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Quality Management in Health Care

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https://www.readbyqxmd.com/read/28665910/a-lean-tool-supporting-continuous-improvement-at-intermountain
#1
Jason L Scott, Jefrey L Huntington
No abstract text is available yet for this article.
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665909/what-a-real-preoccupation-with-failure-could-look-like
#2
Peter J Pronovost, Lori Paine, Eileen M Kasda, Melinda D Sawyer
No abstract text is available yet for this article.
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665908/small-rural-hospitals-have-a-harder-time-achieving-success-in-continuous-quality-improvement-an-example-from-a-stroke-care-network
#3
Kelley Elkins, Lisa Bellamy, Jing Guo, Michael R Dobbs
BACKGROUND: University of Kentucky HealthCare established a Stroke Care Network (SCN) in 2008 to address the challenges of rural stroke care and improve care quality. METHODS: The SCN collects quality data from each affiliate that include volumes, mortality, length of stay, turnaround times, rt-PA door-to-needle time, 8 stroke core measures, and dysphagia screen measure. Characteristics of affiliate hospital studies include number of beds, Stroke Disease-Specific Care (DSC) certification by The Joint Commission, Appalachian designated county or not, time dedicated to stroke coordinator, submission of quality data for the calendar year, success of data, and utilization of American Heart Association's Get With the Guidelines...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665907/exploring-the-relationship-between-volume-and-outcomes-in-hospital-cardiovascular-care
#4
James R Langabeer, Junghyun Kim, Jeffrey Helton
BACKGROUND: Management theories of learning and experience curve effects state that greater levels of scale produce learnings and improved performance. In cardiovascular care, guidelines suggest that high-volume facilities produce better patient outcomes; yet, there are contradictory findings from the few studies conducted. Our goals were to assess the volume-outcome relationship for interventional cardiovascular care. METHODS: We examined 9360 patients with ST-segment elevation myocardial infarction who underwent percutaneous intervention (PCI)...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665906/characteristics-of-patients-with-congestive-heart-failure-or-chronic-obstructive-pulmonary-disease-readmissions-within-30-days-following-an-acute-exacerbation
#5
Austin Castillo, Hawa Edriss, Kavitha Selvan, Kenneth Nugent
BACKGROUND: The Hospital Readmissions Reduction Program targets Medicare patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) and penalizes hospitals that have increased 30-day readmission rates for these patients. The main goals of this study were to determine the clinical explanations for readmissions within 30 days, to identify possible deficiencies in patient care, and to identify typical characteristics of patients who were readmitted to the hospital...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665905/implementation-of-practice-transformation-patient-experience-according-to-practice-leaders
#6
Denise D Quigley, Alina I Palimaru, Alex Y Chen, Ron D Hays
OBJECTIVE: Examine practice leaders' perceptions and experiences of how patient-centered medical home (PCMH) transformation improves patient experience. SUBJECTS: Thirty-six interviews with lead physicians (n = 13), site clinic administrators (n = 13), and nurse supervisors (n = 10). METHODS: Semi-structured interviews at 14 primary care practices within a large urban Federally Qualified Health Center (FQHC) delivery system to identify critical patient experience domains and mechanisms of change...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665904/evaluating-a-collaborative-approach-to-improve-prior-authorization-efficiency-in-the-treatment-of-hepatitis-c-virus
#7
Emily E Dunn, Kathryn Vranek, Lauren M Hynicka, Janet Gripshover, Darryn Potosky, T Joseph Mattingly
OBJECTIVE: A team-based approach to obtaining prior authorization approval was implemented utilizing a specialty pharmacy, a clinic-based pharmacy technician specialist, and a registered nurse to work with providers to obtain approval for medications for hepatitis C virus (HCV) infection. The objective of this study was to evaluate the time to approval for prescribed treatment of HCV infection. METHODS: A retrospective observational study was conducted including patients treated for HCV infection by clinic providers who received at least 1 oral direct-acting antiviral HCV medication...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665903/man-versus-machine-comparing-double-data-entry-and-optical-mark-recognition-for-processing-cahps-survey-data
