Evidence-based Quality Improvement
Clinical improvement is an area every leader and health care professional needs to keep high on his or her list of priorities. In many organizations, 20% to 50% of the care is inappropriate (overuse, underuse, misuse, non-use). And most people are not aware that the vast majority of health care information — even from the most respected sources — is neither valid nor clinically useful. If you have not yet read the Delfini Fact Sheet: Quality of Care, Quality of Science & Importance of Critical Appraisal Skills, click here for more background.

Leaders, you need to be sure you are devoting your attention and the organization’s resources to appropriate areas. You need to ensure you have established aligned incentives and aligned work components to foster clinical quality.

To effectively lead or assist your organization in clinical quality improvement, you need competencies in evidence-based medicine (EBM), including concepts, skills and a framework and set of tools you can make available to your staff and colleagues for their use in evaluating current care, new drugs and technologies and the ongoing publications in the medical literature, guidelines and performance measures relating to these areas. In short, you need to pay attention to culture, systems, processes and tools that contribute to evidence-based clinical improvements.

Contact Delfini and we will assist you in tailoring an approach to evidence-based clinical improvement that will function optimally in your organization.

Did you know...

• An informal survey has shown that having an operating Pharmacy & Therapeutics Committee can reduce drug expense.

Findings: 10% of premiums go to Rx drug costs in a well-run health care organization with a P & T committee and formulary system; 25% go to Rx drug costs without a P & T committee.

• Establishing an operating Medical Technology Assessment Committee which relies on valid and clinically useful science can improve patient care and reduce the use of unproven technologies along with their associated expenses.

We estimate that the approval rate for new technologies will drop by an absolute 10 to 30% or more in organizations that develop and employ an effective evidence-based evaluation based on our experience at Group Health.

• There is a Return-on-Investment for EBM
  

  Here's a story of how one medical leader was helped: More On Therapies Becoming “Routine Clinical Practice” Without Evidence & Why We Are Doing This Work

Who We Can Help
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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.

Areas We Provide Help In

• Creating the EBM Organization • Creating the Evidence-based Practitioner
Help for organizations to position for evidence-based care and health care quality; help for healthcare leaders and for individuals

• Evidence-based Healthcare Educational Opportunities
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

• Evidence Assessment Training
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

• Evidence Reviews & Clinical Content
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

• Committee Help
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

• Quality Improvement Teams
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...

Delfini About Our Work

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