Novosibirsk State Pedagogical University Bulletin, 2017, vol. 7, no. 1, pp. 230–245
© Latuha O. A., 2017
UDC: 
614.2 + 338

The problem of quality management effectiveness within healthcare organizations: an international aspect

Latuha O. A. 1 (Novosibirsk, Russian Federation)
1 Novosibirsk State Medical University, Novosibirsk, Russian Federation
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Abstract: 

Introduction: The article presents an overview of quality management effectiveness issues in a healthcare organization. The purpose of this article is to investigate the most applicable international and Russian quality management models within healthcare organizations and to estimate their effectiveness.
Materials and Methods: The research methods include General scientific methods of empirical and theoretical knowledge, General logical methods and techniques and methods of system analysis, comparison, analogy, generalization, the materials of sociological and expert research of the factors influencing the sustainability of a healthcare organization. A review of the literature on the problem covered the period from 2013 to 2016. The key aspect of research papers sampling was a study of the effectiveness of quality management in a healthcare organization.
Results: The analysis revealed that, despite the peculiarities of national health systems in different countries, there are three fundamental approaches to the quality management system in a healthcare organization: 1. assessment of quality control of healthcare by third parties, i.e. quality assessment when conducting licensing or accreditation; 2. from building the internal system of healthcare organization quality management, for example, on the basis of ISO 9001; 3. the development of a system of sustainable development within the organization and, consequently, improving the efficiency of internal processes contributing to the quality of healthcare.
The article describes the main problems of effectiveness of the above-listed approaches.
Conclusions: In conclusion, the author notes that the level of sustainable development of the organization does not depend on compliance with the minimum mandatory requirements for the healthcare quality. However, if TQM principles are applied to the other support processes, the healthcare quality level remains consistently high over a long period of time.

Keywords: 

healthcare industry; health services; healthcare organization; key performance indicators (KPI); quality management system; ISO 9001; ISO 9004; integrated management

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The problem of quality management effectiveness within healthcare organizations: An international aspect

