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Embedding quality improvement and patient safety: the UCLA value analysis experience
Joseph C Gambone1, Michael S Broder
1Department of Obstetrics & Gynecology, David Geffen School of Medicine at UCLA, CA, USA. jgambone@ucla.edu
Summary
Physicians resist practice measurement but engage in technology assessment. Incorporating this into value analysis drives cost savings and improves patient safety and quality improvement programs.
Area of Science:
- Health Services Research
- Medical Quality Improvement
- Healthcare Technology Assessment
Background:
- Physicians often resist mandated clinical practice measurement and improvement initiatives.
- Physicians are more receptive to engaging with technology assessment processes for new innovations.
Purpose of the Study:
- To explore how technology assessment can be leveraged to improve clinical practices and patient safety.
- To demonstrate the effectiveness of value analysis in integrating technology assessment with quality improvement.
Main Methods:
- Incorporating technology assessment into a medical staff committee process called value analysis.
- Requiring monitoring of approved healthcare technology for safety and effectiveness.
- Engaging medical staff at academic medical centers within UCLA Healthcare.
Main Results:
- Value analysis facilitated cost savings and cost avoidance through technology assessment.
- Physician participation in patient safety and quality improvement programs increased.
- Monitoring healthcare technology promoted engagement in safety and effectiveness evaluations.
Conclusions:
- Technology assessment, integrated via value analysis, offers a viable pathway to enhance clinical practices.
- This approach can overcome physician resistance to quality improvement by aligning with their interest in innovation.
- The model successfully promoted physician engagement in patient safety and quality initiatives.
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