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Exploring the Links between Quality Improvement Strategies and Organisational Outcomes in Four New Zealand District Health Boards: Final Report

Publication Details

  • Exploring the Links between Quality Improvement Strategies and Organisational Outcomes in Four New Zealand District Health Boards: Final Report
  • Published: 15 Apr 2016
  • Status: Current
  • Authors: The Treasury; Ministry of Health, Ministry of Health; Health Quality and Safety Commission, Health Quality and Safety Commission
  • Responsible units: Health
  • Copyright: © Crown Copyright
  • Hard copy: Available online only.
 

Exploring the Links between Quality Improvement Strategies and Organisational Outcomes in Four New Zealand District Health Boards: Final Report

Published 15 Apr 2016

Prepared by the Ministry of Health, the Treasury, and the Health Quality & Safety Commission.

This publication reports on the results of a project initiated by three New Zealand government agencies in 2015. The project aimed to examine the links between quality improvement strategies implemented by New Zealand district health boards (DHBs) and their organisational outcomes.

A number of DHBs are using quality frameworks and concepts as core elements of their organisational strategies to improve patient outcomes and manage healthcare costs. The successes and challenges of these strategies can provide useful insights for other DHBs and the broader health system.

The project was undertaken by the Ministry of Health, the Treasury and the Health Quality & Safety Commission in collaboration with the Auckland, Bay of Plenty, Canterbury and Whanganui DHBs. These DHBs provide a real-life example of what customer-centric models of care look like in practice. Elements that contributed to the success of programmes in these DHBs are relevant to other services delivered by the Government. The report is an example of how collaboration between policy and operational organisations can provide useful lessons for evaluating existing programmes and developing new initiatives.

Contents

Browse Section/Chapter Download/Page Range

Executive summary

1 Introduction

2 Why focus on quality?

3 Project methodology

  • 3.1 DHB case studies
  • 3.2 Analysis against the Triple Aim

4 Results

  • 4.1 Lessons from case studies
  • 4.2 Performance against the Triple Aim
  • 4.3 Messages for other DHBs
  • 4.4 Messages for the centre
  • 4.5 Discussion

DHB Case Studies

Auckland District Health Board

  • Overview
  • Motivation to invest in quality
  • Leadership
  • Culture and QI methodology
  • Management Operating System (MOS)
  • QI in practice

Bay of Plenty District Health Board

  • Overview
  • Motivation to invest in quality
  • Leadership
  • QI methodology
  • QI in practice

Canterbury District Health Board

  • Overview
  • Motivation to invest in quality
  • Leadership
  • Culture change and QI methodology
  • QI in practice

Whanganui District Health Board

  • Overview
  • Motivation to invest in quality
  • Leadership
  • Culture and QI methodology
  • QI in practice
qual-imp-strat-dhbs-mar16.pdf (343 KB) pp. 1–47
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