scholarly journals Developing a genetic services assessment tool to inform quality improvement efforts in state genetic service delivery

2018 ◽  
Vol 21 (4) ◽  
pp. 955-964
Author(s):  
Ann F. Chou ◽  
John Mulvihill ◽  
Celia Kaye ◽  
Sylvia Mann ◽  
Marc S. Williams ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Service Delivery ◽  
Assessment Tool ◽  
Genetic Services ◽  
Genetic Service

scholarly journals Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

10.2196/23523 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e23523
Author(s):  
Melissa Raspa ◽  
Rebecca Moultrie ◽  
Danielle Toth ◽  
Saira Naim Haque
Keyword(s):  
Literature Review ◽  
Service Delivery ◽  
Technical Assistance ◽  
The United States ◽  
Genetic Services ◽  
Barriers And Facilitators ◽  
Genetic Service ◽  
Provider Education ◽  
Service Delivery Models ◽  
Delivery Models

Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.

Wheelchair Service Delivery Quality Improvement Program

2017 ◽  
Vol 98 (10) ◽  
pp. e131
Author(s):  
Julie Faieta ◽  
Carmen Digiovine ◽  
Theresa Berner ◽  
Wendy Koesters ◽  
Mathew Yankie
Keyword(s):  
Quality Improvement ◽  
Service Delivery ◽  
Quality Improvement Program ◽  
Improvement Program

151 Optimising Bone Health on Sheffield Frailty Unit Through Quality Improvement

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C M Orton ◽  
N E Sinson ◽  
R Blythe ◽  
J Hogan ◽  
N A Vethanayagam ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Fracture Risk ◽  
Fragility Fracture ◽  
Bone Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Fragility Fractures ◽  
Improvement Project ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool

Abstract Introduction NICE and the National Osteoporosis Guidance Group (NOGG) advise on evaluation of fracture risk and osteoporosis treatment1,2, with evidence suggesting that screening and treatment reduces the risk of fragility fractures 3,4,5. However, it is often overlooked in the management of older patients within secondary care. Audit data from Sheffield Frailty Unit (SFU) in 2018 showed that national guidance was not routinely followed. Fracture Risk Assessment Tool (FRAX®) scores were not calculated and bone health was poorly managed. Therefore, we undertook a quality improvement project aiming to optimise bone health in patients presenting to SFU. Method & Intervention In January 2019 we collaborated with Sheffield Metabolic Bone Centre (MBC) to develop a pathway aiming to improve bone health assessment and management in patients presenting to SFU with a fall or fragility fracture. This included a user-friendly flow chart with accompanying guidelines, alongside education for staff. Performance was re-evaluated in May 2019, following which a tick box prompt was added to post take ward round documentation. A re-audit was performed in March 2020. Results In March 2018 0% of patients presenting with a fall had a FRAX® score calculated and only 40% of those with a new fragility fracture were managed according to guidelines. In May 2019, this had improved to 18% and 100% respectively. In March 2020 86% of patients had a FRAX® score calculated appropriately and 100% of fragility fractures were managed according to guidelines. In both re-audits 100% of FRAX® scores were acted on appropriately. Conclusions There has been a significant increase in the number of patients who have their bone health appropriately assessed and managed after presenting to SFU. However, achieving optimum care is under constant review with the aim to deliver more treatment on SFU, thereby reducing the need for repeat visits to the MBC.

scholarly journals Knowledge and attitudes of the South African public with regard to congenital and inherited disorders

Curationis ◽  
1984 ◽  
Vol 7 (2) ◽  
Author(s):  
J. Hof ◽  
H.M. Esterhuysen ◽  
C.J. V.d. Merwe ◽  
C. V.d. Burgh ◽  
L. Lomberg
Keyword(s):  
South Africa ◽  
South African ◽  
Genetic Services ◽  
European Countries ◽  
Genetic Service ◽  
The South ◽  
Inherited Disorders ◽  
Community Based ◽  
Knowledge And Attitudes ◽  
Department Of Health

In the U.S.A. and most European countries the establishment of community based genetic services has emerged only within the last decade. There has been a tendency for the relevant government departments to assume partial or complete responsibility for these services. In South Africa such a community based genetic service under direction of the Genetic Services Division of the Department of Health and Welfare was conceptualised in 1971 and put into operation in 1975.

scholarly journals The Launch of the National Rollout of the Municipal Innovation Maturity Index (MIMI) (A tool to measure innovation in municipalities).

