Organisational Strategy for Improvement Matrix

The Organisational Strategy for Improvement Matrix (OSIM) is grounded on the premise that innovation and excellence in patient care predominantly emerges from the service level, led by the teams that deliver patient care.

The OSIM is a diagnostic process to highlight the organisational conditions for quality improvement. The results indicate how the organisation may take a strategic approach to become wired for improvement. Meaning, how the organisation can make it easy for local teams to initiate, test and develop their local improvement ideas.

A biennial facilitated OSIM review of four domains comprising 18 criteria helps describe the organisational conditions, capability and readiness for continuous improvement.

The OSIM is not intended to compare the performance of LHDs.

The OSIM is a shared tool that has been developed collaboratively by the CEC and Safer Care Victoria.

Organisational Systems and Structures
  • Framework for improvement
  • Prioritisation of improvement activities
  • Strategic alignment
  • Systems approach to improvement
  • Knowledge management and exchange
  • Governance of improvement
Culture and Behaviours
  • Staff role in improvement
  • Reward and recognition
  • Strategic alignment
  • Environment supportive of improvement
  • Leadership
Workforce capability and development
  • People development
  • Training and professional development in improvement
  • Depth of improvement expertise
  • Breadth of improvement knowledge, skills and experience
Results and systems impact
  • Measurement system
  • Analysis of operational metrics
  • Improvement outcomes
  • Impact on organisational KPIs