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Evidence-based
Practice Resources & Services for Health Care Quality
Help for Health Care Decision-makers & Help to Achieve
Value & Patient-centered Care
|
Quality
Help for Quality Care Including Free
Evidence-based Resources & Tools including
critical appraisal tools
An
evidence-based
healthcare approach matters to care for
patients effectively, improve patient safety and reduce waste.
If
you are engaged in medical decision-making, improving health care quality,
medical education or education for other related professions such as
pharmacy or nursing, or if you are in need of evidence-based medical
information or the skills to do evidence-based work yourself, Delfini
can be of assistance to you. We can help you improve patient care in
many ways.
Quick
Selections
Quality
in healthcare for your patients will be enhanced
by using our evidence-based training, successful health care quality
improvement methods, our rigorous approach to scientific review for
developing clinical information and our patient-centered approach to
patient communications and decision-making.
Sample
evidence-based training outline for conducting scientific review through
critical
appraisal:
Using Medical Literature: A Simplified Approach
Questions
for Sheri & Mike? Write us at delfini@delfini.org
 
Areas.We.Provide.Help.In
•
Help for organizations to position for evidence-based care and health
care quality; help for healthcare leaders and for individuals
•
Medical education and continuing medical education resources to provide
evidence-based practice (EBP) training in evidence-based medicine (EBM),
evidence-based nursing & other disciplines — we provide training
in, and facilitation of, all aspects of evidence-based health care such
as in critical appraisal to help you with medical literature review
of scientific research studies and in performing all aspects of healthcare
quality improvement activities
•
How to perform a scientific review such as a systematic review and evidence
synthesis and how to create a clinical review, clinical recommendation,
clinical practice guideline, drug monograph, medical technology assessment,
scientific research paper, performance measure, medical decision-making
support such as communication aid and shared decision-making aid, patient
safety advisory or other evidence-based clinical information
•
We can be engaged to perform scientific literature reviews to create
systematic reviews, including comparative effectiveness research (CER),
and can supply any kind of clinical content or clinical information
item you wish such as those listed including clinical guidelines, drug
monographs, decision support and more
•
Help for committee work such as pharmacy and therapeutics committee
(P & T committee) or medical technology assessment by providing
evidence-based guidelines and process steps including tips for all aspects
of committee work from committee management, structures, processes and
to clinical pharmacist education to inform all aspect of staff work
such as conducting evidence-based reviews, development of drug monographs,
meeting presentations and more such as formulary management advice
•
Help for quality improvement teams by providing facilitation of facilitation
of steps in systematic literature review, clinical practice guidelines
development and clinical improvement projects, including project selection
for success, cost analysis, implementation strategies and measuring
performance for quality improvement in health care
•
Healthcare leadership help — if you are a healthcare leader, especially
a medical leader or pharmacy leader, we have special help for you through
our services and through our other website, medicalleaders.org
—
we can provide a variety of services including strategies for effectiveness
in quality management in healthcare, how to identify good clinical practice
guidelines, patient-centered care strategies including doctor patient
communication training, performance measurement training and development
of effective performance measures, tips for meeting management and more
in your efforts for improving healthcare quality in your organization
to provide true evidence-based health care
•
More to achieve quality in healthcare...
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There
is a difference between “knowing the evidence” and
knowing what evidence is valid & clinically useful. If you lack critical
appraisal skills, all studies will look the same to you.
 
Sheri
Ann Strite & Michael E. Stuart MD
Principal & Managing Partner President
& Medical Director
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Also creators
of
medicalleaders.org
What
People Are Saying
"...impressive....
. terrific conference... impressive tools... already using in real
life... valuable, fun, memorable... made hard stuff easy to understand...
helped us change... real success... improved patient care... invaluable..."
Delfini
average training program scores are 4.8 out of 5.0
"...
gifted facilitators and passionate educators... have rarely encountered
presenters so well-prepared and well-versed in their subject matter...
both are engaging, up-beat and empowering... extremely generous with their
knowledge and expertise..."
