Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units
Autor: | Graham Hay, Anna Larson, Nicole Clarke, Caitlin Muhl, Kelly A. Pilato, Danielle Hunter, Alex Berry, Madelyn P. Law |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Quality management media_common.quotation_subject Organizational culture Health informatics 03 medical and health sciences 0302 clinical medicine Nursing medicine 030212 general & internal medicine Quality improvement Health policy media_common Public health 030505 public health business.industry Research QI maturity tool Public Health Environmental and Occupational Health Health services research Maturity (psychological) Public aspects of medicine RA1-1270 0305 other medical science business Psychology |
Zdroj: | Archives of Public Health, Vol 79, Iss 1, Pp 1-8 (2021) Archives of Public Health |
ISSN: | 2049-3258 |
Popis: | Background Implementation of quality improvement (QI) practices varies considerably among public health units (PHUs) in Ontario. With the emphasis on continuous quality improvement (CQI) in the revised Ontario Public Health Standards (OPHS), there is a need to understand the level of QI maturity in Ontario’s PHUs. The objective of this research was to establish a baseline understanding of QI maturity in Ontario’s PHUs. Methods The QI Maturity Tool - Modified Ontario Version was used to assess the state of QI maturity in 34 PHUs across Ontario. QI maturity was assessed through 23 questions across three dimensions: QI Organizational Culture; QI Capacity and Competency; and QI Perceived Value. QI maturity scores were classified into five stages: Beginning; Emerging; Progressing; Achieving; and Excelling. QI maturity scores were calculated for each of the 34 participating PHUs to determine their stage of QI maturity. Each PHU’s score was then used to determine the provincial average for QI maturity. Participants were also asked to answer three questions related to core CQI organizational structures. Results Across the 34 PHUs, 3503 staff participated in the survey. A review of individual PHU scores indicates that Ontario’s PHUs are at varying stages of QI maturity. The average QI maturity score of 4.94 for the 34 participating PHUs places the provincial average in the “Emerging” stage of QI maturity. By QI dimensions, the participating PHUs scored in the “Emerging” stage for QI Organizational Culture (5.09), the “Beginning” stage for QI Competency and Capacity (4.58), and the “Achieving” stage for QI Perceived Value (6.00). Conclusion There is an urgent need for Ontario’s PHUs to progress to higher stages of QI maturity. Participants place a high value on QI, but collectively are at less “mature” stages of QI in relation to QI organizational culture and the competency and capacity to engage in QI activities. PHUs should leverage the value that staff place on QI to foster the development of a culture of QI and provide staff with relevant knowledge and skills to engage in QI activities. |
Databáze: | OpenAIRE |
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