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Competences management for improving performance in health organizations: The Niguarda Hospital in Milan

Simone Fanelli (Department of Public Management, University of Parma, Parma, Italy)
Gianluca Lanza (Department of Public Management, University of Parma, Parma, Italy)
Antonello Zangrandi (Department of Public Management, University of Parma, Parma, Italy)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 14 May 2018

360

Abstract

Purpose

The purpose of this paper is to describe the design and construction of a privilege mapping system (clinical and organizational competences) of the medical staff of the Niguarda Hospital in Milan, Italy. The second aim is to measure and assess the impact of implementing an evaluation process of clinical competences at the same hospital.

Design/methodology/approach

The paper retraces the development and implementation of the evaluation of the privilege system, highlighting the subjects involved, the phases and outputs. Moreover, a questionnaire was distributed to 50 heads of unit involved in the planning, building and implementation of competences mapping. Five areas were investigated: competences evaluation for professional development; the impact on work organization and professional roles; professional collaboration; its impact according to context (hospital or unit) and time scale (short or long term); and ability to evaluate clinical outcome.

Findings

Results reveal success factors for the development and implementation of a privilege mapping system. Furthermore, the survey revealed that clinical leaders are aware of the importance of competences evaluation. In particular, they consider it as a management tool useful for professional development, for identifying excellence and planning operational activities.

Originality/value

Literature and practical evidence recognize the need to assess the clinical and organizational competences in order to assign tasks and responsibilities. However, there are no studies that describe the construction of systems of evaluation of privileges, as it has never been investigated as professionals perceive these tools.

Keywords

Acknowledgements

This study was performed without funding. The authors thank the top management of the Niguarda Hospital for their help and support in this research. The authors would also like to thank all clinical leaders for their enthusiasm in completing the questionnaire.

Citation

Fanelli, S., Lanza, G. and Zangrandi, A. (2018), "Competences management for improving performance in health organizations: The Niguarda Hospital in Milan", International Journal of Health Care Quality Assurance, Vol. 31 No. 4, pp. 337-349. https://doi.org/10.1108/IJHCQA-02-2017-0035

Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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