Objective: To examine the impact of corporate structure and quality improvement (QI) activities on improvements in client-reported and professional indicators between 2007 and 2009. Design: A cross-sectional study using organizational survey and indicator multilevel modelling to test relationships between corporate structure, QI activities and performance improvements on indicators. Setting: In total, 169 residential care homes for the elderly in the Netherlands. Main Outcome Measures: Change between 2007 and 2009 in client-reported and professional indicators. Results: A middle-size corporate structure was associated with QI. The QI activity 'multidisciplinary team meetings' was positively correlated with the indicator 'safety environment' for somatic and psycho-geriatric care. The QI activities 'educational material' and 'direct work instructions' were associated negatively with the indicator 'availability of personnel' for somatic clients, but positively for psycho-geriatric clients. QI activities such as 'health plan activities', 'clinical lessons' and 'financial activities' had no relationship to improved performance. For psycho-geriatric clients mainly organizational QI activities were positively associated with QI. The mediating role of the corporate structure for performing QI activities appeared stronger for the change in client-reported than for professional indicators. Conclusion: This study reveals associations between QI activities and corporate structure and changes in indicator performance. A corporate structure was associated with improvement in client-reported indicators, but less on professional indicators, which assumes a central policy at corporate level with impact on client-reported indicators, in contrast to a more local level approach towards activities that result in QI on professional indicators. Tailoring QI activities at the right managerial level may be important to achieve improvement.

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doi.org/10.1093/intqhc/mzu057, hdl.handle.net/1765/71924
International Journal for Quality in Health Care
Health Care Governance (HCG)

Winters-van der Meer, A.C.M, Kool, R.B, Klazinga, N.S, & Huijsman, R. (2014). The influence of corporate structure and quality improvement activities on outcome improvement in residential care homes. International Journal for Quality in Health Care, 26(4), 378–387. doi:10.1093/intqhc/mzu057