scholarly journals National quality and performance system for Divisions of General Practice: early reflections on a system under development

Author(s):  
Karen L Gardner ◽  
Beverly Sibthorpe ◽  
Duncan Longstaff
2015 ◽  
Vol 27 (1) ◽  
pp. 63-78 ◽  
Author(s):  
Paulo A. Cauchick Miguel

Purpose – In recent decades, a framework for management performance has proven to be an important management practice for achieving organisational performance excellence. In this sense, the purpose of this paper is to analyse how a specific company manages to achieve performance excellence through the attainment of the Brazilian National Quality Award. Design/methodology/approach – The study adopts a case-based approach using a single unit of analysis that might be considered a revealing case. The company studied is one of the largest companies in the information and financial analysis sector in Latin America and is part of a major worldwide corporation. Semi-structured interviews with senior managers and document analysis were used for data collection, with content and inductive analysis performed a posteriori. Findings – The main results outline the approach adopted by the company for each performance excellence award criterion and highlight some of the relevant organisational practices, especially those related to the nature of the company’s businesses. The findings show that the top management has been an essential driving force in transforming the managers at all levels into agents of improvement at the studied company. Additional key points are the deployment of the company’s “shared values” throughout the company and the implementation of a medium- and long-term comprehensive strategic plan focused on the award criteria. The company’s strategic system has been a driving force of its success. Research limitations/implications – For a more extensive empirical validation, further replications using other samples are needed to ensure the external validity of these findings. Originality/value – This paper is one of the few published studies discussing business excellence in emerging economies, which is not observed very often in developing markets. In addition, the paper focuses on promoting a culture of quality, a less common phenomenon in the economies of developing countries than in those of developed nations. Finally, this paper may be useful for practitioners and academics interested in the subject of quality and performance excellence.


2019 ◽  
Vol 24 (4) ◽  
pp. 589-613 ◽  
Author(s):  
Michal Plaček ◽  
David Špaček ◽  
František Ochrana ◽  
Milan Křápek ◽  
Petra Dvořáková

The purpose of this study is to discuss the influence of excellence in the use of performance management and quality improvements tools on performance of Czech municipalities, and especially their cost efficiency. Municipalities' performance is analyzed using data envelopment analysis focused on inputs. A quasi-experimental design is utilized and excelling municipalities are compared with two control groups. The first is represented by municipalities that use excellence models and quality improvement tools but have not been awarded a national excellence prize; the second by municipalities which do not use them. The results do not indicate any significant difference between the three groups of municipalities. This means that the excellence in utilization of performance management and quality improvement tools does not produce performance approaching that of cost efficiency.


Leonardo ◽  
2016 ◽  
Vol 49 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Thomas Mitchell ◽  
Joseph Hyde ◽  
Philip Tew ◽  
David R. Glowacki

danceroom Spectroscopy is an interactive audiovisual art installation and performance system driven by rigorous algorithms commonly used to simulate and analyze nanoscale atomic dynamics. danceroom Spectroscopy interprets humans as “energy landscapes,” resulting in an interactive system in which human energy fields are embedded within a simulation of thousands of atoms. Users are able to sculpt the atomic dynamics using their movements and experience their interactions visually and sonically in real time. danceroom Spectroscopy has so far been deployed as both an interactive sci-art installation and as the platform for a dance performance called Hidden Fields.


2010 ◽  
Vol 16 (1) ◽  
pp. 60 ◽  
Author(s):  
Cecilia Moretti ◽  
Elizabeth Kalucy ◽  
Ann-Louise Hordacre ◽  
Sara Howard

The study used public reporting data supplied by the South Australian Divisions of General Practice to examine their role and significance in supporting diabetes care in general practice. Data sources included the Annual Survey of Divisions 2002–07, and Divisions 12-month reports against National Performance Indicators for 2006–07. Results showed that Divisions combine collaboration, practice support and GP education approaches to support optimal diabetes care within general practice. Divisions commonly described their collaborative achievements in terms of connecting general practice with other diabetes providers, services, information and resources. Practice support and educational activities, which were highly interrelated, often focussed on strengthening use of chronic disease Medical Benefit Schedule items, practice nurse roles and computer and information management systems. In this way, Divisions strengthened primary care team functioning to achieve good communication and consistent standards of care between team members. Divisions detailed a range of strategies that worked well in delivering these practice-level outcomes, with implications for wider Network learning and development. These publicly available data sources provide scope for decision makers and researchers to explore other aspects of Divisions’ roles and performance.


Author(s):  
William L. Solomonson ◽  
Tomas R. Giberson

DiversiCorp Communications grew extremely fast to support Red Oak Health System's enterprise IT needs. Often promoting strong performers from within, DiversiCorp leadership recognized that their directors and managers needed enhanced support to maintain their expected level of service to their health care client. Two performance consultants were engaged who facilitated DiversiCorp leadership through a systematic organizational development process that culminated in the creation of an organizational “competency operating system.” This competency/behavioral-based system took as key inputs existing relevant company competencies and was developed with stakeholder involvement using a critical incident approach. Additionally, it was the core mechanism that then drove performance improvement through improved hiring practices, behavioral interview training, job tools and performance support, enhanced job descriptions, and aligned performance expectations and appraisals.


Author(s):  
Marla Weston ◽  
Darryl Roberts

Quality and performance improvement initiatives are driving significant changes in the United States healthcare system. In anticipation of the full implementation of national health reform over the next several years, the pace of these changes has been increasing. The goals of these quality initiatives mirror the National Quality Strategy's three aims which developed out of the Institute for Healthcare Improvement’s triple aim of improving the patient care experience, improving the population’s health, and reducing healthcare costs. Projects are underway across the United States to achieve these aims. In this article, Chief Nursing Officers of three of the nation’s largest healthcare systems, the Department of Veterans Affairs, Kaiser Permanente, and Ascension Health, have outlined their organizations’ quality and performance improvement initiatives. Their forward-thinking projects broadly address several aspects of healthcare, including reduction of hospital-acquired conditions, patient engagement, and the integration of mobile technologies and other informatics solutions to improve clinical workflows and increase registered nurses’ access to knowledge resources. The article then offers a brief analysis and conclusion of these three exemplars. The projects span the information systems life cycle: some are well established and continuing to improve, others have been recently implemented, and still others planned for implementation in the near future.


Author(s):  
Andrew Baldwin ◽  
Nina Hjelde ◽  
Charlotte Goumalatsou ◽  
Gil Myers

This chapter explores primary care and general practice. It outlines primary care (general practice in the UK and worldwide, primary care, intermediate care and self-care, primary health care teams, and pressures of primary care), consulting and certifying (the consultation and patient centred care, consultation models, complex decision making, managing uncertainty, what to do for the best, continuity of care, home visits, telephone consulting, chronic disease, approaching minor illness, medically unexplained symptoms, time off work and fit notes, fitness to drive, fitness to fly, UK benefits, certification of death) health and healthy living (health and social class, social class and health inequalities, prevention, screening, health education, smoking cessation, managing alcohol and drug misuse, managing obesity, managing sleep problems, exercise, healthy eating and alternative medicine, domestic violence), and practice management and performance (GPs as business managers and commissioners, independent practice vs commercial companies, clinical governance, significant events, audit and complaints, appraisal, revalidation and performance, prescribing and referring, patient groups).


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