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The Improvement Guide: A Practical Approach to Enhancing Organizational Performance
13 Nov 1996-
TL;DR: The slogan for quality improvement is, simply, “all improvements involve changes but not all changes are improvements,” and ENM employs this model and method to teach providers in SBHCs to identify practice changes that will lead to improved patient care and help reduce health care costs.
About: The article was published on 1996-11-13 and is currently open access. It has received 2544 citations till now. The article focuses on the topics: Organizational performance.
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Harvard University1, New York University2, World Bank3, Mexican Social Security Institute4, Wellcome Trust5, Inter-American Development Bank6, University of Ibadan7, Northwestern University8, Bill & Melinda Gates Foundation9, Malawi University of Science and Technology10, University of London11, Duke University12, University of Bergen13, Public Health Foundation of India14, Centers for Disease Control and Prevention15, Stanford University16, Kathmandu17
TL;DR: High-quality health systems in the Sustainable Development Goals era: time for a revolution.
1,434 citations
TL;DR: A theoretical framework for assessing the quality of application of PDSA cycles is proposed and the consistency with which the method has been applied in peer-reviewed literature against this framework is explored.
Abstract: Background Plan–do–study–act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing the quality of application of PDSA cycles and explores the consistency with which the method has been applied in peer-reviewed literature against this framework. Methods NHS Evidence and Cochrane databases were searched by three independent reviewers. Empirical studies were included that reported application of the PDSA method in healthcare. Application of PDSA cycles was assessed against key features of the method, including documentation characteristics, use of iterative cycles, prediction-based testing of change, initial small-scale testing and use of data
1,227 citations
Cites methods from "The Improvement Guide: A Practical ..."
...…(PDSA) cycle method according to developers and commentators Deming (1986)25Original description of the method relating to manufacturing Langley (1996)30How the PDSA method may be adapted for use in healthcare contexts Speroff and O’Connor (2004)33How the PDSA method is analogous to…...
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TL;DR: This work organizes and synthesizes these models by developing an inventory of models used in D&I research, synthesizing this information and providing guidance on how to select a model to inform study design and execution to enable researchers to better identify and select models to inform their D &I work.
1,046 citations
TL;DR: This updated clinical report provides more practice-based quality improvement guidance on key elements of transition planning, transfer, and integration into adult care for all youth and young adults.
Abstract: Risk and vulnerability encompass many dimensions of the transition from adolescence to adulthood. Transition from pediatric, parent-supervised health care to more independent, patient-centered adult health care is no exception. The tenets and algorithm of the original 2011 clinical report, “Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home,” are unchanged. This updated clinical report provides more practice-based quality improvement guidance on key elements of transition planning, transfer, and integration into adult care for all youth and young adults. It also includes new and updated sections on definition and guiding principles, the status of health care transition preparation among youth, barriers, outcome evidence, recommended health care transition processes and implementation strategies using quality improvement methods, special populations, education and training in pediatric onset conditions, and payment options. The clinical report also includes new recommendations pertaining to infrastructure, education and training, payment, and research.
1,002 citations
TL;DR: This clinical report represents expert opinion and consensus on the practice-based implementation of transition for all youth beginning in early adolescence and provides a structure for training and continuing education to further understanding of the nature of adolescent transition and how best to support it.
Abstract: Optimal health care is achieved when each person, at every age, receives medically and developmentally appropriate care. The goal of a planned health care transition is to maximize lifelong functioning and well-being for all youth, including those who have special health care needs and those who do not. This process includes ensuring that high-quality, developmentally appropriate health care services are available in an uninterrupted manner as the person moves from adolescence to adulthood. A well-timed transition from child- to adult-oriented health care is specific to each person and ideally occurs between the ages of 18 and 21 years. Coordination of patient, family, and provider responsibilities enables youth to optimize their ability to assume adult roles and activities. This clinical report represents expert opinion and consensus on the practice-based implementation of transition for all youth beginning in early adolescence. It provides a structure for training and continuing education to further understanding of the nature of adolescent transition and how best to support it. Primary care physicians, nurse practitioners, and physician assistants, as well as medical subspecialists, are encouraged to adopt these materials and make this process specific to their settings and populations.
997 citations