Journal for Healthcare Quality最新文献_第3页

Multimodal Quality Initiatives in Sepsis Care: Assessing Impact on Core Measures and Outcomes. 败血症护理中的多模式质量倡议：评估对核心指标和结果的影响。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-05-17 DOI: 10.1097/JHQ.0000000000000440

Marcos Garcia, Mohammed Al-Jaghbeer, James Morrison, Antoine Boustany, Bindesh Ghimire, Neel Tapryal, Komal Mushtaq, Kelly Orlosky, Amy Flowers-Surovi, Christopher Murphy, Palak Rath, Muhaimen Rahman, Corrine Kickel, Yu-Che Lee, Ko-Yun Chang, Francois Abi Fadel

{"title":"Multimodal Quality Initiatives in Sepsis Care: Assessing Impact on Core Measures and Outcomes.","authors":"Marcos Garcia, Mohammed Al-Jaghbeer, James Morrison, Antoine Boustany, Bindesh Ghimire, Neel Tapryal, Komal Mushtaq, Kelly Orlosky, Amy Flowers-Surovi, Christopher Murphy, Palak Rath, Muhaimen Rahman, Corrine Kickel, Yu-Che Lee, Ko-Yun Chang, Francois Abi Fadel","doi":"10.1097/JHQ.0000000000000440","DOIUrl":"10.1097/JHQ.0000000000000440","url":null,"abstract":"Abstract: Providing timely and effective care for patients with sepsis is challenging due to delays in recognition and intervention. The Surviving Sepsis Campaign has developed bundles that have been shown to reduce sepsis mortality. However, hospitals have not consistently adhered to these bundles, resulting in suboptimal outcomes. To address this, a multimodal quality improvement sepsis program was implemented from 2017 to 2022 in a large urban tertiary hospital. The aim of this program was to enhance the Severe Sepsis and Septic Shock Management Bundle compliance and reduce sepsis mortality. At baseline, the Severe Sepsis and Septic Shock Management Bundle compliance rates were low, at 25%, with a sepsis observed/expected mortality ratio of 1.14. Our interventions included the formation of a multidisciplinary committee, the appointment of sepsis champions, the implementation of sepsis alerts and order sets, the formation of a Code Sepsis team, real-time audits, and peer-to-peer education. By 2022, compliance rose to 62%, and the observed/expected mortality ratio decreased to 0.73. Our approach led to improved outcomes and hospital rankings. These findings underscore the efficacy of a comprehensive sepsis care initiative, emphasizing the importance of interdisciplinary collaboration. A multimodal hospital-wide sepsis performance program is feasible and can contribute to improved outcomes. However, further research is necessary to determine the specific impact of individual strategies on sepsis outcomes.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"245-250"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of a Patient-Reported Outcome Measure: A Quality Improvement Project. 实施患者报告结果衡量标准：质量改进项目。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI: 10.1097/JHQ.0000000000000434

Shana McGrath, Mequeil Howard, Kristen Webber, Lisa Juckett

{"title":"Implementation of a Patient-Reported Outcome Measure: A Quality Improvement Project.","authors":"Shana McGrath, Mequeil Howard, Kristen Webber, Lisa Juckett","doi":"10.1097/JHQ.0000000000000434","DOIUrl":"10.1097/JHQ.0000000000000434","url":null,"abstract":"Abstract: Patient-reported outcome measures (PROMs) are seen as increasingly beneficial to patient-centered clinical practice, but implementation of routine collection and utilization into clinical care can be challenging. Our interdisciplinary quality improvement (QI) team used the Institute for Health Care Improvement Model for Improvement methodology to address this problem in our outpatient neurorehabilitation program. We used a participatory approach to identify the PROM rehabilitation stakeholders found to be most appropriate to implement in the outpatient settings; chart audits were conducted to determine the extent to which clinicians implemented the PROM and documented a PROM-related goal. Opportunistic clinician feedback was collected to determine single PROM usefulness and acceptability. Our 4-month initiative demonstrated increased collection of a PROM, the Patient-Specific Functional Scale (PSFS), and incorporation into patient-centered goal. Use of QI methodology was beneficial when planning and executing our initiative. Future work is needed to examine factors to sustain PSFS use, incorporation into patient-centered goal setting, and maximize meaningful patient outcomes.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"e20-e25"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality Coordinators' Perspectives on Quality Improvement in Primary Healthcare in Kosovo: A Qualitative Study. 质量协调员对科索沃初级医疗质量改进的看法：定性研究。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI: 10.1097/JHQ.0000000000000431

