{"title":"Still At It.","authors":"David B Nash","doi":"10.1097/JMQ.0000000000000237","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000237","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 4","pages":"135-136"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532522","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}
{"title":"Use of Inpatient Subspecialty Consults Among Hospitalists.","authors":"Nikhil Sood, Gagan Dhillon, Ritesh Kanotra, Farzana Hoque","doi":"10.1097/JMQ.0000000000000244","DOIUrl":"10.1097/JMQ.0000000000000244","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"202-205"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063694","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}
{"title":"Quality Improvement Interventions to Enhance Physician Billing: A Systematic Review.","authors":"Rebecca Theal, Annabel Chan, Akshay Rajaram","doi":"10.1097/JMQ.0000000000000243","DOIUrl":"10.1097/JMQ.0000000000000243","url":null,"abstract":"<p><p>Physicians encounter several challenges with current billing processes. The current Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided systematic review identifies and characterizes quality improvement (QI) strategies to enhance physician billing. MEDLINE, EMBASE, HealthStar, and Web of Science were searched for studies that described QI interventions targeting practicing or trainee physicians and outcomes including improved efficacy, enhanced efficiency, accurate billing code selection, or increased satisfaction. Fifty-six of 11,621 studies met the inclusion criteria. More than 40% of studies utilized more than 1 intervention and over 60% of studies included an educational intervention. Revenue-related outcomes were commonly reported among included studies (n = 30, 54%), followed by accuracy or error rates (n = 22, 43%), and billing completion rates (n = 14, 25%). QI interventions to enhance physician billing tend to be lower on the hierarchy of intervention effectiveness. Future work should explore the durability and generalizability of interventions and their impact on physician and patient outcomes.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"177-198"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049434","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}
Yea-Jen Hsu, Traci J Speed, Ariana Prinzbach, Olivia Sutton, Eileen M McDonald, Amro Khasawneh, Samuel Kim, Ima Samba, Ronen Shechter, Marie N Hanna, Jill A Marsteller, Anping Xie
{"title":"Development and Early Validation of A Survey Instrument for Measuring Patient Engagement in Pain Management.","authors":"Yea-Jen Hsu, Traci J Speed, Ariana Prinzbach, Olivia Sutton, Eileen M McDonald, Amro Khasawneh, Samuel Kim, Ima Samba, Ronen Shechter, Marie N Hanna, Jill A Marsteller, Anping Xie","doi":"10.1097/JMQ.0000000000000236","DOIUrl":"10.1097/JMQ.0000000000000236","url":null,"abstract":"<p><p>Efforts to improve patient engagement in pain management are often hindered by inconsistent definitions and measurements. To address this gap, we developed and pilot-tested the 15-item Patient Engagement in Pain Management survey. A systematic review of 77 survey instruments identified 6 key constructs of patient engagement, and semi-structured interviews with 36 patients and 3 providers from the Johns Hopkins Personalized Pain Program informed its development. The initial 33-item survey was refined to 15 items, and usability and test-retest reliability were evaluated with 60 Personalized Pain Program patients. The median completion time was 3.5 minutes, with minimal missing data (<0.5%). Most respondents (96-100%) found the questions relevant, with higher average scores for patient-provider communication (3.6-4.5 on a 5-point scale) and lower scores for adherence challenges. Although the Patient Engagement in Pain Management survey demonstrated good usability and applicability, further studies are needed to enhance its test-retest reliability and psychometric validation.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"165-172"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652966","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}
{"title":"Achieving a High-Reliability Laboratory: Operational Strategies Designed to Promote Patient Safety and Heighten Quality in the Clinical Lab.","authors":"Candice Freeman","doi":"10.1097/JMQ.0000000000000241","DOIUrl":"10.1097/JMQ.0000000000000241","url":null,"abstract":"<p><p>This paper explores the concept of high reliability within clinical laboratories and its critical role in ensuring accurate and trustworthy diagnostic results. It examines the intrinsic connection between quality and reliability in patient care, emphasizing the importance of robust quality management systems and the expertise of laboratory professionals. The paper outlines the 5 pillars of a high-reliability organization and discusses the significance of eliminating preventable harm through standardized protocols. Furthermore, it addresses the complexities of change management, utilizing the Kübler-Ross Change Curve and McKinsey's 7S model to facilitate staff engagement and resilience during transitions. By integrating systematic approaches to quality control and human performance, the paper advocates for a culture of continuous improvement aimed at achieving high reliability and a zero-harm environment in clinical laboratories. Ultimately, the journey toward high reliability is presented as an ongoing commitment to excellence in patient care, highlighting the need for effective leadership and employee collaboration.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"146-155"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056351","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}
