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  1. Classic CQI Integrated with Comprehensive Disease Management as a Model for Performance Improvement.

    Article - En anglais

    Background :

    In recent years, health and disease management has emerged as an effective means of delivering, integrating, and improving care through a population-based approach.

    Since 1997 the University of Pennsylvania Health System (UPHS) has utilized the key principles and components of continuous quality improvement (CQI) and disease management to form a model for health care improvement that focuses on designing best practices, using best practices to influence clinical decision making, changing processes and systems to deploy and deliver best practices, and measuring outcomes to improve the process.

    Experience with 28 programs and more than 14,000 patients indicates significant improvement in outcomes, including high physician satisfaction, increased patient satisfaction, reduced costs, and improved clinical process and outcome measures across multiple diseases.

    Diabetes disease management : In three months a UPHS multidisciplinary diabetes disease management team developed a best practice approach for the treatment of all patients with diabetes in the UPHS.

    After the program was pilot tested in three primary care physician sites, it was then introduced progressively to additional practice sites throughout the health system.

    The establishment of the role of the diabetes nurse care managers (certified diabetes educators) was central to successful program deployment. (...)

    Mots-clés Pascal : Gestion, Amélioration, Performance, Evaluation, Processus, Médecin, Pratique professionnelle, Guide, Asthme, Diabète, Chronique, Maladie, Qualité, Soin

    Mots-clés Pascal anglais : Management, Improvement, Performance, Evaluation, Process, Physician, Professional practice, Guide, Asthma, Diabetes mellitus, Chronic, Disease, Quality, Care

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 14/12/1999.