Ardita Baraku, Gordana Pavleković

{"title":"Quality Coordinators' Perspectives on Quality Improvement in Primary Healthcare in Kosovo: A Qualitative Study.","authors":"Ardita Baraku, Gordana Pavleković","doi":"10.1097/JHQ.0000000000000431","DOIUrl":"10.1097/JHQ.0000000000000431","url":null,"abstract":"Aims: This qualitative descriptive study provides insights into the experiences of quality coordinators (QCs) in primary healthcare to inform policy and practice actions and empower QCs to enhance healthcare quality.Methods: We conducted focus group discussions with purposefully selected QCs to understand their motivations, job experiences, factors influencing healthcare quality, and suggestions for quality improvement. Content analysis and deductive coding were used to scrutinize the responses and answer the research questions.Results: The QCs thought highly about their job performance and were motivated by both extrinsic and intrinsic factors. Clinical audits, collegial reviews, and managerial support positively affected QCs' performance. In contrast, a lack of managerial support, limited working hours, and changes in organizing work caused the opposite. Empowerment and external support positively influenced healthcare quality, whereas lack of resources, managerial support, or training had a negative influence. Suggestions to improve quality include the role of QCs, external supervision, and centralization of the QCs' network.Conclusion: Appointing QCs alone does not guarantee quality improvement. It is essential to ensure that QCs have the appropriate skills, tools, management support, and open communication channels. Further research is required to evaluate the effects of sex and age on QCs' performance.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"e49-e55"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Iron Deficiency Among Hospitalized Patients With Congestive Heart Failure. 充血性心力衰竭住院患者的铁缺乏症。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI: 10.1097/JHQ.0000000000000432

Rick Foust, Stephen Clarkson, Megan Nordberg, Joanna Joly, Russell Griffin, Jori May

{"title":"Iron Deficiency Among Hospitalized Patients With Congestive Heart Failure.","authors":"Rick Foust, Stephen Clarkson, Megan Nordberg, Joanna Joly, Russell Griffin, Jori May","doi":"10.1097/JHQ.0000000000000432","DOIUrl":"10.1097/JHQ.0000000000000432","url":null,"abstract":"Introduction: Studies have demonstrated the efficacy of intravenous (IV) iron when administered to patients with congestive heart failure (CHF) and iron deficiency (ID). We aimed to better understand the adherence of treatment for ID among a population with CHF, with particular interest in high-risk groups not often studied due to inadequate recruitment.Methods: A retrospective chart review at our institution was conducted from January 1, 2012, to July 7, 2021. Analysis included hospitalized patients with CHF and ID and dividing these patients into two time periods based on changes in iron treatment patterns and treatment between sexes.Results: Four thousand eight hundred thirteen patients were included in this study. During the \"early era,\" 7.0% of patients with CHF and ID received IV iron compared with 20.9% of \"late-era\" patients. Female patients with ID were statistically less likely to receive IV iron when compared with male patients, both unadjusted (0.66, confidence interval [CI] 0.55-0.79, p < .0001) and adjusted (0.72, CI 0.59-0.87, p < .0001) for covariates.Conclusion: This study illustrates improved adherence to treatment for ID among hospitalized population with CHF and ID over time but persistent undertreatment remains. Future studies will need to identify the barriers to treating female patients with CHF and ID to reduce these disparities.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"220-227"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differential Mortality Among Heart Failure Patients Across Different COVID-19 Surges in New York City. 纽约市不同 COVID-19 高峰期心衰患者的死亡率差异。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-01-12 DOI: 10.1097/JHQ.0000000000000421

Sheetal Vasundara Mathai, Samuel J Apple, Xiaobao Xu, Li Pang, Elie Flatow, Ari Friedman, Saul Rios, Cesar Joel Benites Moya, Majd Al Deen Alhuarrat, Matthew Parker, Seth I Sokol, Robert T Faillace

{"title":"Differential Mortality Among Heart Failure Patients Across Different COVID-19 Surges in New York City.","authors":"Sheetal Vasundara Mathai, Samuel J Apple, Xiaobao Xu, Li Pang, Elie Flatow, Ari Friedman, Saul Rios, Cesar Joel Benites Moya, Majd Al Deen Alhuarrat, Matthew Parker, Seth I Sokol, Robert T Faillace","doi":"10.1097/JHQ.0000000000000421","DOIUrl":"10.1097/JHQ.0000000000000421","url":null,"abstract":"Abstract: Learning from the healthcare system's response to the COVID-19 pandemic is essential to better prepare for potential future crises. We sought to assess mortality rates for patients admitted for acute decompensated heart failure (HF) and to analyze which factors demonstrated a statistically significant correlation with this primary endpoint. We performed a retrospective analysis of patients hospitalized with a primary diagnosis of acute decompensated HF within the New York City Health and Hospitals 11-hospital system across the different COVID surge periods. Mortality information was collected in 4,405 participants (mean [SD] age 70.54 [14.44] years, 1885 [42.87%] female).The highest mortality existed in the first surge (9.02%), then improved to near prepandemic levels (3.65%) in the second (3.91%) and third surges (5.94%, p < 0.0001). In-hospital mortality inversely correlated with receipt of a COVID-19 vaccination, but had no correlation with left ventricular ejection fraction or the number of vaccination doses. Mortality for acute decompensated HF patients improved after the first surge, suggesting that hospitals adequately adapted to provide quality care. As future infectious outbreaks may occur, emergency preparedness must ensure that adequate focus and resources remain for other clinical entities, such as HF, to ensure optimal care is delivered across all areas of illness.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"197-202"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving First Case Operating Room Efficiency. 提高首例手术室的效率。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI: 10.1097/JHQ.0000000000000433