2021 ◽  
Keyword(s):  
Service Delivery ◽  
Assessment Tool ◽  
International Perspective ◽  
Director General ◽  
Digital Assessment ◽  
Vice Chancellor ◽  
National University ◽  
Innovative Tool ◽  
International Audience ◽  
The University

The MIMI project was initiated by the DSI in partnership with the South African Local Government Association (SALGA), the HSRC and UKZN. The purpose of this initiative was to develop an innovative tool capable of assessing and measuring the innovation landscape in municipalities, thus enabling municipalities to adopt innovative practices to improve service delivery. The outcome of the implementation testing, based on the participation of 22 municipalities, demonstrated the value and the capacity of MIMI to produce innovation maturity scores for municipalities. The digital assessment tool looked at how a municipality, as an organisation, responds to science, technology and innovation (STI) linked to service delivery, and the innovation capabilities and readiness of the municipality and the officials themselves. The tool is also designed to recommend areas of improvements in adopting innovative practices and nurturing an innovation mindset for impactful municipal service delivery. The plan going forward is to conduct learning forums to train municipal officials on how to use the MIMI digital platform, inform them about the nationwide implementation rollout plan and support municipal officials to engage in interactive and shared learnings to allow them to move to higher innovation maturity levels. The virtual launch featured a keynote address by the DSI Director-General, Dr Phil Mjwara; Prof Mehmet Akif Demircioglu from the National University of Singapore gave an international perspective on innovation measurements in the public sector; and messages of support were received from MIMI partners, delivered by Prof Mosa Moshabela, Deputy Vice-Chancellor (DVC) of Research at the University of KwaZulu-Natal (UKZN) and Prof Leickness Simbayi, Acting CEO of the Human Sciences Research Council (HSRC). It attracted over 200 attendees from municipalities, government, business and private sector stakeholders, academics, policymakers and the international audience. @ASSAf_Official; @dsigovza; #MIMI_Launch; #IID

Development and validation of an A3 problem-solving assessment tool and self-instructional package for teachers of quality improvement in healthcare

2021 ◽  
pp. bmjqs-2020-012105
Author(s):  
Jennifer S Myers ◽  
Jeanne M Kin ◽  
John E Billi ◽  
Kathleen G Burke ◽  
Richard Van Harrison
Keyword(s):  
Quality Improvement ◽  
Problem Solving ◽  
Assessment Tool ◽  
Relevant Literature ◽  
Intraclass Correlation ◽  
Management Approach ◽  
Problem Solving Skills ◽  
Experience Teaching ◽  
Self Instruction ◽  
Summative Feedback

PurposeA3 problem solving is part of the Lean management approach to quality improvement (QI). However, few tools are available to assess A3 problem-solving skills. The authors sought to develop an assessment tool for problem-solving A3s with an accompanying self-instruction package and to test agreement in assessments made by individuals who teach A3 problem solving.MethodsAfter reviewing relevant literature, the authors developed an A3 assessment tool and self-instruction package over five improvement cycles. Lean experts and individuals from two institutions with QI proficiency and experience teaching QI provided iterative feedback on the materials. Tests of inter-rater agreement were conducted in cycles 3, 4 and 5. The final assessment tool was tested in a study involving 12 raters assessing 23 items on six A3s that were modified to enable testing a range of scores.ResultsThe intraclass correlation coefficient (ICC) for overall assessment of an A3 (rater’s mean on 23 items per A3 compared across 12 raters and 6 A3s) was 0.89 (95% CI 0.75 to 0.98), indicating excellent reliability. For the 20 items with appreciable variation in scores across A3s, ICCs ranged from 0.41 to 0.97, indicating fair to excellent reliability. Raters from two institutions scored items similarly (mean ratings of 2.10 and 2.13, p=0.57). Physicians provided marginally higher ratings than QI professionals (mean ratings of 2.17 and 2.00, p=0.003). Raters averaged completing the self-instruction package in 1.5 hours, then rated six A3s in 2.0 hours.ConclusionThis study provides evidence of the reliability of a tool to assess healthcare QI project proposals that use the A3 problem-solving approach. The tool also demonstrated evidence of measurement, content and construct validity. QI educators and practitioners can use the free online materials to assess learners’ A3s, provide formative and summative feedback on QI project proposals and enhance their teaching.

scholarly journals WaSH CQI: Applying continuous quality improvement methods to water service delivery in four districts of rural northern Ghana

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0233679
Author(s):  
Michael B. Fisher ◽  
Leslie Danquah ◽  
Zakaria Seidu ◽  
Allison N. Fechter ◽  
Bansaga Saga ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Service Delivery ◽  
Continuous Quality Improvement ◽  
Northern Ghana ◽  
Water Service ◽  
Continuous Quality

Project Management Assessment Methods

2011 ◽  
pp. 321-357
Author(s):  
Mysore Narayanan
Keyword(s):  
Quality Improvement ◽  
Project Management ◽  
Small Business ◽  
21St Century ◽  
Continuous Quality Improvement ◽  
Assessment Tool ◽  
Business Environment ◽  
Global Market ◽  
Assessment Methods ◽  
Continuous Quality

In this chapter, the author describes how one can implement and incorporate creative techniques to design, develop, document and disseminate a systematic process for conducting assessment, whether it be in a multinational corporation or it be in a small business environment. The author accomplishes this by providing models, samples and established guidelines for effectively using assessment results for continuous quality improvement. The author focuses on the importance of adopting modern techniques and stresses that technology should not be viewed just as a growing trend. The author shows how technology can be intelligently implemented as an invaluable assessment tool that can quickly identify areas for improvement so that a given corporation can continue to climb the ladder of success in a competitive global market of the 21st Century.

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