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American Journal of Medical Quality: the Official Journal of the American College of Medical Quality

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https://read.qxmd.com/read/30991814/aggregating-claims-data-across-payers-approaches-challenges-and-lessons-learned-from-the-comprehensive-primary-care-initiative
#1
Anne Mutti, Erin Fries Taylor, Deborah Peikes, Janel Jin, Kristie Liao, Ha Tu
The Comprehensive Primary Care (CPC) initiative fueled the emergence of new organizational alliances and financial commitments among payers and primary care practices to use data for performance improvement. In most regions of the country, practices received separate confidential feedback reports of claims-based measures from multiple payers, which varied in content and provided an incomplete picture of a practice's patient panel. Over CPC's last few years, participating payers in several regions resisted the tendency to guard data as a proprietary asset, instead working collaboratively to produce aggregated performance feedback for practices...
April 16, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30974957/providing-linguistically-competent-care-for-refugee-patients-in-clarkston-georgia-an-interprofessional-quality-improvement-team-initiative
#2
Rebecca Engels, Cricket Gullickson Ba, Reem Hamoda, J Joyce Kim, Julia Schiff
No abstract text is available yet for this article.
April 12, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30939891/code-switching-and-handoff-communication-processes
#3
Jessica Wendorf Muhamad, Tyler R Harrison, Fan Yang, Sean Sawicki
No abstract text is available yet for this article.
April 2, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30913905/weighting-of-measures-in-the-safety-of-care-group-of-the-overall-hospital-quality-star-rating-program-an-alternative-approach
#4
David R Nerenz, Jianhui Hu, Brian Waterman, Jack Jordan
The Centers for Medicare & Medicaid Services' Overall Hospital Quality Star Rating program has raised concerns since its introduction in 2016. Using both national data and data from a large urban teaching hospital, the authors examined a few methodological issues of one heavily weighted measure group, the Safety of Care group. The authors investigated the validity of the assumption that a single underlying quality trait exists among the 8 Safety measures, and the sensitivity of the Safety group score in response to a range of measure improvement scenarios...
March 27, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30868922/stroke-center-certification-is-associated-with-improved-guideline-concordance
#5
Adam S Jasne, Heidi Sucharew, Kathleen Alwell, Charles J Moomaw, Matthew L Flaherty, Opeolu Adeoye, Daniel Woo, Jason Mackey, Simona Ferioli, Sharyl Martini, Felipe de Los Rios la Rosa, Brett M Kissela, Dawn Kleindorfer
Measurement of quality of stroke care has become increasingly important, but data come mostly from programs in hospitals that choose to participate in certification programs, which may not be representative of the care provided in nonparticipating hospitals. The authors sought to determine differences in quality of care metric concordance for acute ischemic stroke among hospitals designated as a primary stroke center, comprehensive stroke center, and non-stroke center in a population-based epidemiologic study...
March 14, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30862173/medical-student-resiliency-an-approach-to-improving-quality-of-health-care
#6
Don Hayes
No abstract text is available yet for this article.
March 12, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30834776/geospatial-clinical-and-social-determinants-of-hospital-readmissions
#7
Yun Ye, Micah W Beachy, Jiangtao Luo, Tammy Winterboer, Brandon S Fleharty, Charlotte Brewer, Zijian Qin, Zaeema Naveed, Michael A Ash, Lorena Baccaglini
Unnecessary hospital readmissions increase patient burden, decrease health care quality and efficiency, and raise overall costs. This retrospective cohort study sought to identify high-risk patients who may serve as targets for interventions aiming at reducing hospital readmissions. The authors compared geospatial, social demographic, and clinical characteristics of patients with or without a 90-day readmission. Electronic health records of 42 330 adult patients admitted to 2 Midwestern hospitals during 2013 to 2016 were used, and logistic regression was performed to determine risk factors for readmission...
March 5, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30758224/issues-of-version-control-in-ehr-generated-clinical-summaries-for-patients
#8
Erin Sarzynski, Kevin Brooks, Kirsta Bray, Michele C Fritz, Mathew J Reeves
No abstract text is available yet for this article.
February 13, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30758222/improvement-of-specialist-referral-follow-up-one-university-health-service-improvement-success-story
#9
Beth Kotarski
No abstract text is available yet for this article.
February 13, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30758219/one-year-changes-in-intern-physicians-quality-improvement-and-patient-safety-knowledge-awareness-engagement-and-interest
#10
Ari B Filip, Carol R Thrush, Timothy Atkinson, Paula Podrazik, Travis Eastin, Muhammad Jaffar, James A Clardy
No abstract text is available yet for this article.
February 13, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30758217/assessing-and-standardizing-informed-consent-for-total-thyroidectomies
#11
Stephanie J Wong, Charles N Babb, Vishnu Kadiyala, Matthew C Miller
No abstract text is available yet for this article.
February 13, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30739459/an-idea-safety-training-to-improve-critical-thinking-by-individuals-and-teams
#12
Anne Marie Browne, Ellen S Deutsch, Krystyna Corwin, Daniela H Davis, Jeanette M Teets, Michael Apkon
Errors in thinking contribute to harm, delays in diagnosis, incorrect treatments, or failures to recognize clinical changes. Models of cognition are useful in understanding error occurrence and avoidance. Intra-team conflict can represent failures in joint cognitive processing. The authors developed training focused on recognizing and managing cognitive bias and resolving conflicts. The program provides context and introduces models of cognition, concepts of bias, team cognition, conflict resolution, and 2 tools...
