Evaluating the Performance of Quality Improvement Team and their Effect on Service Efficacy Indices in Razavi Subspecialty Hospital

Authors

1 Specialist of pediatrics, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.

2 Director of Public Relations and Cultural Affairs, Razavi Hospital,Mashhad, Iran.

3 Master of Business Administration in the field of e-commerce, Payame Noor University, Mashhad, Iran.

4 Master of Comparative Literature, Ferdowsi University, Faculty of Literature and Human Sciences Dr. Ali Shariati, Mashhad, Iran

Abstract

Background: Productivity is one of the main indices in development plans; therefore, the performance of quality improvement team in any hospital that is a step towards the Implementation of a comprehensive quality management may be considered as an appropriate management technique for development of human resources as well as promotion of the hospital efficacy. Objectives: The current study is designed to evaluate the collaborative management method through the performance of quality improvement team in Razavi Hospital. Methods: This study was carried out in Razavi Hospital, Mashhad during 2016 - 2018 focusing on establishment of a collaborative management system and its effect on the hospital service efficacy. It was an interventional and applied research. The target population included all the staff of Razavi Hospital who volunteered to participate the study, and took measures to promote the hospital efficiency after attending the related training workshops. Results: According to the findings, the bed occupancy rate of Razavi Hospital increased from 59.5 percent in 2016 to 62 percent in 2017. Meanwhile, the patient's average length of stay decreased by 2 percent compared with the same period last year. The hospital bed turnover rate also increased from 86.3 times in 2016 to 121 times in 2017. Following the formation of quality improvement team and applying the optimal strategies and methods, especially in medical wards, it was revealed that the patient satisfaction had a significant increase in 2017 comparing to 2016. Furthermore, the job satisfaction (including job promotion, rules and regulations, colleagues, nature of the work, organizational communication and organizational goals) increased by 18.7 percent in 2017 in comparison with 2016 indicating the efficacy improvement at the hospital. Conclusion: Formation of quality improvement team in Razavi Hospital and their activities have led to relative increase in the hospital management efficacy.

Keywords


1.Zahiri M, Abedi GH, EbadiAzar F. A survey on the effect of quality improvement teams (QIT) in the hospital efficiency.
Jentashapir J Health Sci. 2010;2(3):75-84.
2. Schein EH. Organizational culture. Washington, D.C.: American Psychological Association; 1990.
3. Mosadegh RA. The role of participative management (suggestion system) in Shahid Fayazbakhsh Hospital effectiveness and efficiency. J Res Med Sci. 2003;8(3):85-9.
4. Sadaghiani E. Appraisal of health services and hospital standards.1st ed. Tehran: Moien Publication; 1997.
5. Lameie A. Quality management. 2nd ed. Tehran: Ministry of Healthn  and Medical Education; 2001.
6. Sadashiani E. Note of editor in chief scientific. Techn Res Quart Hosp. 2001;7:3.
7. Health information management. Tehran: Iran University of Medical Sciences; 2001.
8. Sadaghiani E. Organization and management of hospital. Tehran: Jahan Rayaneh Publication; 1988.
9. Lave JR, Frank RG. Effect of the structure of hospital payment on length of stay. Health Serv Res. 1990;25(2):327-47. [PubMed:2191939].
10. Momeninejad SM. A survey on patient satisfaction rate from services in hospitals affiliated with Kohkilouye and Boyerahmad University of medical Sciences. [Master Thesis]. Tehran: Iran University of Medical Sciences; 1998.
11. Lee LC, Yang KP, Chen TY. A quasi-experimental study on a quality circle program in a Taiwanese hospital. Int J Qual Health Care. 2000;12(5):413-8. doi: 10.1093/intqhc/12.5.413. [PubMed:11079221].