study aims to analyze the ISO 9001:2015 Standard for the implementation of a quality management system in the field of medical services provided by healthcare facilities, as well as to determine patterns during performance to assess the effectiveness of the quality management strategy. The article discusses key factors for achieving the quality management strategy through the implementation of a quality management system to improve clinical indicators. This system, according to the requirements of the ISO 9001:2015 Standard, ensures quality service provision.
A cyclical sequence of actions is used to analyze quality management system implementation. It is applied to quality service processes in healthcare organizations and reflects some key aspects (planning, execution, activities, and verification of all relevant processes as described in the ISO 9001:2015 Standard). The authors have examined the quality management strategy based on the literature review and the analyzed standard. This strategy includes leadership, adapting quality improvement initiatives, setting the boundaries of managerial and clinical policies. All the above allow the integration of quality improvement initiatives into a sustainable, organized system with continuous enhancement.
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References
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Petkovska, S., & Gjorgjeska, B. (2014). Economic Cost-Effectiveness of the Implementation of the Quality Standard ISO 9001 in the Health Sector. Journal of Modern Accounting and Auditing, 10(8), 912-916.
World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization, 2021.
Yabroff, K. R., Gansler, T., Wender, R. C., Cullen, K. J., & Brawley, O. W. (2019). Minimizing the burden of cancer in the United States: Goals for a high‐performing health care system. CA: A cancer journal for clinicians, 69(3), 166-183. https://doi.org/10.3322/caac.21556
Zhang, Q., Sharan, A., Espinosa, S. A., Gallego-Perez, D., & Weeks, J. (2019). The path toward integration of traditional and complementary medicine into health systems globally: the World Health Organization report on the implementation of the 2014–2023 strategy. The Journal of Alternative and Complementary Medicine, 25(9), 869-871. https://doi.org/10.1089/acm.2019.29077.jjw
Betlloch-Mas, I., Ramón-Sapena, R., Abellán-García, C., & Pascual-Ramírez, J. C. (2019). Implementation and operation of an integrated quality management system in accordance with ISO 9001: 2015 in a dermatology department. Actas Dermo-Sifiliográficas, 110(2), 92-101. https://doi.org/10.1016/j.adengl.2019.01.003
Brouwers, J., Cox, B., Van Wilder, A., Claessens, F., Bruyneel, L., De Ridder, D., & Vanhaecht, K. (2021). The future of hospital quality of care policy: A multi-stakeholder discrete choice experiment in Flanders, Belgium. Health Policy, 125(12), 1565-1573. https://doi.org/10.1016/j.healthpol.2021.10.008
Burgers, J., van der Weijden, T., & Grol, R. (2020). Clinical practice guidelines as a tool for improving patient care. Improving patient care: the implementation of change in health care. Wiley, 103-129. https://doi.org/10.1002/9781119488620.ch6
Darr, J. O., Franklin, R. C., McBain-Rigg, K. E., Larkins, S., Roe, Y., Panaretto, K., & Crowe, M. (2021). Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature. BMJ Open Quality, 10(3), e001091. http://dx.doi.org/10.1136/bmjoq-2020-001091
Donev, D. (2022). Pay-for-performance and tools for quality assurance in health care. South Eastern European Journal of Public Health (SEEJPH), 2022. https://doi.org/10.11576/seejph-5115
Eisner, R., & Patel, R. (2017). Strengthening the regulatory system through the implementation and use of a quality management system. Revista Panamericana de Salud Pública, 41, e12.
El-Zein, G. (2021). Impacts of Quality Improvement Strategies on the Performance of Primary Healthcare Organisations; a Case Study of the Accreditation Program in Lebanon. EasyChair, 2021.
