scholarly journals Health care improvement and continuing interprofessional education: Continuing interprofessional development to improve patient outcomes

2009 ◽  
Vol 29 (2) ◽  
pp. 84-90 ◽  
Author(s):  
Peter M. Wilcock ◽  
Gillian Janes ◽  
Alison Chambers
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Interprofessional Education ◽  
Health Care Improvement ◽  
Care Improvement ◽  
Improve Patient

scholarly journals Partnering With Patients in a Quality Improvement Curriculum for Internal Medicine Residents

2021 ◽  
Vol 8 ◽  
pp. 237437352199960
Author(s):  
Kramer J Wahlberg ◽  
Maria Burnett ◽  
Preetika Muthukrishnan ◽  
Kate Purcell ◽  
Allen B Repp ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care Quality ◽  
Care Quality ◽  
Resident Physicians ◽  
Healthcare Improvement ◽  
Health Care Improvement ◽  
Internal Medicine Residents ◽  
Care Improvement ◽  
Improve Patient

Patient experience is a core component of the Institute for Healthcare Improvement Triple Aim for health care improvement. Although resident physicians must meet quality improvement (QI) competencies prior to graduation, QI training during residency may not adequately prepare residents to improve patient and family experience. We describe an active learning QI curriculum engaging 3 Patient and Family Advisors as partners alongside 15 resident physicians. This partnership proved to be a meaningful experience for both groups, with the development of mutual respect and insight into the contributions that patients and families bring to solving problems in health care quality.

Are Transplant Centers That Meet Insurer Minimum Volume Requirements Better Quality?

2020 ◽  
pp. 107755872091927
Author(s):  
Lauren Hersch Nicholas ◽  
Sarah See Stith
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Health Care Services ◽  
Minimum Volume ◽  
Patient Volume ◽  
Care Services ◽  
Elective Surgical Procedures ◽  
Proxy Measure ◽  
Instrumental Variables Approach ◽  
Improve Patient

A pervasive viewpoint in health care is that higher patient volume leads to better outcomes, implying that facility volume can be used to identify high-quality providers. Hundreds of studies documenting a positive correlation between hospital volume and patient survival have motivated payers to use arbitrary minimum volume standards for elective surgical procedures, though it is unknown whether these policies actually improve patient outcomes. Using an instrumental variables approach, we show that minimum volume requirements in kidney transplantation do not reduce posttransplant mortality. These results suggest minimum volume requirements are not a useful proxy measure for quality and that restricting the number of hospitals from which patients can receive care could reduce access to necessary health care services.

Direct Support Professionals' Perspectives on Ambulatory Health Care Processes and Quality

2019 ◽  
Vol 57 (3) ◽  
pp. 188-197
Author(s):  
Carl V. Tyler ◽  
Michael D. Wells ◽  
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Improvement ◽  
Direct Support ◽  
Direct Support Professionals ◽  
Health Care Encounters ◽  
Competency Based ◽  
Care Improvement ◽  
Ambulatory Health Care

Abstract Direct support professionals (DSPs) frequently accompany persons with intellectual and other developmental disabilities (IDD) to their health care appointments and could offer valuable insights into potential target areas for health-care improvement. DSPs completed surveys assessing healthcare processes and quality immediately following 118 ambulatory health care encounters involving their patients with IDD. Although DSPs generally judged the quality of health care as good (44%) or excellent (52%), they also observed that physicians directed questions to the DSP that the patient could have answered in 22% of encounters, and noted that physicians failed to ask critical psychosocial information in 24% of encounters. Competency-based training of DSPs around health-care advocacy could significantly improve the quality of health care provided to persons with IDD.

scholarly journals A Critical Approach to Clinical Practice Guidelines

2000 ◽  
Vol 14 (6) ◽  
pp. 505-509 ◽  
Author(s):  
John K Marshall
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Patient Outcomes ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Delivery ◽  
Critical Approach ◽  
High Quality ◽  
Number Of Publications ◽  
Improve Patient

The rate of publication of clinical practice guidelines for the management of common medical illnesses continues to accelerate. The appropriate dissemination and uptake of high quality practice guidelines can synthesize evidence, improve patient outcomes and enhance the efficiency of health care delivery. However, the methodological rigour and relevance of the growing number of publications labelled ’clinical practice guidelines’ vary widely. Health care payers, providers and advocates must learn to appraise and interpret guideline recommendations critically. A simple and practical nine-question approach to evaluating the quality, relevance and effectiveness of clinical practice guidelines is presented.

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