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Exemplary Care and ...
Exemplary Care and Learning Sites : A Model for Achieving Continual Improvement in Care and Learning in the Clinical Setting
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- Headrick, L. A. (författare)
- University of Missouri, MO, USA
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- Ogrinc, G. (författare)
- hGeisel School Medical Dartmout, NH USA; White River Junct VA Hospital, VT USA
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- Hoffman, K. G. (författare)
- University of Missouri, MO, USA
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- Stevenson, Katherine (författare)
- Jönköping University,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),School of Physical Therapy, University of Saskatchewan, Saskatoon, Saskatchewan, Canada,University of Saskatchewan, Canada; Jonköping University, Sweden
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- Shalaby, M. (författare)
- Lehigh Valley Health Network, PA USA; University of Penn, PA, USA
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- Beard, A. S. (författare)
- Minneapolis VA Healthcare Syst, MN, USA; University of Minnesota, MN, USA
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- Thörne, Karin E. (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för samhällsmedicin,Jonköping University, Sweden; Regional Jonköping County, Sweden
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- Coleman, M. T. (författare)
- Louisiana State University, LA USA; Louisiana State University, LA USA
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- Baum, K. D. (författare)
- University of Minnesota, MN USA; Assoc Amer Medical Coll, DC USA
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(creator_code:org_t)
- Wolters Kluwer, 2016
- 2016
- Engelska.
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Ingår i: Academic Medicine. - : Wolters Kluwer. - 1040-2446 .- 1938-808X. ; 91:3, s. 354-359
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Problem Current models of health care quality improvement do not explicitly describe the role of health professions education. The authors propose the Exemplary Care and Learning Site (ECLS) model as an approach to achieving continual improvement in care and learning in the clinical setting.Approach From 2008-2012, an iterative, interactive process was used to develop the ECLS model and its core elements-patients and families informing process changes; trainees engaging both in care and the improvement of care; leaders knowing, valuing, and practicing improvement; data transforming into useful information; and health professionals competently engaging both in care improvement and teaching about care improvement. In 2012-2013, a three-part feasibility test of the model, including a site self-assessment, an independent review of each site's ratings, and implementation case stories, was conducted at six clinical teaching sites (in the United States and Sweden).Outcomes Site leaders reported the ECLS model provided a systematic approach toward improving patient (and population) outcomes, system performance, and professional development. Most sites found it challenging to incorporate the patients and families element. The trainee element was strong at four sites. The leadership and data elements were self-assessed as the most fully developed. The health professionals element exhibited the greatest variability across sites.Next Steps The next test of the model should be prospective, linked to clinical and educa tional outcomes, to evaluate whether it helps care delivery teams, educators, and patients and families take action to achieve better patient (and population) outcomes, system performance, and professional development.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- educational model
- health care quality
- human
- medical education
- outcome assessment
- patient participation
- program evaluation
- Sweden
- total quality management
- United States
- education
- medical
- humans
- models
- educational
- outcome assessment (health care)
- quality improvement
- standard of care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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