Academia and the medical group practice interface: the 2003 Institute of Medicine quality report and medication management.
University Physicians, Inc., has been impacted by the rising cost of professional liability insurance in recent years. Our internal risk management program needed to be enhanced to heighten provider sensitivity to the challenges certain practice processes (e.g., paper medical records) posed, and to tie this information to new patient and risk management strategies. The Institute of Medicine's 2003 report Priority Areas for National Action: Transforming Health Care Quality and the Agency for Healthcare Research and Quality's 2004 report Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies were used to establish priorities and develop indicators for measurement. A case study is presented on how these reports, combined with the Joint Commission on Accreditation of Healthcare Organization's 2006 National Patient Safety Goals for ambulatory care, were used to assess the group's risk profile and to implement practice changes to minimize risk.
Kernich
Catherine A
CA
Ambulatory Practice, Department of Medicine, University Hospitals Faculty Services, University Hospitals Health System, 11100 Euclid Avenue, Cleveland, OH 44106, USA. catherine.kernich@UHHS.com
Creighton
Frederick A
FA
D000046:Academic Medical Centers / Q000458:organization & administration / Q000592:standards*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004363:Drug Utilization; D005260:Female; D006123:Group Practice / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D008875:Middle Aged; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009820:Ohio; D019982:Organizational Case Studies; D016730:Program Development; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D017749:Total Quality Management / Q000379:methods*; D014481:United States; D016270:United States Agency for Healthcare Research and Quality