Teamwork at the Detroit Medical Center. Bridging the gap.
In 1992, Harper Hospital, a part of the Detroit Medical Center, initiated a Quality Enhancement and Clinical Resource Management (QE/CRM) program. The program was designed to be physician-driven and multidisciplinary. Its goal is to "look closely and critically at the appropriate use of clinical resources to affect the most desired outcomes." Through the use of teams for different clinical services, led by physicians and comprised mainly of physicians, quality of care and cost issues are identified and investigated. Changes to practice have occurred that have not only improved outcomes and saved the medical center money, but prepared it to go to managed care.
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D003363:Cost Control / Q000458:organization & administration; D006295:Health Resources / Q000458:organization & administration; D006746:Hospital Bed Capacity, 500 and over; D006786:Hospitals, Urban / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D015274:Interdepartmental Relations; D007400:Interprofessional Relations; D013677:Medical Laboratory Science / Q000191:economics; D008505:Medical Staff, Hospital; D008824:Michigan; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D010818:Practice Patterns, Physicians' / Q000191:economics; D011367:Professional Staff Committees / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*