使用基于队列的质量改进辅导模型,优化联邦合格医疗中心患者的慢性疾病管理
Noel C Barragan1, Gabrielle Green, Gerardo Cruz
1Author Affiliations: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, California (Mss Barragan and Green and Dr Kuo); Community Clinic Association of Los Angeles County, Los Angeles, California (Mr Cruz and Mss Pogosyan and Newman); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California (Dr Kuo); Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California (Dr Kuo); and Population Health Program, UCLA Clinical and Translational Science Institute, Los Angeles, California (Dr Kuo).
这项质量改进指导计划帮助联邦合格卫生中心 (FQHC) 改善慢性疾病管理,所有参与者都实现了10%的改进目标.
科学领域:
- 改善医疗保健的质量
- 慢性疾病管理 慢性疾病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 联邦合格卫生中心 (FQHCs) 面临的挑战是管理慢性疾病,如高血压,高血胆固醇,糖尿病和慢性病.
- 需要有效的策略来提高FQHC环境中的临床质量措施和患者护理.
研究的目的:
- 评估一个为期3年的基于队列的质量改进 (QI) 辅导计划,旨在加强FQHCs的慢性疾病管理.
- 评估该计划对临床质量措施和患者护理工作流程的影响.
主要方法:
- 实施了基于队列的辅导模式,将实践转型教练分配给5个FQHC.
- 参与的FQHC专注于2个选定的临床质量指标,完成计划-做-研究-行动周期并每季度报告.
- 通过每季度的登记和在线消息板来促进同行学习.
主要成果:
- 所有5个参与的FQHC都成功地实现了对所选临床质量指标的10%改进目标.
- 该计划促进了FQHCs患者慢性疾病管理的可衡量的改进.
结论:
- 基于队列的QI辅导计划在改善FQHCs的慢性疾病管理能力和结果方面取得了成功.
- 这种实践转型模型显示了在社区卫生中心实现可持续临床改进的前景.
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