CQI Methods Used Improve the Quality of Cervical Cancer Screening
A baseline evaluation of “Pap” smears done in a large multi-specialty group practice revealed that over 25% of samples were designated “less than optimal” because of the absence of observed...
View ArticleImplementation of Best Practices
The implementation of best practices to improve the quality and efficiency of health care involves making changes to both decision-making and care-delivery processes. The care management methods for...
View ArticleThe Managed Care College and Pediatric Asthma Management
The Managed Care College The Managed Care College is a comprehensive professional development program that is intended to go beyond the transfer of information. It attempts to persuade clinicians that...
View ArticleNecessary Elements of Care Management & Clinical Process Improvement Initiatives
A number of core elements are key to ensure the success of any care management or clinical process improvement initiative. As illustrated in the figure below, these elements include: conducting a...
View ArticleImproving Adult Flu Immunization
Background The US Preventive Services Task Force established national evidence-based guidelines for adult immunization as part of their 1993 and 1996 review processes. After a review by Henry Ford...
View ArticleImproving Total Hip Replacement Surgery
Background Joint replacement is a costly and frequently performed inpatient procedure. In 1995, Henry Ford Hospital carried out 280 total hip replacements and 225 total knee replacements. To decrease...
View ArticleThe Smoking Intervention Program, a Provider-based Care Management Process
Smoking cessation is an important public health concern, and has been the subject of a recent Agency for Health Care Policy and Research (AHCPR) guideline, as well as a HEDIS measure. A point...
View ArticleThe Humunculus is a metaphor for Clinical Process Improvement Frameworks
During the last 20 years, we have experienced wave after wave of new frameworks for improving health care. Each had its own terminology, ardently promoted and enforced by its zealous advocates. Each...
View ArticleBerwick and Gilfillan offer six recommendations for reinventing CMMI. My...
In a recent health policy viewpoint article in JAMA, Drs. Don Berwick and Rick Gilfillan noted that, although the CMS Center for Medicare and Medicaid Innovation (CMMI) has done some good during its...
View ArticleWhat should we do when there is a clash between two noble goals: consumer...
For many years, I’ve been following and writing blog posts about one of my heroes, Don Berwick, a physician leader, Obama-era CMS Administrator and one of most eloquent, persistent and effective...
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