Quality Improvement

With more than 30 years of experience applying quality improvement methods to health care, URC has demonstrated that significant improvements are attainable in even the most resource-constrained settings.

URC’s Quality & Performance Institute takes a leadership role in the approach to health care improvement, applying these main principles of quality improvement:

  • Focusing on the client
  • Involving teams of health workers in testing changes to improve care
  • Changes processes and systems of health care delivery to yield improvement 

What is quality improvement?

The fundamental concept underlying improvement is that a system left unchanged can only be expected to continue producing the same results. To achieve better performance, one must change the system in ways that enable it to produce the improved result.

The Model for Improvement asks the questions, What are we trying to accomplish? How will we know that a change is an improvement? and Waht changes can we make that will result in improvement? The model follows in the order of plan, do, study then act.In health care, improvement science emphasizes changes in service delivery processes and systems in ways that enable high-impact, evidence-based interventions to achieve better results. Using the Model for Improvement, we introduce process changes to yield effective and efficient delivery of health care.

Our assistance includes improvements at all levels, including communities, hospitals and health centers, districts and provinces, and national quality program and policy. We design context-specific health communication and behavior change strategies to bolster our quality improvement work.

URC also provides assistance for redesigning regulatory strategies, such as health profession certification and licensure, health care accreditation, chronic conditions, and collaborative improvement. approaches.

A diverse group of healthcare workers in Uganda work together to improve safe male circumcision services in Uganda (2013)
Members of a facility-level QI team prepare their presentation at a learning session of teams trying to improve safe male circumcision services in Uganda (2013)