Subject(s)
Academic Medical Centers/organization & administration , Efficiency, Organizational , Information Systems/organization & administration , Organizational Innovation , Quality of Health Care/organization & administration , Academic Medical Centers/standards , Continuity of Patient Care/organization & administration , Cost Control , Data Collection , Home Care Services/organization & administration , Humans , Organizational Culture , Patient Protection and Affordable Care Act/legislation & jurisprudence , Patient Satisfaction , Pharmacy Service, Hospital/organization & administration , Policy , Politics , Professional Role , Quality Indicators, Health Care , Quality of Health Care/standards , Skilled Nursing Facilities/organization & administrationSubject(s)
Cardiac Surgical Procedures/mortality , Cardiac Surgical Procedures/adverse effects , Coronary Artery Bypass/mortality , Databases, Factual , Heart Valve Prosthesis Implantation/mortality , Humans , Models, Statistical , Predictive Value of Tests , Quality of Health Care , Risk Assessment , Risk Factors , United States/epidemiologyABSTRACT
The aim of this study was to test whether a recently developed measure of Continuous Quality Improvement (CQI) implementation can provide health care researchers and administrators with a tool to assist in understanding and with developing an appropriate structure for improvement efforts in hospitals. Two hundred respondents from 40 Missouri hospitals completed a 28-item survey addressing 8 domains of CQI. Overall, hospital scores showed low implementation of a structure that supports improvement efforts. All survey domains showed acceptable psychometric results. Leadership proved to be the most important domain of CQI because it differentiated well between all levels of the scale. Because of its ease of administration and analysis, and its reliability, validity, and level differentiation results, the researchers recommend the widespread use of this tool to understand and develop a hospital's organizational structure to support improvement activities.
Subject(s)
Hospitals/standards , Total Quality Management/statistics & numerical data , Analysis of Variance , Leadership , Missouri , Surveys and QuestionnairesABSTRACT
Current methods of measuring continuous quality improvement (CQI) implementation are too long and not comprehensive. A new survey for CQI implementation was developed and tested for content validity using a panel of 8 experts--7 from the United States and 1 from England. The survey was reduced from 70 items to 22. The resultant survey had a clarity interrater agreement (IR) of .91, a representativeness IR of .93, a clarity content validity index (CVI) of .73, and a representativeness CVI of .91. Content validity served as an excellent data reduction method in building a valid, concise, and comprehensive measure of CQI implementation.
