American journal of medical quality : the official journal of the American College of Medical Quality最新文献_第6页

Improving Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home. 提高孕产妇保健质量和成果：妊娠医疗之家评估。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000183

Lisa M Schilling, Brittney R Fraumeni, Amy S Nacht, Alison G Abraham, Hannah D Bauguess, Gregory Matesi, Melanie E Fringuello, Leah Rashidyan, Sarah J Billups

{"title":"Improving Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home.","authors":"Lisa M Schilling, Brittney R Fraumeni, Amy S Nacht, Alison G Abraham, Hannah D Bauguess, Gregory Matesi, Melanie E Fringuello, Leah Rashidyan, Sarah J Billups","doi":"10.1097/JMQ.0000000000000183","DOIUrl":"10.1097/JMQ.0000000000000183","url":null,"abstract":"Current maternal care recommendations in the United States focus on monitoring fetal development, management of pregnancy complications, and screening for behavioral health concerns. Often missing from these recommendations is support for patients experiencing socioeconomic or behavioral health challenges during pregnancy. A Pregnancy Medical Home (PMH) is a multidisciplinary maternal health care team with nurse navigators serving as patient advocates to improve the quality of care a patient receives and health outcomes for both mother and infant. Using bivariate comparisons between PMH patients and reference groups, as well as interviews with project team members and PMH graduates, this evaluation assessed the impact of a PMH at an academic medical university on patient care and birth outcomes. This PMH increased depression screenings during pregnancy and increased referrals to behavioral health care. This evaluation did not find improvements in maternal or infant birth outcomes. Interviews found notable successes and areas for program enhancement.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878373","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

The Real-World Foundation of Adapting Clinical Guidelines for the Digital Age. 为数字时代调整临床指南的现实基础。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 DOI: 10.1097/JMQ.0000000000000167

Maria Michaels, Priya Jakhmola, Ira M Lubin, Laura J Fochtmann, Donald E Casey, Frank G Opelka, Julia Skapik, Kevin Larsen, Amrita Tailor, Dyann Matson-Koffman

引用次数: 0

Improving Equity and Accuracy in Admission Medication Reconciliation. 提高入院药物协调的公平性和准确性。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 DOI: 10.1097/JMQ.0000000000000169

Alexandra Diaz-Barbe, Emma He, Misha C Tran, Matthew T Cerasale

引用次数: 0

Integration of Automated Office Blood Pressure Measurement Into a General Internal Medicine Residency Clinic. 将诊室自动血压测量纳入普通内科住院医师诊所。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 DOI: 10.1097/JMQ.0000000000000168

Benjamin J Seifer, Kelly A Kieffer

引用次数: 0

Book Review: The Journey's End. 书评：旅程的终点

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 DOI: 10.1097/JMQ.0000000000000166

Donald E Casey

引用次数: 0

The Evolving Landscape of Emergency Department Patient Transfers: Challenges and Opportunities. 急诊科病人转运不断变化的情况：挑战与机遇。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 Epub Date: 2024-02-26 DOI: 10.1097/JMQ.0000000000000173

Daniel L Shaw, David T Chiu, Leon D Sanchez

引用次数: 0

Incorporating Acute Conditions into Risk-Adjustment for Provider Profiling: The Case of the US News and World Report Best Hospitals Rankings Methodology. 将急性病纳入医疗机构风险调整：美国新闻与世界报道》最佳医院排名方法案例。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 Epub Date: 2024-02-19 DOI: 10.1097/JMQ.0000000000000171

Bradley G Hammill, Molly N Hoffman, Amy G Clark, Jonathan G Bae, Richard P Shannon, Lesley H Curtis

{"title":"Incorporating Acute Conditions into Risk-Adjustment for Provider Profiling: The Case of the US News and World Report Best Hospitals Rankings Methodology.","authors":"Bradley G Hammill, Molly N Hoffman, Amy G Clark, Jonathan G Bae, Richard P Shannon, Lesley H Curtis","doi":"10.1097/JMQ.0000000000000171","DOIUrl":"10.1097/JMQ.0000000000000171","url":null,"abstract":"Several years ago, the US News and World Report changed their risk-adjustment methodology, now relying almost exclusively on chronic conditions for risk adjustment. The impacts of adding selected acute conditions like pneumonia, sepsis, and electrolyte disorders (\"augmented\") to their current risk models (\"base\") for 4 specialties-cardiology, neurology, oncology, and pulmonology-on estimates of hospital performance are reported here. In the augmented models, many acute conditions were associated with substantial risks of mortality. Compared to the base models, the discrimination and calibration of the augmented models for all specialties were improved. While estimated hospital performance was highly correlated between the 2 models, the inclusion of acute conditions in risk-adjustment models meaningfully improved the predictive ability of those models and had noticeable effects on hospital performance estimates. Measures or conditions that address disease severity should always be included when risk-adjusting hospitalization outcomes, especially if the goal is provider profiling.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139935003","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}

引用次数: 0

The Impact of Text Messaging to Promote Patient Reported Outcome Measures (PROMs) Completion in Orthopedic Practice: Findings From a Randomized Controlled Study. 短信对促进骨科实践中患者报告结果指标（PROMs）完成的影响：一项随机对照研究的结果。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 Epub Date: 2024-02-26 DOI: 10.1097/JMQ.0000000000000174