February 9, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30714387/how-leading-hospitals-operationalize-evidence-based-readmission-reduction-strategies-a-mixed-methods-comparative-study-using-systematic-review-and-survey-design
#13
Bita A Kash, Juha Baek, Ohbet Cheon, Joanna-Grace Mayo Manzano, Stephen L Jones, Jaya Paranilam, Robert A Phillips
Although various interventions targeted at reducing hospital readmissions have been identified in the literature, little is known about actual operationalization of such evidence-based interventions. This study conducted a systematic review and a survey of key informants in 2 leading hospitals, Houston Methodist (HM) and MD Anderson Cancer Center (MDACC), to compare and contrast the most cited evidence-based interventions in the current literature with interventions reported by those hospitals. The authors found that both hospitals followed evidence-based practices reported as successful in the literature...
February 4, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30704259/unifying-the-health-care-ecosystem-to-eliminate-preventable-harm
#14
Joe Kiani
No abstract text is available yet for this article.
February 1, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30698036/associations-among-practice-variation-clinician-characteristics-and-care-algorithm-usage-a-multispecialty-vignette-study
#15
David A Cook, V Shane Pankratz, Laurie J Pencille, Denise M Dupras, Jane A Linderbaum, John M Wilkinson
The objective was to quantitatively evaluate clinician characteristics associated with unwarranted practice variation, and how clinical care algorithms influence this variation. Participants (142 physicians, 53 nurse practitioners, and 9 physician assistants in family medicine, internal medicine, and cardiology) described their management of 4 clinical vignettes, first based on their own practice (unguided), then using care algorithms (guided). The authors quantitatively estimated variation in management. Cardiologists demonstrated 17% lower variation in unguided responses than generalists (fold-change 0...
January 30, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30693784/an-interprofessional-quality-improvement-training-program-that-improves-educational-and-quality-outcomes
#16
Marianne Baernholdt, Moshe Feldman, Mary Lynn Davis-Ajami, L Dale Harvey, Paul E Mazmanian, Debbie Mobley, Jenifer K Murphy, Carolyn Watts, Alan Dow
A key component of quality improvement (QI) is developing leaders who can implement QI projects collaboratively. A yearlong interprofessional, workplace-based, continuing professional development program devoted to QI trained 2 cohorts of teams (dyads or triads) to lead QI projects in their areas of work using Plan-Do-Study-Act methodology. Teams represented different specialties in both inpatient and outpatient settings. They spent 4 to 6 hours/week on seminars, online modules, bimonthly meetings with a QI coach, and QI project work...
January 29, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30691288/impact-of-locally-adopted-simulation-based-crew-resource-management-training-on-patient-safety-culture-comparison-between-operating-room-personnel-and-general-health-care-populations-pre-and-post-course
#17
Adeline P N Man, Carmen K M Lam, Benny C P Cheng, Kam-Shing Tang, Pui-Fun Tang
Crew resource management (CRM) was introduced to enhance patient safety and reduce medical errors through multidisciplinary learning experience. This study investigates the impact of locally adopted simulation-based CRM training on participants' perceptions and knowledge. A 32-item web-based questionnaire was administered pre course, 1 month, and 1 year post course to assess changes in perceptions and knowledge. Another 12-item paper-based questionnaire was administered immediately post course to assess reactions...
January 28, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30675797/quality-improvement-toolkits-recommendations-for-development
#18
Susanne Hempel, Isomi Miake-Lye, Angela G Brega, Fred Buckhold, Susan Hassell, Mary Patricia Nowalk, Lisa Rubenstein, Kathryn Schreiber, William D Spector, Amy M Kilbourne, David A Ganz
A burgeoning number of toolkits dedicated to improving health care exist but development guidance is lacking. The authors convened a panel of health care stakeholders, including developers, purchasers, users, funders, and disseminators of toolkits. The panel was informed by a literature review that analyzed 44 publications and 27 toolkits. A modified Delphi process established recommendations and suggestions to guide toolkit development. The panel established 12 recommendations for content and 1 recommendation for toolkit development methods...
January 24, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30658537/the-swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-with-hospital-patient-safety-initiatives
#19
Matthew S Durstenfeld, Scott Statman, Andrew Dikman, Anahita Fallahi, Cindy Fang, Frank M Volpicelli, Katherine A Hochman
The Accreditation Council for Graduate Medical Education requires integration of quality improvement and patient safety education into graduate medical education (GME). The authors created a novel "Swiss Cheese Conference" to bridge the gap between GME and hospital patient safety initiatives. Residents investigate a specific patient safety event and lead a monthly multidisciplinary conference about the case. Resident presenters introduce the Swiss cheese model, present the case and their findings, and teach a patient safety topic...
January 18, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://read.qxmd.com/read/30654622/decreasing-room-traffic-in-orthopedic-surgery-a-quality-improvement-initiative
#20
Alex C DiBartola, Christine Barron, Scott Smith, Catherine Quatman-Yates, Ajit M W Chaudhari, Thomas J Scharschmidt, Susan D Moffatt-Bruce, Carmen E Quatman
Operating room (OR) traffic and door openings increase potential for air contamination in the OR and create distractions for surgical teams. A multidisciplinary intervention was developed among OR staff, surgical staff, vendors, radiology, and anesthesia and approved by the hospital system's patient and quality safety department for implementation. Interventions included education, OR signage, and team-based accountability and behavioral interventions. After interventions were implemented, a second prospective, observational data collection was performed and compared to preintervention OR traffic...
January 17, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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