An "Engage to Sustain" Intervention to Improve Process Performance Measures in Ambulatory Care.
| Autor: | Miller A; Penn Medicine Clinical Practices of the University of Pennsylvania, Philadelphia (Drs Miller and Fitzpatrick and Mss Prior and Pitt); Penn Medicine Medical Group, Penn Primary Care & Penn Specialty Practices, Philadelphia, Pennsylvania (Mr Skoranski); Corporate Information Services (Dr Brown McGlotten), Penn Medicine, Philadelphia, Pennsylvania (Mss Morgan and Hepschmidt); Hospital of the University of Pennsylvania, Philadelphia (Ms Smith); Primary Care and Penn Specialty Practices, Bala Cynwyd, Pennsylvania (Mr Cella); and University of Pennsylvania School of Nursing, Philadelphia (Dr Polomano)., Skoranski AK, Prior B, Fitzpatrick R, Morgan C, Hepschmidt P, Smith BA, Cella M, Brown McGlotten D, Pitt K, Polomano RC |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of ambulatory care management [J Ambul Care Manage] 2023 Oct-Dec 01; Vol. 46 (4), pp. 284-297. Date of Electronic Publication: 2023 Aug 07. |
| DOI: | 10.1097/JAC.0000000000000474 |
| Abstrakt: | In ambulatory care, monitoring process performance measures (PPMs) is essential to meet regulatory requirements, establish targets for care, seek reimbursement, and evaluate patient care responsibilities. We implemented a comprehensive program, "Engage to Sustain," for licensed practical nurses (LPNs) and certified medical assistants (CMAs) to practice at the top of their licensure/certification. Screening rates for 4 key PPMs (depression screening, fall risk screening, and tobacco use screening and counseling) markedly increased following this intervention across 18 ambulatory departments with more than 2 million patient visits. These results suggest that shifting responsibilities for patient screening from physicians and advanced practitioners to LPNs and CMAs may improve screening rates. Competing Interests: All authors report no conflict of interest related to this article. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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