Rebecca Afford, Megan Chan, Rana Garelnabi, Fariba Haji Ali Akbari, Sam M Wiseman

{"title":"Improving First Case Operating Room Efficiency.","authors":"Rebecca Afford, Megan Chan, Rana Garelnabi, Fariba Haji Ali Akbari, Sam M Wiseman","doi":"10.1097/JHQ.0000000000000433","DOIUrl":"10.1097/JHQ.0000000000000433","url":null,"abstract":"Introduction: Improving transition to the operating room (OR) can enhance healthcare efficiency. Our aim was to determine whether adopting a communication board (CB) for first case surgical patients reduced delays to OR.Methods: A retrospective observational study was conducted from April to October 2021. We calculated differences in surgical daycare (SDC) departure time before and after implementation of the CB, differences in departure whether the CB was used or not, delay in variability between surgical specialties, and overall adoption of the CB.Results: After CB adoption, 13% of first cases left SDC by predefined target times. The mean delay in transfer was 18:51 minutes. When the CB was used, cases were on average 10:43 late, compared with 26:00 when it was not used. Otolaryngology had the shortest delays while plastic surgery had the longest. Reasons for delays included staffing delays, holds, and pending laboratory results.Conclusions: Introducing a CB significantly reduced delays in transferring first case surgical patients from SDC to the OR.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"228-234"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pilot Process Evaluation of the Supporting Older Adults at Risk Model: A RE-AIM Approach. 支持处于风险中的老年人模式的试点过程评估：RE-AIM 方法。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-05-14 DOI: 10.1097/JHQ.0000000000000435

Rebecca L Trotta, Anne E Shoemaker, S Ryan Greysen, Marie Boltz

{"title":"Pilot Process Evaluation of the Supporting Older Adults at Risk Model: A RE-AIM Approach.","authors":"Rebecca L Trotta, Anne E Shoemaker, S Ryan Greysen, Marie Boltz","doi":"10.1097/JHQ.0000000000000435","DOIUrl":"10.1097/JHQ.0000000000000435","url":null,"abstract":"Abstract: Despite evidence supporting transitional care models, hospitals report challenges implementing and sustaining them. The Discharge to Assess (D2A) Model is an innovative solution to this problem but required translation from a national health system context to an U.S.-based context. We translated the central tenets of the D2A model to establish the Supporting Older Adults at Risk (SOAR) Model, which unfolds in three phases: Prepare, Transition, and Support. The purpose of this project was to conduct a process evaluation of the SOAR Model in practice using the RE-AIM Framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Forty patients completed all SOAR Model components for a Reach of 21%. Patients averaged 80 years of age, 53% were female, and 64% Black/AA. SOAR significantly improved discharge before noon, time to first home visit, and use of the in-house pharmacy. SOAR also improved length of hospital stay, emergency department visits, and readmissions. Twenty-one of the 26 Implementation measures unfolded with 75% or greater fidelity. Sixteen of the 24 Adoption measures unfolded with 75% or greater fidelity. COVID-19 limited Maintenance. Given the model unfolds across settings over time, requiring adoption from interprofessional team members, patients, and families, future work should focus on improving reach and adoption.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"e26-e39"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EHR Smart Phrases Used as Enrollment Mechanism in Diabetes Self-Management Support Programs: Preliminary Outcomes. 电子病历智能短语作为糖尿病自我管理支持计划的注册机制：初步成果。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-05-08 DOI: 10.1097/JHQ.0000000000000438

