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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Resources for Leaders

Physician Executive Series for details about The Evidence-based Organization [update: since this was published, we strongly urge auditing all evidence sources including Cochrane and Clinical Evidence]

Help for Structures

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

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Selected Short EBM & QI Commentaries from the DelfiniClick™

Selections from the Delfini Showcase™

Leader Testimonials

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.

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