TY - JOUR
T1 - A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement
AU - Mathews, Simon
AU - Pronovost, Peter J.
AU - Daugherty Biddison, Elizabeth
AU - Petty, Brent Gray
AU - Anderson, Mark
AU - Nelson, Terry S.
AU - Outten, Katie
AU - Langlotz, Ronald
AU - Duda, Denice
AU - Herzke, Carrie A
AU - Peairs, Kimberly
AU - Golden, Sherita Hill
AU - Lautzenheiser, Matthew B.
AU - James, Hailey J.
AU - Desai, Sanjay Virendra
AU - Keller, Sara
AU - Feldman, Leonard
AU - Pahwa, Amit Kumar
AU - Berry, Stephen
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system. It is based on a fractal model that integrates multiple smaller units similar in structure (composition of faculty/staff), process (use of similar tools), and approach (using a common framework to address issues). This organization stresses local, multidisciplinary leadership, facilitates horizontal connections for peer learning, and maintains vertical connections for broader accountability.
AB - Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system. It is based on a fractal model that integrates multiple smaller units similar in structure (composition of faculty/staff), process (use of similar tools), and approach (using a common framework to address issues). This organization stresses local, multidisciplinary leadership, facilitates horizontal connections for peer learning, and maintains vertical connections for broader accountability.
KW - accountability
KW - governance
KW - quality and safety
KW - quality management system
UR - http://www.scopus.com/inward/record.url?scp=85041381567&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041381567&partnerID=8YFLogxK
U2 - 10.1177/1062860617743324
DO - 10.1177/1062860617743324
M3 - Article
C2 - 29183149
AN - SCOPUS:85041381567
SN - 1062-8606
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
ER -