Five years’ experience with value-based quality improvement teams: the key factors to a successful implementation in hospital care
A study with learnings on how to implement VBHC and value-based quality improvement (VBQI) in hospitals in practice.
Through a qualitative study with 43 members of 8 VBQI teams in a large Dutch top-clinical teaching hospital (including physicians, physician assistants, nurses, VBHC project leaders, managers, social workers, researchers and paramedics), 9 main factors were identified for determining whether the implementation of VBQI teams was successful or not:
- Practical organization of value-based quality improvement teams
- Organizational structure
- Integration of VBHC with existing quality improvement approaches and research
- Adoption and knowledge of the VBHC concept in the hospital
- Multidisciplinary engagement
- Medical leadership
- Goal setting and selecting quality improvement initiatives
- Long-cycle benchmarking and short-cycle feedback
- Availability of outcome data
These factors can be categorised into three domains: organisation, culture and practice.
Overall, this study goes beyond the general VBHC theory and provides healthcare providers with more detailed knowledge on how to practically implement value-based quality improvement in a hospital care setting.
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