areas of improvement based on excellence model of european foundation for quality management at imam mousa kazem hospital, isfahan, iran

introduction: self-assessment in healthcare is inevitable, like in all other sections. scarce resources, necessity of performance refining, vitality of provided services and quality of services are evidence for necessity of having a proper system of self-assessment of performance in this area. hence, the purpose of present study was to study areas of improvement based on european foundation for quality management (efqm) excellence model in imam mousa kazem hospital, isfahan, iran. methods: the present study used a descriptive cross-sectional method. statistical population consisted of experts and hospital senior managers in imam mousa kazem hospital in 2002. the study tools included a standard questionnaire of efqm whose validity was confirmed by faculty members and experts and its reliability was obtained at 0.97 through cronbach’s alpha. data analysis was done in nine areas using spss software. the study population were hospital top managers in 2002 who were selected through census method. data were collected using questionnaire based on efqm model. collected data were analyzed through radar rationale. results: imam mousa kazem hospital obtained 599 points in its assessment; however, the area of enablers obtained 300 and area of results obtained 299 points. obtained percentages for each of nine areas are as follows: leadership (60), policies and strategy (58), employees (68), resources and partners (60), processes (56), customers result (58), employees result (60), community results (63) and key performance (61%). conclusion: the self-assessment based of efqm model resulted in an information system of strength and weakness points in 9 areas so that radar logic, weakness points were determined for the intervention and improvement areas.