Creating a Quality Improvement System for an Integrated Care (IC) Program: The Why, What, and How to Measure

2016 ◽  
pp. 207-227
Author(s):  
Alexandros Maragakis ◽  
William O’Donohue
Keyword(s):  
Quality Improvement ◽  
Integrated Care

scholarly journals Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

2014 ◽  
Vol 04 (12) ◽  
pp. 887-896 ◽  
Author(s):  
Martha Okafor ◽  
Victor Ede ◽  
Rosemary Kinuthia ◽  
Debbie Strotz ◽  
Cathryn Marchman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health Outcomes ◽  
Integrated Care ◽  
Care Models ◽  
Integrated Care Models

scholarly journals Quality improvement in healthcare: Towards to integrated care models in EU

Tehnika ◽  
2019 ◽  
Vol 74 (1) ◽  
pp. 147-151
Author(s):  
Bojana Knežević ◽  
Valentina Marinković
Keyword(s):  
Quality Improvement ◽  
Integrated Care ◽  
Care Models ◽  
Integrated Care Models

Auditing integrated stroke care to support quality improvement activities: development of a peer-to-peer audit framework

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bianca Buijck ◽  
Bert Vrijhoef ◽  
Monique Bergsma ◽  
Diederik Dippel
Keyword(s):  
Quality Improvement ◽  
Integrated Care ◽  
Care Program ◽  
Stroke Care ◽  
Peer To Peer ◽  
Multiple Stakeholders ◽  
Content Type ◽  
Care Services ◽  
Continuous Quality

PurposeTo organize stroke care, multiple stakeholders work closely together in integrated stroke care services (ISCS). However, even a well-developed integrated care program needs a continuous quality improvement (CQI) cycle. The current paper aims to describe the development of a unique peer-to-peer audit framework, the development model for integrated care (DMIC), the Dutch stroke care standard and benchmark indicators for stroke.Design/methodology/approachA group of experts was brought together in 2016 to discuss the aims and principles of a national audit framework. The steering group quality assurance (SGQA) consisted of representatives of a diversity of professions in the field of stroke care in the Netherlands, including managers, nurses, medical specialists and paramedics.FindingsAuditors, coordinators and professionals evaluated the framework, agreed on that the framework was easy to use and valued the interesting and enjoyable audits, the compliments, feedback and fruitful insights. Participants consider that a quality label may help to overcome necessity issues and have health care insurers on board. Finally, a structured improvement plan after the audit is needed.Originality/valueAn audit offers fruitful insights into the functioning of an ISCS and the collaboration therein. Best practices and points of improvement are revealed and can fuel collaboration and the development of partnerships. Innovative cure and care may lead to an increasing area of support among professionals in the ISCS and consequently lead to improved quality of delivered stroke care.

Medicare and chronic disease management: integrated care as an exceptional circumstance?

2010 ◽  
Vol 34 (2) ◽  
pp. 152 ◽  
Author(s):  
Michael J. Taylor ◽  
Hal Swerissen
Keyword(s):  
Quality Improvement ◽  
Chronic Disease ◽  
Disease Management ◽  
Diabetic Patient ◽  
Patient Care ◽  
Integrated Care ◽  
Chronic Disease Management ◽  
Hypothetical Patient ◽  
Exceptional Circumstance

Chronic disease represents a significant challenge to the design and reform of the Australian healthcare system. The Medicare Benefits Schedule (MBS) provides a framework of numerous chronic disease management programs; however, their use at the patient level is complex. This analysis of the MBS chronic disease framework uses a hypothetical case study of a diabetic patient (with disease-related complications and a complex psychosocial background) to illustrate the difficulties in delivering appropriate multidisciplinary chronic disease care under the MBS. The complexities at each step – from care planning, service provision, and monitoring and review – are described, as are the intricacies involved in providing patient care under different MBS programs as well as those in the broader health and community care system. As demonstrated by this case study, under certain circumstances the provision of truly integrated care to this hypothetical patient would constitute an ‘exceptional circumstance’ under the MBS. Although quality improvement efforts can improve functioning within the limitations of the current system, system-wide reforms are necessary to overcome complexity and fragmentation. What is known about the topic?Chronic disease management requires optimal health system design to provide appropriate patient care. In Australia, the Medicare Benefits Schedule (MBS) provides chronic disease-focussed programs, but the multitude of available programs and items are administratively complex, overlapping and subject to claiming incompatibilities. What does this paper add? This paper illustrates the complexity of the various MBS programs for chronic disease management using a case study of the potential service response to a single diabetic patient with disease-related complications and a complex psychosocial background. This analysis illustrates the manifold problematic interactions and incompatibilities that may arise in relation to this hypothetical patient. What are the implications for practitioners?Under the current MBS framework, providing patients with optimum chronic disease management requires both clinical and administrative skill on the part of GPs. Time spent on administrative requirements is time away from clinical care. Although quality improvement efforts may improve functioning within the existing system to a certain extent, broader system reforms are necessary to support optimal chronic disease management in Australia.

INTEGRATED CARE PATHWAYS IN LUNG CANCER: A QUALITY IMPROVEMENT PROJECT

2018 ◽  
Vol 34 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Gianpiero Fasola ◽  
Jessica Menis ◽  
Alessandro Follador ◽  
Elisa De Carlo ◽  
Francesca Valent ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Quality Improvement ◽  
Integrated Care ◽  
Real Life ◽  
University Hospital ◽  
Care Pathways ◽  
Improvement Project ◽  
Managerial Skills ◽  
Integrated Care Pathways ◽  
Nsclc Patients

Background:Non small cell lung cancer (NSCLC) diagnosis and treatment is a highly complex process, requiring managerial skills merged with clinical knowledge and experience. Integrated care pathways (ICPs) might be a good strategy to overview and improve patient's management. The aim of this study was to review the ICPs of NSCLC patients in a University Hospital and to identify areas of quality improvement.Materials and Methods:The electronic medical records of 169 NSCLC patients visited at the University Hospital were retrospectively reviewed. Quality of care (QoC) has been measured trough fifteen indicators, selected according main international Guidelines and approved by the multi-disciplinary team for thoracic malignancies. Results have been compared with those of a similar retrospective study conducted at the same hospital in 2008.Results:A total of 146 patients were considered eligible. Eight of fifteen indicators were not in line with the benchmarks. We compared the results obtained in the two separate periods. Moreover, we process some proposal to be discussed with the general management of the hospital, aimed to redesign NSCLC care pathways.Conclusions:ICPs confirm to be feasible and to be an effective tool in real life. The periodic measurement of QoC indicators is necessary to ensure clinical governance of patients pathways.

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