Quality improvement strategies and tools: A comparative analysis between Italy and the United States

Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration
Stefano VillaAlan B Cohen

Abstract

Italian and American hospitals, in two different periods, have been urged by external circumstances to extensively redesign their quality improvement strategies. This paper, through the use of a survey administered to chief quality officers in both countries, aims to identify commonalities and differences between the two systems and to understand which approaches are effective in improving quality of care. In both countries chief quality officers report quality improvement has become a strategic priority, clinical governance approaches, and tools-such as disease-specific quality improvement projects and clinical pathways-are commonly used, and there is widespread awareness that clinical decision making must be supported by protocols and guidelines. Furthermore, the study clearly outlines the critical importance of adopting a system-wide approach to quality improvement. To this extent Italy seems lagging behind compared to US in fact: (i) responsibilities for different dimensions of quality are spread across different organizational units; (ii) quality improvement strategies do not typically involve administrative staff; and (iii) quality performance measures are not disseminated widely within the organization but are reported p...Continue Reading

References

Feb 8, 1991·Journal of Quality Assurance : a Publication of the National Association of Quality Assurance Professionals
Sep 18, 2001·JAMA : the Journal of the American Medical Association·K W Kizer
Sep 20, 2002·The New England Journal of Medicine·Robert Galvin, Arnold Milstein
Oct 22, 2002·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
Jun 27, 2003·The New England Journal of Medicine·Elizabeth A McGlynnEve A Kerr
May 27, 2004·Health Affairs·Peter S HusseyArnold Epstein
May 19, 2005·JAMA : the Journal of the American Medical Association·Lucian L Leape, Donald M Berwick
Jul 8, 2005·Joint Commission Journal on Quality and Patient Safety·Eugene LitvakDonald M Berwick
Jul 30, 2005·Journal of Medical Systems·Fatma Pakdil, Timothy N Harwood
Sep 7, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Soeren MattkeSheila Leatherman
Jan 11, 2007·Health Affairs·Joseph S RossHarlan M Krumholz
Sep 18, 2007·Health Policy·Federico Lega
May 31, 2008·Medical Care Research and Review : MCRR·Alan B CohenDeborah Bohr
Nov 14, 2008·Health Policy·Peter MakaiLászlo Gulacsi
Apr 23, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kieran Walshe
Sep 16, 2011·International Journal of Health Care Quality Assurance·Amira ep Koubaa Eleuch
Dec 30, 2011·International Journal of Health Care Quality Assurance·Roger Ayimbillah AtingaKwame Ameyaw Domfeh
Mar 16, 2013·The International Journal of Health Planning and Management·Ismail BakanBurcu Ersahan
Jan 16, 2014·Journal of General Internal Medicine·Joseph D RestucciaPeter Kaboli
Dec 1, 2010·Asian Nursing Research·Chung Yul LeeJi Sook Ko
Jul 30, 2014·Journal of Health Organization and Management·Pamela MazzocatoCarl Savage
Jun 29, 2016·Health Care Management Review·Marta MarsilioStefano Villa

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Citations

Jan 8, 2021·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Sidney Anderson

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