This research is conducted in order to investigate the relationship between self-leadership skills of health employees and job performance and institutional performance. Methods: The study was carried out in accredited and non-accredited two hospitals in Ankara. The survey prepared within the scope of the research was applied to health employees. A total of 332 (109 from accredited 223 from non-accredited) valid questionnaires were obtained from the survey conducted based on the total number of personnel of the hospitals. Results: When the self-leadership levels of the two institutions are analyzed in general, the self-leadership levels of the employees in the accredited institution (4.160) were found to be higher than the self-leadership levels of the employees in the non-accredited institution (3.830). Three different hypotheses were tested in the model. According to the findings obtained from the study, three hypotheses were accepted. Conclusion: When all the study findings were evaluated as a whole; employees' self-leadership skills are important in achieving institutional performance goals such as patient safety, efficiency and productivity in complex health institutions. Therefore, encouraging employees in this field and supporting them with the necessary training can be considered as an important parameter in reaching the objectives of the institution.

The aim of this study; to find out which standard for institutional accreditation is more appropriate for external evaluation organizations for healthcare institutions. Data obtained from ISQua: Guidelines and Standards for External Evaluation Organizations 4th Edition Version 1.2 and ISO: Managing for the sustained success of an organization -A quality management approach.In this study; two sets of standards that organizations can use as guide to increase their institutional quality were evaluated to find out which one is the best choice for External Evaluation Organizations for health care. Other quality systems and standard sets were not evaluated in this study.First, the ISO standard set was examined in detail, then it was sought whether there is a matching standard or requirement in the ISQua standard set with each standard found in the ISO standard set. It was evaluated whether the sets had superiority or weakness against each other. ISQua: Guidelines and Standards for External Evaluation Organizations were found as more suitable for external evaluation organizations for healthcare institutions.

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Sağlık ve sağlık hizmetleri sunumu, insan yaşamının kaliteli bir şekilde sürdürülmesinde ve devamlılığının korunmasında her zaman kilit önem taşıyan bir konu olmuştur. Sağlık hizmetleri sunum kalitesinde kuşkusuz en önemli unsur hastane yönetimi, kurumsallaşma ve stratejik yönetim süreçlerinin uygulama başarısıdır. Karmaşık bir yapıda hizmet sunan hastanelerin etkin bir şekilde yönetilebilmesi, hastanenin kurumsallaşma düzeyi ile yakından ilişkilidir. Bu çalışma, Sağlıkta Kalite Standartları Hastane Setinde yer alan Kurumsal Hizmetler ve Destek Hizmetleri standartlarının Sağlık Hizmetleri Çok Boyutlu Kalite Modeli ile ağırlıklandırılmış kalite analizini gerçekleştirmeyi amaçlamaktadır. Bu amaçla standartların ve standart puanlarının Model ile yapılan analizlerinde; yapı, süreç, çıktı, teknik ve fonksiyonel kalite açısından dağılımları belirlenerek değerlendirilmiştir. Sonuç olarak kurumsallaşma adına SKS-Hastane'nin ÇBKM bakımından güçlü ve zayıf yönleri olduğu görülmüş, hastane yönetiminin etkinliğini artırmak ve kurumsallaşmak için SKS-Hastanenin çıktı odaklı standartlarının güçlendirilmesi önerilmiştir.