The Coordination Toolkit and Coaching Project: Cluster-Randomized Quality Improvement Initiative to Improve Patient Experience of Care Coordination

2021 ◽  
Author(s):  
Polly H. Noël ◽  
Jenny M. Barnard ◽  
Mei Leng ◽  
Lauren S. Penney ◽  
Purnima S. Bharath ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Experience ◽  
Care Coordination ◽  
Quality Improvement Initiative ◽  
Experience Of Care ◽  
Cluster Randomized ◽  
Improve Patient

Parent Pagers: Improving Patient Experience and Efficiency in Paediatric PACU

2017 ◽  
Vol 27 (5) ◽  
pp. 110-116
Author(s):  
G Byrn
Keyword(s):  
Quality Improvement ◽  
Patient Experience ◽  
Quality Improvement Initiative ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Improve Patient

A quality improvement initiative undertaken by the paediatric recovery team at the Leeds Children's Hospital sought to improve patient experience and efficiency by implementing an electronic pager system to contact parents/carers following their child's surgery.

Broadening the concept of patient safety culture through value-based healthcare

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Viktor Dombrádi ◽  
Klára Bíró ◽  
Guenther Jonitz ◽  
Muir Gray ◽  
Anant Jani
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Cost Benefit ◽  
Population Level ◽  
Patient Safety Culture ◽  
Content Type ◽  
Experience Of Care ◽  
Improve Patient

PurposeDecision-makers are looking for innovative approaches to improve patient experience and outcomes with the finite resources available in healthcare. The concept of value-based healthcare has been proposed as one such approach. Since unsafe care hinders patient experience and contributes to waste, the purpose of this paper is to investigate how the value-based approach can help broaden the existing concept of patient safety culture and thus, improve patient safety and healthcare value.Design/methodology/approachIn the arguments, the authors use the triple value model which consists of personal, technical and allocative value. These three aspects together promote healthcare in which the experience of care is improved through the involvement of patients, while also considering the optimal utilisation and allocation of finite healthcare resources.FindingsWhile the idea that patient involvement should be integrated into patient safety culture has already been suggested, there is a lack of emphasis that economic considerations can play an important role as well. Patient safety should be perceived as an investment, thus, relevant questions need to be addressed such as how much resources should be invested into patient safety, how the finite resources should be allocated to maximise health benefits at a population level and how resources should be utilised to get the best cost-benefit ratio.Originality/valueThus far, both the importance of patient safety culture and value-based healthcare have been advocated; this paper emphasizes the need to consider these two approaches together.

scholarly journals 'Team capital’ in quality improvement teams: findings from an ethnographic study of front-line quality improvement in the NHS

2020 ◽  
Vol 9 (2) ◽  
pp. e000948
Author(s):  
Catherine Montgomery ◽  
Stephen Parkin ◽  
Alison Chisholm ◽  
Louise Locock
Keyword(s):  
Quality Improvement ◽  
Patient Experience ◽  
Daily Practice ◽  
Healthcare Systems ◽  
Ethnographic Study ◽  
Front Line ◽  
Multiple Resources ◽  
Informal Knowledge ◽  
Organisation Management ◽  
Improve Patient

BackgroundTeamwork is important in the design and delivery of initiatives in complex healthcare systems but the specifics of quality improvement (QI) teams are not well studied.ObjectiveTo explain the functioning of front-line healthcare teams working on patient-centred QI using Bourdieu’s sociological construct of capital.MethodsOne medical ward from each of six NHS Trusts in England participated in the study, purposively selected for a range of performance levels on patient experience metrics. Three ethnographers conducted focused ethnography for 1 year, using interviews and observations to explore the organisation, management and delivery of patient-centred QI projects by the six front-line teams. Data were analysed using Bourdieu’s typology of the four forms of capital: economic, social, symbolic and cultural.ResultsWhile all teams implemented some QI activities to improve patient experience, progress was greater where teams included staff from a broad range of disciplines and levels of seniority. Teams containing both clinical and non-clinical staff, including staff on lower grades such as healthcare assistants and clerks, engaged more confidently with patient experience data than unidisciplinary teams, and implemented a more ambitious set of projects. We explain these findings in terms of ‘team capital’.ConclusionTeams that chose to restrict membership to particular disciplines appeared to limit their capital, whereas more varied teams were able to draw on multiple resources, skills, networks and alliances to overcome challenges. Staff of varying levels of seniority also shared and valued a broader range of insights into patient experience, including informal knowledge from daily practice. The construct of ‘team capital’ has the potential to enrich understanding of the mechanism of teamwork in QI work.

