Weeks W B, Hamby L, Stein A, Batalden P B
Departments of Psychiatry, Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA.
Jt Comm J Qual Improv. 2000 Jul;26(7):379-87. doi: 10.1016/s1070-3241(00)26031-8.
In 1998 the Veterans Health Administration (VHA) developed the Quality Achievement Recognition Grant, a competitive grant application open to all Veterans Integrated Service Networks (VISNs) within the VHA system and based on the Baldrige management framework. Eight of the 22 VISNs attended the educational programs and initiated the grant application process; 7 completed applications. Team award experts from VHA and external sources reviewed, scored, and wrote feedback reports to all applicants and conducted four site visits.
Each application was compared to examples of ideal applications to identify areas of excellence and areas for improvement. In general, the best applicants identified and described key processes and articulated the methods used to evaluate and improve processes. For example, they were able to identify the process used to incorporate key constituents into the strategy development process. One applicant developed a series of management advisory committees, the membership of which includes veterans' service organizations, academic affiliates, community members, and congressional delegates, which were tapped to develop a strategic plan. Leading applicants in the future are likely to be able to demonstrate evidence of deployment and constant review of the strategy and to emphasize the human resources plan into the strategic planning and deployment.
The Baldrige management framework is a useful tool for identification of areas of achievement and areas for improvement within the VHA. Potential applicants for the award could benefit from ensuring coherence across the application, placing a greater emphasis on work systems, and incorporating more extensive analysis of market conditions.
1998年，退伍军人健康管理局（VHA）制定了质量成就认可拨款计划，这是一项面向VHA系统内所有退伍军人综合服务网络（VISN）的竞争性拨款申请计划，基于波多里奇管理框架。22个VISN中有8个参加了教育项目并启动了拨款申请流程；7个完成了申请。VHA和外部的团队奖专家对所有申请人进行了评审、打分并撰写反馈报告，还进行了四次实地考察。
将每份申请与理想申请案例进行比较，以确定卓越领域和改进领域。总体而言，最佳申请人识别并描述了关键流程，阐述了用于评估和改进流程的方法。例如，他们能够识别将关键利益相关者纳入战略制定过程所使用的流程。一位申请人设立了一系列管理咨询委员会，其成员包括退伍军人服务组织、学术附属机构、社区成员和国会代表，这些委员会被用来制定战略计划。未来的领先申请人可能能够展示战略部署和持续审查的证据，并在战略规划和部署中强调人力资源计划。
波多里奇管理框架是识别VHA内部成就领域和改进领域的有用工具。该奖项的潜在申请人可通过确保申请内容的连贯性、更加强调工作系统以及纳入对市场状况更广泛的分析而受益。
