System characteristics of healthcare organizations conducting successful improvements.
OBJECTIVE
In a previous study, based on a survey to all clinical department and primary care center managers in Sweden, it was concluded that the prevailing general improvement strategy is characterized by: drivers for improvement are staff needs; patients and data are not as important; improvements mainly focus on administrative routines and stress management; improvements are mainly reached, by writing guidelines, and conducting meetings; the majority of managers perceive outcomes from this strategy as successful. The purpose of current research in this paper is to investigate whether there is any other improvement strategy at play in Swedish health care.


METHODS
Data from the study of all Swedish managers were stratified into two populations based on an instrument predicting successful improvement. One population represented organizations with exceptionally high probability of successful imrpovement and remaining organizations represented the general improvement strategy.


RESULTS
The paper finds that organizations with high probability for successful change differed from the comparison population at the p = 0.05 level in many of the surveyed characteristics. They put emphasis on patient focus, measuring outcomes, feedback of data, interorganizational collaboration, learning and knowledge, communication/information, culture, and development of administration and management. Thus these organizations center their attention towards behavioral changes supported by data.


CONCLUSIONS
Organizations predicted to conduct successful improvement apply comprehensive improvement strategies as suggested in the literature. Such actions are part of the Patient Centered Task Alignment strategy and it is suggested that this concept has managerial implications as well, as it might be useful in further studies on improvement work in health care.


CONCLUSIONS
This paper provides empirically based findings on a successful improvement strategy that can aid research-informed policy decisions on organizational improvement strategies.
Olsson
Jesper
J
The Swedish Association of Local Authorities and Regions, Health and Social Care Division, Stockholm, Sweden. Jesper.Olsson@skl.se
Elg
Mattias
M
Lindblad
Staffan
S
D003625:Data Collection; D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D058016:Health Facility Administration; D009937:Organizational Objectives; D013548:Sweden