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Summarizes strategies that enhance practitioner engagement in practice improvement in innovative, team-oriented work environments
Assesses the role that public reporting played in improving rates of hospitalacquired infections
R. Berenson, T. Rice (2015)
Beyond Measurement and Reward: Methods of Motivating Quality Improvement and AccountabilityHealth Services Research, 50
Carwyn Langdown, S. Peckham (2014)
The use of financial incentives to help improve health outcomes: is the quality and outcomes framework fit for purpose? A systematic review.Journal of public health, 36 2
Describes a general quality improvement framework that can be applied across multiple clinical areas and settings
M. Palomar, F. Álvarez-lerma, A. Riera, María Díaz, F. Torres, Y. Agra, I. Larizgoitia, C. Goeschel, P. Pronovost (2013)
Impact of a National Multimodal Intervention to Prevent Catheter-Related Bloodstream Infection in the ICU: The Spanish ExperienceCritical Care Medicine, 41
Describes a quality improvement initiative to improve pediatric asthma care
Annie Andrews, W. Russell, M. Titus, J. Braden, Carolyn Word, Christina Cochran, S. Adams, James Roberts (2014)
Quality improvement methods improve inhaled corticosteroid prescribing in the emergency departmentJournal of Asthma, 51
J. Marsteller, Y. Hsu, Kristina Weeks (2014)
Evaluating the impact of mandatory public reporting on participation and performance in a program to reduce central line-associated bloodstream infections: evidence from a national patient safety collaborative.American journal of infection control, 42 10 Suppl
Russell Gk, S. Jimenez, L. Martin, R. Stanley, Peake, Peake, I. Woolhouse, I. Woolhouse (2014)
A multicentre randomised controlled trial of reciprocal lung cancer peer review and supported quality improvement: results from the improving lung cancer outcomes projectBritish Journal of Cancer, 110
Emma-Louise Aveling, M. Parker, M. Dixon-Woods (2015)
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L. Vernacchio, Mary Francis, D. Epstein, Jean Santangelo, Emily Trudell, Meghan Reynolds, Wanessa Risko (2014)
Effectiveness of an Asthma Quality Improvement Program Designed for Maintenance of CertificationPediatrics, 134
K. Reiter, Kristin Lemos, Charlotte Williams, D. Esposito, S. Greene (2015)
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W. Zingg, A. Holmes, M. Dettenkofer, T. Goetting, F. Secci, L. Clack, B. Allegranzi, A. Magiorakos, D. Pittet (2015)
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Peter Pronovost, Peter Pronovost, Renee Demski, Renee Demski, T. Callender, L. Winner, Marlene Miller, Marlene Miller, Marlene Miller, J. Austin, J. Austin, S. Berenholtz, Cora Abundo, Sharon Allen, Marc Applestein, Walt Atha, Kelly Baca, Deborah Baker, Jennifer Baxter, Ed Bessman, Michael Brinkman, Judy Brown, Tanya Brown, Barbara Bryant, Brendan Carmody, Karen Carroll, Bridget Carver, Jennifer Castellani, Yang Choi, Cathy Clarke, Mel Coker, Margareta Cuccia, Ruth Dalgetty, Richard Day, Andrea DelRosario, Katherine Deruggiero, Denice Duda, Robert Dudas, John Dunn, Damon Duquaine, Joe Dwyer, Alexis Edwards, Deirdre Flowers, Cathy Garger, K. Goldsborough, Susan Groman, Felix Guzman, Leslie Hack, Margie Hackett, Laura Hagan, Judith Haynos, Elizabeth Heck, Genie Heitmiller, Peter Hill, Ann Hoffman, Keith Horvath, Roberta Jensen, Peter Johnson, Ilene Jonas, Kimberly Kelly, Terri Kemmerer, Salwa Khan, Mark Landrum, Barton Leonard, Karen Lieberman, Jackie Lobien, C. Maritim, Giuliana Markovich, Bernard Marquis, Blanka McClammer, Deborah McDonough, Barbara McGuiness, Janet McIntyre, Danielle McQuigg, Melissa Means, Karen Michaels, Julie Miller, Vicki Minor, Regina Morton, Jennifer Moyer, Hilda Nimako, Sharon Owens, Eric Park, Judith Peck, Peter Petrucci, Brent Petty, Marcy Post, Sarah Rasmussen, Jennifer Raynor, Joanne Renjel, Jon Resar, Sharon Rossi, L. Rotello, Stuart Russell, M. Saheed, Jacky Schultz, Paige Schwartz, Katie Servis, Amanda Shrout, LeighAnn Sidone, Nancy Smith, Rita Smith, Tracey Smith, Evelyn Martin, E. Taffe, Cynthia Thomas, T. Tolson, Jeff Trost, Cynthia Walters, Carol Ware, Robin Wessels, Glen Whitman, Chet Wyman (2013)
Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital.Joint Commission journal on quality and patient safety, 39 12
Y. Hsu, J. Marsteller (2016)
Influence of the Comprehensive Unit–based Safety Program in ICUsAmerican Journal of Medical Quality, 31
Stephen Waldo, J. McCabe, Cashel O’Brien, K. Kennedy, Karen Joynt, R. Yeh (2015)
Association between public reporting of outcomes with procedural management and mortality for patients with acute myocardial infarction.Journal of the American College of Cardiology, 65 11
Thomas Boyden, Karen Joynt, L. McCoy, M. Neely, M. Cavender, S. Dixon, F. Masoudi, E. Peterson, S. Rao, H. Gurm (2015)
Collaborative quality improvement vs public reporting for percutaneous coronary intervention: A comparison of percutaneous coronary intervention in New York vs Michigan.American heart journal, 170 6
Sallie Weaver, Jennifer Lofthus, Melinda Sawyer, Lee-Anne Greer, Kristin Opett, Catherine Reynolds, Rhonda Wyskiel, Stephanie Peditto, P. Pronovost (2015)
A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network.Joint Commission journal on quality and patient safety, 41 4
M. Rinke, Clare Mock, Nichole Persing, Melinda Sawyer, E. Haut, N. Neufeld, P. Nagy (2016)
The Armstrong Institute Resident/Fellow ScholarsAmerican Journal of Medical Quality, 31
Timothy Vogus, Brian Hilligoss (2015)
The underappreciated role of habit in highly reliable healthcareBMJ Quality & Safety, 25
Describes a unit-based infrastructure to support quality improvement efforts at a pediatric hospital
Jing Li, K. Hinami, L. Hansen, Gregory Maynard, Tina Budnitz, Mark Williams (2015)
The Physician Mentored Implementation Model: A Promising Quality Improvement Framework for Health Care ChangeAcademic Medicine, 90
Participants found value in collaborative learning and sharing strategies across organizational boundaries related to a specific improvement strategy
K. Herzer, P. Pronovost (2015)
Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Telling Us.Joint Commission journal on quality and patient safety, 41 11
M. Rosenthal, M. Landrum, Jacob Robbins, E. Schneider (2016)
Pay for Performance in Medicaid: Evidence from Three Natural Experiments.Health services research, 51 4
(2014)
Motivating physicians to improve quality : light the intrinsic fire
(2015)
What is the role of individual accountability in patient safety? A multisite ethnographic study. Sociol Health Illn
R. Meacock, S. Kristensen, M. Sutton (2013)
The cost-effectiveness of using financial incentives to improve provider quality: a framework and application.Health economics, 23 1
Asad Latif, B. Kelly, Hanan Edrees, Paula Kent, Sallie Weaver, B. Jovanovic, H. Attallah, Kristin Grouchy, A. Al-Obaidli, C. Goeschel, S. Berenholtz (2015)
Implementing a Multifaceted Intervention to Decrease Central Line–Associated Bloodstream Infections in SEHA (Abu Dhabi Health Services Company) Intensive Care Units: The Abu Dhabi ExperienceInfection Control & Hospital Epidemiology, 36
H. Michtalik, Howard Carolan, E. Haut, B. Lau, M. Streiff, J. Finkelstein, P. Pronovost, N. Durkin, D. Brotman (2015)
Use of provider-level dashboards and pay-for-performance in venous thromboembolism prophylaxis.Journal of hospital medicine, 10 3
Lois Gould, Pat Wachter, H. Aboumatar, Renee Blanding, D. Brotman, J. Bullard, Maureen Gilmore, S. Golden, E. Howell, Lisa Ishii, K. Lee, Martin Paul, L. Rotello, A. Satin, E. Wick, L. Winner, M. Zenilman, P. Pronovost (2015)
Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement.Joint Commission journal on quality and patient safety, 41 9
Aaron McKethan, A. Jha (2014)
Designing smarter pay-for-performance programs.JAMA, 312 24
Describes clinical communities which convened clinicians to consider safety problems and their resolution and share learning with workplace peers and local unit safety team
Describes Herzberg's Motivation-Hygiene Theory and the influence of extrinsic and intrinsic motivators in improving work