Jeanette Y Ziegenfuss, Stephen E Asche, Steven P Dehmer, Megan Reams, Elizabeth S Grossman, Leif I Solberg

{"title":"The Impact of Text Messaging to Promote Patient Reported Outcome Measures (PROMs) Completion in Orthopedic Practice: Findings From a Randomized Controlled Study.","authors":"Jeanette Y Ziegenfuss, Stephen E Asche, Steven P Dehmer, Megan Reams, Elizabeth S Grossman, Leif I Solberg","doi":"10.1097/JMQ.0000000000000174","DOIUrl":"10.1097/JMQ.0000000000000174","url":null,"abstract":"It is difficult to achieve high response rates to Patient Reported Outcome Measures (PROMs) surveys collected as part of clinical care. However, they are operationally and clinically important. To understand the impact of text message reminders on response rates to PROMs collected via email as part of routine care for hip or knee replacement surgery, initial nonresponders were randomized to receive a text reminder or not at 7 and 12 days, if needed. At day 7, the overall survey response rate was 63%. Model-derived estimates for survey return after this point were 51.1% (95% confidence interval [CI], 48.0%-54.2%) in the text arm compared to 34.5% (95% CI, 31.6%-37.6%) in the no text arm. The effect of text messages on response rates did not vary by subpopulations considered nor were there differences in rates of key outcomes between the 2 groups, suggesting that it did not impact any underlying response bias. Given the relative low cost of text messages, they can be an efficient means to increase response rates.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"78-85"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975266","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}

引用次数: 0

Improving Compliance with Preoperative Nasal Povidone-Iodine to Prevent Surgical Site Infection in Vascular and Neurosurgery Services in a Community Teaching Hospital. 提高社区教学医院血管和神经外科术前使用聚维酮碘预防手术部位感染的依从性。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 Epub Date: 2024-02-26 DOI: 10.1097/JMQ.0000000000000172

Chizoba Ugwummadu, Eric Schmidt, Mark Hoeprich, Alyssa Bonta, Kay Ridgway, Luella Walker, Julia Witkowski, Jeffrey Weinstein, Mary Reich Cooper

{"title":"Improving Compliance with Preoperative Nasal Povidone-Iodine to Prevent Surgical Site Infection in Vascular and Neurosurgery Services in a Community Teaching Hospital.","authors":"Chizoba Ugwummadu, Eric Schmidt, Mark Hoeprich, Alyssa Bonta, Kay Ridgway, Luella Walker, Julia Witkowski, Jeffrey Weinstein, Mary Reich Cooper","doi":"10.1097/JMQ.0000000000000172","DOIUrl":"10.1097/JMQ.0000000000000172","url":null,"abstract":"Surgical site infections (SSI) remain a cause of morbidity, prolonged hospitalization, surgical readmission, and death. Nasal colonization with methicillin-resistant Staphylococcal aureus is a frequent cause of device-related SSI and nasal mupirocin has been used for prevention. More recently, povidone-iodine nasal swabs have become an alternative. It is cheaper, ensures compliance and there are no concerns regarding antimicrobial resistance. However, its adoption was suboptimal in a community hospital system in southwestern Ohio, especially in neurosurgery and vascular surgery. Quality improvement techniques, including solicitation of stakeholder input, surgeons and perioperative nurses' education, and the use of reminders to order and administer the povidone-iodine nasal swabs improved physician ordering and nurse administration compliance, leading to fewer infections. The interventions continued after the project was completed, sustaining decreases in neurosurgery and vascular surgery, and fewer SSI through the first years of the pandemic. Despite the complexity of these surgeries, simple interventions were effective in addressing the problem.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975263","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

Reflections on 3 Years of Innovation: Recognizing the Need for Innovation Beyond the Clinical Care Pathway. 对 3 年创新的反思：认识到临床护理途径之外的创新需求。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 Epub Date: 2024-02-26 DOI: 10.1097/JMQ.0000000000000164

Shoshana H Bardach, Amanda N Perry, Evan T Cavanaugh, Albert G Mulley

{"title":"Reflections on 3 Years of Innovation: Recognizing the Need for Innovation Beyond the Clinical Care Pathway.","authors":"Shoshana H Bardach, Amanda N Perry, Evan T Cavanaugh, Albert G Mulley","doi":"10.1097/JMQ.0000000000000164","DOIUrl":"10.1097/JMQ.0000000000000164","url":null,"abstract":"The Susan and Richard Levy Healthcare Delivery Incubator is designed to bring about rapid, sustainable, scalable, and transformational health care redesign. All 10 projects in the initial 3 cohorts of teams embraced the Incubator process-forming diverse teams and following a design-thinking informed curriculum-and each successfully implemented improvements or innovations by the end of their project. The purpose of this article is to identify the key features of teams' work that may help account for projects' success. For the 10 projects completed, findings from debrief interviews and staff observations were examined to identify processes key to project's success. Analysis highlighted cross-project learnings that indicate nonclinical aspects of care delivery that play a critical role in project innovation success. Innovating health care delivery requires considering social and political determinants of health. The Incubator's process and structures enable teams to identify and respond to a broad range of health determinants.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975264","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