Impact of a Resident-Centered Interprofessional Quality Improvement Intervention on Acute Care Length of Stay
| Autor: | Megan Walker, Lindsey Gay, Glynda Raynaldo, Hans Von Marensdorff, Jeffrey T. Bates, Joan A. Friedland, Jung Hyun Park, Ekaterina Kehl, Bryan Sowers, Sivasubramanium Bhavani, Charlie Lan, Biykem Bozkurt, Diana E. Stewart, Molly J. Horstman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical Quality management Critical Care Health Personnel Interprofessional Relations Graduate medical education Validity Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Chart Acute care Humans Medicine Performance measurement 030212 general & internal medicine Accreditation business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Internship and Residency Reproducibility of Results Length of Stay Middle Aged Statistical process control Quality Improvement Education Medical Graduate Veterans Health Services Female Curriculum 0305 other medical science business |
| Zdroj: | Journal for Healthcare Quality. 41:212-219 |
| ISSN: | 1945-1474 1062-2551 |
| DOI: | 10.1097/jhq.0000000000000156 |
| Popis: | Competency in interprofessional quality improvement and performance measurement is required by the Accreditation Council for Graduate Medical Education. We implemented an interprofessional quality improvement project to support trainee involvement in systems-level improvement to reduce hospital length of stay and engage trainees in efforts to improve the validity and reliability of clinical documentation contributing to risk-adjusted performance measures. The intervention had three components: daily interprofessional disposition huddles to discuss discharge needs, medical documentation curriculum to improve clinical data accuracy, and scheduled coding huddles to provide real-time feedback on documentation. Outcome measures included an unadjusted and risk-adjusted measure of hospital length of stay. Case severity index (CSI) served as a process measure. Statistical process control charts were used to measure change over time. The mean unadjusted length of stay decreased from 5.84 to 4.98 days. Both the unadjusted and the risk-adjusted length of stay measures exceeded the lower control limit of the statistical control chart. The CSI increased and exceeded the upper control limit of the statistical control chart. Improvements were sustained in the year following implementation. The intervention offers a model for academic institutions to satisfy new Common Program Requirements by engaging trainees in performance measurement and interprofessional improvement efforts. |
| Databáze: | OpenAIRE |
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