Madurez organizacional en instituciones prestadoras de salud de Bogotá bajo el sistema obligatorio de garantía de calidad en salud y la ISO 7101: herramienta de diagnóstico y propuesta de mejora

Abstract

Healthcare Provider Institutions (IPS) in Colombia face the challenge of consolidating sustainable Quality Management Systems (QMS) that transcend mandatory regulatory compliance. This study aimed to evaluate the level of organizational maturity of the QMS in 10 IPS in Bogotá through the application of a diagnostic tool aligned with the Mandatory Health Quality Assurance System (SOGCS) and the ISO 7101:2023 standard, in order to formulate improvement pathways to strengthen their processes. A quantitative, descriptive, cross-sectional, and applied methodology was employed. The designed instrument evaluated six key variables using a Likert scale and was validated by an expert panel through content validity judgment. The tool was administered through a hybrid modality (virtual and in-person) to directors and quality managers of the selected IPS. The results revealed variability in organizational maturity levels ranging from 46% to 79%, classifying the institutions into lower-intermediate, consolidated-intermediate, and upper-intermediate/advanced levels. Critical gaps were identified in leadership, process management, and organizational communication, demonstrating that regulatory compliance does not equate to systemic maturity. As a primary contribution, the Integrated Organizational Maturity Pathway was structured. This progressive, station-based methodological proposal—grounded in the PDCA cycle, the ISO 31000 standard, and the EFQM model—is complemented by an Operational Manual for Consultants. This solution facilitates the gradual transition of IPS toward clinical excellence, patient safety, and institutional sustainability.