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Practice Based Learning - Quality Improvement



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Quality Links3


Johns Hopkins learns a lesson about communication
http://www.baltimoresun.com/news/health/bal-te.sorrel15dec15,0,6037431.story?coll=bal-health-headlines

AMA link to IOM report
http://www.ama-assn.org/amednews/2001/03/19/prl10319.htm

IOM - Crossing the Quality Chasm
http://www.nap.edu/books/0309072808/html/

IOM - To Err Is Human - executive summary
http://books.nap.edu/html/to_err_is_human/exec_summ.html

IOM - Bridge over Troubled Waters
http://books.nap.edu/books/0309087236/html/index.html

Safety for physicians:  National Association to Prevent Needle Stick Injuires
http://www.nappsi.org/

The IOM (Institute of Medicine), one of four branches of the National 
Academy 
of Sciences (NAS)
http://www.iom.edu/

The National Academy of Sciences, patent of the Institute of Medicine
http://www.nationalacademies.org/about/

The Union of Concerned Scientists
http://www2.ucsusa.org/

Quality measures from Cleveland Clinic
http://www.clevelandclinic.org/quality/

NCQA activities for physicians (ACP)
http://www.acponline.org/journals/news/dec03/ncqa.htm

AIM-1998-Leaders Improve the System
http://www.annals.org/cgi/content/full/128/10/833

ACC-Elsivier-Cardiosource tie some of the QI links together
http://www.cardiosource.com/clinical/performance_measures

O Canada
http://www.canoe.ca/NewsStand/CalgarySun/News/2004/05/23/470071.html

Quality- a definition from the IOM - 2004
http://www.managedcaremag.com/archives/0406/0406.quality_defined.html

NY Dept of Quality
http://www.nhqc.com/

ABIM ACTs up
http://www.rwjf.org/about/president/resources/kimballLecture_1.jhtml

aaim qi curriculum
http://www.im.org/AAIM/Tools/Docs/Curriculum/Djuricich_CQI_Curriculum_09-04.doc

Dr. Deming:  PDSA  ["In God We Trust....]
http://www.hkbu.edu.hk/~samho/tqm/tqmex/deming.htm

Quality from Florida
http://medinfo.ufl.edu/omi/docs/pisacano04/

2004-MeMag-Don't let system failures clobber you
http://www.memag.com/memag/article/articleDetail.jsp?id=130922

Hospital Compare:
The Hospital Compare website�www.hospitalcompare.hhs.gov�opened April 1, 
2005, enabling the public to view comparative data on the quality of 
treatment for heart attacks, heart failure, and pneumonia at 4,200 hospitals 
throughout the United States. The website lists percentages of hospital 
patients who receive �proven, effective care� for these most common and 
costly conditions. �Hospital Compare will help consumers make more informed 
decisions about hospital care and will give hospitals the data they need to 
ensure that they are providing high quality care,� said Agency for 
Healthcare Research and Quality (AHRQ) Director Carolyn M. Clancy, MD.

The Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality 
Alliance�which is led by the Association of American Medical Colleges, the 
American Hospital Association, and the Federation of American Hospitals�
launched the Hospital Compare website in a continuing effort to increase 
health care quality by �making hospital performance information more 
accessible to health care payers, providers, and the public. According to 
the Washington Post, CMS administrator Mark B. McClellan, MD, PhD, discussed 
plans to add similar comparisons for patient satisfaction and rates of 
infection later this year and is also considering posting hospital mortality 
rates on the site.

Participating hospitals are voluntarily submitting information on 17 
measures: eight related to heart attack care, four related to care for heart 
failure, and five related to pneumonia care. For example, the website 
provides the percentage of a hospital�s heart attack patients who receive 
aspirin or beta-blockers upon arrival or discharge. It also gives the 
percentage of heart attack patients who get a thrombolytic agent within 30 
minutes of arrival. All data on the site are taken from the previous year 
and updated quarterly, which creates a one-year lag for the information.

Patients who access the site can view hospital information based on location 
or name. The site allows users to compare up to 12 hospitals within the 
categories of acute care hospitals or critical access hospitals. Once the 
user has chosen a hospital to research or several hospitals to compare, the 
next step is choosing which quality measures to review. The next screen will 
display percentages of adult patients who receive the indicated care at the 
chosen hospitals as well as an average percentage for all reporting 
hospitals in the United States and an average percentage for all reporting 
hospitals within the state. Consumers without web access can call 1-800-
MEDICARE to get the same hospital quality information.

In a related effort, AHRQ is posting state-level analysis of health care 
quality to its website. Information posted on the AHRQ website allows 
consumers to compare how states rank on nearly 100 quality measures 
pertaining to such conditions as heart disease, diabetes, maternal and child 
health, HIV/AIDS, and various cancers. Analysis and rankings are based on 
information from the previously released 2004 National Healthcare Quality 
Report.
http://www.hospitalcompare.hhs.gov/

Safety isn't rocket science.  Or is it?....
http://www.usatoday.com/tech/science/space/2005-04-07-nasa-attitudes_x.htm

Classics from AHRQ psnet
http://psnet.ahrq.gov/classics.aspx

ACP Q-Net
http://www.acponline.org/acpnet/history/

ACC Quality Indicators fof CHF HBP ASHD
http://www.acc.org/clinical/measures/intro.htm

JENY from IPRO
http://jeny.ipro.org/

NY ACP Near Miss Registry
http://www.nearmiss.org

PBLI as Patient Registry: ACP Observer 2005
http://www.acponline.org/journals/news/sep05/patient.htm

Quality Matters
http://www.cmwf.org/

EBM at Doctors digest
http://www.doctorsdigest.net/


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