ABSTRACT: Hospitals across the country are searching for ways to improve quality of care and promote effective quality improvement strategies. This research study, by members of the economic and social research institute, identifies and describes the key factors that contributed to the success of four high-performing hospitals across the country. Essential elements of a successful strategy, according to the study, include developing the right culture, attracting and retaining the right people, devising and updating the right in-house processes, and giving staff the right …show more content…
4 Figure 2 Ingredients for Hospital Quality Outcomes and Mission .................................. 8 Figure 3 Elements of a Successful Quality Improvement Process .................................... …show more content…
Can you elaborate?] for every department with specific targets related to quality, service, people, and finances. Attract and Retain the Right People High-quality physicians, nurses, administrators, and ancillary staff are critical to producing high-quality outcomes and effective quality improvement. Top-performing hospitals stressed the need for selective hiring, credentialing, and re-credentialing. Successful recruitment and retention of nursing staff was tied to an absolute respect for and empowerment of nurses—who must be treated as full partners in patient care and given opportunities for advancement. All are expected to be good team players, able to participate in multi-disciplinary teams for both QI and patient care management. Among the hospitals studied, examples of dedication to attracting and retaining the right people include: preservation of nurse-patient ratios even during layoffs and at the expense of revenues; a policy that results in loss of staffing privileges for physicians who do not show respect for nurses; and a QI residency elective to introduce medical residents to QI philosophy and techniques. Develop Effective In-house Processes The best hospitals not