The USA: Triple Aim and quality improvement

2016 ◽  
pp. 269-280
Keyword(s):  
Quality Improvement ◽  
Triple Aim ◽  
The Usa

scholarly journals Quality improvement in mental health services

2019 ◽  
Vol 44 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Billy Boland
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Manufacturing Industry ◽  
Mental Healthcare ◽  
Lean Thinking ◽  
Use Of Data ◽  
Healthcare Improvement ◽  
The Usa

Quality improvement (QI) approaches are becoming increasingly important in the delivery of mental healthcare internationally. They were originally developed in the manufacturing industry, but the principle of having a systematic approach to improvement has spread to many other industries, not least to healthcare. Quality improvement approaches in healthcare were pioneered in the USA at organisations such as Virginia Mason and the Institute for Healthcare Improvement. In recent years, they have become firmly established in mental health services in the UK's National Health Service (NHS). There are a number of different approaches to quality improvement, but two leading models have taken root: ‘lean thinking’ (also known as ‘lean methodology’ or simply ‘lean’), which arose out of Virginia Mason, and the ‘Model for Improvement’, which came out of the Institute of Healthcare Improvement. This article describes these two quality improvement approaches, critiques their philosophy and explores how they can apply in the provision of mental healthcare, particularly with reference to the use of data, evidence and metrics.

Networked improvement communities

2017 ◽  
Vol 25 (1) ◽  
pp. 5-25 ◽  
Author(s):  
Paul G. LeMahieu ◽  
Alicia Grunow ◽  
Laura Baker ◽  
Lee E. Nordstrum ◽  
Louis M. Gomez
Keyword(s):  
Quality Improvement ◽  
Social Systems ◽  
New Teacher ◽  
Added Value ◽  
Content Type ◽  
Public School Systems ◽  
The Usa ◽  
Theoretical Foundations

Purpose The purpose of this paper is to delineate an approach to quality assurance in education called networked improvement communities (NICs) that focused on integrating the methodologies of improvement science with few of the networks. Quality improvement, the science and practice of continuously improving programs, practices, processes, products and services within organized social systems, is a still-evolving area in education. This paper is the first of seven elaborating upon different approaches to quality improvement in education[1]. It delineates a new methodology called the NICs model. Developed by the Carnegie Foundation for the Advancement of Teaching, the approach is aimed at continuously improving the quality of practices, processes and outcomes in targeted problem areas in education systems. Design/methodology/approach The paper presents the historical development, theoretical foundations, core principles and adaptation of key elements of the NICs model for quality improvement in education. A case study specifically examines the problem of fostering new teacher effectiveness and retention in large public school systems in the USA. Findings The six principles underlying the NICs model are as follows: make the work problem-specific and user-centered, focus on variation in performance, see the system that produces outcomes, improve at scale what you can measure, use disciplined inquiry to drive improvement and accelerate learning through networked communities. Originality/value Few theoretical treatments and demonstration cases are currently available that examine the application of common models of quality improvement in education. This paper elaborates on one promising approach. In addition to examining the NICs model, the paper derives added value by allowing comparisons with seven widely used quality improvement approaches treated in this volume.

Performance of endovenous foam sclerotherapy in the USA for the treatment of venous disorders: ACP/SVM/AVF/SIR quality improvement guidelines

2013 ◽  
Vol 29 (2) ◽  
pp. 76-82 ◽  
Author(s):  
S Rathbun ◽  
A Norris ◽  
N Morrison ◽  
K Gibson ◽  
P Raymond-Martimbeau ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Varicose Veins ◽  
Meta Analysis ◽  
Previous Treatment ◽  
Signs And Symptoms ◽  
Primary Treatment ◽  
Consensus Panel ◽  
Foam Sclerotherapy ◽  
The Usa ◽  
Venous Disorders

Objective This report summarizes the findings of the consensus panel based on the results of the comprehensive questionnaire of US American College of Phlebology annual congress attendees and results of the systematic meta-analysis of the literature and provides quality improvement guidelines for the use of endovenous foam sclerotherapy (EFS) for the treatment of venous disorders, as well as identifies areas of needed research. Methods Based on the above data, quality improvement guidelines were developed and reviewed by the ten US consensus panel members and approved by their respective societies. Results EFS is effective for the treatment of truncal and tributary varicose veins, both as primary treatment and for treatment of recurrence. It may improve the signs and symptoms associated with varicose veins including pain and swelling. EFS is contraindicated in patients who have experienced an allergic reaction to previous treatment with foam or liquid sclerosant, and in patients with acute venous thrombosis events secondary to EFS. Conclusion These guidelines for the use of EFS in the treatment of venous disorders provide an initial framework for the safe and efficacious use of this therapy, and the impetus to promote the evaluation of the questions remaining regarding the use of EFS through well-designed randomized and cohort studies.

scholarly journals A Review of Quality Improvement [QI] Specialised Interventions in the USA and England to Reduce the Number of Police Mental Health Crisis Detentions and Provide Support to High Intensity Utilisers [HIUs]

2017 ◽  
Vol 4 (1) ◽  
pp. 57-72
Author(s):  
Catherine B Matheson-Monnet ◽  
Paul Jennings
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Evidence Based ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The Usa ◽  
Improvement Interventions ◽  
Key Issues ◽  
Quality Improvement Interventions ◽  
Cit Model

