The effectiveness of quality management strategies in health care organizations: an analysis of quality standards implementation and clinical performance improvement

Quality management strategies in healthcare institutions require an increasingly refined quality management system. This study aims to analyze the ISO 9001:2015 Standard for the implementation of a quality management system in the field of medical services provided by healthcare facilities, as well as to determine patterns during performance to assess the effectiveness of the quality management strategy. The article discusses key factors for achieving the quality management strategy through the implementation of a quality management system to improve clinical indicators. This system, according to the requirements of the ISO 9001:2015 Standard, ensures quality service provision.A cyclical sequence of actions is used to analyze quality management system implementation. It is applied to quality service processes in healthcare organizations and reflects some key aspects (planning, execution, activities, and verification of all relevant processes as described in the ISO 9001:2015 Standard). The authors have examined the quality management strategy based on the literature review and the analyzed standard. This strategy includes leadership, adapting quality improvement initiatives, setting the boundaries of managerial and clinical policies. All the above allow the integration of quality improvement initiatives into a sustainable, organized system with continuous enhancement

Outsourcing and Organizational Change, An employee perspective

Outsourcing seems to have become the new trend in organizational strategy. In outsourcing, part of the organization’s production or service process is discontinued and transferred to another party, along with personnel and other resources. Although the potential economic benefits of outsourcing are thought to be considerable, a growing number of evaluation studies show disappointing outcomes. Cost savings tend to be less than expected and quality sometimes declines. A reason for these outcomes may be that - just like with downsizing and mergers-acquisitions in earlier days - managers tend to focus almost exclusively on economic aspects, ignoring the human and social impacts. Morespecifically, one might explain unsatisfactory economic results from a failure to consider the change implications of outsourcing. This paper analyzes the nature of the organizational change implied in outsourcing, comparing it to mergersacquisitions and downsizing. Next, it identifies some critical aspects of the transition management process which, when dealt with effectively, may enhance the success of outsourcing. The theoretical analysis is contrasted with findings from an empirical study on outsourcing in the Netherlands. In interviews with 11 experts and 10 workers on three phases of outsourcing, 70 aspects of(un)successful transition management were identified. Next, 36 employees involved in outsourcing rated the importance of these aspects and indicated their presence during the outsourcing process. Discrepancy ratings, showing which aspects of transition management received insufficient attention, confirm the results of the theoretical analysis. This underlines the importance of organizational change when implementing outsourcing.Economics ;

Rancang Bangun Sistem Informasi Manajemen Mutu Perusahaan Menggunakan Framework Laravel dan Materialize (Studi Kasus: Bagian Pengendalian Dokumen PT. Pura Barutama Divisi Boxindo, Kudus)

Quality management is one of important aspects in the company for keep the quality of service and gaining trust from its customers, however there are some problems in monitoring the quality and performance audit result, audit schedule distribution, and ISO 9001:2008 document distribution. Therefore it needs to be managed with an integrated database system.The Purpose of this research is to design and build information system of quality management to help monitoring the quality and performance audit result, audit schedule distribution, and helps the management of ISO 9001:2008 document.System development model in this research used prototyping method. The test results using Black Box Testing Methods and interview with users indicated that the developed Information System of Quaity Management (ISQM) has been functioning in accordance with the expected functional and operational requirements

Quality management and accounting in a New Zealand service organization: Towards an institutional perspective on management accounting

Recently, the concept of quality and its management have received considerable attention from business organizations in countries around the world seeking to remain competitive in both local and international markets. Accounting researchers have become interested in understanding how accounting systems are implicated within a quality management system. This paper, which reports on the quality management systems in a New Zealand service organization, provides empirical evidence of how an organization adopts quality principles and subsequently evaluates organizational approaches to espouse quality as a strategic option and the role of accounting therein. The paper argues that once an organization introduces quality management, it may influence other aspects of an organization, such as accounting and reporting processes, to serve the managers' need on quality issues. This paper suggests that quality management in the organization was "institutionally induced" as well as affected by the organizational climate and individuals' quality-related behaviour

Multi-centre parallel arm randomised controlled trial to assess the effectiveness and cost-effectiveness of a group-based cognitive behavioural approach to managing fatigue in people with multiple sclerosis

Abstract (provisional) Background Fatigue is one of the most commonly reported and debilitating symptoms of multiple sclerosis (MS); approximately two-thirds of people with MS consider it to be one of their three most troubling symptoms. It may limit or prevent participation in everyday activities, work, leisure, and social pursuits, reduce psychological well-being and is one of the key precipitants of early retirement. Energy effectiveness approaches have been shown to be effective in reducing MS-fatigue, increasing self-efficacy and improving quality of life. Cognitive behavioural approaches have been found to be effective for managing fatigue in other conditions, such as chronic fatigue syndrome, and more recently, in MS. The aim of this pragmatic trial is to evaluate the clinical and cost-effectiveness of a recently developed group-based fatigue management intervention (that blends cognitive behavioural and energy effectiveness approaches) compared with current local practice. Methods This is a multi-centre parallel arm block-randomised controlled trial (RCT) of a six session group-based fatigue management intervention, delivered by health professionals, compared with current local practice. 180 consenting adults with a confirmed diagnosis of MS and significant fatigue levels, recruited via secondary/primary care or newsletters/websites, will be randomised to receive the fatigue management intervention or current local practice. An economic evaluation will be undertaken alongside the trial. Primary outcomes are fatigue severity, self-efficacy and disease-specific quality of life. Secondary outcomes include fatigue impact, general quality of life, mood, activity patterns, and cost-effectiveness. Outcomes in those receiving the fatigue management intervention will be measured 1 week prior to, and 1, 4, and 12 months after the intervention (and at equivalent times in those receiving current local practice). A qualitative component will examine what aspects of the fatigue management intervention participants found helpful/unhelpful and barriers to change. Discussion This trial is the fourth stage of a research programme that has followed the Medical Research Council guidance for developing and evaluating complex interventions. What makes the intervention unique is that it blends cognitive behavioural and energy effectiveness approaches. A potential strength of the intervention is that it could be integrated into existing service delivery models as it has been designed to be delivered by staff already working with people with MS. Service users will be involved throughout this research. Trial registration: Current Controlled Trials ISRCTN7651747