title: Using a healthcare matrix to assess patient care in terms of aims for improvement and core competencies.
abstract: BACKGROUND
  In 2001, the Institute of Medicine (IOM) recommended six Aims f or Improvement; the dimensions of quality describe a health care system that is safe, timely, effective, efficient, equitable, and patient centered. In 1999, the Accreditation Council of Graduate Medical Education (ACGME) adopted six core competencies that physicians in training must master if they are to provide quality care. A Healthcare Matrix was developed that links the IOM aims for improvement and the six ACGME Core Competencies. The matrix provides a blueprint to help residents to learn the core competencies in patient care, and to help faculty to link mastery of the competencies with improvement in quality of care.
  The Healthcare Matrix is a conceptual framework that projects an episode of care as an interaction between quality outcomes and the skills, knowledge, and attitudes (core competencies) necessary to affect those outcomes. For example, an anesthesiology resident used the Healthcare Matrix for a complex 18-hour episode of care with a life-threatening situation.
  Collecting and analyzing a series of matrices provides the foundation for systematic change in patient care and medical education and a rich source of data for operational and improvement research.
authors.affiliation: Center for Clinical Improvement, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: John W
authors.initials: JW
authors.lastname: Bingham
authors.forename: Doris C
authors.initials: DC
authors.lastname: Quinn
authors.forename: Michael G
authors.initials: MG
authors.lastname: Richardson
authors.forename: Paul V
authors.initials: PV
authors.lastname: Miles
authors.forename: Steven G
authors.initials: SG
authors.lastname: Gabbe
mesh_terms: D004501:Education, Medical; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D015279:Organizational Culture; D017410:Practice Guidelines as Topic; D011361:Professional Competence / Q000592:standards*; D011785:Quality Assurance, Health Care; D014481:United States