See
all our Testimonials
Quick
Navigator to Selected Resources:
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Announcing
the Delfini Summer Seminar
July 28 & 29, 2010—Portland Oregon
.jpg)
new!
Continuing education credit (11 hours) may be earned
by pharmacists in the States of Washington and Oregon.
|
| Why
You May Want to Know About Delfini
We
are practitioners, facilitators and trainers in applied
evidence- and value-based health care quality improvements and methods,
and our work is well-regarded as providing effective help to achieve
successful outcomes. We specialize in health care
quality improvement through evidence-based practice and value-based
approaches to inform medical decision-making. We
provide services and, as a public service, we also make many tools
and resources freely available
online. |
- "Applied"
EBM
We have considerable real-world and real-tested
experience, we take a practical and an efficient approach
- Quality
Products
Our products are rigorous, transparent and useful to
users ranging from clinicians to patients
- Making Evidence-based
Improvements Easily Doable
Our tool-based training and simplified approaches make evidence-based
health care quality improvement work comprehensible and
readily doable
- Immediate
Gains Without Undue Pain
We make learning entertaining and focus
on creating success — we help people realize success
rapidly
- Filling
a Critical & Unmet Need
Most people are unaware just how big the problems are with potentially
misleading science and most health care information sources.
We have the "evidence-on-the-evidence"
and details on the importance of an evidence-based approach
(including information
on how this is currently falling short in most ways)
- Effective
We have evidence
of our effectiveness — we can help you and your patients
- Free Resources
& Tools
We are public-service minded and passionate about helping others
and so we make many resources
freely available on
our website including much of our own work including our well-received
practical, popular and useful EBM tools.
Download our 1-page critical
appraisal checklist here. Many more tools are available
at our Resources page.
- Comprehensive
In addition to evidence assessment work and training, we provide
help for all other aspects of health care quality improvement
steps including cost-analysis, implementation, health care communications
and performance measurement including pay-for-performance (P4P),
as examples.
|
|
| How
Delfini Can
Help You
|
Delfini
can —
- Evidence
Evaluations
Evaluate and synthesize the medical science for your
clinical area of interest; for example, we can critically appraise
comparative effectiveness reviews (CER) for you — we are
recognized for our rigor and our transparency
- Evidence-based
Training
Delfini
Workshop
EBM
Demystified: A Practical, Simplified Approach for Evaluating
the Medical Literature—
What You Don’t Know Can Hurt You
|
We
can teach you how to evaluate medical science:
Simply, effectively and in a very short period of time
— and without it being too hard; without it being
boring.
See
sample EBM
course training topics.
Contact
Us for more information
|
- Health
Care Information
Create clinical recommendations and clinical guidelines
— rigorous and usable
- Healthcare
Clinical Quality Improvements
Help you accomplish a clinical quality improvement project
and successfully implement it, creating clinical practice
change— we have many success stories far beyond
the examples on our website
- Committee
Help
Help make your medical decision-making committee
(such as your Pharmacy and Therapeutics Committee
(P & T Committee) or Medical Technology Assessment
Committee) more efficient, effective and quality-based
— we have vast experience in helping staff work better,
smarter, more knowledgably and more effectively and making these
committees run well and make high quality decisions
- Quality
Improvement Methods
Help make the outputs of your Quality Department
more efficient, effective and evidence-based
- Help
to Create an Evidence-based Organization
Evaluate how well your health care organization is structured
to practice evidence-based clinical quality improvement
- Performance
Measurement
Help you develop
effective and responsible performance measures
- Patient-centered
Care & Healthcare Communications
Help doctor patient communication and help others
communicate with patients better
- Decision
& Communication Aids
Create effective and informative communication aids such
as decision support (or teach you to do this
effectively yourself)
- Medical
Education, Pharmacist Education, Nursing Education & Education
Opportunities for Other Groups Including Legal Professionals and
Design Professionals
Create meaningful and enjoyable medical education conferences
and other educational conferences for medical
and related professions such as pharmacy, nursing, dental, employers,
legal, architectural and — importantly patients —
as well as others
- And more…
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|
| |
Why
This Is Important To You:
Why We Can
Help You:
We are leaders in evidence-
and value-based healthcare quality improvement
methods and experts in evidence-based medicine
(EBM) and evidence-based practice (EBP) in related
disciplines, with proven methods for accomplishing
quality in healthcare that are rigorous, yet simplified;
that are easy to use and that work.
