Internal Drivers of Quality

1. Internal Drivers of Quality Alexandra Blaha

2. Using Guidelines to Drive Quality • Use clinical guidelines (CareMaps) to effectively promote communication across all levels of care and to continuously and concurrently monitor patient safety AMSB

3. Ensuring the Standard of Care is Met • Patient-centered care is best • CareMaps promote communication among care providers and the rest of the healthcare community • Physicians, Quality Management, Nursing, Social Work, Ancillary Services, Home Care AMSB

4. CareMaps Promote Standardized Care • Provide framework for treatment • Outcomes for patients treated by guidelines are generally superiour to the outcomes of those who aren’t AMSB

5. Variance Data Help Drive Quality • Any deviation from the standard of care that may influence the quality of care must be collected • Address causes • May help identify effectiveness of treatment • Retrospective analysis of variance data determines if there are any trends or patterns that require improvement efforts AMSB

6. Dealing with Resistance to CareMaps • Change is frequently met with resistance • Meaningless paperwork, cookie cutter medicine • However, evidence-based medicine will lead to the best results • Nurses tend to be less reluctant • Training programs • Train the trainer AMSB

7. Implementing Guidelines to Drive Quality Care • Leadership should meet to develop guidelines • Literature and Individualized based on the institution • Multidisciplinary groups help with buy-in AMSB

8. Everyone Benefits from CareMaps • Physician: • Database • Administrator: • Tool for understanding and improving patient flow • Measures also required by CMS • JCAHO introduced “tracer” methodology • Trace the patient from time of entry to discharge AMSB

9. Documenting the Delivery of Care • CareMap is more than a checklist • Predicts what will occur each day • Provides a record of treatment • Analyze variance data AMSB