Delfini Evidence Based Health Care Quality Improvement Model

Delfini Evidence- and Value-based Model for Clinical Quality Improvement = Net Gain + (Net Loss) Unite and apply together evidence, quality improvement steps and value considerations. Consider the plusses and minuses of— + Healthcare Outcomes — + Patient Perspective — + Savings/Cost — + Other Considerations — Download or View the Key Considerations 1-Pager Delfini Flier
Efficiency & Effectiveness	What is Quality In Healthcare? Quality in Healthcare Using an Evidence-based Approach can be considered as the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with the best available reliable and usable scientific evidence. A quality system is one that is effective, patient-centered, safe, timely, efficient and equitable, according to the Institute of Medicine (IOM).
Predictability of Outcomes	Before you decide to change practice, you need to evaluate interventions for appropriateness. And appropriateness has a number of components. If you are going to implement change, you need to be as sure as you can that the change will result in improved care. What is required to better understand optimal practice is a “round-up” of medical evidence which has been subjected to rigorous critical appraisal and synthesis.
Quality Medical Evidence	A centerpiece of our evidence-based CQI framework is critical appraisal of the medical literature, which we use to inform all our steps, from seeking the right thing to do, to doing the right thing right. We approach quality improvement first by asking what valid and useful evidence is currently available in the literature to assist leaders, clinicians and patients improve outcomes. Strong evidence of clinical improvement facilitates other steps like impact assessment, implementation and measurement because people understand what to expect. Even when there is little or no published evidence, QI teams become more confident about decisions when they know what is (and what isn’t) in the medical literature.
Impacts of Change & Economic Analysis	Before you make change, it is important to predict what’s going to happen. Before implementing a QI initiative, the team should project the impact of change. This can range from an analysis of economic impacts as well as more subjective outcomes. All too often, this ends up being a neglected step or one that is made impossibly difficult and mysterious by those with “black box” approaches.
Implementation & Measurement	We have a set of implementation tools and measurement tips that are easy to understand and can jump start implementation planning. These are freely available on our website at Resources.
Communication Aids	We also have help for creating information and action aids and decision-support for your staff and your patients.
Key Considerations	Delfini Pearls: Key Considerations for the Evidence- & Value-based Organization and for Evidence- and Value-based Clinical Quality Improvement Efforts; 1-Pager [WORD][PDF]