Best practices and benchmarking in healthcare : a practical journal for clinical and management application最新文献_第8页

Benchmarking: a management tool for academic medical centers. 标杆管理:学术医疗中心的管理工具。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

E Cohen, E Anderson-Miles

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The evolution of change: from nurse auditor to clinical reimbursement specialist. 变革的演变:从护士审核员到临床报销专家。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

J R Gardner

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Establishing a proper perspective on clinical pathways before implementing a clinical improvement program. 在实施临床改进计划之前，对临床路径建立正确的观点。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

L D Wooster, M T Forthman

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Strategic dislocation: reconsidering the role of benchmarking in the development of core competencies. 战略错位:重新考虑基准管理在核心竞争力发展中的作用。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

J DeGraff, E L Bogue, C Stout

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Composing our future: a retrospective and forecast of a specialty practice's achievements in a best practice. 构成我们的未来:回顾和预测一个专业实践在最佳实践中的成就。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

K A Conrad, M M Harmon, S Rice

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The development of The Society of Thoracic Surgeons voluntary national database system: genesis, issues, growth, and status. 胸外科学会自愿国家数据库系统的发展:起源、问题、发展和现状。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

R E Clark

{"title":"The development of The Society of Thoracic Surgeons voluntary national database system: genesis, issues, growth, and status.","authors":"R E Clark","doi":"","DOIUrl":"","url":null,"abstract":"Background: The purpose of this communication is to demonstrate the feasibility of a voluntary national cardiac surgical database.Methods: The genesis of the Society of Thoracic Surgeons (STS) National Cardiac and General Thoracic Surgery Databases in the interval of 1986 to 1990 is described. The issues facing the Committee in the initial decision making processes are discussed choosing a society-based, in-house activity versus using an outside vendor, private practice needs versus academic ones; open versus closed membership and vendors, risk stratification; data quality; audit; and access to data.Results: In the 6 years of operation the STS cardiac surgical database has grown from 41,000 to 706,000 patients. The number of practice groups, hospitals, and surgeons has increased from 26 to 624, 32 to 750, and 120 to 1850, respectively. All but one state is represented, as are more than 400 teaching hospitals, including 28 Veterans Administration hospitals and 60 university centers.Conclusions: The STS database system has become firmly established and is a model for other societies and associations. The data placed yearly in the public domain have become a national standard.","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"1 2","pages":"62-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20138338","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

Benchmarking, benchmarks, or best practices? Applying quality improvement principles to decrease surgical turnaround time. 基准测试、基准测试还是最佳实践?应用质量改进原则减少手术周转时间。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

L Mitchell

{"title":"Benchmarking, benchmarks, or best practices? Applying quality improvement principles to decrease surgical turnaround time.","authors":"L Mitchell","doi":"","DOIUrl":"","url":null,"abstract":"Background: The processes of benchmarking, benchmark data comparative analysis, and study of best practices are distinctly different. The study of best practices is explained with an example based on the Arthur Andersen & Co. 1992 \"Study of Best Practices in Ambulatory Surgery\".Methods: The results of a national best practices study in ambulatory surgery were used to provide our quality improvement team with the goal of improving the turnaround time between surgical cases. The team used a seven-step quality improvement problem-solving process to improve the surgical turnaround time.Results: The national benchmark for turnaround times between surgical cases in 1992 was 13.5 minutes. The initial turnaround time at St. Joseph's Medical Center was 19.9 minutes. After the team implemented solutions, the time was reduced to an average of 16.3 minutes, an 18% improvement. Cost-benefit analysis showed a potential enhanced revenue of approximately $300,000, or a potential savings of $10,119.Conclusions: Applying quality improvement principles to benchmarking, benchmarks, or best practices can improve process performance. Understanding which form of benchmarking the institution wishes to embark on will help focus a team and use appropriate resources. Communicating with professional organizations that have experience in benchmarking will save time and money and help achieve the desired results.","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"1 2","pages":"70-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20138339","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 use of support groups among pregnant substance abusers: implications for managed care. 怀孕药物滥用者中支持团体的使用:对管理护理的影响。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-03-01

M H Fox, M E McCaul, M E Stuart, D S Svikis, A Kerns

引用次数: 0

Best practice: clinical pathways for uncomplicated births. 最佳实践:无并发症分娩的临床路径。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

D Oberer, L Auckerman

引用次数: 0

The challenge of benchmarking: surgical volume and operative mortality in Veterans Administration Medical Centers. 基准的挑战:退伍军人管理医疗中心的手术量和手术死亡率。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

E W Bates, S E Berki, R K Homan, S M Lindenauer

{"title":"The challenge of benchmarking: surgical volume and operative mortality in Veterans Administration Medical Centers.","authors":"E W Bates, S E Berki, R K Homan, S M Lindenauer","doi":"","DOIUrl":"","url":null,"abstract":"Background: This study examines the relationship between hospital surgical volume and operative modality rate. Emphasis is placed on the role of referral patterns; the effects of variation in patient condition, operative procedures, and hospital characteristics, and the contribution of volume of related procedures, in addition to specific-procedure volume, the definition of operative mortality, and their influence on surgical outcome.Methods: This cohort study included all Department of Veterans Affairs Medical Centers with surgery programs. All patients in five operation-diagnosis sets (colectomy for cancer, colectomy without cancer, amputation above the knee, coronary artery bypass grafting for old myocardial infarction, and open-heart valvuloplasty), discharged from 1987 through 1989, were assessed to determine the risk-adjusted 30-day postoperative morality rate.Results: Only one of the studied groups, valvuloplasty, demonstrated a significant inverse relationship between hospital surgical volume and operative mortality rate. No additional effect on outcome owing to related procedure volume was noted.Conclusions: This study demonstrates some of the difficulties in assessing surgical results and that we should be skeptical of the intuitively attractive notion that high annual volumes of operations will necessarily result in improved outcomes. This is congruent with recent literature in which there is no broad-based evidence that hospital surgical volume affects operative mortality rate.","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"1 1","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20138307","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