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  1. Integrating Clinical Performance Improvement Across Physician Organizations : The PhyCor Experience.

    Article - En anglais


    There is a paucity of literature describing the implementation of clinical performance improvement (CPI) efforts across geographically dispersed multispecialty group practices and independent practice associations.

    PhyCor, a physician management company based in Nashville, Tenessee, has integrated CPI initiatives into its operating infrastructure.

    PhyCor CPI initiatives : The strategic framework guiding PhyCor's CPI initiatives is built around a physician-driven, patient-centered model.

    Physician/administrator leadership teams develop and implement a clinical and financial strategic plan for performance improvement ; adopt local clinical and operational performance indicators ; and agree on and gain consensus with local physician champions to engage in CPI initiatives.

    The area/regional leadership councils integrate and coordinate regional medical management and CPI initiatives among local groups and independent practice associations.

    In addition to these councils and a national leadership council, condition-specific care management councils have also been established.

    These councils develop condition-specific protocols and outcome measures and lead the implementation of CPI initiatives at their own clinics.


    Key resources supporting CPI initiatives include information/knowledge management, education and training, and patient education and consumer decision support. (...)

    Mots-clés Pascal : Amélioration, Processus, Méthodologie, Activité professionnelle, Personnel sanitaire, Médecin, Travailleur social, Stratégie, Indicateur, Evaluation, Asthme, Maladie, Diabète, Chronique, Appareil respiratoire pathologie, Economie travail, Bronchopneumopathie obstructive, Endocrinopathie

    Mots-clés Pascal anglais : Improvement, Process, Methodology, Professional activity, Health staff, Physician, Social worker, Strategy, Indicator, Evaluation, Asthma, Disease, Diabetes mellitus, Chronic, Respiratory disease, Labour economy, Obstructive pulmonary disease, Endocrinopathy

    Logo du centre Notice produite par :
    Observatoire Régional de la Santé Auvergne-Rhône-Alpes

    Code Inist : 002B30A11. Création : 31/05/1999.