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A model structure for an EBM program in a multihospital system.

Dale N Schumacher1, Joseph R Stock, Joan K Richards

  • 1Crozer-Keystone Health System, Delaware County, Pennsylvania, USA. dsrockinst@aol.com

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|November 11, 2003
PubMed
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Implementing a comprehensive evidence-based medicine (EBM) program in a community teaching system enhances clinical practice. This model, separate from peer review, achieved significant physician engagement through expert panels and feedback.

Area of Science:

  • Medical Informatics
  • Clinical Practice Guidelines
  • Healthcare Management

Background:

  • Translating medical science advances into clinical practice is crucial.
  • Existing evidence-based medicine (EBM) models require robust implementation strategies.
  • Community teaching systems face unique challenges in adopting EBM.

Purpose of the Study:

  • To describe the structure of a comprehensive EBM program within a multihospital community teaching system.
  • To highlight a distinct EBM model separate from traditional peer review processes.
  • To detail strategies for achieving substantial physician involvement in EBM.

Main Methods:

  • Program development within a multihospital community teaching system.
  • Establishment of an EBM model independent of the peer review process.

Related Experiment Videos

  • Formation of expert physician panels to enhance EBM practice guidelines.
  • Implementation of performance reports and feedback mechanisms.

    • Main Results:

    • The EBM program achieved substantial physician involvement.
    • The model is distinct from and separate from the peer review process.
    • Strong administrative support was secured from the Board of Directors Quality of Care Committee.

    Conclusions:

    • A structured EBM program with administrative support can successfully engage physicians.
    • Expert physician panels and feedback loops are effective in enhancing EBM guidelines.
    • This model demonstrates a viable approach for translating medical advances into community teaching settings.