Implementing a nationwide quality improvement approach in health services

Leadership in Health Services
Amina SahelAbdelali Alaoui Belghiti

Abstract

The purpose of this paper is to present an innovative quality improvement intervention developed in Morocco and discuss its implementation. Until 2004, the Moroccan Ministry of Health (MoH) encouraged pilots of quality improvement approaches but none of them were revealed to be sustainable. Internal assessments pinpointed factors such as lack of recognition of the participating team's efforts and lack of pressure on managers to become more accountable. In 2005, Morocco opted for an intervention called "Quality Contest" (QC) targeting health centres, hospitals and health district offices and combining quality measurement with structures ranking, performance disclosure and reward system. The QC is organized every 18 months. After the self-assessment and external audit step, the participating structures are ranked according to their scores. Their performances are then disseminated and the highest performing structures are rewarded. The results showed an improvement in performance among participating structures, constructive exchange of successful experiences between structures, as well as communication of constraints, needs and expectations between MoH managers at central and local levels; the use of peer-auditors was appreciated ...Continue Reading

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Mar 10, 2015·Leadership in Health Services·Amina SahelBruno Dujardin

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Citations

Mar 15, 2016·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Mikel GrayWendy Kaler
Feb 3, 2019·International Journal of Health Policy and Management·Karen Van der VekenPeter Decat
Oct 24, 2019·International Journal for Equity in Health·Zakaria BelrhitiBruno Marchal
May 6, 2021·The Cochrane Database of Systematic Reviews·Karin DiaconuSophie Witter

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