For citation:
Latuha O. A. The problem of quality management effectiveness within healthcare organizations: an international aspect. Novosibirsk State Pedagogical University Bulletin, 2017, vol. 7, no. 1, pp. 230–245. DOI: http://dx.doi.org/10.15293/2226-3365.1701.16
References: 
  1. Adjei E., Mensah M. Adopting total quality management to enhance service delivery in medical records Exploring the case of the Korle-Bu Teaching Hospital in Ghana. Records management journal, 2016, Vol., 26, no., 2, pp. 140-169. DOI: http://dx.doi.org/10.1108/RMJ-01-2015-0009  
  2. Akdeniz M. B., Gonzalez-Padron T., Calantone R. J. An integrated marketing capability benchmarking approach to dealer performance through parametric and nonparametric analyses. Industrial Marketing Management, 2010, Vol. 39, pp. 150-160. DOI: http://dx.doi.org/10.1016/j.indmarman.2008.05.002
  3. Alharbi T. S. J., Ekman I., Olsson L.-E., Dudas K., Carlström E. Organizational culture and the implementation of person centered care: Results from a change process in Swedish hospital care. Health Policy, 2012, Vol. 108, no. 2–3, pp. 294-301 DOI: http://dx.doi.org/10.1016/j.healthpol.2012.09.003
  4. Alzahrani A. I., Alzahrani A., Alfarraj O. An integrated model of technology and total quality management for public health sector organizations. Journal of medical imaging and health informatics, 2016, Vol. 6, no. 6, pp. 1435-1439  DOI: http://dx.doi.org/10.1166/jmihi.2016.1827
  5. Ang D., McKenney M., Norwood S., Kurek S., Kimbrell B., Liu H., Ziglar M., Hurst J. Benchmarking statewide trauma mortality using Agency for Healthcare Research and Quality's patient safety indicators. Journal of Surgical Research, 2015, Vol. 198, pp. 34-40 DOI: http://dx.doi.org/10.1016/j.jss.2015.05.053
  6. Antoniou C., Barceló J., Breen M., Bullejos M., Casas J., Cipriani E., Ciuffo B., Djukic T., Hoogendoorn S., Marzano V., Montero L., Nigro M., Perarnau J., Punzo V., Toledo T., van Lint H. Towards a generic benchmarking platform for origin–destination flows estimation/updating algorithms: Design, demonstration and validation. Transportation Research Part C: Emerging Technologies, 2016, Vol. 66, P. 79-98 DOI: http://dx.doi.org/10.1016/j.trc.2015.08.009
  7. Aslan I., Çınar O., Özen Ü. Developing Strategies for the Future of Healthcare in Turkey by Benchmarking and SWOT Analysis. Procedia - Social and Behavioral Sciences, 2014, Vol. 150, Pp.  230-240. DOI: http://dx.doi.org/10.1016/j.sbspro.2014.09.043
  8. Barocas D. A., Kulahalli C. S., Ehrenfeld J. M., Kapu A. N., Penson D. F., You C., Weavind L., Dmochowski R. Benchmarking the Use of a Rapid Response Team by Surgical Services at a Tertiary Care Hospital. Journal of the American College of Surgeons, 2013, Vol.  218, pp. 66-72. DOI: http://dx.doi.org/10.1016/j.jamcollsurg.2013.09.011
  9. Bramesfeld A., Wensing M., Bartels P., Bobzin H., Grenier C., Heugren M., Hirschfield D. J., Langenegger M., Lindelius B., Lucet B., Manor O., Schneider Th., Wardell F., Szecsenyi J. Mandatory national quality improvement systems using indicators: an initial assessment in Europe and Israel. Health Policy, 2016, In Press DOI: http://dx.doi.org/10.1016/j.healthpol.2016.09.019
  10. Ceric A., D'Alessandro S., Soutar G., Johnson L. Using blueprinting and benchmarking to identify marketing resources that help co-create customer value. Journal of Business Research, 2016, Vol.69, pp. 5653-5661 DOI: http://dx.doi.org/10.1016/j.jbusres.2016.03.073
  11. Goldman E., Dudley A. United States rural hospital quality in the Hospital Compare database – Accounting for hospital characteristics. Health Policy, 2008, Vol. 1, pp. 112-127. DOI: http://dx.doi.org/10.1016/j.healthpol.2008.02.002
  12. Ingason H. T. Best Project Management Practices in the Implementation of an ISO 9001 Quality Management System. Procedia - Social and Behavioral Sciences, 2015, Vol. 194, pp. 192-200. DOI: http://dx.doi.org/10.1016/j.sbspro.2015.06.133
  13. Jakkala L., Miraj M., On the role of clinical total quality management in clinical research and health care. Bioscience biotechnology research communications, 2015, Vol. 8, no. 2, pp. 133-137 WOS:000367190400007
