Verification of a Quality Management Theory: Using a Delphi Study

Document Type : Original Article

Author

Health Management and Economics Research Centre, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background
A model of quality management called Strategic Collaborative Quality Management (SCQM) model was developed based on the quality management literature review, the findings of a survey on quality management assessment in healthcare organisations, semi-structured interviews with healthcare stakeholders, and a Delphi study on healthcare quality management experts. The purpose of this study was to verify the SCQM model.
 
Methods
The proposed model was further developed using feedback from thirty quality management experts using a Delphi method. Further, a guidebook for its implementation was prepared including a road map and performance measurement.
 
Results
The research led to the development of a context-specific model of quality management for healthcare organisations and a series of guidelines for its implementation.
 
Conclusion
A proper model of quality management should be developed and implemented properly in healthcare organisations to achieve business excellence.

Keywords

Main Subjects


  1. Huq Z, Martin TN. Workforce cultural factors in TQM/CQI implementation in hospitals. Health Care Manage Rev 2000; 25: 80–93. doi: 10.1097/00004010-200007000-00009
  2. Mosadeghrad AM. A survey of total quality management in Iran: Barriers to successful implementation in health care organisations. Leadersh Health Serv (Bradf Engl) 2005; 18: xii-xxxiv.
  3. Theodorakioglou YD, Tsiotras GD. The need for the introduction of quality management into Greek health care. Total Quality Management 2000; 11: 1153–65. doi: 10.1080/095441200440403
  4. Mosadeghrad AM. Obstacles to TQM success in health care systems. Int J Health Care Qual Assur 2013; 26: 147–73. doi: 10.1108/09526861311297352
  5. Badrick T, Preston A. Influences on the implementation of TQM in health care organizations: professional bureaucracies, ownership and complexity. Aust Health Rev 2001; 24: 166–75. doi: 10.1071/ah010166
  6. Counte MA, Meurer S. Issues in the assessment of continuous quality improvement implementation in health care organizations. Int J Qual Health Care 2001; 13: 197–207. doi: 10.1093/intqhc/13.3.197
  7. Yang CC. The establishment of a TQM system for the health care industry. The TQM Magazine 2003; 15: 93–8. doi: 10.1108/09544780310461107
  8. Hellstrom A, Lifvergren S, Quist J. Process management in healthcare: investigating why it’s easier said than done. Journal of Manufacturing Technology Management 2010; 21: 499–511. doi: 10.1108/17410381011046607
  9. Nembhard IM, Alexander JA, Hoff TJ, Ramanujam R. Why does the quality of health care continue to lag? Insights from management research. Academy of Management Perspectives 2009; 23: 24–42. doi: 10.5465/amp.2009.37008001
  10. Ozturk AO, Swiss JE. Implementing management tools in Turkish public hospitals: the impact of culture, politics and role status. Public Adm Dev 2008; 28: 138–48. doi: 10.1002/pad.486
  11. Abd-Manaf NH. Quality management in Malaysian public health care. Int J Health Care Qual Assur 2005; 18: 204–16. doi: 10.1108/09526860510594767
  12. Alexander JA, Weiner BJ, Shortell SM, Baker LC. Does quality improvement implementation affect hospital quality of care? Hosp Top 2007; 85: 3–12. doi: 10.3200/htps.85.2.3-12
  13. Withanachchi N, Handa Y, Karandagoda KKW, Pathirage PP, Tennakoon NCK, Pullaperuma DSP. TQM emphasizing 5-S principles: a breakthrough for chronic managerial constraints at public hospitals in developing countries. International Journal of Public Sector Management 2007; 20: 168–77. doi: 10.1108/09513550710740580
  14. Mosadeghrad AM. The impact of organisational culture on the successful implementation of total quality management. The TQM Magazine 2006; 18: 606–25. doi: 10.1108/09544780610707101
  15. Mosadeghrad AM. Towards a theory of quality management: an integration of strategic management, quality management and project management. International Journal of Modelling in Operations Management 2012; 2: 89–118. doi: 10.1504/ijmom.2012.043962
  16. Godfrey G, Dale B, Marchington M, Wilkinson A. Control: a contested concept in TQM research. International Journal of Operations & Production Management 1997; 17: 558–73. doi: 10.1108/01443579710167258
  17. Flood R. Beyond TQM. New York: John Wiley & Sons; 1993.
  18. Gotzamani KD, Tsiotras GD. An empirical study of the ISO 9000 standards’ contribution towards total quality management. International Journal of Operations & Production Management 2001; 21: 1326–42. doi: 10.1108/eum0000000005972
  19. European Foundation for Quality Management, 2010. EFQM Excellence model [internet]. [cited 2013 October 1]. Available from: http://www.efqm.org/the-efqm-excellence-model
  20. NIST [homepage on the Internet]. [cited 2009 June 25]. Criteria for Performance Excellence, Baldrige National Quality Program. Available from: http://www.baldrige.nist.gov/PDF_files/2009_2010_Business_Nonprofit_Criteria.pdf
  21. Claver E, Tari JJ, Molina JF. Critical factors and results of quality management: an empirical study. Total Quality Management 2003; 14: 91–118. doi: 10.1080/14783360309709
  22. Hansson J, Klefsjo B. A core value model for implementing total quality management in small organisations. The TQM Magazine 2003; 15: 71–81. doi: 10.1108/09544780310461071
  23. Seetharaman A, Sreenivasan J, Boon LP. Critical success factors of total quality management. Qual Quant 2006; 40: 675–95. doi: 10.1007/s11135-005-1097-2
  24. Taylor WA, Wright GH. A longitudinal study of TQM implementation: Factors influencing success and failure. Omega 2003; 31: 97–111. doi: 10.1016/s0305-0483(03)00017-3
  25. Jennings K, Westfall F. A survey-based benchmarking approach for health care using the Baldridge quality criteria. Jt Comm J Qual Improv 1994; 20: 500–9.
  26. Moeller J. The EFQM Excellence Model. German experiences with the EFQM approach in health care. Int J Qual Health Care 2001; 13 : 45–9. doi: 10.1093/intqhc/13.1.45
  27. NIST [homepage on the Internet]. [cited 2009 June 25]. Health Care Criteria for Performance Excellence, Baldrige National Quality Program. Available From: ttp://www.baldrige.nist.gov/PDF_files/2009_2010_HealthCare_Criteria.pdf
  28. Holloway NM. Medical-surgical care planning. Philadelphia: Lippincott Williams & Wilkins; 2004.
  29. Baidoun S, Zairi M. A proposed model for TQM implementation in the Palestinian context. Total Quality Management and Business Excellence 2003; 14: 1193–211. doi: 10.1080/1478336032000107744
  30. Ghobadian A, Gallear D. TQM implementation: an empirical examination and proposed generic Model. Omega 2001; 29: 343–59. doi: 10.1016/s0305-0483(01)00030-5
  31. Jackson S. Successfully implementing total quality management tools within healthcare: What are the key actions? Int J Health Care Qual Assur 2001; 14: 157–63. doi: 10.1108/09526860110392431
  32. Leebov W, Jean C, Ersoz CJ. The health care manager’s guide to continuous quality improvement. Lincoln: iUniverse; 2003.
  33. Oakland JS. Total quality management: Text with cases. 3rd ed. Oxford: Butterworth-Heinemann; 2003.
  34. Ruiz U, Simon J. Quality management in healthcare: a 20-year journey. Int J Health Care Qual Assur 2004; 17: 323–33. doi: 10.1108/09526860410557570
  35. Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: A framework for change. Milbank Q 2001; 79: 281–315. doi: 10.1111/1468-0009.00206