Background:Key issues in both the USA and England have been how to deal appropriately and effectively with the increasing number of mental health related incidents, in particular 1) the rising number of people with mental health issues detained in police custody until they can be clinically assessed and 2) the negative impact on public safety of the high intensity service users [HIUs] who draw a disproportionate amount of emergency and crisis services and are well known to both police and mental health services.Aims and objectives:To provide an overview of what is known about current quality improvement interventions undertaken to address these two key issuesi.e.reducing both the number of police mental health crisis detention and the disproportionate amount of emergency and crisis service usage [police, ambulance, ED] from HIUs with complex mental health problems to help inform policy and practice decisions in a context of lack of best evidence and lack of evidence based studies.Methods:PubMed and Google Scholar were searched to undertake a narrative synthesis of what is known of the various quality improvement interventions that have been introduced in both the USA and England to address these two key issues. Authors’ knowledge was also used to describe two quality improvement interventions not included/not yet listed in Google Scholar or PubMed.Results:In the USA, the dominant approach to reduce mental health police detentions is the CIT model, first introduced in 1988, now increasingly implemented with the addition of the older model of police and mental health co-responder (which go back several decades earlier) to increase its effectiveness. The CIT model has been adopted and spread worldwide despite methodological shortcomings in evaluations. Although a best evidence model with increasing data being gathered on effectiveness, it has yet to become an evidence based model. The Street Triage models introduced in England in 2012 were inspired by the older police and mental health co-responder model. Despite a primarily descriptive approach and methodological shortcomings in evaluations and only a handful of studies published, ST has also been widely adopted and spread within England. Only a handful of interventions have focussed on supporting HIUs with the implementation in England of a unique model but evolving model of integrating a police officer within a multi-disciplinary mentoring style intervention which has now adopted by other English police forces and could usefully be adopted by USA police forces.Conclusion:More data need to be systematically gathered on effectiveness and analysed against a range of clear success criteria, including a cost benefit analysis of the relative merits of their different variations before and in order that they can be called evidence-based models.

What Defines a Breast Centre? An NAPBC Vision

2019 ◽  
pp. 40-45
Author(s):  
Cary S Kaufman ◽  
Terry Sarantou
Keyword(s):  
Quality Improvement ◽  
Community Outreach ◽  
Multidisciplinary Care ◽  
National Accreditation ◽  
Quality Improvement Research ◽  
Accreditation Program ◽  
The Usa ◽  
Breast Centers ◽  
Definition Of

Abstract: The definition of a breast centre includes leadership with authority, multidisciplinary care and conferences, database maintenance, quality improvement, research, and community outreach. The National Accreditation Program for Breast Centers (NAPBC) in the USA has defined a set of standards to monitor compliance with the underlying goals of a breast centre.

Zero suicide southwest UK initiative – Steps to mitigate suicide risk in local populations using quality improvement methodology and a whole life approach

2017 ◽  
Vol 41 (S1) ◽  
pp. S402-S402 ◽  
Author(s):  
R. Shankar ◽  
E. Wilkinson ◽  
S. Roberts ◽  
O. Rebecca
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Regional Strategy ◽  
Suicide Survivors ◽  
Radio Stations ◽  
The Usa ◽  
Competing Interest ◽  
To Come

BackgroundOnly 25% of people who die by suicide see mental health services. Suicide is not just a health issue. Its causation and consequences lie within all of society. Many erroneously believe that suicide is inevitable and not preventable, because its causation is too complex. Underlying associations with suicide are largely social. There are programmes in the USA, which have combined interventions to reduce suicides. The 2014 UK suicide rate per 100,000 was 10.8 but 11.1 in South West (SW) England (pop: 5 million). A whole system approach is necessary. Zero Suicides SW is a project to address this.Aim(1) To develop a regional strategy to reduce and prevent suicide. (2) To make whole populations suicide risk aware. (3) Reduce regional suicide rates.MethodA collaborative involving national and local 60 organisations including charities and voluntary sector was formed. Five collaborative meetings used narratives of suicide survivors, national experts led themed workshops, etc. to come up with a regional strategy. Quality Improvement (QI) Methodology was used to develop and examine the success of all projects.OutputsInitiatives such as using local radio stations for mental health promotion, collaboration via a poster campaign with local breweries and pubs to make men more self-aware of risk, suicide risk counselling for relatives/carers of patients admitted to psychiatric care, improving scrutiny to access to medication for recently discharged psychiatric patients have developed from the project. The QI model demonstrated how localised changes at person and organisation level could combine and have a powerful role in suicide prevention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Lean for education

2017 ◽  
Vol 25 (1) ◽  
pp. 74-90 ◽  
Author(s):  
Paul G. LeMahieu ◽  
Lee E. Nordstrum ◽  
Patricia Greco
Keyword(s):  
Quality Improvement ◽  
Design Methodology ◽  
Quality Improvements ◽  
Education Systems ◽  
Content Type ◽  
Core Concepts ◽  
The Usa ◽  
Theoretical Foundations ◽  
Continuous Problem

Purpose This paper is one of seven in this volume that aims to elaborate different approaches to quality improvement in education. It delineates a methodology called Lean for Education. Design/methodology/approach The paper presents the origins, theoretical foundations, core concepts and a case study demonstrating an application in US education, specifically dealing with the problem of improving technology supports and services for instructional purposes in a school district system. Findings An approach borrowed from manufacturing, Lean is aimed at creating and delivering the greatest value to the clients or “customers” in education systems while consuming the fewest resources and eliminating waste. Simultaneously, the method engages the organization in continuous problem solving, learning and making quality improvements with Plan-Do-Check-Act cycles. The core concepts that organize the Lean for Education approach are: continuous improvement and respect for people (Emiliani, 2005). Originality/value Few theoretical treatments and demonstration cases are currently available on commonly used models of quality improvement in other fields that might have potential value in improving education systems internationally, such as large grade kindergarten-to-12 education systems in the USA. This paper fills this gap by elucidating one promising approach. The paper also derives value as it permits a comparison of the Lean for Education method with other quality improvement approaches treated in this volume.

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