The RAF method for regulation, assessment, follow-up and continuous improvement of quality of care: conceptual framework.
The RAF method for regulation, assessment, follow-up and continuous improvement of quality of care was developed in Israel in the late 1980s by the Quality of Care Unit at the JDC-Brookdale Institute. During the past decade the RAF method has been adapted to and implemented successfully in a number of government regulatory systems operated by services in the Ministry of Health and the Ministry of Labor. This article presents the conceptual framework of the RAF method. It describes the three theoretical approaches that have been integrated--the tracer approach, the model for quality assurance and the introduction of organizational change--to create a broad conceptual framework. It then presents the key operational principles at work in the field that drive the RAF mechanism in its efforts to achieve a constant improvement in quality of care.
Fleishman
Rachel
R
JDC-Brookdale Institute, Jerusalem, Israel.
D000068:Accreditation; D003628:Database Management Systems; D005161:Facility Regulation and Control; D006078:Government Programs / Q000592:standards; D006268:Health Facilities / Q000592:standards*; D007557:Israel; D007858:Learning; D017146:Models, Organizational; D009313:National Health Programs / Q000592:standards*; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D011209:Power, Psychological; D011340:Problem Solving; D019984:Quality Indicators, Health Care; D013597:Systems Analysis; D017749:Total Quality Management / Q000379:methods*