Abstract:
Introduction: Total Quality management is one of the most important changes which have taken place in the field of health care management. The federal ministry of health of Ethiopia has chosen QMS as a comprehensive and applied strategy to achieve administrative development and improve the quality of services in order to respond to the needs and expectations of the society. Since evidences are lacking, there is a needs of break thorough assessment of existing status of quality management system implementation in hospitals. Objective: The study aims to assess current implementation status of quality management system and factors affecting its implementation in public hospital, Amhara region 2017. Methodology: cross sectional descriptive study were conducted between January 2017- June 2017, by using both quantitative and qualitative study design to asses’ quality management system implementation and factors affecting the implementation in randomly selected seven public hospitals which are found in Amhara region. Implementation status were measured by 12 standard quality management activities from EHRIG and those who report the implementation status above mean implementation score were taken as implemented and those report below the mean as not implemented. The quantitative data were collected from professionals working in these seven hospitals by using self administered questioner and those participants were selected by using proportional random sampling and the qualitative data were collected by using key informant interview from purposely selected quality committee chairs of the seven hospitals. Data was entered using EPI data software and analysis was made with SPSS 21 statistical software, descriptive statistics, bivariant and multivariate logistic regression analysis were applied. Results: The finding of this study reveal that implementation status of quality management system of hospitals found in Amhara region was 62% and implementation was found higher in primary hospitals. six variables were found significantly associated with quality management system in the hospital.(p <0.05) where Availability of functional quality committee, Availability of regular and standard based monitoring system of employees QI activities ,Availability of well communicated quality mission , Providing managers with training on quality management system with value , Perceived quality significance employees with p value and Type of hospital with remained to be significantly associated with quality management system implementation in hospitals - 11 - Conclusion and Recommendation: The study concludes that QMS implementation was found 62.3% beside; its current implementation stage is dependent on the hospital size where primary hospitals implement QMS more successfully than other hospitals. And overall, the findings of the study show that there is a need that hospital management should direct their effort toward communicating the mission and the significance of QMS and, setting specified budget for QI activities, strengthening employee monitoring system, and providing support/nurture to quality committees to exceed in QMS implementation Key words: quality management system, Amhara region, hospitals.