#8
Matthew Fifolt, Justin Blackburn, David J Rhodes, Shemeka Gillespie, Aleena Bennett, Paul Wolff, Andrew Rucks
OBJECTIVE: Historically, double data entry (DDE) has been considered the criterion standard for minimizing data entry errors. However, previous studies considered data entry alternatives through the limited lens of data accuracy. This study supplies information regarding data accuracy, operational efficiency, and cost for DDE and Optical Mark Recognition (OMR) for processing the Consumer Assessment of Healthcare Providers and Systems 5.0 survey. METHODS: To assess data accuracy, we compared error rates for DDE and OMR by dividing the number of surveys that were arbitrated by the total number of surveys processed for each method...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665902/the-search-for-perpetual-motion-fatigue-friction-and-drag-in-quality-improvement
#9
Ethan Cumbler, Read Pierce
Most people who have worked on continuous quality improvement (QI) with teams in the clinical microsystem have experienced "change fatigue." Application of the "Limit-to-Growth" system archetype to QI teams within health care can be used to understand negative feedback loops generated by successful QI that can limit future progress. Awareness of these factors can result in actions designed to reduce drag on forward momentum. Leaders in health care QI can anticipate and minimize negative feedback loops that accumulate to slow subsequent progress of highly functioning improvement teams within clinical microsystems...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375961/from-the-intermountain-institute-for-healthcare-delivery-research
#10
Andrew J Knighton, R Neal Davis
No abstract text is available yet for this article.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375960/transdisciplinary-teams-spur-innovation-for-patient-safety-and-quality-improvement
#11
Jennifer W Di Mattina, Peter J Pronovost, Christine G Holzmueller
No abstract text is available yet for this article.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375959/rfid-continuance-usage-intention-in-health-care-industry
#12
Mohammad Iranmanesh, Suhaiza Zailani, Davoud Nikbin
Radio-frequency identification (RFID) has been proved to be an effective tool both for improving operational efficiency and for gaining competitive advantage in the health care industry despite its relatively low-usage rate in hospitals. The sustained use of RFID by health care professionals will promote its development in the long term. This study evaluates the acceptance continuance of RFID among health care professionals through technology continuance theory (TCT). Data were collected from 178 medical professionals in Malaysia and were then analyzed using the partial least squares technique...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375958/evidence-based-practice-standard-care-for-acute-pain-management-in-adults-with-sickle-cell-disease-in-an-urgent-care-center
#13
Sunghee Kim, Ron Brathwaite, Ook Kim
BACKGROUND: Vaso-occlusive episodes (VOEs) with sickle cell disease (SCD) require opioid treatment. Despite evidence to support rapid pain management within 30 minutes, care for these patients does not consistently meet this benchmark. This quality improvement study sought to decrease the first analgesic administration time, increase patient satisfaction, and expedite patient flow. METHODS: A prospective pre-/postevaluation design was used to evaluate outcomes with patients 18 years or older with VOEs in an urgent care (UC) center after implementation of evidence-based practice standard care (EBPSC)...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375957/effects-of-intervention-and-team-culture-on-operating-room-traffic
#14
Ricardo W Pulido, Benjamin Kester, Ran Schwarzkopf
PURPOSE: How changes in the surgical team's culture can potentially reduce operating room (OR) traffic. INTRODUCTION: Excessive OR traffic during surgical procedures can present a risk to the patient's safety and recovery. Data suggest that limiting the number of OR personnel during the intraoperative period can reduce excessive OR traffic. However, it is unclear whether the surgeon's verbal intervention can also successfully reduce intraoperative OR traffic. This study compares traffic rates in hip and knee arthroplasty cases against traffic rates during nonarthroplasty cases to examine the effects of verbal interventions implemented by the surgeon to reduce intraoperative traffic...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375956/evaluating-the-effectiveness-of-concurrent-review-does-it-improve-stroke-measure-results
