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Lorelei Jones: The role of board-level clinical leaders in QI

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1.037 Dover Street

Dover Street

Manchester

M13 9GB

United Kingdom

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The role of board-level clinical leaders in QI

Health systems world-wide are increasingly holding boards of health care organisations accountable for the quality of care that they provide. Previous empirical research has found associations between certain board practices and higher quality patient care; however little is known about how boards govern for quality improvement (QI).

In this seminar I will be discussing findings from fieldwork conducted over 30 months in 15 healthcare provider organisations in England. Our analysis explored variation in how boards enacted governance of quality improvement. From our analysis, and using existing evidence of the links between board practices and quality of care, we constructed a measure of QI governance maturity. We then compared organisations to identify the characteristics of those with mature QI governance.

We found that boards with higher levels of maturity in relation to governing for QI had the following characteristics: explicitly prioritizing QI; balancing short term (external) priorities with long term (internal) investment in QI; using data for QI, not just quality assurance; engaging staff and patients in QI; and encouraging a culture of continuous improvement. These characteristics appeared to be particularly enabled and facilitated by board-level clinical leaders.


Light luncheon refreshment will be provided at the beginning of this seminar.



Dr Lorelei Jones

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Senior Research Associate at University College London

I am an anthropologist in the UCL Department of Applied Health Research. My research looks at the changing social organisation of health care services and professional work in the context of contemporary policy reforms. My doctoral research was an ethnographic study of the politically contested issue of hospital planning. I am currently interested in the role of expertise in governing, using policies for ‘major system change’ and the practices of policy evaluation as particular cases. I am a member of the editorial board for Sociology of Health and Illness, the Society for Studies in Organizing Healthcare, and co-convenor of the London Medical Sociology Group where we explore the links between social theory, philosophy and medical sociology.



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1.037 Dover Street

Dover Street

Manchester

M13 9GB

United Kingdom

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