A descriptive study of the implementation of the EFQM excellence model and underlying tools in the Basque Health Service

Sánchez, Elena Moreno; Letona, Jon; González, Rosa; García, Marbella; Darpón, Jon; Garay, Josu I.

doi:10.1093/intqhc/mzi077

Cited by 51 publications

(36 citation statements)

References 14 publications

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“…This frequently and internationally used model also describes (groups of) elements that are important for the effective organisation of care. Empirical research shows a clear relationship between the implementation of these elements (‘enablers’) and performance, both in industry [27,28] and in health care [29,30]. The EFQM model is also used as evaluation and improvement tool.…”

Section: Discussionmentioning

confidence: 99%

A survey study to validate a four phases development model for integrated care in the Netherlands

Minkman

Vermeulen

Ahaus

et al. 2013

BMC Health Serv Res

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BackgroundThe development of integrated care is a complex and long term process. Previous research shows that this development process can be characterised by four phases: the initiative and design phase; the experimental and execution phase; the expansion and monitoring phase and the consolidation and transformation phase. In this article these four phases of the Development Model for Integrated Care (DMIC) are validated in practice for stroke services, acute myocardial infarct (AMI) services and dementia services in the Netherlands.MethodsBased on the pre-study about the DMIC, a survey was developed for integrated care coordinators. In total 32 stroke, 9 AMI and 43 dementia services in the Netherlands participated (response 83%). Data were collected on integrated care characteristics, planned and implemented integrated care elements, recognition of the DMIC phases and factors that influence development. Data analysis was done by descriptive statistics, Kappa tests and Pearson’s correlation tests.ResultsAll services positioned their practice in one of the four phases and confirmed the phase descriptions. Of them 93% confirmed to have completed the previous phase. The percentage of implemented elements increased for every further development phase; the percentage of planned elements decreased for every further development phase. Pearson’s correlation was .394 between implemented relevant elements and self-assessed phase, and up to .923 with the calculated phases (p < .001). Elements corresponding to the earlier phases of the model were on average older. Although the integrated care services differed on multiple characteristics, the DMIC phases were confirmed.ConclusionsIntegrated care development is characterised by a changing focus over time, often starting with a large amount of plans which decrease over time when progress on implementation has been made. More awareness of this phase-wise development of integrated care, could facilitate integrated care coordinators and others to evaluate their integrated care practices and guide further development. The four phases model has the potential to serve as a generic quality management tool for multiple integrated care practices.

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Section: Discussionmentioning

confidence: 99%

A survey study to validate a four phases development model for integrated care in the Netherlands

Minkman

Vermeulen

Ahaus

et al. 2013

BMC Health Serv Res

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“…Many authors have studied Spanish firms, finding positive outcomes from the implementation of quality management systems in different service fields such as hotels (Alvarez, Jaca, Viles, & Colomer, 2012;Claver-Cortés, Pereira-Moliner, Tari, & Molina-Azorin, 2008), banking (Petnji, Marimon, & Casadesus, 2011), healthcare (Sanchez et al, 2006), local government (Suarez- Barraza, Smith, & Dahlgaard-Park, 2009) and consultancy (Viadiu, Fa, & Saizarbitoria, 2002). In northern Spain, many service companies have adopted the European Foundation of Quality Management (EFQM) model as a framework for the development of total quality management (TQM).…”

Section: Introductionmentioning

confidence: 99%

Total quality management practices and performance outcomes in Spanish service companies

Jaca

Psomas

2015

Total Quality Management & Business Excellence

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The present study focuses on total quality management (TQM) implementation in service companies. The purpose of the study is to determine the latent factors of the TQM practices implemented as well as the dimensions of the respective performance outcomes. A research project was carried out in 72 Spanish service companies, using the questionnaire method. Two measurement models were formulated. The first model includes the TQM practices, while the second contains the performance outcomes. Exploratory factor analyses are applied to extract the latent factors. The TQM factors revealed by this study are the quality practices of top management, process management, employee quality management, customer focus and employee knowledge and education. The dimensions of the performance outcomes are financial performance, customer satisfaction, product/service quality performance and operational performance. In this study, TQM adoption in service companies is decoded by determining specific TQM factors. Moreover, the performance outcomes from TQM are classified. The TQM factors and the dimensions of performance outcomes expand the literature on TQM in the services sector.

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“…Asimismo, Sánchez et al (2006), en un intento de describir detalladamente el proceso de implantación del modelo EFQM en una determinada área de actuación pública, en concreto, el servicio vasco de salud, analiza el tema de las evaluaciones y medidas, indicando el uso de las autoevaluaciones como medida habitual de los resultados de la adopción del citado modelo. No obstante, hablan de la utilidad de 42 realizar evaluaciones externas, pero siempre de manera conjunta con las internas, sin dejar de lado éstas en ningún caso.…”

Section: Cuadernos De Estudios Empresarialesunclassified

Modelo EFQM y organismo autónomo de entidad local: ¿Compatibilidad?

Moreno

Sellés

Pullés

et al. 2017

Cuad. Estud. Empres.

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RESUMENLa calidad es reconocida en la actualidad como una de las técnicas empresariales que permiten a las organizaciones mejorar sus procesos de gestión y ser competitivas. Es por ello, que esta investigación tiene como objetivo realizar un análisis empírico sobre un diagnóstico de la calidad de un organismo autónomo de una entidad local apoyado en el modelo EFQM de excelencia empresarial. Para verificar las hipótesis, se utilizó un único cuestionario por unidad muestral y a suficientes unidades y para el análisis estadístico se realizó un análisis estadístico descriptivo. Nuestro estudio aporta información sobre la gestión en organizaciones públicas y su vinculación con la gestión de la calidad. Se presentan algunas conclusiones, limitaciones, futuras líneas de investigación e implicaciones prácticas del análisis realizado.Palabras clave: EFQM, Entidad local, Política pública, Organismo autónomo.

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A descriptive study of the implementation of the EFQM excellence model and underlying tools in the Basque Health Service

Cited by 51 publications

References 14 publications

A survey study to validate a four phases development model for integrated care in the Netherlands

A survey study to validate a four phases development model for integrated care in the Netherlands

Total quality management practices and performance outcomes in Spanish service companies

Modelo EFQM y organismo autónomo de entidad local: ¿Compatibilidad?

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