Exploring Innovation and Quality Improvement in Health Care Micro-Systems A Cross-Case Analysis (2000) / Chapter Skim
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Appendix E: Telephone Interview
Appendix E: Telephone Interview
Pages 74-85
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Let me start by telling you a little bit about the Institute of Medicine and about this study of health care micro-systems that you have agreed to participate in. The TOM is part of the National Academy of Sciences.
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Your micro-system has been nominated as one in which we might be especially interested in learning more about. By the term "micro-systems" we mean small, organized groups of clinicians and staff working together to provide care for a defined set of patients.
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How is it different from others that treat similar patients? Can you give me some examples?
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Can you point to some examples of what your micro-system has done in this area, for example, to support professional ethics, encourage peer feedback or skill development? Optional: if newly developed program or processes: How long has the micro-system been working this way?
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For example, some clinicians give patients booklets, articles, web sites, or have health education groups they send patients to.
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For example, a breast care center might track how long it usually takes for a woman who has a breast lump to be scheduled for a visit, receive a definitive diagnosis and therapy. Are you able to identify the sources of delay?
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Is it supported by the larger organization or is it free-standing in your micro-system?
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81 5. Within the micro-system have there been any specific efforts devoted to leadership training, such as creating effective teams, conflict management, change management, or the like?
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2. Optional: How do you and others in the micro-system access and incorporate emerging clinical evidence?
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APPENDIX E 4. What do you believe are the major sources of error or harm?
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LEADERSHIP AND MANAGEMENT/ IMPROVING CARE DELIVERY :~. Can you give me some examples of particularly helpful ways in which (name of larger org)
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As I write-up my notes, I may need to contact you later to clarify points or ask additional questions. Is that ok with you?
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