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Article
Publication date: 22 November 2018

Stuart Barson, Robin Gauld, Jonathon Gray, Goran Henriks, Christina Krause, Peter Lachman, Lynne Maher, M. Rashad Massoud, Lee Mathias, Mike Wagner and Luis Villa

The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on…

1124

Abstract

Purpose

The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on how these could be implemented.

Design/methodology/approach

A multi-stage modified-Delphi process was used, blending the Delphi approach of iterative information collection, analysis and feedback, with the option for participants to revise their judgments.

Findings

The process reached consensus on five initiatives: change information privacy laws; overhaul professional training and work in the workplace; use co-design methods; contract for value and outcomes across health and social care; and use data from across the public and private sectors to improve equity for vulnerable populations and the sickest people.

Research limitations/implications

Information could not be gathered from all participants at each stage of the modified-Delphi process, and the participants did not include patients and families, potentially limiting the scope and nature of input.

Practical implications

The practical implications are a set of findings based on what leaders would bring to a decision-making table in an ideal world if given broad scope and capacity to make policy and organisational changes to improve healthcare systems.

Originality/value

This study adds to the literature a suite of recommendations for healthcare quality improvement, produced by a group of experienced healthcare system leaders from a range of contexts.

Details

Journal of Health Organization and Management, vol. 32 no. 8
Type: Research Article
ISSN: 1477-7266

Keywords

Available. Content available
Article
Publication date: 1 January 2006

112

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 19 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

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Article
Publication date: 12 July 2024

Leahora Rotteau, Mercedes Magaz, Brian M. Wong, Sara Shearkhani, Mohammad Shabani, Rishma Pradhan, Bourne Auguste, Laurie Bourne, Jeff Powis and Kelly Michelle Smith

An integrated care system identified quality improvement (QI) capacity as a gap in advancing their integrated quality care priorities and improvement efforts. Here we describe the…

46

Abstract

Purpose

An integrated care system identified quality improvement (QI) capacity as a gap in advancing their integrated quality care priorities and improvement efforts. Here we describe the design and implementation of a QI capacity building program that aimed to (1) build QI capacity amongst diverse integrated care system members and (2) apply QI principles to advance integrated quality care priorities.

Design/methodology/approach

The integrated care system leaders, including community members, partnered with the University of Toronto Centre for Quality Improvement and Patient Safety to co-design and deliver the QI capacity building program focused on improving cancer screening rates. An existing acute care capacity building program was adapted. Content included QI tools, data to identify and monitor QI priorities, equity considerations, and empowering participants as change agents.

Findings

Participants were satisfied with the content and delivery of the program. Some described using QI tools and strategies in practice following the workshop. Challenges to using the tools included the current pressures facing primary care and the health system, resources, and data availability.

Practical implications

This QI capacity building program was challenging but feasible. Clarifying the target audience, being attentive to co-design, acknowledging post-pandemic system challenges and proactively addressing variable knowledge and barriers to QI work in practice will inform future iterations of this program.

Originality/value

While many examples of QI education programs exist, the majority target a single healthcare sector. We describe a novel QI capacity building model that bridges healthcare sectors and includes patient partners and community members as teachers and participants.

Details

Journal of Integrated Care, vol. 32 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

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Article
Publication date: 28 August 2009

Benjamin Jian Chung Yuan, Henrik Tai Ping Chiu, Kun Ming Kao and Ching Wei Lin

In the gift industry, there are many large enterprises with strong brand image, customer loyalty, marketing, or service, and they are also rich in retail channels and resources…

1493

Abstract

Purpose

In the gift industry, there are many large enterprises with strong brand image, customer loyalty, marketing, or service, and they are also rich in retail channels and resources. In this situation, how can brand‐new or small companies thrive in a competitive market? The purpose of this paper is to present a case study from the experiences in Taiwan.

Design/methodology/approach

The paper uses intensive interviews with company managers; considers the opinions of experts; and collects useful historical data for analysis.

