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The Delfini Showcase: Success Stories
Evidence-based Practice Resources & Services for Value & Patient-centered Care
Help For Health Care Decision-makers & Help to Achieve Clinical Quality Improvement

Quality Help for Quality Care for Free
Case studies, examples and samples for clinical quality improvement efforts, including evidence-based practice approaches can be found on this page.

Delfini Services
We also provide consulting help in evidence-based practice such as critical appraisal of the medical literature and many related areas including —

Help for organizations to position for evidence-based care and healthcare quality
Evidence-based practice (EBP) such as critical appraisal to help you with medical literature review
Evidence-based medicine (EBM)
Evidence-based nursing & other disciplines
Scientific reviews
Evidence synthesis
Systematic reviews including comparative effectiveness research (CER)
Clinical recommendations
Medical education and continuing medical education resources
Formulary management
Pharmacist education
Clinical quality improvement
Medical decision-making
Health care quality
Patient-centered care
Doctor patient communications
Creating decision support
Committee work such as pharmacy and therapeutics (P & T committee) or medical technology assessment including tips and services for evidence-based reviews, drug monograph development, committee management, structures, processes and more
Leadership help
Clinical practice guidelines development and facilitation
Clinical improvement project facilitation
Project selection
Cost analysis evaluation
Implementation
Measurement
Performance measurement training and development of performance measures
Meeting management
more...

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New! Announcing the Delfini Summer Seminar
July 28 & 29, 2010—Portland OR

Evidence-based Practice Services & Freely Available Help

The Delfini Showcase is a collection of evidence-based practice and clinical improvement projects, products and relationships that we are really proud of as examples of our work and efforts of our fine colleagues and which also which may be of help to others as resources, inspirations, contacts or ideas for improvements.

We give you examples for critical appraisal, clinical practice guidelines, systematic reviews, quality improvement projects, education initiatives and more.

Note: Not all items are up-to-date, but they represent a good example of our work plus a reminder that we have many other resources are available at Resources.

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Also see Return-on-Investment for EBM and Delfini Publications.


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Also creators of
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Alphabetical Listing of Resources
(numbers do not correspond to descriptive listing order; synonyms applied)

  1. Arthroscopic Lavage & Debridement for OA Knee
  2. Blood Pressure Management
  3. Clinical Guideline: CKD
  4. Clincal Guideline: IBS
  5. Clinical Guideline: VTE
  6. Continuing Medical Education and Pharmacist Education Conference Example of Past Work: Kaiser Permanente Hawaii Evidence-based Medicine Conference:
    The Essentials: "Talk Story; Talk Evidence TM"
  7. Critical Appraisal example: Gerd/Gord
  8. Debridement for OA Knee
  9. EBM Training Initiative: Blue Cross Idaho
  10. EBM Training Initiative: McKesson
  11. EBM Training Initiative: Regence
  12. Employers' Program
  13. Gerd/Gord and Radio Ablation
  14. High Blood Pressure Management
  15. Hypertension (HTN) Management
  16. Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults:
    A Qualitative Systematic Review and Critical Appraisal of the Evidence
  17. Kaiser Permanente Hawaii Guideline: CKD
  18. Kaiser Permanente Guideline: VTE
  19. Kaiser Permanente Healthcare Performance Improvement: Hypertension (HTN)
  20. Kidney Disease Guideline
  21. Lavage or OA Knee
  22. OA Knee
  23. OMNI Employers' Program
  24. Qualitative Systematic Review: OA Knee
  25. Spine Care
  26. Tulsa Employers' Program
  27. Venous Thromboembolism Guideline
  28. Washington State Technology Assessment (OA Knee)

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About Delfini's Work

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Quick Navigator to Selected Resources:


Delfini Quality Improvement Initiatives & Case Studies
comparative effectiveness research
Qualitative Systematic Review: Arthroscopic Lavage & Debridement For Osteoarthritis of the Knee: Client Oregon Health & Science University for State of Washington

American Diabetes Association
Poster Presentation

Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults:
A Qualitative Systematic Review and Critical Appraisal of the Evidence

Rattan Juneja MD 1; Michael E. Stuart MD 2,3;
Sheri A. Strite 3

Indiana University Medical School of Medicine, Indianapolis, Indiana 1
University of Washington, Seattle, Washington 2
Delfini Group, LLC, Seattle, Washington 3

Qualitative Systematic Review: Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults: In partnership with Dr. Rattan Juneja, Indiana Univesity School of Medicine & Clarian Health, Indianapolis, Indiana

Improvement of gastroesophageal reflux symptoms after radiofrequency energy: a randomized, sham-controlled trial.
Corley DA, Katz P, Wo JM, Stefan A, Patti M, Rothstein R, Edmundowicz S, Kline M, Mason R, Wolfe MM. Gastroenterology. 2003 Sep;125(3):668-76. PMID 12949712

Review & Critique by Sheri A. Strite & Michael E. Stuart MD, Delfini Group
January 14, 2006

Critical Appraisal Example for radiofrequency for the treatment of gastro-esophageal reflux disease: full story; appraisal only
evidence based clinical guidelines

update September 09 Guideline & Quality Improvement Project Initiative — Deep Vein Thrombosis (DVT)/Venous Thromboembolism (VTE) Project: Client Kaiser Permanente Hawaii

clinical practice guidelines
update July 09  Guideline & Health Care Quality Improvement Project Initiative— Nephrology Chronic Kidney Disease Projec & Clinical Guideline: Client Kaiser Permanente Hawaii
EBM Blood Pressure Project
Evidence-Based Medicine (EBM) Hypertension (HTN) Healthcare Quality Performance Improvement Project
Client Kaiser Permanente Hawaii
formulary
Pharmacy Benefits Management: Client Regence Rx
clinical review
EBM Training Initiative: Client McKesson (Interqual)
medical education
Quality Improvement Initiative Spinal Care: Client Blue Cross of Idaho
clinical guidelines

updated June 09   
Guideline: Irritable Bowel Syndrome Resource Center
including Clinical Practice Guideline

EBM Conference Location Continuing Medical Education and Pharmacist Education Conference — Example of Past Work — we can put on a conference like this for you

Kaiser Permanente Hawaii Evidence-based Medicine Conference:
The Essentials: "Talk Story; Talk Evidence TM
evidence based practice

Self-funded Health Plan Program: Getting What You Pay For — The Employer’s Role in Health Care Quality & Value

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...
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