(And despite the rigorous demands of science, we are warm, flexible,
helpful and fun.)
Delfini provides
help for organizations,
leaders, committees such as
pharmacy and therapeutics,
medical technology assessment, quality teams and other EBM and quality
improvement work groups, individual physicians, pharmacists, nurses,
other health care professionals, scientists, guideline developers, content
developers, most importantly patients and more...you will find many
helpful tips and tools free
on our website...
Delfini
Services
We offer a
wide range of supportive
services with the ultimate goal of increasing health care
organizations’ and clinicians’ abilities to provide high
quality, evidence-based care and to improve medical
decision-making for organizations, leaders, teams, clinicians
and patients.
Using
our evidence-based training, our successful health
care quality improvement methods and our rigorous approach
to scientific review for developing clinical information, quality
in healthcare will be enhanced through evidence-based care that is patient-centered
and improved patient safety.
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| For
example, whether you are a — |
- Medical
leader seeking good clinical practice guidelines...
- Healthcare
leader looking for ways to improve health care quality
management...
- Physician
interested in creating a clinical review to provide evidence-based
health care...
- Clinical
pharmacist leader working to establish a high quality
medical formulary or hospital formulary...
- Nurse
interested
in evidence-based practice nursing...
- Member of medical
leadership seeking to implement health care performance
measurement or part of a healthcare leadership team tasked with
measuring performance through a quality management in healthcare
effort...
- Physician,
clinical pharmacist or nurse looking for better ways
to communicate with patients...
- Medical
librarian seeking ways to better help answer clinical
questions...
You want to utilizing
scientific research in the right way to perform all these tasks
to create informative evidence-based reviews or to create improvements
in care.
Quality of healthcare
is affected by the use of valid (meaning “probably
true”) and clinically useful scientific information
obtained through a systematic literature review (known as systematic
review) utilizing effective scientific review methods for critical
appraisal of the medical literature.
Quality improvement
in healthcare through such evidence-based reviews can be used to
guide the formulation of evidence-based guidelines, treatment choices
through formulary development, evidence-based practice nursing and
more.
Improving healthcare
quality for effective patient centered care and patient safety also
requires effective implementation strategies of such items as evidence-based
clinical care guidelines to effect clinical behavior change.
We can help you with
all of these tasks — and more — including managing your
evidence-review and clinical quality improvement committees, from
staffing to membership, to structures, processes, procedures and
more.
We can help healthcare
leaders and individuals. |
|
Delfini
Resources
We provide on our website
a wealth of free information: commentaries
and other help such as self-learning
modules, health care quality improvement tools, evidence review tools,
reading recommendations and a simplified glossary to name just a
few examples. We offer support to help
you help patients make health care decisions based on their own values
and preferences by providing ways to help them better understand
the implications of science and the various choices available to them.
|
| About
Delfini Services
|
Delfini
services include a broad range of clinical improvement
activities including —
- How
do you know if a meta-analysis is reliable in assisting you
with providing value-based healthcare? We provide evidence-based
teaching through training
programs such as including critical
appraisal of the medical literature training to
help you successfully evaluate the medical literature, including
primary studies, secondary studies such as systematic reviews
and meta-analyses, and secondary sources such as clinical guidelines.
