Strategies for Measuring Quality Care in Healthcare Organizations in the United States

Chichi Kate Everhart, Walden University



According to members of the Institute of Medicine, about 98,000 hospitalized

patients in the United States die each year because of poor quality care. The problem of

poor healthcare quality may exist in part due to limited information on effective

performance measurement processes. A multiple case study design was used to gain

broad insight into possible solutions to the problems of determining the quality of

healthcare services using performance measurements. Hospital/healthcare organization

leaders in North Carolina who had implemented optimal performance measurements for

quality care were interviewed. The conceptual frameworks that served as a proposition

for the study were Goldratt's theory of constraint, Deming's 14 point model and Lewin's

model of the change process in human systems. The data collection process involved

semistructured interviews of 12 individuals. Data sources and conceptual framework

triangulations were used in the data analysis process(coding approaches, study

dependability, credibility, transferability methods and case study protocol use) . The

themes that emerged from the study were strategies for performance measurement and

strategies to enhance service quality in healthcare organizations etc. Results might

contribute to social change by helping healthcare leaders and patients improve their

knowledge and understanding of optimal performance measurement strategies, which

may effect positive organizational changes.