  14. Jankalová M. Conceptions Based on Definition of Business Factors of Successfulness for the Support of Reaching the Excellence of Enterprise Subjects. Procedia - Social and Behavioral Sciences, 2013, Vol. 81, pp. 531-535. DOI: http://dx.doi.org/10.1016/j.sbspro.2013.06.472
  15. Jarrett J. E. Total quality management (TQM) movement in public health. International journal of quality & reliability management, 2016, Vol. 33, no. 1, pp. 25-41.  DOI: http://dx.doi.org/10.1108/IJQRM-12-2013-0193  
  16. Mandatory A. National quality improvement systems using indicators: an initial assessment in Europe and Israel. Health Policy, 2016, In Press.
  17. Nuti S., Seghieri C. Is variation management included in regional healthcare governance systems? Some proposals from Italy. Health Policy, 2014, Vol. 114, no. 1, pp. 71-78 DOI: http://dx.doi.org/10.1016/j.healthpol.2013.08.003
  18. Slack C. W., Slack W. V. The United Countries of America: Benchmarking the Quality of US Health Care. Mayo Clinic Proceedings, 2011, Vol. 86, pp. 788-790 DOI: http://dx.doi.org/10.4065/mcp.2011.0311
  19. Tarı́ J. J., Sabater V. Quality tools and techniques: Are they necessary for quality management? International Journal of Production Economics, 2004, Vol. 92, no. 3, pp. 267-280 DOI: http://dx.doi.org/10.1016/j.ijpe.2003.10.018
  20. Van der Wees P. J., Nijhuis-van der Sanden M. W.G., van Ginneken E., Ayanian J. Z., Schneider E. C., Westert G. P. Governing healthcare through performance measurement in Massachusetts and the Netherlands. Health Policy, 2014, Vol. 116, no. 1, pp. 18-26 DOI: http://dx.doi.org/10.1016/j.healthpol.2013.09.009
  21. van Schoten S., de Blok C., Spreeuwenberg P., Groenewegen P., Wagner C. The EFQM Model as a framework for total quality management in healthcare Results of a longitudinal quantitative study. International journal of operations & production management, 2016, Vol. 36, no. 8, pp. 901-922  DOI: http://dx.doi.org/10.1108/IJOPM-03-2015-0139 
  22. Veillard J., McKeag A.M., Tipper B., Krylova O., Reason B.  Methods to stimulate national and sub-national benchmarking through international health system performance comparisons: A Canadian approach. Health Policy, 2013, Vol. 112, pp. 141-147 DOI: http://dx.doi.org/10.1016/j.healthpol.2013.03.015
  23. Wardhani V., Utarini A., van Dijk J. P., Post D., Groothoff J. W. Determinants of quality management systems implementation in hospitals. Health Policy, 2009, Vol. 89, no. 3, pp. 239-251 DOI: http://dx.doi.org/10.1016/j.healthpol.2008.06.008
  24. Artamonova G. V., Kostomarova T. S., Danilchenko Ya. V., Kryuchkov D. V., Cherkass N. V. Analysis of the achievement of the objectives of the QMS in the Institute KPSS Academy for 2011-2013. The Outlook for 2014. Complex problems of cardiovascular diseases, 2014, no. 2, pp. 56-65. (In Russian)
  25. Bedareva I. Yu. Internal audit is a management tool and the process of medical care. Spine Surgery, 2008, no. 2, pp. 80-87. (In Russian)
  26. Bedareva I. Yu., Rerikh V. V., Strygin A.V., Samarina V. Y. Documentation of the quality management system of Novosibirsk research institute of traumatology and orthopedics. Spinal Surgery, 2007, no. 1, pp. 81-86. (In Russian)
  27. Bedareva I. Yu., Sadovaya T. N., Strygin A.V., Strygina T. A. Application of process approach in the quality management system of medical care. Spine Surgery, 2007, no. 4, pp. 62-72. (In Russian)
  28. Bedareva I. Yu., Sadovoy M. A., Strygin A.V., Sadovaya T. N., Dobrov P. S. The results of implementing quality management in a federal healthcare institution. Siberian scientific medical journal, 2008, no. 4, pp. 89-97. (In Russian)
  29. Bedareva I. Yu., Sadovoy M. A., Strygin A.V., Sadovaya T. N., Dobrov P. S. Implementation of a quality management system trauma and orthopedic care. Traumatology and orthopedics of Russia, 2008, no. 2, pp. 91-98. (In Russian)
  30. Bedareva I. Yu., Fomichev N. G., Sadovoy M. A., Samarina V. Y. The role of the principles of total quality management in the management of federal medical center. Spine Surgery, 2006, no. 4, pp. 75-83. (In Russian)
  31. Bedareva I. Yu., Fomichev N. G., Sadovoy M. A., Samarina V. Y. Quality management system of specialized medical care for patients with spinal cord injury based on the principles of ISO 9000. Spinal Surgery, 2004, no. 3, pp. 89-96. (In Russian)
