Integrating education into primary care quality and cost improvement at an academic medical center
dc.contributor.author | Van Harrison, R. | en_US |
dc.contributor.author | Standiford, Connie J. | en_US |
dc.contributor.author | Green, Lee A. | en_US |
dc.contributor.author | Bernstein, Steven J. | en_US |
dc.date.accessioned | 2007-01-17T15:56:32Z | |
dc.date.available | 2007-01-17T15:56:32Z | |
dc.date.issued | 2006 | en_US |
dc.identifier.citation | Van Harrison, R.; Standiford, Connie J.; Green, Lee A.; Bernstein, Steven J. (2006)."Integrating education into primary care quality and cost improvement at an academic medical center." Journal of Continuing Education in the Health Professions 26(4): 268-284. <http://hdl.handle.net/2027.42/49319> | en_US |
dc.identifier.issn | 0894-1912 | en_US |
dc.identifier.issn | 1554-558X | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/49319 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17163498&dopt=citation | en_US |
dc.description.abstract | Introduction: In 1996 the University of Michigan Health System created the Guidelines Utilization, Implementation, Development, and Evaluation Studies (GUIDES) unit to improve the quality and cost-effectiveness of primary care for common medical problems. GUIDES's primary functions are to oversee the development of evidence-based, practical clinical guidelines for common medical conditions; measure and provide feedback on physicians' performance; and facilitate systemic changes to support appropriate care. Various methods are used to improve care, including evidence reviews, formal education, informal clinical “opinion leaders,” feedback, reminders, and procedure changes. Twenty-four common medical conditions have been addressed through this process. More than 30 measures of clinical performance have been developed and reported. Methods: This case study describes a systematic, multifaceted program to improve the quality and cost-effectiveness of primary care. Results: Illustrative results for clinical performance are presented for 2 measures of chronic care, 2 measures of preventive care, and 2 measures of acute care. All 6 measures show general improvement in performance across years, with performance near or above the National Committee for Quality Assurance's 90th percentile for Health Plan Employer Data and Information Set measures. Discussion: A systematic approach involving all relevant components of a health system integrates the synthesis of information, education about the information and how to implement it, and addressing operational barriers. Benefits include a curriculum that is shared across faculty, residents, and medical students and more uniform quality of care that faculty model for physicians-in-training. | en_US |
dc.format.extent | 248490 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Education | en_US |
dc.title | Integrating education into primary care quality and cost improvement at an academic medical center | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Departments of Medical Education and Office of Continuing Medical Education, University of Michigan Medical School, Ann Arbor ; Department of Medical Education, G-1103 Towsley Center, Ann Arbor, MI 48109–0201 | en_US |
dc.contributor.affiliationum | Department of Internal Medicine and Ambulatory Care Services, University of Michigan Medical School, Ann Arbor | en_US |
dc.contributor.affiliationum | Department of Family Medicine, University of Michigan Medical School, Ann Arbor | en_US |
dc.contributor.affiliationum | Veterans Administration Center for Practice Management and Outcomes Research, and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor | en_US |
dc.identifier.pmid | 17163498 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/49319/1/80_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/chp.80 | en_US |
dc.identifier.source | Journal of Continuing Education in the Health Professions | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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