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Quality Improvement at the Crossroads

Quality Improvement at the Crossroads. AcademyHealth Annual Research Meeting Washington, DC - June 9, 2008. Quality Improvement at the Crossroads. Francis Chesley, MD Carolyn Clancy, MD Neil R. Powe, MD, MPH, MBA Donald Goldman, MD. Session Overview. Session Introductions

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Quality Improvement at the Crossroads

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  1. Quality Improvement at the Crossroads AcademyHealth Annual Research Meeting Washington, DC - June 9, 2008

  2. Quality Improvement at the Crossroads • Francis Chesley, MD • Carolyn Clancy, MD • Neil R. Powe, MD, MPH, MBA • Donald Goldman, MD

  3. Session Overview • Session Introductions • Federal Perspective: QI Research and Challenges in Moving Research to Practice • Complexity of QI Research and Challenges in Research Methods • Research, Research Process and Ethical and Human Subjects Protection Considerations • Audience Discussion and Qs & As

  4. Improving Health Care for All Americans • Research Creation • Synthesis & Dissemination • Implementation & Use • How do We Move the Needle on Quality?

  5. The Confluence of Research and QI Research QI

  6. Hastings Center Report Definition of QI • Systematic data-guided activities designed to bring about immediate improvements in health care delivery in particular settings (Hastings Center Report). • An intrinsic part of healthcare operations.

  7. Common Rule Definition of Research • A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge • Activities that meet this definition constitute research whether or not they are conducted or supported under a program which is considered research for other purposes

  8. The Confluence of Research, Improvement, and Management QI Research QI Healthcare Management

  9. Important Considerations • Given the overlapping domains of quality improvement research, quality improvement practice, and routine healthcare management, and the critical need to improve healthcare quality now, how can we move QI research to practice in order to move the needle on quality? • How do we understand potential risks, burdens and harms (to patients, providers and systems)? • What is the role of research in demonstrating the effectiveness of QI interventions? When is evidence enough to act? When is the efficacy of a QI intervention proven such that it can be widely disseminated/implemented?

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