Findings

The paper summarizes eight key success factors for Franz: products and places; unique technology and process; unique business model; cost control capability; high growth in the gift market and popularity of orientalism; access to clients; small organizations; and human resources.

Research limitations/implications

An intensive interview is a kind of oral questionnaire. The interviewee responds to the questions in his/her own way to provide significant answers but this may be considered too subjective.

Practical implications

In order to launch a global brand in the shortest time possible through open innovation strategy, some basic prerequisites need to be met. This must be achieved by creating an open company culture fostering the sharing of ideas and promoting innovative and creative skills, along with flexible management strategies leading to a flat organization structure. Only with the existence of such prerequisites an open innovation system can be integrated properly.

Originality/value

Franz is a classic example of Taiwan's brand‐new companies, which accumulate original equipment manufacturer, original design manufacturer, and own branding and manufacturing experience to succeed in their chosen market.

Details

European Business Review, vol. 21 no. 5
Type: Research Article
ISSN: 0955-534X

Keywords

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Article
Publication date: 11 November 2013

Mattias Elg, Klara Palmberg Broryd and Beata Kollberg

– The purpose of this study is to contribute to the knowledge base on how performance measurement drives improvements in healthcare practice.

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Abstract

Purpose

The purpose of this study is to contribute to the knowledge base on how performance measurement drives improvements in healthcare practice.

Design/methodology/approach

The study is based on a single in-depth case study. The critical incident technique (CIT) has been applied in order to identify significant occurrences of performance measurement in terms of events, incidents, processes, and issues identified by respondents from the case organization. These critical incidents have been analysed and interpreted using a theoretical framework suggesting that performance measurement may be applied for exploratory or regulatory purposes as well as ad hoc or continuously in healthcare practice.

Findings

The study suggests that performance measurement may be a versatile method for driving improvement in healthcare organizations. Six types of activities directly or indirectly drive improvement in the clinical department: continuous follow-up in formal arenas and meetings; improvement work; professional efforts; goal deployment; reporting based on external demands; and creating awareness in everyday clinical work. Healthcare organizations that strive to practice performance measurement as a driver for improvement need to find infrastructures in which it is being integrated into the daily life of organizational healthcare practice.

Originality/value

The study provides an original account of the prerequisites and actions for driving improvement through performance measurement in a healthcare setting. Since the operations management perspective in healthcare is significantly lacking, the study offers a unique perspective which may be the basis for both practice development and further scholarly inquiry and theory development.

Details

International Journal of Operations & Production Management, vol. 33 no. 11/12
Type: Research Article
ISSN: 0144-3577

Keywords

Available. Open Access. Open Access
Book part
Publication date: 1 May 2019

Abstract

Details

10th Nordic Conference on Construction Economics and Organization
Type: Book
ISBN: 978-1-83867-051-1

Available. Content available

Abstract

Details

Baltic Journal of Management, vol. 3 no. 2
Type: Research Article
ISSN: 1746-5265

Available. Content available
Article
Publication date: 28 August 2009

Tzong-Ru Lee and Goran Svensson

808

Abstract

Details

European Business Review, vol. 21 no. 5
Type: Research Article
ISSN: 0955-534X

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Book part
Publication date: 24 September 2018

Robert P. Sroufe

Abstract

Details

Integrated Management
Type: Book
ISBN: 978-1-78714-561-0

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Article
Publication date: 21 August 2017

Christian Grönroos

The purpose of this paper is to record the author’s personal reflections on his career as a marketing scholar.

1257

Abstract

Purpose

The purpose of this paper is to record the author’s personal reflections on his career as a marketing scholar.

Design/methodology/approach

Personal reflections in an autobiographical approach.

Findings

The author’s career as student, teacher and scholar is described in some detail.

Originality/value

The paper records events and memories that might otherwise be forgotten. No other such account has been published of Christian Grönroos’s career.

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