The impact of a quality improvement program on employee satisfaction in an academic microsystem

Prathibha Varkey, Sudhakar P. Karlapudi, Donald D. Hensrud

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Quality improvement is a potential method to enhance employee satisfaction. This study describes the impact of a program instituted to enhance employee satisfaction using the principles of high-performing microsystems. A shared leadership committee, participatory meetings, suggestion boxes, and quality improvement projects were implemented as part of the program. A follow-up survey 1 year after implementation of the program demonstrated an increase in employee perception of the division's desire to improve service (16%), opportunities to expand skills (17%), involvement in work decisions (25%), and the institution's interest in employee well-being (17%). Key drivers of discretionary effort (4 of 5), job satisfaction (2 of 6), and overall satisfaction (1 of 8) with the institution showed statistically significant improvement in the study division as compared with the other divisions in which no such program was implemented. Further research is needed to study systems changes that enhance employee satisfaction and their impact on patient and financial outcomes. (Am J Med Qual 2008;23:215-221).

Original languageEnglish (US)
Pages (from-to)215-221
Number of pages7
JournalAmerican Journal of Medical Quality
Issue number3
StatePublished - May 2008
Externally publishedYes


  • Academic
  • Employee satisfaction
  • Microsystems
  • Quality improvement
  • Total quality management

ASJC Scopus subject areas

  • Health Policy


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