Table 1.
Different domains across different quality management systems
| CCM | HKZ | MBQA | EFQM | INK | QSMH | DMIC |
|---|---|---|---|---|---|---|
| A framework to guide QI in chronic care. CCM aims to create a productive interaction between an informed, activated patient and a prepared, proactive practice team. |
The aim of HKZ is harmonisation of quality assessment in healthcare and wellbeing. |
To improve competitiveness in healthcare QI by creating awareness of the importance of QI, recognition of accomplishments and information transfer |
A European model which supports organisations to self-assess and reflect its level of organization in order to improve its organization. |
A model based on EFQM to support profit and non-profit organizations to get to excellent achievements |
A measuring instrument for evaluation of quality systems |
A quality management model developed for integrated care. |
| HKZ is based on ISO 9001 | ||||||
| • community resources |
• improvement |
• leadership |
5 boxes for enablers: |
5 organisational dimensions: |
5 focal areas for QI activities: |
9 clusters: |
| • health care organisation |
• focus on client perspective |
• Information and analysis |
• leadership |
• leadership |
• quality assurance documents |
• patient-centeredness |
| • self-management support |
• client safety |
• strategic quality planning |
• people |
• strategy and policy |
• involvement of patients |
• delivery system |
| • decision support |
• professional behaviour |
• human resource development and management |
• policy& strategy |
• management of employees |
• process control based on standards |
• performance management |
| • delivery system design |
• care chain quality |
• management of process quality |
• partnership& resources |
• management of resources |
• human resources management |
• quality care |
| • clinical information system | • ISO-compatibility | • quality and operational results |
• processes |
• management of processes |
• process improvement based on QI procedures | • result-focused learning |
| • customer focus and satisfaction |
4 boxes for results: |
4 result dimensions: |
• interprofessional teamwork |
|||
| • people results |
• clients and partners |
• roles and tasks |
||||
| • customer results |
• personnel |
• commitment |
||||
| • society results |
• community |
• transparent entrepreneurship | ||||
| • key performance results | • management and financiers |
CCM: Chronic Care Model; HKZ: Harmonisatie Kwaliteitsbeoordeling in de Zorgsector (Harmonisation Quality Assessment in Health Care); MBQA: The Malcolm Baldrige USA National Quality Award; EFQM: The European Foundation for Quality Management; INK: Instituut Nederlandse Kwaliteit (Institute for Dutch Quality); QSMH: Quality and Safety Management in Hospitals; DMIC: The Developmental Model for Integrated Care; QI: Quality improvement.