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Quality Management in Health Care

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https://www.readbyqxmd.com/read/28030469/call-for-reviewers
#1
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030467/information-for-authors
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030466/from-the-intermountain-institute-for-health-care-delivery-research
#3
Andrew J Knighton, Robert S Kristiansson, Tom Belnap, Peter Daneryd
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030465/mutual-mentorship-patient-partnered-care-starts-at-the-patient-ceo-level
#4
Donna R Cryer, Richard O Davis, Peter J Pronovost
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030464/selecting-health-care-improvement-projects-a-methodology-integrating-cause-and-effect-diagram-and-analytical-hierarchy-process
#5
Özlem Müge Testik, Amir Shaygan, Erdi Dasdemir, Guray Soydan
OBJECTIVES: It is often vital to identify, prioritize, and select quality improvement projects in a hospital. Yet, a methodology, which utilizes experts' opinions with different points of view, is needed for better decision making. METHODS: The proposed methodology utilizes the cause-and-effect diagram to identify improvement projects and construct a project hierarchy for a problem. The right improvement projects are then prioritized and selected using a weighting scheme of analytical hierarchy process by aggregating experts' opinions...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030463/promoting-continuous-quality-improvement-in-the-alabama-child-health-improvement-alliance-through-q-sort-methodology-and-learning-collaboratives
#6
Matthew Fifolt, Julie Preskitt, Andrew Rucks, Kathryn Corvey, Elizabeth Cason Benton
OBJECTIVE: Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives. METHODS: Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030462/examining-the-relationship-between-perceived-quality-of-care-and-actual-quality-of-care-as-measured-by-30-day-readmission-rates
#7
Stanley R Salinas
OBJECTIVE: To test the relationship between patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and actual quality of care, as measured by 30-day readmission rates. DATA SOURCES: Both HCAHPS data and outcome data reported to the Centers of Medicare & Medicaid Services (CMS). STUDY DESIGN: This secondary, nationwide (N = 4060), hospital-level study focused only on acute care hospitals...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030461/does-the-proportion-of-same-day-and-24-hour-appointments-impact-patient-satisfaction
#8
Jason P Richter, Lynn Downs, Brad Beauvais, Peter V Huynh, Jessica E Hamilton, Forest Kim, Fred Weigel
BACKGROUND: The relationship between open access and patient satisfaction is mixed. Our study is the first to assess the relationship between open access appointment scheduling and patient satisfaction in the Military Health System (MHS). It is also unique in that we examine both same-day and 24-hour access through a relationship with satisfaction. METHODS: We conducted a panel time-series analysis with general estimating equations on the Army population of outpatient facilities (N = 32), with 32 364 957 total observations...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030460/health-care-professionals-usage-and-documentation-of-a-swedish-quality-registry-regarding-preventive-nutritional-care
#9
Linda Johansson, Helle Wijk, Lennart Christensson
OBJECTIVES: To describe health care staff members' usage and documentation in a Swedish quality registry focusing on a preventive care process regarding the risk area of malnutrition among persons with dementia. The preventive care process includes risk assessment, analysis of underlying causes, planning and performing interventions, as well as evaluating effects. METHODS: Data were collected from 2 Swedish quality registries, Senior Alert and the Swedish Dementia Register (Svedem)...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030459/implementation-and-sequencing-of-practice-transformation-in-urban-practices-with-underserved-patients
#10
Denise D Quigley, Zachary S Predmore, Alex Y Chen, Ron D Hays
BACKGROUND: Patient-centered medical home (PCMH) has gained momentum as a model for primary-care health services reform. METHODS: We conducted interviews at 14 primary care practices undergoing PCMH transformation in a large urban federally qualified health center in California and used grounded theory to identify common themes and patterns. RESULTS: We found clinics pursued a common sequence of changes in PCMH transformation: Clinics began with National Committee for Quality Assurance (NCQA) level 3 recognition, adding care coordination staff, reorganizing data flow among teams, and integrating with a centralized quality improvement and accountability infrastructure...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030458/interorganizational-collaboration-in-emergency-cardiovascular-care
#11
James R Langabeer, Tiffany Champagne-Langabeer, Jeffrey R Helton, Wendy Segrest, Bita Kash, Jami DelliFraine, Raymond Fowler
BACKGROUND: Interorganizational collaboration management theory contends that cooperation between distinct but related organizations can yield innovation and competitive advantage to the participating organization. Yet, it is unclear if a multi-institutional collaborative can improve quality outcomes across communities. METHODS: We developed a large regional collaborative network of 15 hospitals and 24 emergency medical service agencies surrounding Dallas, Texas, and collected patient-level data on treatment times for acute myocardial infarctions...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749723/redefining-accountability-in-quality-and-safety-at-academic-medical-centers
#12
Simon C Mathews, Renee Demski, Peter J Pronovost
No abstract text is available yet for this article.
