| 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.
We
estimate that the approval rate for new technologies
will drop by an absolute 10 to 15% in organizations
that develop an 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
»
|
Links
for Leaders & Health Care Professionals Engaged
in Clinical Quality Improvements
Physician
Executive Series for details about The
Evidence-based Organization »
- Developing
a system and the six phases of evidence- and value-based
clinical improvement
- Ensuring
that your P&T and technology assessment committees
are functioning optimally
Help
for Structures
- Creating
the EBM Organization »
- P&T
Committees »
- Medical
Technology Assessment Committees »
Delfini
Approach to clinical quality improvement & value
»
The
Return-on-Investment for EBM »
Health
Care Quality Systems Assessment Tool »
How's your health care system doing? We have an evaluation
tool to help determine how well it is positioned to
practice and evidence- and value-based approach to
health care.
Performance
Measurement
- Delfini
Publications: Performance Measurement »
Training
- Training
modules »
- Sample
critical appraisal example »
- Sample
training outline »
Tools
- Health
Care Quality System Assessments »
- EBM
Organizational Readiness Tool [WORD]
- The
Delfini
Tool Suite »
Selected
Short EBM & QI Commentaries from the DelfiniClick™
- The
Volume of Inappropriate Care in the US
»
- Variations
in Experts' Recommendations »
- Underuse
of Proven Interventions »
- Quality
of Clinical Guidelines »
Selections
from the Delfini
Showcase™
- Nephrology
Guideline Project
»
- Spinal
Care
»
- McKesson
Training Intensive »
Leader
Testimonial
- Testimonial
of Effectiveness »
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