Marc's Pursuing Perfection Weblog

Cooperation
Most important change needed if patient-centered systems are to evolve rapidly. We need to agree on a few simple rules.

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Wednesday, May 15, 2002

Acute Care Hospital, measures related to quality.
Common Measures

            1. Adverse Drug Events (ADEs) per 1000 doses (Safety)

2. Mortality rates (Effectiveness)

3. Readmissions (Effectiveness)

4. Time to treatment on presentation (Timeliness)

5. Functional status, Quality of Life (Patient centered)

6. Average cost per case (Efficiency)

7. Average length of stay (Efficiency)

8. Hours of diversion per month (Efficiency)

9. Patient satisfaction (Patient centered)

8:19:05 PM

Access to Care, Measurements of. Common Measures
            1. 3^rd next available appointment (effectiveness)

      2. Total time for a visit (efficiency)

      3. # of patients on a wait list to be assigned a primary care physician (effectiveness)

      4. Percent of patients �highly satisfied� with appointment scheduling (patient centered)

      5. Percent �no show� (efficiency)

8:19:04 PM

6 Aims and 10 Simple Rules for more perfect heathcare, Institute of Medicine.
The key ideas behind this entire Institute of Medicine approach includes six goals:
1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable; and ten simple rules:

1. Continuous healing relationships
2. Customization
3. Patient control
4. Shared information
5. Evidence-based decision-making
6. Safety as a system property
7. Transparency
8. Anticipation of needs
9. Continuous decrease in waste
10. Cooperation among clinicians

7:46:04 PM

Communities of Learning, Apply to Healthcare?. Please read this.
7:46:03 PM

Cooperation and communication are related.

If we are to begin to cooperate/communicate with web logs we probably need some instruction in "reporting". I am thinking about getting a news paper reporter and some professor types from the university to help us learn to communicate in this style. I wonder if someone from the Weblogging community might not have some good ideas too.

7:46:03 PM

Key Components of Whatcom Consortium's approach to Pursuing Perfection in Healhtcare.
Pursuing Perfection Components in Whatcom County.

We will use this or a similar graphic on the home page of the future to guide users to the parts they are interested in. We will also add search capabilities by these categories... in the future, the near future I hope.

6:19:18 PM