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4 Breakout Groups
Pages 40-43

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From page 40...
... Discussion of this working definition led to the realization that there were actually two different value propositions in question: one for quality improvement itself and one for research on quality improvement. The value proposition for quality improvement must take into account three different perspectives, Leviton said.
From page 41...
... Data should be collected over time, which could be facilitated by electronic health records and could have beneficial effects on improving patient education and producing health care reform. Intraorganizational quality improvement gains Effective intraorganizational quality improvement gains must be created within an environment where quality is a top priority and not just a short-term project, O'Neill said, reporting for the breakout group that explored that topic.
From page 42...
... Around the same time, the National Committee for Quality Assurance and the Joint Commission developed a performance measure for beta blockers, which led to the development of incentives and tools to encourage the use of beta blockers by health plans and others. At the onset of reporting, data showed that approximately 60 percent of people with MIs received beta blockers soon after the event.
From page 43...
... Third, guidelines and performance measures were developed by credible organizations. Nonetheless, how individual institutions actually implemented these interventions remains unclear because no literature has documented the exact steps or determined the most effective and efficient methods of implementation.


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