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dc.contributor.authorVan Harrison, R.en_US
dc.contributor.authorStandiford, Connie J.en_US
dc.contributor.authorGreen, Lee A.en_US
dc.contributor.authorBernstein, Steven J.en_US
dc.date.accessioned2007-01-17T15:56:32Z
dc.date.available2007-01-17T15:56:32Z
dc.date.issued2006en_US
dc.identifier.citationVan 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.issn0894-1912en_US
dc.identifier.issn1554-558Xen_US
dc.identifier.urihttps://hdl.handle.net/2027.42/49319
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17163498&dopt=citationen_US
dc.description.abstractIntroduction: 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.extent248490 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherEducationen_US
dc.titleIntegrating education into primary care quality and cost improvement at an academic medical centeren_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartments 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 48109–0201en_US
dc.contributor.affiliationumDepartment of Internal Medicine and Ambulatory Care Services, University of Michigan Medical School, Ann Arboren_US
dc.contributor.affiliationumDepartment of Family Medicine, University of Michigan Medical School, Ann Arboren_US
dc.contributor.affiliationumVeterans Administration Center for Practice Management and Outcomes Research, and Department of Internal Medicine, University of Michigan Medical School, Ann Arboren_US
dc.identifier.pmid17163498en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/49319/1/80_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/chp.80en_US
dc.identifier.sourceJournal of Continuing Education in the Health Professionsen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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