Quality improvement (QI) in healthcare is a noble initiative but an increasing number of clinicians and administrators are wondering if such efforts are paying off in terms of better outcomes and whether or not they can be sustained long-term. Some studies indicate an ongoing disconnect between QI program goals and actual results. As Schouten, et al. (2008) remark, "The multi-institutional, quality improvement collaborative is widely accepted as a strategy in healthcare. Its widespread acceptance and use are not, however, based on a systematic assessment of effectiveness."
