Creating a Business Case for Quality Improvement Research Expert Views: Workshop Summary (2008) / Chapter Skim
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3 Research as a Driving Force for Change
3 Research as a Driving Force for Change
Pages 32-39
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From page 32... ...
To address the state of quality improvement research and its role in improving the health care system, panelists discussed the roles of foundations and academia in research, providing a sense for how research should be used to inform decision making and create the business case. Panelists were asked to discuss the following questions: • Are there effective research-oriented models in practice aimed at the translation of outcomes from improvement research to effective operational practices?
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From page 33... ...
As a result of these six problems with the quality improvement literature, Alexander concluded there is inconsistent information regarding what works, when it works, where it works, and what it costs. An opportunity therefore exists to rethink how quality improvement research could be conducted to become more valid, generalizable, and useful to decision makers.
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From page 34... ...
A new model is needed that would take into consideration implementation as a component of quality improvement research and the effects of contextual factors on implementation and quality improvement effectiveness. Although implementation research is not yet at a point that it can be called implementation science, Alexander noted, it is clear that factors affecting implementation can be divided into categories such as process, content, internal context, and external context.
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From page 35... ...
Another The Leapfrog Group is sponsored by the Business Roundtable to improve health care quality. One of its main "leaps" forward to improve patient safety is to encourage widespread implementation of CPOE systems.
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From page 36... ...
To minimize other biases, researchers should be blinded, implementation processes should be measured, and long-term outcomes should be evaluated in addition to shortterm outcomes. Infrastructure should be enhanced to allow quality improvement research to advance health care.
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From page 37... ...
Another point of examination should be the payment system because those people investing resources to improve quality tend not to be the actual recipients of financial rewards. To supplement current efforts, quality improvement should be linked to the National Institutes of Health's Clinical and Translational Science Awards program and focus on translating science from the clinical level to the population or community level.
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From page 38... ...
Schizophrenia effects 1 percent of people, about 100,000 VA patients a year. Although this number is less than 2 percent of VA patients, care for people with schizophrenia equates to a much larger percentage of the VA's health care costs.
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From page 39... ...
Using the pneumonia example, must people be needlessly scared about getting unnecessary antibiotics in order for others who need the antibiotics to get them on time? Health care should learn from other industries that also encounter the need to reduce errors, such as the airline industry, where the costs associated with having error-free systems are built into business models.
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