Major improvement approaches

There is no single best method to improve quality of care, but rather core principles that underpin most successful improvement efforts. The right improvement approach for a particular setting and quality of care problem depends on many contextual factors, such as resources available, improvement expertise, time, and scale of the effort. A recent meta-analysis of approaches to organizational performance concluded that no one strategy will work in all settings and that the selection of strategies should depend on the context (Pallas et al. 2012).

This section highlights several common improvement approaches and provides several examples of community QI efforts that have incorporated different combinations of improvement approaches.