American journal of medical quality : the official journal of the American College of Medical Quality最新文献

Structuring for Success: A Framework for Building a Cardiovascular Center of Excellence. 构建成功：构建卓越心血管中心的框架。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-19 DOI: 10.1097/JMQ.0000000000000268

Adam C Powell, Ronald C Whiting, Jacque J Sokolov

{"title":"Structuring for Success: A Framework for Building a Cardiovascular Center of Excellence.","authors":"Adam C Powell, Ronald C Whiting, Jacque J Sokolov","doi":"10.1097/JMQ.0000000000000268","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000268","url":null,"abstract":"Cardiovascular programs are often high-cost, high-volume service lines plagued by fragmentation and inconsistent governance. This article presents a structured framework for developing a cardiovascular center of excellence (CVCOE) to enhance care quality and strategic integration. A CVCOE is a purpose-built program defined by three interdependent layers-foundational infrastructure, clinical pillars, and governance-unified through a physician-led clinical model that drives the business and operating models. Drawing on implementation experience across diverse hospital settings, the framework provides a roadmap for aligning structural investments with evidence-based care delivery and organizational capacity. It introduces a two-stage lifecycle: an initial implementation stage to achieve clinical and financial viability, followed by a maintenance stage focused on iterative quality improvement and potential scope expansion. By embedding leadership and quality systems at the structural level, this model offers hospitals and health systems a replicable approach to optimizing cardiovascular services and creating the conditions needed for better outcomes.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Roadmap to Excellence: Insights From Quality Structures of Top-Performing Healthcare Organizations. 通往卓越的路线图：来自顶级医疗保健组织质量结构的见解。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-17 DOI: 10.1097/JMQ.0000000000000267

Julie Cerese, Phillip Chang, Kencee Graves, Nikki Grubeling, Mbonu Ikezuagu, David Levine, Amy Lu, Matt Miller, Shlomit Schaal, Thomas Sauls, Maha Siddiqui

{"title":"A Roadmap to Excellence: Insights From Quality Structures of Top-Performing Healthcare Organizations.","authors":"Julie Cerese, Phillip Chang, Kencee Graves, Nikki Grubeling, Mbonu Ikezuagu, David Levine, Amy Lu, Matt Miller, Shlomit Schaal, Thomas Sauls, Maha Siddiqui","doi":"10.1097/JMQ.0000000000000267","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000267","url":null,"abstract":"Health system executives continually aim to understand how organizational structures impact performance, especially in quality departments. This article, built on over 2 decades of Vizient research, identifies key characteristics of top-performing healthcare organizations. The researchers employed a modified Delphi methodology, involving a multiphase process that integrated literature reviews, content analyses, and expert consensus from top-performing organizations. Key findings reveal that top-performing organizations employ centralized goal setting with decentralized responsibility for implementation, fostering shared accountability at all levels. Horizontal integration underscores the multidisciplinary nature of top-performing quality departments, integrating diverse functions such as patient safety, infection control, and data analytics. Adaptability is an essential factor, with organizations incorporating evolving functions like ambulatory care and analytics, reflecting the dynamic needs of health care systems. By embracing adaptable, integrative, and balanced frameworks, organizations can position themselves to respond effectively to emerging challenges, maintain operational efficiency, and uphold high standards of care delivery.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of ED Prompt on Improving Provider Documentation of Repeat Vital Signs in Children Presenting With Fever and Tachycardia. ED提示对改善发热和心动过速患儿重复生命体征的提供者记录的作用。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1097/JMQ.0000000000000256

William Bonadio, Peter Haskins, Maheen Javaid, Nicole Eiden, Aditi Ranade, Tara Holmes, Brendan Connell

引用次数: 0

Closing the Communication Gap: Assessing the Alignment Between UME and GME Competencies. 缩小沟通差距：评估UME和GME能力之间的一致性。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1097/JMQ.0000000000000254

Anita M Wilson, Katherine Berg, Aaron Douglas, John Caruso, Gretchen Diemer, Kathleen Day, Rosemary Frasso, Steven K Herrine, David Abraham

{"title":"Closing the Communication Gap: Assessing the Alignment Between UME and GME Competencies.","authors":"Anita M Wilson, Katherine Berg, Aaron Douglas, John Caruso, Gretchen Diemer, Kathleen Day, Rosemary Frasso, Steven K Herrine, David Abraham","doi":"10.1097/JMQ.0000000000000254","DOIUrl":"10.1097/JMQ.0000000000000254","url":null,"abstract":"This study identified a method for assessing the alignment between undergraduate medical education program learning objectives and graduate medical education program competencies. Using a modified Delphi approach in which the number of rounds (3) and consensus (70% agreement) were determined a priori, the study sought to align objectives and competency measures between the programs. The authors invited panelists from Sidney Kimmel Medical College at Thomas Jefferson University to independently respond to a questionnaire via an email invitation. In the questionnaire, panelists made 46 decisions about the alignment between the undergraduate medical education program learning objectives and the Accreditation Council for Graduate Medical Education Harmonized Milestones subcompetencies. Approximately, 57% (26/46) of the decisions reached a consensus that there was an alignment between the objectives and the subcompetencies. By aligning the objective and subcompetencies, this study provided a first step toward closing the gap in the communication of student competencies.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"235-242"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting a Culture of Quality and Safety via Morbidity and Mortality (M&M) Conferences. 通过发病率和死亡率（M&M）会议促进质量和安全文化。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 DOI: 10.1097/JMQ.0000000000000259