Donald Hess, V. Reed, Mary Turco, J. Parboosingh, H. Bernstein (2015)
Enhancing provider engagement in practice improvement: a conceptual framework.The Journal of continuing education in the health professions, 35 1
Leverages the expertise of external physician mentors to coach quality improvement teams to implement interventions at their local hospitals
M. Marshall, P. Pronovost, M. Dixon-Woods (2013)
Promotion of improvement as a scienceThe Lancet, 381
Eric Williams, De Nikolai, Lauren Ladwig, Carol Miller, Elizabeth Fredeboelling (2015)
Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning.Joint Commission journal on quality and patient safety, 41 11
Jinhu Li, J. Hurley, Philip Decicca, G. Buckley (2011)
Physician Response to Pay-for-Performance: Evidence from a Natural ExperimentERN: Other Organizations & Markets: Motivation & Incentives (Topic)
P. Pronovost, C. Armstrong, R. Demski, T. Callender, L. Winner, Marlene Miller, J. Austin, S. Berenholtz, Ting Yang, Ronald Peterson, Judy Reitz, R. Bennett, Victor Broccolino, Richard Davis, B. Gragnolati, Gene Green, Paul Rothman (2015)
Creating a High-Reliability Health Care System: Improving Performance on Core Processes of Care at Johns Hopkins MedicineAcademic Medicine, 90
B. Brandt, F. Cerra, C. Delaney (2015)
The United States National Center for Interprofessional Practice and Education: Integrating an informatics approach to interprofessional workJournal of Interprofessional Care, 29
R. Millar, T. Freeman, R. Mannion (2015)
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M. Nelson, Charles Merriman, Peter Magnusson, Kristapor Thomassian, A. Strawn, Julie Martin (2014)
Creating a Physician-Led Quality ImperativeAmerican Journal of Medical Quality, 29
Demonstrates how the pair of data sharing and pay-for-performance can be used together to improve clinical quality
Heitham Abdul‐Baki, R. Schoen, Katie Dean, Sherri Rose, D. Leffler, E. Kuganeswaran, M. Morris, D. Carrell, A. Mehrotra (2015)
Public reporting of colonoscopy quality is associated with an increase in endoscopist adenoma detection rate.Gastrointestinal endoscopy, 82 4
Evaluates if quality improvement methods could improve the rate of ICS initiation at emergency department discharge
R. McDonald (2014)
Paying for Performance in Healthcare OrganisationsOrganizations & Markets: Motivation & Incentives eJournal
P. Pronovost, Jill Marsteller (2014)
Creating a fractal-based quality management infrastructure.Journal of health organization and management, 28 4
Purpose of review This article describes the recent literature on using extrinsic and intrinsic motivators to improve performance on core processes of care, highlighting literature that describes general frameworks for quality improvement work. Recent findings The literature supporting the effectiveness of extrinsic motivators to improve quality is generally positive for public reporting of performance, with mixed results for pay-for-performance. A four-element quality improvement framework developed by The Armstrong Institute at Johns Hopkins Medicine was developed with intrinsic motivation in mind. The clear definition and communication of goals are important for quality improvement work. Training clinicians in improvement science, such as lean sigma, teamwork, or culture change provides clinicians with the skills they need to drive the improvement work. Peer learning communities offer the opportunity for clinicians to engage with each other and offer support in their work. The transparent reporting of performance helps ensure accountability of performance ranging from individual clinicians to governance. Summary Quality improvement work that is led by and engages clinicians offers the opportunity for the work to be both meaningful and sustainable. The literature supports approaching quality improvement work in a systematic way, including the key elements of communication, infrastructure building, training, transparency, and accountability.
Current Opinion in Allergy and Clinical Immunology – Wolters Kluwer Health
Published: Jun 1, 2016
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