Alexandra DeMichele, Scott Kozarsky, Alexis Metoyer, Nicholas DeMario, Amitoj Nagaich, Michael Fleming, Cynthia Cheng
{"title":"Jefferson Weight Loss Program: The Effectiveness of a Student-Delivered Weight Loss Program.","authors":"Alexandra DeMichele, Scott Kozarsky, Alexis Metoyer, Nicholas DeMario, Amitoj Nagaich, Michael Fleming, Cynthia Cheng","doi":"10.1097/JMQ.0000000000000247","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000247","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 4","pages":"206-207"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532520","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}
Thomas F Deering, Anne Marie Smith, John A Gillespie, Julie Simonson, Julie Gouveia-Pisano, Marcia Jackson, Tracy Blithe, Heather Somand, Charles J Medico, Karl H Schuleri, Michelle L Budzyn, Ramin Zand, Durgesh Chaudhary, Sandeep K Jain, James C Coons, Erica M Byers, Eric Dueweke, Francis Solano, John N Catanzaro
{"title":"A Platform Designed to Empower Quality Improvement for Patients with Atrial Fibrillation.","authors":"Thomas F Deering, Anne Marie Smith, John A Gillespie, Julie Simonson, Julie Gouveia-Pisano, Marcia Jackson, Tracy Blithe, Heather Somand, Charles J Medico, Karl H Schuleri, Michelle L Budzyn, Ramin Zand, Durgesh Chaudhary, Sandeep K Jain, James C Coons, Erica M Byers, Eric Dueweke, Francis Solano, John N Catanzaro","doi":"10.1097/JMQ.0000000000000231","DOIUrl":"10.1097/JMQ.0000000000000231","url":null,"abstract":"<p><p>There are significant gaps in care for patients with atrial fibrillation (AF) and is a need to focus on improving guideline-concordant care. Recognizing challenges encountered in pursuing sustainable quality improvement (QI) in AF care, the Heart Rhythm Society spearheaded a multifaceted collaboration grounded in the principles of Improvement Science to develop a robust platform aimed specifically at demystifying QI for clinicians and health care systems interested in closing care gaps for patients with AF. Solution development included an innovative discovery process, a design phase, piloting, and refinement, and finished with transformation into a comprehensive digital platform. End-users were engaged throughout the 4-phase process to help ensure the final platform would meet the needs of clinicians and health care systems. The result was the launch of www.CardiQ.org featuring the Atrial Fibrillation QI Framework and an extensive, curated Resource Library that has been accessed by more than 10 000 users spanning over 100 countries.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"156-164"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Coons, Virginia Singla, Evan White, Erica Byers, Eric Dueweke, Suresh Mulukutla, Francis Solano, Sandeep K Jain
{"title":"Anticoagulation Optimization Through a Specialized Center for Atrial Fibrillation.","authors":"James Coons, Virginia Singla, Evan White, Erica Byers, Eric Dueweke, Suresh Mulukutla, Francis Solano, Sandeep K Jain","doi":"10.1097/JMQ.0000000000000261","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000261","url":null,"abstract":"<p><p>Atrial fibrillation is a prevalent condition, which is an independent risk factor for ischemic stroke. Anticoagulation is widely used to mitigate stroke risk but remains underprescribed in certain circumstances. The authors evaluated the performance of a health record database query in identifying patients who may benefit from anticoagulation who did not have an active prescription for anticoagulation. Patient charts were reviewed by primary care providers and reasons for deferral of anticoagulation were provided. A subset of the patients identified were found to not have an appropriate reason for deferring anticoagulation. This initiative ultimately led to an increase in referrals to the center for specialty care of atrial fibrillation.</p>","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":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319126","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}
{"title":"Culture of Civility Drives Safe Patient Care in High-Reliability Organizations.","authors":"Farzana Hoque","doi":"10.1097/JMQ.0000000000000260","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000260","url":null,"abstract":"","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":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288032","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}
Kaan Raif, Grant Gosden, Alexander Ryden, Alicia Bowles, Lynn M Keenan
{"title":"Let Us Communicate: Improving Resident and Nursing Communication in a Veterans Affairs Intensive Care Unit.","authors":"Kaan Raif, Grant Gosden, Alexander Ryden, Alicia Bowles, Lynn M Keenan","doi":"10.1097/JMQ.0000000000000239","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000239","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 3","pages":"130-131"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059512","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}