#15
Celia Gomes McGillivray, Brian Silver
BACKGROUND: Concurrent review is a quality improvement strategy in which patients are tracked from admission to discharge, and messages are communicated to the responsible physician when quality stroke measures have not been met. There is little research regarding interventions that might influence clinical practice patterns and improvement in compliance with core quality measures. This study sought to evaluate whether concurrent review implementation was associated with change in performance on stroke measure outcome data...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375955/using-lean-management-to-reduce-emergency-department-length-of-stay-for-medicine-admissions
#16
Nazima Allaudeen, Anita Vashi, Julia S Breckenridge, Farnoosh Haji-Sheikhi, Sarah Wagner, Keith A Posley, Steven M Asch
BACKGROUND: The practice of boarding admitted patients in the emergency department (ED) carries negative operational, clinical, and patient satisfaction consequences. Lean tools have been used to improve ED workflow. Interventions focused on reducing ED length of stay (LOS) for admitted patients are less explored. OBJECTIVE: To evaluate a Lean-based initiative to reduce ED LOS for medicine admissions. DESIGN, SETTING, PATIENTS: Prospective quality improvement initiative performed at a single university-affiliated Department of Veterans Affairs (VA) medical center from February 2013 to February 2016...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375954/optimizing-the-care-coordinator-role-in-primary-care-a-qualitative-case-study
#17
Elizabeth C Clark, Jenna Howard, Jeanne Ferrante, Cathryn Heath, Kang Li, Susan Albin, Shawna V Hudson
BACKGROUND: Care coordinators (CCs) are increasingly employed in primary care as a means to improve health care quality, but little research examines the process by which CCs are integrated into practices. This case study provides an in-depth examination of this process and efforts to optimize the role. METHODS: Two CCs' work was observed and assessed, and attempts were made to optimize the role using workflow modeling and "Plan-Do-Study-Act" cycles. Rolling qualitative analyses of field notes from key informant interviews and team meetings were conducted using iterative cycles of "immersion/crystallization" to identify emerging themes...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375953/co-producing-interprofessional-round-work-designing-spaces-for-patient-partnership
#18
Karin Thörne, Boel Andersson-Gäre, Håkan Hult, Madeleine Abrandt-Dahlgren
Within wide-ranging quality improvement agendas, patient involvement in health care is widely accepted as crucial. Ward rounds that include patients' active participation are growing as an approach to involve patients, ensure safety, and improve quality. An emerging approach to studying quality improvement is to focus on "clinical microsystems," where patients, professionals, and information systems interact. This provides an opportunity to study ward rounds more deeply. A new model of conducting ward rounds implemented through quality improvement work was studied, using the theory of practice architectures as an analytical tool...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375952/interprofessional-barriers-a-study-of-quality-improvement-work-among-nurses-and-physicians
#19
Nomie Eriksson, Tomas Müllern
This article studies interprofessional barriers between nurses and physicians in the context of quality improvement work. A total of 17 nurses and 10 physicians were interviewed at 2 hospitals in Sweden. The study uncovered a number of barriers relating to both the relative status of each group and their defined areas of responsibility.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375951/interactional-resources-for-quality-improvement-learning-from-participants-through-a-qualitative-study
#20
Joanna Veazey Brooks, Ksenia Gorbenko, Charles Bosk
BACKGROUND: Implementing quality improvement in hospitals requires a multifaceted commitment from leaders, including financial, material, and personnel resources. However, little is known about the interactional resources needed for project implementation. The aim of this analysis was to identify the types of interactional support hospital teams sought in a surgical quality improvement project. METHODS: Hospital site visits were conducted using a combination of observations, interviews, and focus groups to explore the implementation of a surgical quality improvement project...
April 2017: Quality Management in Health Care
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