Parker A Rhoden, Luke Hall, Michelle Stancil, Windsor Westbrook Sherrill

{"title":"EHR Smart Phrases Used as Enrollment Mechanism in Diabetes Self-Management Support Programs: Preliminary Outcomes.","authors":"Parker A Rhoden, Luke Hall, Michelle Stancil, Windsor Westbrook Sherrill","doi":"10.1097/JHQ.0000000000000438","DOIUrl":"https://doi.org/10.1097/JHQ.0000000000000438","url":null,"abstract":"Abstract: Diabetes in the United States is increasing rapidly. Innovative strategies are needed for diabetes prevention and self-management. This study assessed the usability, acceptability, and awareness of an electronic health record (EHR) tool for referring patients to a community-based diabetes self-management support program. Mixed-methods approaches were used, using EHR data and key informant interviews to assess the implementation of this quality improvement (QI) process intervention. The implementation of a smart phrase tool within the EHR led to a substantial increase in referrals (773) to the Health Extension for Diabetes (HED) program. Clinical health care professionals have actively used the referral mechanism; they reported using smart phrases to increase efficiency in patient care. Lack of training and program awareness was identified as a barrier to adoption. Awareness of the HED program and .HEDREF smart phrase was limited, but improved with targeted QI and training interventions. The .HEDREF smart phrase demonstrated effectiveness in increasing patient referrals to the HED program, highlighting the potential of EHR tools to streamline documentation and promote patient engagement in diabetes self-management. Future research should focus on broader health care contexts, patient perspectives, and integration of technology for optimal patient outcomes.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":"46 4","pages":"235-244"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementing Behavioral Optimization and Outcomes Support Team in a Medical/Surgical Telemetry Unit. 在内科/外科远程监护病房实施行为优化和成果支持团队。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI: 10.1097/JHQ.0000000000000436

Chikaodi Kay, Marilyn Miller, Brandon Buckingham

{"title":"Implementing Behavioral Optimization and Outcomes Support Team in a Medical/Surgical Telemetry Unit.","authors":"Chikaodi Kay, Marilyn Miller, Brandon Buckingham","doi":"10.1097/JHQ.0000000000000436","DOIUrl":"10.1097/JHQ.0000000000000436","url":null,"abstract":"Background: A community hospital reported 21 staff assaults with injuries and 242 emergency response code green (CG) calls for violent behaviors, resulting in a loss of time in the 2022 fiscal year. Evidence has shown that exposure to violent behavior can compromise effective patient care and lead to job dissatisfaction, high turnover, and higher healthcare costs.Purpose: This quality improvement project aims to develop and implement behavioral optimization and outcome support team (BOOST) in a medical-surgical telemetry unit to reduce patient-to-staff assaults/injuries.Methods: BOOST was piloted for 15 weeks; process data included staff knowledge and satisfaction with BOOST; outcome data included the number of BOOST and CG calls and staff assaults/injuries. The team members included registered psychiatric nurses, nursing supervisors, and security officers. Data were collected and analyzed weekly using a run chart.Results: The survey data demonstrated increased staff knowledge of the behavioral response team and staff satisfaction with the BOOST implementation. No staff injuries or assaults were reported during the BOOST implementation.Conclusions: Behavioral optimization and outcome support team was effective in de-escalating patients and the team provided support to nursing staff. BOOST utilization can effectively reduce assaults and injuries in the workplace.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"e40-e48"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ambulatory Quality Improvement Despite COVID-19: Blueprint for a Successful System for Continuous Improvement. 门诊质量改进，尽管有 COVID-19：持续改进系统的成功蓝图。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-05-17 DOI: 10.1097/JHQ.0000000000000444

Anne H VanBuren, Tricia M Montgomery, John R McConaghy, Jeffrey Lawrence, Nazhat Taj-Schaal, Melissa Unger, Nate R Rogers

{"title":"Ambulatory Quality Improvement Despite COVID-19: Blueprint for a Successful System for Continuous Improvement.","authors":"Anne H VanBuren, Tricia M Montgomery, John R McConaghy, Jeffrey Lawrence, Nazhat Taj-Schaal, Melissa Unger, Nate R Rogers","doi":"10.1097/JHQ.0000000000000444","DOIUrl":"10.1097/JHQ.0000000000000444","url":null,"abstract":"Abstract: In this article, we describe our experience developing and implementing a multipronged approach to improve performance across a strategic subset of quality measures within primary care. Detailed techniques include data visualization and analytics, process reengineering, team engagement, visual project management, continuous improvement methods and training, and incentives and recognition. We achieved positive change across 12 high priority measures which we deemed the \"High Value Framework (HVF)\" by fostering a collaborative, nonpunitive, problem-solving culture. We focused on measures that had the greatest potential for impact from a clinical, reimbursement, and reputational perspective. More importantly, we sustained gains despite the challenges posed by the COVID-19 pandemic, thereby demonstrating programmatic resilience and high process reliability. This systematic approach serves as a practical blueprint for other healthcare entities seeking to navigate the complexities of quality improvement in a dynamic environment. The model provides a strategic framework for prioritizing and standardizing quality measures, effectively engaging stakeholders, and managing organizational change. Our model emerged from a need to address real-world operational challenges, rather than as an academic or theoretical exercise, and was developed independently of existing literature on measure prioritization and standardization at the time of its inception.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"251-258"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0