Ashlee Newton, Victoria E Boyd, Hope Feldman, Prakash Kharel, Erin Walker, A Dhanya Mackeen

引用次数: 0

Patient Experience as a National Quality Metric. 患者体验作为国家质量指标。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-04-25 DOI: 10.1097/JMQ.0000000000000251

Farzana Hoque

引用次数: 0

Reducing Cardiovascular Risk and Improving Treatment Adherence With a Novel Medical Student-Delivered Education Program. 一种新型医学生教育方案降低心血管风险并提高治疗依从性

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 DOI: 10.1097/JMQ.0000000000000258

Rithvik Kata, Ayush Shah, Tamanaa Atrafi, Benjamin Varughese, Claire Christman, Cynthia Cheng

引用次数: 0

The Clinician in Quality and Innovation: A Qualitative Study of a Novel Academic Pathway at 10 Years. 临床医生在质量和创新：一个新的学术途径的10年定性研究。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-04-28 DOI: 10.1097/JMQ.0000000000000248

Joanne Goldman, Brian M Wong, Gillian Hawker, Wendy Levinson, Kaveh G Shojania

{"title":"The Clinician in Quality and Innovation: A Qualitative Study of a Novel Academic Pathway at 10 Years.","authors":"Joanne Goldman, Brian M Wong, Gillian Hawker, Wendy Levinson, Kaveh G Shojania","doi":"10.1097/JMQ.0000000000000248","DOIUrl":"10.1097/JMQ.0000000000000248","url":null,"abstract":"Despite widespread attention to addressing healthcare quality problems, few academic medical centers provide an academic pathway for faculty engaged in such work. This qualitative case study examined physicians and department leaders' perceptions and experiences of a novel \"Clinician in Quality and Innovation\" (CQI) academic pathway created in 2012. Interviews were conducted with 23 CQI faculty and 7 department leaders. Of the department's 20 divisions, 15 included at least one CQI with a median of 5 per division. Findings demonstrated how the academic track aligned with, and legitimized, CQIs' interests, and allowed for a wide range of \"quality and innovation\" activities (eg, improving healthcare processes, developing models of care, clinical informatics). Contextual factors such as synergies with hospital-based initiatives for healthcare improvement and changes to academic promotion criteria were instrumental in CQI's performance of the academic role. Despite promotion successes, CQIs described some tensions between academic and clinical role expectations.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"220-226"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing Postoperative Sepsis: Multidisciplinary Implementation of Diverse Countermeasures in our first NSQIP Project. 预防术后脓毒症：多学科实施多种对策在我们的第一个NSQIP项目。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-05-07 DOI: 10.1097/JMQ.0000000000000245

J Stuart Wolf, Margaret L Whitney, Rebekah M Summey, Michelle P Sanchez, Dusten T Rose, Mara B Rosalsky, Sabino T Lara, Mitchell J Daley, Ben Coopwood, Bryan G Carter, Ramsey R Ashour, Joseph E Mette

{"title":"Preventing Postoperative Sepsis: Multidisciplinary Implementation of Diverse Countermeasures in our first NSQIP Project.","authors":"J Stuart Wolf, Margaret L Whitney, Rebekah M Summey, Michelle P Sanchez, Dusten T Rose, Mara B Rosalsky, Sabino T Lara, Mitchell J Daley, Ben Coopwood, Bryan G Carter, Ramsey R Ashour, Joseph E Mette","doi":"10.1097/JMQ.0000000000000245","DOIUrl":"10.1097/JMQ.0000000000000245","url":null,"abstract":"Using data from the National Surgical Quality Improvement Project (NSQIP), we aimed to reduce the incidence of postoperative sepsis, focusing on patients receiving red blood cell (RBC) transfusions and with open wounds. We postulated that diverse countermeasures would reduce postoperative sepsis. Workgroups were created around 4 problems with root causes identified using standardized processes: excessive RBC transfusions, owing to transfusing for Hb > 7 or > 1 unit at a time; infrequent use of cell salvage due to knowledge deficit or cell salvage machine not available; incorrect antibiotics owing to penicillin-allergic patients not getting cephalosporins or patients getting empiric antibiotics to which organisms are resistant; suboptimal postoperative wound management owing to poor communication regarding care plans and care transitions. Thirteen countermeasures were implemented. With improvement in 7 of 8 process metrics, the rate of postoperative sepsis declined from 1.56% (tenth decile performance in the NSQIP database) to 0.59% (first decile), P = 0.0065.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resident-Driven Population Management to Improve Primary Care Statin and Blood Pressure Measures. 居民驱动的人口管理改善初级保健他汀类药物和血压措施。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 DOI: 10.1097/JMQ.0000000000000255

Mitchell Dittus, Zhuo Yu, Michael Jorgensen, Lisa Fisher

引用次数: 0