Exploring the Links between Quality Improvement Strategies and Organisational Outcomes in Four New Zealand District Health Boards: Final Report

A number of New Zealand district health boards (DHBs) are using quality frameworks and concepts as core elements of their organisational strategies to improve patient outcomes and manage health care costs. The successes and challenges of these strategies can provide useful insights for other DHBs and the broader health system.

In 2015, three New Zealand government agencies – the Ministry of Health, the Treasury and the Health Quality & Safety Commission – initiated a project to examine the links between quality improvement strategies implemented by four DHBs and their organisational outcomes. The project was carried out in collaboration with the Auckland, Bay of Plenty, Canterbury and Whanganui DHBs.

The ‘Exploring the links’ report gives an overview of each case study DHB and their approach to quality improvement; assesses the impact of quality improvement strategies on their organisational outcomes; and offers useful lessons for organisations with an interest in quality and safety in the health sector.

The report is available on the Treasury website.

Please email us if you would like a copy of this document in a different format.

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The project had three key objectives:

1 Determine whether the QI initiatives have led to:

  • improved patient experience and outcomes
  • improved operational efficiency and/or produced fiscal savings

2 Identify the lessons learned from QI initiatives that could help other DHBs undertake similar initiatives.

3 Identify actions that the Ministry and the Commission could take to support:

  • Other DHBs to introduce QI initiatives, and
  • The development of the integrated performance and incentive framework.

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