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- W3145238651 abstract "Chassin and Loeb argue persuasively that healthcare (HCOs) can and should be high-reliability organizations (HROs) seeking defects in outcomes quality. They suggest that Baldrige model is a sound platform for achieving high reliability. This article analyzes similarity of HRO concept to Baldrige model using a recent Malcolm Baldrige National Quality Award recipient's application. The analysis suggests that neither high reliability nor Baldrige criteria are easily achieved, but two have strong similarities. The principal difference is in Baldrige's emphasis on strategic independence versus HRO commitment to zero patient harm and quality as the organization's highest-priority strategic goal. Based on this analysis, article reviews data on actual performance of Baldrige recipients as recorded at WhyNotTheBest.org. The data show that Baldrige approach is an effective method of generating above-average performance. Award recipients have made substantial strides in safety, reductions of infections, immunizations, and patient satisfaction, but receipt of award has not translated as effectively to reduced readmissions, mortality, and costs. The pattern of results suggests that Baldrige recipients have exploited right to establish their own strategic goals and are likely to respond to strengthened financial rewards for quality. The Baldrige model has documented successes in quality improvement and should be standard of excellence in managing all HCOs." @default.
- W3145238651 created "2021-04-13" @default.
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- W3145238651 date "2015-01-01" @default.
- W3145238651 modified "2023-09-24" @default.
- W3145238651 title "Understanding High-Reliability Organizations: Are Baldrige Recipients Models?" @default.
- W3145238651 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26529993" @default.
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