We provide otehr medical education offerings as well for health
care quality improvement, medical decision-making, measurement
and more;
- Facilitating
and training in clinical practice guideline development
and clinical health care quality improvement projects;
- Clinical
improvement facilitation and committee
assistance such as for quality improvement
teams, pharmacy and therapeutics committees
and medical technology assessment committees
and their projects; and,
- Conducting
systematic literature
review of the scientific literature for many purposes
such as clinical guidelines, qualitative systematic review,
drug monographs, medical technology assessments and more to
ensure high quality of health care.
- We
offer help in medical decision-making methods
including creating decision-support materials
and improved doctor patient communications
(see our GLIDE
physician patient communications tool which was a favorite
of John Coombs MD of the University of Washington and advanced-program
Tulsa attendees).
- We can help your
organization
be primed and structured for health care quality improvement.
We evaluate
the quality systems of your health care organization
and consult on your clinical
improvement initiatives, including performance
measurement.
Our
consultations are wide-ranging, but always
with an eye first to the evidence, taking into considerations other
factors in health care decision-making. Read here
if you haven't already to see why this is our focus.
Read more
about our Evidence-based
Healthcare Quality Improvement Services |
|
| Delfini
IS UNIQUE
Delfini is unique in the world of EBM and clinical health care quality
improvement. We practice applied evidence-based medicine,
and we are applauded for our simplified
methods, confidence-building experiences and
practical tools. Many of our tools and resources are freely
available on our website.
WE
HELP OTHERS BE SUCCESSFUL — WE CAN HELP YOU BE
SUCCESSFUL
We have accolades for our work and evidence
of our effectiveness. We have numerous testimonials
from professors and other academicians, health care leaders including
those involved in performance
measurement, pharmacy
and therapeutics and medical
technology assessment committees, quality improvement teams, physicians,
pharmacists, nurses, residents, students, guideline developers, content
developers, employers,
judges and many others.
Our training
programs are popular. We make hard concepts and process
steps easy to understand, and we make learning them
entertaining. The proof is in our testimonials
and evaluation scores which average 4.8 out of 5.0. Our website
has been praised as a useful source for clinical improvement information
which we add to regularly.
Delfini
About Our Work 
Resources at
—
|
AN
INTRODUCTION TO OUR WEBSITE
(use of which implies an agreement to our Notices)
Health care seems like a shipwreck at times. Yet there are islands of
hopefulness. Much of the territory is uncharted; yet there is potential
for relief and direction. We want to provide islands of hopefulness to
you. Our goal is to provide you with help to foster clinical quality care
efforts. See below for some key links to information
of import to you.

Photo courtesy
of Bat Shunatona, MD
OMNI Medical Group, Tulsa OK
Inspirational Colleague & Delfini Booster |
What's
@ www.delfini.org
|
| Some
Introductory Links
|
Some
Inspirations & Edifications |
Click
the dolphin periodically for Evidence
Commentaries & Quality Improvement
nibblets...
DelfiniClick™
|
|
|
The
Delfini
Mission
Our mission is to improve
health care quality and use of resources by assisting medical leaders,
health care professionals and others interested in and affected by
health care decisions by —
- Bringing science into
medical practice in an easy-to-understand way.
- Using simplified methods
to help navigate the complexities of such areas as evidence-based
medicine, clinical improvement and other topics.
- Building competencies
and confidence in improving medical care through our consultations,
training programs and tools.
- Providing inspiration
to others to improve medical care and help bring about needed change.
|
| ...............................................
Contact
Delfini
Delfini
Group
 
You
can reach us at delfini (at)
delfini.org
Write
us for our periodic DelfiniGram™
for announcements of updated tools and information, contact us
with questions
or just to say hello.
Warm best from Delfini
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©
Delfini Group, LLC, 2002-2010. All Rights Reserved Worldwide.
Use
of this website implies your agreement to our Notices.
EBM Solutions
for evidence-based Health Care Quality
|