The multidimensional quality vision model supports hospitals to co-define their future quality direction and to examine how this future direction fits with their strategy, values and standards. This model extends the meaning of person-centeredness by focusing on the hospital’s internal clients (the employee/healthcare provider) as well as on its external clients (the patient and his/her relatives or ‘kin’). Read more in Lachman et al, 2021 and Claessens et al, 2022.
As previously described in the literature, we use this multidimensional model as the next step in the history of quality (Vanhaecht et al, 2021). The vision model consists of two overarching dimensions (person-centeredness (patients and healthcare professionals) and kin-centeredness). On the other hand, five of the six technical quality dimensions, as described in Crossing the Quality Chasm, remain. These are safety, effectiveness, efficiency, timeliness and equality. The original person-centeredness dimension becomes an overarching dimension and sustainability/eco-friendliness is initiated as a new sixth technical dimension. To connect the six technical dimensions and the overarching dimensions, three catalysts are defined: transparency, communication, leadership and resilience. Finally, the multidimensional model includes four core dimensions or values for good care. These core dimensions or basic values of “good care” must always be applied during both the interaction between healthcare providers and patients or kin/relatives as well as during the interaction between healthcare providers. These four core values are: dignity and respect, holistic care, partnership and co-production, and finally kindness with compassion.
To measure this quality vision model from an integrated, multistakeholder perspective, the FlaQuM Research Team developed and validated an instrument, the FlaQuM-Quickscan. The FlaQuM-Quickscan is a two-part instrument that measures ‘Healthcare quality for patients and kin’ (part 1) and ‘Healthcare quality for professionals’ (part 2). Each instrument part includes a series of statements, i.e. one statement for each quality domain of the quality vision model, and three global ratings. Patients, kin, in-hospital healthcare professionals and primary care professionals complete both instrument parts. Based on a multi-center study of 19 hospitals and a sample of 14,165 respondents (5,891 patients/kin, 7,724 in-hospital healthcare professionals and 550 primary care professionals), our research team published the validation results in an international journal. Next, how the results of the FlaQuM-Quickscan can be used to set priorities on meso (organisational) and macro (national) levels is demonstrated in a recent publication in NEJM Catalyst.
Besides the results of healthcare quality experiences, FlaQuM also focuses the measurement of hard patient outcomes. Each hospital of the FlaQuM-Consortium receives a feedback report of the ‘vital few’ patient outcomes (in-hospital mortality, 30-day readmissions and length of stay) and a set of evidence based patient safety indicators (PSI). These PSIs are based on AHRQ indicators and validated for the Flemish context. Longitudinal follow-up and benchmarking of patient outcomes is the starting point towards targeted quality improvement interventions.
flaqum.org 