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Factors that have influenced the rate of diffusion and spread of CQI in health care

Continuous Quality Improvement (CQI) is a philosophy for managing services and processes in organizations and implementing improvement protocols where necessary (Johnson & Sollecito, 2018). The implementation of CQI in health care involves:

  1. Establishing improvement goals
  2. Coming up with possible strategies to implement these goals
  3. Identifying the appropriate interventions or strategies to implement.

However, there are various factors however that influence the rate of spread of CQI in healthcare.

According to an article that was written in the year 2012 by Sollecito, Johnson and Toffler, the global acceptance of CQI in the health care has mainly been as a result of its applicability in improving services for not only individual patients but also to the community at large. The article highlights the complexity of innovation as being a critical factor for the diffusion and spread of CQI in healthcare. Defining such complexities can be addressed by disregarding the top-down implementation approach and fostering leadership, accountability, and trust by all those involved in its implementation to create a receptive environment for the change (Sollecito & Johnson, 2012).

Also, Gardner and his colleagues illustrates that diffusion of CQI is influenced by the characteristics it possesses and how those responsible for administering the change perceive it (Gardner et al…, 2010). Characteristics such as compatibility which defines how the change integrates with the existing culture in the institution as well as ‘trialability’ defining the adaptability and spread of the changes in a new environment are very important to the adaptation of CGI in healthcare.

Again, Counte and Meurer also identify the slow emerging prevalence of market-based competition in the search for high quality in health care as a factor influencing CQI diffusion and spread (Counte & Meurer, 2001). Hence, the reluctance of many health care providers to allocate their resources to implementing and integrating CQI. However, due to the improving technologies across various disciplines, it is becoming evident that the adaptation of CQI in health care quality establishment will be very critical in years to come.


Counte, M. A., & Meurer, S. (2001). Issues in the assessment of continuous quality improvement

implementation in health care organizations. International Journal for Quality in Health Care,

13(3), 197-207.

Gardner, K. L., Dowden, M., Togni, S., & Bailie, R. (2010). Understanding uptake of continuous quality

improvement in Indigenous primary health care: lessons from a multi-site case study of the Audit and

Best Practice for Chronic Disease project. Implementation Science, 5(1), 21.

Johnson, J. K., & Sollecito, W. A. (2018). McLaughlin & Kaluzny’s Continuous Quality Improvement in

Health Care. Jones & Bartlett Learning.

Sollecito, W. A., & Johnson, J. K. (2012). Factors influencing the application and diffusion of CQI in health

care. Implement Contin Qual Improv Heal Case A Glob Caseb, 49-74.

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3 days ago


RE: Week 9: Nayvi Brennan

Thanks for your posting! How did the authors identify ways to slow emerging prevalence of market-based competition in the search for high quality in health care as a factor influencing CQI diffusion and spread?

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