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Related Experiment Videos

Clinical practice guidelines at an HMO: development and implementation in a quality improvement model.

L K Gottlieb1, C Z Margolis, S C Schoenbaum

  • 1Harvard Community Health Plan, Boston, MA.

QRB. Quality Review Bulletin
|February 1, 1990
PubMed
Summary

Harvard Community Health Plan (HCHP) uses industrial quality improvement methods to create clinical algorithms. This approach aims to standardize care, improve quality, and reduce costs by guiding clinicians and measuring outcomes.

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Area of Science:

  • Healthcare Management
  • Clinical Quality Improvement
  • Health Services Research

Background:

  • Quality improvement (QI) principles, successful in industry, are being adapted for clinical medicine.
  • Setting standards for clinical care is crucial for applying the QI cycle in healthcare.
  • Harvard Community Health Plan (HCHP) is implementing a novel approach to enhance patient care.

Purpose of the Study:

  • To describe the evolution, structure, methods, and future agenda of the Algorithm Based Clinical Quality Improvement Process (ABCQIP) at HCHP.
  • To highlight the use of clinical algorithms as a tool for standardizing and improving healthcare delivery.
  • To demonstrate how industrial QI principles can be effectively applied in a clinical setting.

Main Methods:

  • Focusing standard-setting efforts on the development of clinical algorithms.

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  • Utilizing algorithms to specify and communicate optimal clinical care processes.
  • Employing algorithms for evaluating actual clinical care processes and patient outcomes.

    • Main Results:

    • Clinical algorithms provide a basis for specifying and communicating optimal care.
    • Effective implementation of algorithms can guide clinicians toward standardized, high-quality, cost-effective strategies.
    • Algorithms facilitate more valid measurement of clinical processes and outcomes, potentially improving quality and decreasing costs.

    Conclusions:

    • The Algorithm Based Clinical Quality Improvement Process (ABCQIP) offers a structured method for enhancing clinical care.
    • Clinical algorithms are valuable tools for improving healthcare quality and efficiency.
    • Adapting industrial quality improvement methods to clinical settings, through tools like algorithms, holds significant promise for healthcare organizations.