A Quality Improvement Initiative to Improve Patient Adherence to Vitamin Supplementation in Cystic Fibrosis

2017 ◽  
Vol 64 (2) ◽  
pp. 292-295 ◽  
Author(s):  
Lisa Garavaglia ◽  
Christina Duncan ◽  
Malorie Toucheque ◽  
Allilene Farley ◽  
Kathryn S. Moffett
Keyword(s):  
Cystic Fibrosis ◽  
Quality Improvement ◽  
Patient Adherence ◽  
Vitamin Supplementation ◽  
Quality Improvement Initiative ◽  
Improve Patient Adherence ◽  
Improve Patient

scholarly journals Using Quality Improvement Methods to Improve Patient Experience

2016 ◽  
Vol 13 (12) ◽  
pp. 1550-1554 ◽  
Author(s):  
Jeff D. Jensen ◽  
Lisa Allen ◽  
Robert Blasko ◽  
Paul Nagy
Keyword(s):  
Quality Improvement ◽  
Patient Experience ◽  
Improve Patient

scholarly journals Interventions for Improving Outcomes in Patients With Multimorbidity in Primary Care and Community Setting: A Systematic Review

2021 ◽  
Author(s):  
Susan Smith ◽  
Emma Wallace ◽  
Barbara Clyne ◽  
Fiona Boland ◽  
Martin Fortin
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Coordination ◽  
Health Behaviours ◽  
Self Management ◽  
Management Support ◽  
Medicines Management ◽  
Experience Of Care ◽  
Patient Health ◽  
Improve Patient

Abstract BackgroundMultimorbidity, defined as the co-existence of two or more chronic conditions, presents significant challenges to patients, healthcare providers and health systems. Despite this, there is ongoing uncertainty about the most effective ways to manage patients with multimorbidity. This review aimed to determine the effectiveness of interventions designed to improve outcomes in people with multimorbidity in primary care and community settings, compared to usual care.MethodsWe searched eight databases and two trials registers up to 9th September 2019. Two review authors independently screened and selected studies, extracted data, evaluated study quality and judged the certainty of the evidence (GRADE). Interventions were grouped by their predominant focus into care-coordination/self-management support, self-management support and medicines management. Main outcomes were health related quality of life (HRQoL) and mental health. Meta-analyses were conducted, where possible, but the synthesis was predominantly narrative.ResultsWe included 16 RCTs with 4,753 participants, the majority being older adults with at least three conditions. There were eight care-coordination/self-management support studies, four self-management support studies and four medicines management studies. There was little or no evidence of an effect on primary outcomes of HRQoL (MD 0.03, 95% CI -0.01 to 0.07, I2 = 39%) and mental health or on secondary outcomes with a small number of studies reporting that care coordination may improve patient experience of care and self-management support may improve patient health behaviours. Overall the certainty of the evidence was graded as low due to significant variation in study participants and interventions. Conclusions There are remaining uncertainties about the effectiveness of interventions for people with multimorbidity, despite the growing number of RCTs conducted in this area. Our findings suggest that future research should consider patient experience of care, optimising medicines management and targeted patient health behaviours such as exercise.

scholarly journals Leveraging an Ambulatory Patient and Family Advisory Council to Improve Patient Experience Scores

2021 ◽  
Vol 8 ◽  
pp. 237437352110393
Author(s):  
Susan Y. Lee
Keyword(s):  
Quality Improvement ◽  
Patient Experience ◽  
Health Care Providers ◽  
Advisory Council ◽  
Care Providers ◽  
Ambulatory Patient ◽  
Care Practices ◽  
Primary Care Practices ◽  
Consumer Assessment ◽  
Improve Patient

Reports have shown that ambulatory primary care practices that include patients and families in their quality improvement efforts have many benefits including better relationships and interactions with patients. In this paper, we describe our experience of involving our patients, family, and staff who are members of or Patient and Family Advisory Council (PFAC) in our quality improvement efforts related to patient experience. For a year, members of the PFAC suggested creative implementations to our office policies and workflow to improve satisfaction scores on the Clinician and Group Consumer Assessment of Health care Providers and Systems survey in key areas: information about delays, wait times in clinic, and convenience of appointments.

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