title: Accelerating Best Care in Pennsylvania: adapting a large academic system's quality improvement process to rural community hospitals.
abstract: Industrial quality improvement (QI) methods such as continuous quality improvement (CQI) may help bridge the gap between evidence-based "best care" and the quality of care provided. In 2006, Baylor Health Care System collaborated with Jefferson Medical College of Thomas Jefferson University to conduct a QI demonstration project in select Pennsylvania hospitals using CQI techniques developed by Baylor. The training was provided over a 6-month period and focused on methods for rapid-cycle improvement; data system design; data management; tools to improve patient outcomes, processes of care, and cost-effectiveness; use of clinical guidelines and protocols; leadership skills; and customer service skills. Participants successfully implemented a variety of QI projects. QI education programs developed and pioneered within large health care systems can be adapted and applied successfully to other settings, providing needed tools to smaller rural and community hospitals that lack the necessary resources to establish such programs independently.
authors.affiliation: Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas, USA.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Haydar
authors.forename: Julie
authors.initials: J
authors.lastname: Gunderson
authors.forename: David J
authors.initials: DJ
authors.lastname: Ballard
authors.forename: Alexis
authors.initials: A
authors.lastname: Skoufalos
authors.forename: Bettina
authors.initials: B
authors.lastname: Berman
authors.forename: David B
authors.initials: DB
authors.lastname: Nash
mesh_terms: D003362:Cost-Benefit Analysis; D019983:Guideline Adherence / Q000458:organization & administration; D006764:Hospitals, Community / Q000458:organization & administration*; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D007857:Leadership; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010414:Pennsylvania; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration; D013192:Staff Development / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration