Health System Q is located in the same geographic area as Health System P, its m

Question

Health System Q is located in the same geographic area as Health System P, its main competitor.

While Health System Q touts its status as a community-based integrated delivery system, Health System P leverages its role as a research-intensive academic medical center. Both health systems have achieved MAGNET designation for nursing, both have been listed among the “Most Wired” by HIMSS, and both have centers of excellence (or service lines) in the areas of cardiology, cancer, and women’s health.

You have heard that community members seem to favor Health System Q for most conditions, but appreciate having a local academic health system if they have problems that are out of the ordinary. You are considering a job with one of these health systems in the area of QI, and are trying to decide where your expertise will have the most impact.

What factors would you consider in trying to evaluate which place might be better positioned to leverage your skills and move forward with QI efforts?

Explanation / Answer

There are multiple factors to be considered in trying to evaluate which place might be better. Key points to be kept in mind are:

- The focus is on which place is better positioned to leverage my skills

- The key determinant is where my skills will have greater impact

Some of the factors are:

- Culture of the place and attitude towards Quality Improvement

- Historical Budget allocation to Quality Improvement

- Kind of issues faced with respect to Quality

- Overall revenues of the organization

- Overall number of patients served

- Existence of current Quality Assurance and Control Methods

- Process Capability

- Repeatability of processes

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