Since the National Health Insurance was implemented in 1995, Quality Control Circle (QCC) has been one of the important quality improvement activities for most domestic medical institute. The exclusive institute to improve healthcare quality is named Taiwan Joint Commission on Hospital Accreditation. The
improvement achievement Campaign of QCC beginning from 2000 and is named Healthcare Quality Improvement Campaign (HQIC).
The purpose of this research is to explore the development of Healthcare Quality Improvement Campaign (HQIC) by Taiwan Joint Commission on Hospital Accreditation. This research is a cross section study. The research method divides into the document analysis and the depth interview for 10 experts, 13
participants and 1 organizer.
In the findings, the institutions of participate in HQIC have increased every year. It has 42 institutions (79groups) in 1st HQIC, and now expends 61 institutions (131groups) in 9th HQIC. The participants departments are mainly nurse. It has to increase cross-departments since the 3rd HQIC (5groups). It mainly sees to join with the doctor and start focus on team-work. In the selecting topics, the problems in the department evolve the topics about selecting changes of environment, such as global budget, hospital accreditation system, patient safety. The topics are mainly about patient care. In the beginning the quality of service develop attention-getting the quality of patient safety. Broadly speaking, quality control circle is a little drop, changes the filament but now expand the entire area. That makes the hospitals? need
transform the tops of quality control circle. Now quality control circle gradually evolves an improvement way from top to bottom.
In Conclusion, the topics about the quality improvement activities that the hospitals do make from problem-oriented to object- oriented. It makes quality control circle not only solve the problem but also achieve the object to promote medical quality. In view of the goal, strategy management, superintendent?
s support, the participation of doctor, the establishment of rules, and the establishment of department of quality management show that everyone is focus on medical quality.
HQIC can give hospital guidance doing quality improvement activities, include the establishment of
culture, and the participation of everyone to promote the cognition, attitude, sense, and integrate into the daily management, fit into standard operation procedure to cultivate quality culture. It achieves the goal to promote medical quality by publishing, benchmarking, and establishing reward rules.
