Author: Price, Alex; Schwartz, Robert; Cohen, Joanna; Manson, Heather; Scott, Fran
Title: Assessing Continuous Quality Improvement in Public Health: Adapting Lessons from Healthcare Document date: 2017_2_23
ID: 4ujw0mn1_4
Snippet: This study uses Shortell et al.' s (1998) four dimensions of CQI as an analytical framework for assessing a public health quality improvement initiative in Ontario ( Figure 1 ). The four dimensions of CQI represent an assessment framework derived from systematic reviews of empirical healthcare research. In addition, Shortell et al.' s earlier research on the cultures of high-performing organizations is used to augment the cultural dimension of th.....
Document: This study uses Shortell et al.' s (1998) four dimensions of CQI as an analytical framework for assessing a public health quality improvement initiative in Ontario ( Figure 1 ). The four dimensions of CQI represent an assessment framework derived from systematic reviews of empirical healthcare research. In addition, Shortell et al.' s earlier research on the cultures of high-performing organizations is used to augment the cultural dimension of the adapted framework (Shortell et al. 1995) . For instance, developmental cultures featuring an emphasis on risk-taking, innovation and change, as well as group cultures with strong teamwork and participation, found the greatest success in supporting CQI initiatives. Hierarchical and rational cultures that stress bureaucratic norms and narrow definitions of achievement were found to act as barriers.
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