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dc.contributor.authorReed, Nick J
dc.contributor.authorWilson, Natalie
dc.contributor.authorHayes, Kathryn J
dc.date.accessioned2020-09-24T04:58:54Z
dc.date.available2020-09-24T04:58:54Z
dc.date.issued2020
dc.identifier.issn0952-6862
dc.identifier.doi10.1108/IJHCQA-08-2019-0140
dc.identifier.urihttp://hdl.handle.net/10072/397522
dc.description.abstractPurpose: A method to engage salient organisational stakeholders in identifying and ranking measures of healthcare improvement programs is described. The method is illustrated using Executive WalkRounds (EWRs) in a multi-site Australian Health District. Design/methodology/approach: Subject matter experts (SMEs) conducted document analysis, identified potential EWRs measures, created driver diagrams and then eliminated weak measures. Next, a panel of executives skilled in EWRs ranked and ratified the potential measures using a modified Delphi technique. Findings: EWRs measurement selection demonstrated the feasibility of the method. Of the total time to complete the method 79% was contributed by SMEs, 14% by administration personnel and 7% by executives. Document analysis revealed three main EWRs aims. Ten of 28 potential measures were eliminated by the SME review. After repeated Delphi rounds the executive panel achieved consensus (75% cut-off) on seven measures. One outcome, one process and one implementation fidelity metric were selected to measure and monitor the impact of EWRs in the health district. Practical implications: Perceptions of weak relationships between measures and intended improvements can lead to practitioner scepticism. This work offers a structured method to combine the technical expertise of SMEs with the practical knowledge of healthcare staff in selecting improvement measures. Originality/value: This research describes and demonstrates a novel method to systematically leverage formal and practical types of expertise to select measures that are strongly linked to local quality improvement goals. The method can be applied in diverse healthcare settings.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherEmerald Publishing Limited
dc.relation.ispartofpagefrom345
dc.relation.ispartofpageto361
dc.relation.ispartofissue4-5
dc.relation.ispartofjournalInternational Journal of Health Care Quality Assurance
dc.relation.ispartofvolume33
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Policy & Services
dc.subject.keywordsHealth Care Sciences & Services
dc.subject.keywordsPerformance measurement
dc.titleIdentifying contextually relevant improvement measures, illustrated by a case of executive walkrounds
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationReed, NJ; Wilson, N; Hayes, KJ, Identifying contextually relevant improvement measures, illustrated by a case of executive walkrounds, International Journal of Health Care Quality Assurance, 2020, 33 (4-5), pp. 345-361
dc.date.updated2020-09-15T04:54:37Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2020 Emerald. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorHayes, Kate J.


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