Implementing the Learning from Excellence approach to support continuous quality improvement in breast cancer care: a mixed-method study across Italian regions.
Francesca Ferrè, Maria Francesca Furmenti, Sara Zuccarino
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引用次数: 0
Abstract
Purpose: The aim of this study is to describe the application of the Learning from Excellence (LfE) approach in supporting a learning-oriented use of performance measures and continuous quality improvement in breast cancer (BC) care.
Design/methodology/approach: Using a mix-method research, the BC pathway is evaluated among 12 Italian regions/autonomous provinces sharing the same Performance Measurement System. The study was conducted in three stages: (1) identification of the best performing geographical areas through quantitative evidence; (2) analysis of the best practices with qualitative methods; (3) professional engagement and quality improvement, and involvement of stakeholders.
Findings: In the quantitative phase, the performances of 50 geographical areas were analyzed, leading to the identification of two best performing areas. After the characterization of the organizational determinants featuring the best performers' practices, the professionals were involved through on-site workshops, implementing a learning-oriented use of performance measures, benchmarking and team reflexivity on performance results. The intervention implied the modelling and assessment of the best performers' pathways, complementing performance measures with experience-based information. The models of the two areas were compared and hypothesis of care improvement were discussed. Feedback, reflexivity, networking and culture reinforcement were enacted among all the network professionals. In the last stage, the results were publicly presented allowing all stakeholders to recognize and appreciate the collaborative effort produced for the care of BC women and, leveraging on the logic of benchmarking, the stakeholders where able to identify generable performance improvements.
Originality/value: This study provides evidence about the potential benefits of implementing LfE as a total quality management practice for care pathways.
期刊介绍：
■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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