  32. Bedareva I. Yu., Shalygina L. S., Kazakov R. A., Sokolov S. V., Latuha O., Gusev A. F. MAIN ways of solving the problems of personnel policy in the concept of sustainable development of the medical organization. Modern problems of science and education, 2016, no. 6, pp. 33. (In Russian)
  33. Berry L., Seltman K. Management Practices Mayo Clinic. Lessons from the world's best service organizations (tr.) A. Kozlov. Moscow: Mann, Ivanov and Ferber Publ.; Eksmo Publ., 2013, 384 p. (In Russian)
  34. Gusev A. F., Bedareva I. Yu., Khafizova E. R. The development of the process management system research at the medical research institution. Spine Surgery, 2010, no. 4, pp. 90-97. (In Russian)
  35. Guseva S. L., Gorokhova I. V. The role of the quality management system to increase customer satisfaction and improve performance, a multidisciplinary clinic. Managing quality in health care, 2014, no. 3, pp. 38-42. (In Russian)
  36. Latuha O. A., Bedareva I. Yu., Shalygina L. S. From the quality management system the sustainability management medical organization. Medicine and education in Siberia, 2015, no. 3, pp. 109. (In Russian)
  37. Luppova E. Yu., Denisov M. A. Internal audit as a tool for the management of medical organization. Vestnik Roszdravnadzor, 2014, no. 6, pp. 9-11 (In Russian)
  38. Luppova E. Yu., Denisova M. A. Security of medical care in a multidisciplinary hospital through the implementation of quality management system. Healthcare, 2015, no. 3, pp. 78-85. (In Russian)
  39. Luppova E. Yu., Denisova M. A., Dugarova R. V. Application of methods of project management in the implementation of the quality management system in a multidisciplinary hospital. Healthcare, 2015, no. 9, pp. 74-81. (In Russian)
  40. Matytsin N. O., Baranov A. I. The use of modern approaches to quality management to create the quality management system of medical care. Vestnik Roszdravnadzor, 2015, no. 3, pp.44-49. (In Russian)
  41. Murashko M. A., Sharikadze D. T., Kondratiev Yu. A. Modern approaches to quality medical care. ORGSTR: news, opinions, training, 2016, no. 2, pp. 37-42. (In Russian)
  42. Puchalski A. N. In search of ideas for the Russian health care. Medicine and education in Siberia, 2014, no. 3, pp. 6. (In Russian)
  43. Rakich C., Stevich S., Martinovich D., Dzhudurovich A. The importance of training managers in the implementation of standards of quality and safety in medical offices: experience of the Republic of Serbia. Vestnik Roszdravnadzor, 2015, no. 3, pp. 39-43. (In Russian)
  44. Sadovoy M. A., Bedareva I. Yu. The application of the ideology of international standards ISO series 9000 in the creation of the quality management system medical assistance. Medical law, 2008, no. 1, pp. 34-35. (In Russian)
  45. Sadovoy M. A., Bedareva I. Yu., Golovko E. A., Shalygina L. S., Komissarova T. V., Gusev A. F. Approaches to the creation of sustainable development system in the research institution of health care of trauma and orthopedic surgery. Spine Surgery, 2012, no. 1, pp. 89-97. (In Russian)
  46. Strygin A.V., Sadovoy M. A., Bedareva I. Yu., Balabanova Yu. V., Gusev M. V., Sivina E. G., Plotnikova N. N. The planning and financial provision of high-tech medical care. Spine Surgery, 2007, no. 4, pp. 80-86. (In Russian)
  47. Tarasenko E. A. Hospital benchmarking as marketing technology to enhance the competitiveness of the LPU. Practical marketing, 2013, no. 3, pp. 23-28. (In Russian)
  48. Fomichev N. G., Sadovoy M. A., Bedareva I. Yu., Samarin V. Y. The experience of the development of the quality management system in a specialized facility. Spine Surgery, 2005, no. 2, pp. 84-88. (In Russian)
  49. Hairullin I. I., Kurylev, V. A., Kapustina I. O. Organizing the internal audit of the medical organization as a tool to improve its effectiveness and efficiency. Vestnik Roszdravnadzor, 2015, no. 3, pp. 33-38. (In Russian)
  50. Shalygina L. S., Sadovoy M. A., Finchenko E. A., Bedareva I. Y. Standardization as a basis for ensuring high-quality high-tech medical care for the sustainable development of the medical organization. Siberian medical review, 2013, no. 6, pp. 87-91. (In Russian)
Date of the publication 25.02.2017