Analysis Of The Orota Referral Hospital

According to the UK Health Foundation, health improvement is about making healthcare safer, more effective, patient-centered, timely, more efficient and equitable (2013). And the philosophy of Total Quality Management or Continuous Quality Improvement (TQM/CQI) tries to create a culture whereby all employees are continuously evaluating and improving their organization for a higher customer satisfaction (Goodwin et al., 2006). This paper tries to show a summary of the Orota Referral Hospital, its population needs, and coverage, proposed steps to cultivate TQM for a culture of ongoing improvement, and finally, the issue of performance incentives to the staff and their motivational effectiveness.

Firstly, Orota National Referral Hospital, is

TQM is a management philosophy designed to involve the whole organization in the process and responsibility for delivering quality services, inspired by the ideas of Edward Deming, Philip Crosby and Joseph Juran. Additionally, TQM leads to improved personal relations, more closeness with customers, increased efficiency, and attractiveness (Mohanty et al., 1996). In the context of TQM customers are not only patients but also staff members, clinical and non-clinical colleagues (Goodwin et al., 2006). Patient’s satisfaction is defined as a patient’s overall evaluation of experiences with hospital services (Johnson et al., 1995; Andaleeb, 1998). Therefore, as TQM promises a better outcome with fewer resources, it should be an integral part of a hospital strategy.

Furthermore, in a health care setting, Total Quality Management is a means of staff motivation for a high and continuous performance and improvement in addition to complete patient satisfaction (Alolayyan, 2011), therefore, to cultivate TQM and a culture of ongoing development in the hospital, some steps should be

There is strong evidence that performance incentives work in developing countries if both demand and supply options are considered in the planning. Additionally, there are published success stories in Nicaragua, Afghanistan, Rwanda and Haiti. Consequently, in Rwanda, after a successful pilot study, Performance-based financing was adopted as a national policy (Center for Global Development,