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Continuous quality improvement in a Maltese hospital using logical framework analysis

Sandra C. Buttigieg (Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta) (Work and Organizational Group, Aston Business School, Aston University, Birmingham, UK) (School of Social Policy, College of Social Sciences, University of Birmingham, Birmingham, UK)
Dorothy Gauci (Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta)
Prasanta Dey (Operations and Information Management Group, Aston Business School, Aston University, Birmingham, UK)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 10 October 2016

1250

Abstract

Purpose

The purpose of this paper is to present the application of logical framework analysis (LFA) for implementing continuous quality improvement (CQI) across multiple settings in a tertiary care hospital.

Design/methodology/approach

This study adopts a multiple case study approach. LFA is implemented within three diverse settings, namely, intensive care unit, surgical ward, and acute in-patient psychiatric ward. First, problem trees are developed in order to determine the root causes of quality issues, specific to the three settings. Second, objective trees are formed suggesting solutions to the quality issues. Third, project plan template using logical framework (LOGFRAME) is created for each setting.

Findings

This study shows substantial improvement in quality across the three settings. LFA proved to be effective to analyse quality issues and suggest improvement measures objectively.

Research limitations/implications

This paper applies LFA in specific, albeit, diverse settings in one hospital. For validation purposes, it would be ideal to analyse in other settings within the same hospital, as well as in several hospitals. It also adopts a bottom-up approach when this can be triangulated with other sources of data.

Practical implications

LFA enables top management to obtain an integrated view of performance. It also provides a basis for further quantitative research on quality management through the identification of key performance indicators and facilitates the development of a business case for improvement.

Originality/value

LFA is a novel approach for the implementation of CQI programs. Although LFA has been used extensively for project development to source funds from development banks, its application in quality improvement within healthcare projects is scant.

Keywords

Citation

Buttigieg, S.C., Gauci, D. and Dey, P. (2016), "Continuous quality improvement in a Maltese hospital using logical framework analysis", Journal of Health Organization and Management, Vol. 30 No. 7, pp. 1026-1046. https://doi.org/10.1108/JHOM-11-2015-0185

Publisher

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Emerald Group Publishing Limited

Copyright © 2016, Emerald Group Publishing Limited

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