Gargasas, A., Samuolaitis, M., & Mūgienė, I. (2019). Quality management systems in logistics. Management Theory and Studies for Rural Business and Infrastructure Development, 41(2), 290-304. https://doi.org/10.15544/mts.2019.24
Gupta, K. S., & Rokade, V. (2016). Importance of quality in the health care sector: A review. Journal of Health Management, 18(1), 84-94. https://doi.org/10.1177/0972063415625527
Hibbert, P. D., Basedow, M., Braithwaite, J., Wiles, L. K., Clay-Williams, R., & Padbury, R. (2021). How to sustainably build capacity in quality improvement within a healthcare organisation: a deep-dive, focused qualitative analysis. BMC Health Services Research, 21(1), 1-13. https://doi.org/10.1186/s12913-021-06598-8
Haleem, A., Javaid, M., Singh, R., & Suman, R. (2022). Medical 4.0 technologies for healthcare: Features, capabilities, and applications. Internet of Things and Cyber-Physical Systems, 2, 12-30. https://doi.org/10.1016/j.iotcps.2022.04.001
Heydari, M., Lai, K. K., & Xiaohu, Z. (2019). Impact of implementation of the European Foundation for Quality Management Excellence Model and ISO on Organizations Performance based on mathematical models. Proceedings of National Aviation University, 80(3). http://dx.doi.org/10.18372/2306-1472.80.14278
ISO (2015). ISO 9001:2015 Quality Management Systems – Requirements. URL: https://www.iso.org/standard/62085.html
Kristiningrum, E. (2021). Efficiency analysis of health services and improvement efforts based on iso 9001 implementation. Journal standardisasi, 23(2), 183-194.
Kumar, P., Maiti, J., & Gunasekaran, A. (2018). Impact of quality management systems on firm performance. International Journal of Quality & Reliability Management, 35(5), 1034-1059. https://doi.org/10.1108/IJQRM-02-2017-0030
Leggat, S., & Balding, C. (2018). Effective quality systems: implementation in Australian public hospitals. International Journal of health care quality assurance, 31(8), 1044-1057. https://doi.org/10.1108/IJHCQA-02-2017-0037
Lleshi, S. (2020). The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo. European Journal of Medicine and Natural Sciences, 3(1), 26-34. https://doi.org/10.26417/ejis.v2i3.95-103
Moldovan, F., & Bataga, T. (2022). Assuring the Quality of Medical Services at a Medical Center in Romania. International Conference Interdisciplinarity in Engineering. SpringerLink, 438-451. https://doi.org/10.1007/978-3-031-22375-4_35
Nadziakiewicz, M., & Mikolajczyk, A. (2019). The quality and safety of health care services. Management Systems in Production Engineering, 2(27), 100-104. https://doi.org/10.1515/mspe-2019-0017
Nothacker, M., Bolster, M., Steudtner M., Arnold K., Deckert S., Becker M., Kopp, S., & Schmitt, J. (2021). International experiences in the development and implementation of guideline-based quality indicators: a qualitative study. BMJ open, 11(1), e039770. http://dx.doi.org/10.1136/bmjopen-2020-039770
Patkal, P. S., & Anasane, S. S. (2022). Implementation of Standard Work in Healthcare Industry. Proceedings of the 2nd Indian International Conference on Industrial Engineering and Operations Management, Warangal, Telangana, India. IEOM Society International, 2022, 1110-1115.
Petkovska, S., & Gjorgjeska, B. (2014). Economic Cost-Effectiveness of the Implementation of the Quality Standard ISO 9001 in the Health Sector. Journal of Modern Accounting and Auditing, 10(8), 912-916.
World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization, 2021.
Yabroff, K. R., Gansler, T., Wender, R. C., Cullen, K. J., & Brawley, O. W. (2019). Minimizing the burden of cancer in the United States: Goals for a high‐performing health care system. CA: A cancer journal for clinicians, 69(3), 166-183. https://doi.org/10.3322/caac.21556
Zhang, Q., Sharan, A., Espinosa, S. A., Gallego-Perez, D., & Weeks, J. (2019). The path toward integration of traditional and complementary medicine into health systems globally: the World Health Organization report on the implementation of the 2014–2023 strategy. The Journal of Alternative and Complementary Medicine, 25(9), 869-871. https://doi.org/10.1089/acm.2019.29077.jjw
Published
2023-08-30
How to Cite
Petryk, S., Andrieiev, I., Tishko, D., Kurbanov, A., & Yunger, V. (2023). The effectiveness of quality management strategies in health care organizations: an analysis of quality standards implementation and clinical performance improvement. Amazonia Investiga, 12(68), 333-345. https://doi.org/10.34069/AI/2023.68.08.31
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