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749722/the-cost-efficiency-and-care-effectiveness-of-probiotic-administration-with-antibiotics-to-prevent-hospital-acquired-clostridium-difficile-infection
#13
Emily S Starn, Holly Hampe, Thomas Cline
Health care facility-acquired Clostridium difficile infections (HCFA-CDI) have increased over the last several decades despite facilities developing protocols for prescribing probiotics with antibiotics to prevent HCFA-CDI. The literature does not consistently support this. A retrospective medical record review evaluated the care effectiveness of this practice. Care effectiveness was not found; patients receiving probiotics with antibiotics were twice as likely to develop HCFA-CDI (P = .004). Except with glycopeptides, patients were 1...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749721/pediatric-type-1-diabetes-reducing-admission-rates-for-diabetes-ketoacidosis
#14
Jeniece Trast Ilkowitz, Steven Choi, Michael L Rinke, Kathy Vandervoot, Rubina A Heptulla
BACKGROUND: Diabetes ketoacidosis (DKA) is a life-threatening complication of type 1 diabetes mellitus (T1DM). Reducing DKA admissions in children with T1DM requires a coordinated, comprehensive management plan. We aimed to decrease DKA admissions, 30-day readmissions, and length of stay (LOS) for DKA admissions. METHODS: A multipronged intervention was designed in 2011 to reach all patients: (1) increase insulin pump use and basal-bolus regimen versus sliding scales, (2) transform educational program, (3) increased access to medical providers, and (4) support for patients and families...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749720/patient-centered-handovers-ethnographic-observations-of-attending-and-resident-physicians-ethnographic-observations-of-attending-and-resident-physicians
#15
Austin F Mount-Campbell, Michael F Rayo, James J OʼBrien, Theodore T Allen, Emily S Patterson
Handover communication improvement initiatives typically employ a "one size fits all" approach. A human factors perspective has the potential to guide how to tailor interventions to roles, levels of experience, settings, and types of patients. We conducted ethnographic observations of sign-outs by attending and resident physicians in 2 medical intensive care units at one institution. Digitally audiotaped data were manually analyzed for content using codes and time spent using box plots for emergent categories...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749719/self-reflection-as-a-tool-to-increase-hospitalist-participation-in-readmission-quality-improvement
#16
Vipulkumar Rana, Bipin Thapa, Sumanta Chaudhuri Saini, Pooja Nagpal, Ankur Segon, Kathlyn Fletcher, Geoffrey Lamb
BACKGROUND: Reducing 30-day readmissions is a national priority. Although multipronged programs have been shown to reduce readmissions, the role of the individual hospitalist physician in reducing readmissions is not clear. OBJECTIVES: We evaluated the effect of physicians' self-review of their own readmission cases on the 30-day readmission rate. METHODS: Over a 1-year period, hospitalists were sent their individual readmission rates and cases on a weekly basis...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749718/a-systematic-approach-to-clinical-peer-review-in-a-critical-access-hospital
#17
Mark E Deyo-Svendsen, Michael R Phillips, Jill K Albright, Keith A Schilling, Karl B Palmer
PURPOSE: Clinical provider peer review (CPPR) is a process for evaluating a patient's experience in encounters of care. It is part of ongoing professional practice evaluation and focused professional practice evaluation-important contributors to provider credentialing and privileging. Critical access hospitals are hindered in CPPR by having a limited number of providers, shortages of staff resources, and relationships among staff members that make unbiased review difficult. Small departments within larger institutions may face similar challenges...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749717/value-based-health-care-for-chronic-care-aligning-outcomes-measurement-with-the-patient-perspective
#18
David Ebbevi, Helena Hvitfeldt Forsberg, Anna Essén, Sofia Ernestam
BACKGROUND: Value-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the patient's view of value in a chronic care setting. METHODS: Semistructured interviews with 22 persons with rheumatoid arthritis were conducted, transcribed, and analyzed using qualitative content analysis...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749716/comprehensive-unit-based-safety-program-cusp-to-improve-patient-experience-how-a-hospital-enhanced-care-transitions-and-discharge-processes
#19
Brent C Pottenger, Richard O Davis, Joanne Miller, Lisa Allen, Melinda Sawyer, Peter J Pronovost
OBJECTIVE: To determine whether Comprehensive Unit-based Safety Program (CUSP) teams could be used to enhance patient experience by improving care transitions and discharge processes in a 318-bed community hospital. METHODS: In 2015, CUSP teams produced feasible solutions by participating in a design-thinking initiative, coupled with performance improvement tools involving data analytics and peer-learning communities. Teams completed a 90-day sprint challenge, involving weekly meetings, monthly department leader meetings, and progress trackers...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749715/lack-of-evidence-for-racial-disparity-in-30-day-all-cause-readmission-rate-for-older-us-veterans-hospitalized-with-heart-failure
#20
Raya Elfadel Kheirbek, Janusz Wojtusiak, Sorina O Vlaicu, Farrokh Alemi
BACKGROUND: Heart failure is the leading cause for 30-day all-cause readmission. Although racial disparities in health care are well documented, their impact on 30-day all-cause readmission rate is inconclusive. OBJECTIVE: We examined the impact of racial disparity on 30-day readmission for hospitalized patients with heart failure. METHODS: This is a retrospective secondary data analysis for a large veteran cohort in 130 Veterans Affairs Medical Centers...
October 2016: Quality Management in Health Care
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