FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1996355856> ?p ?o ?g. }

• W1996355856 endingPage "1140" @default.
• W1996355856 startingPage "1134" @default.
• W1996355856 abstract "Background Quality improvement (QI) measures often are cited as goals for individual practices and medical centers and may someday form a component of reimbursement guidelines. Relatively few QI metrics relevant to ambulatory pulmonary medicine have been published. We describe the development and implementation of a QI program in an academic pulmonary division, including progress to date and lessons learned. Methods Metrics for the pulmonary QI Dashboard were developed based on an extensive literature review. Patients were identified through International Classification of Diseases-based billing databases, and results data were obtained from a manual and automated review of the electronic medical record. The performance of the division was monitored and presented in regular faculty meetings. Quarterly, confidential, individual scorecards gave each clinician feedback about his or her performance and compared the feedback to that of the faculty of the entire division. Results Significant improvements were found in many QI measures during a 2-year period. The number of patients with asthma who received appropriately prescribed inhaled corticosteroids increased from a baseline of 76 to 92% to 98%. Flu shot and pneumococcal vaccine administration documentation for patients with COPD increased from baseline values of 11 to 32% and 11 to 34%, respectively, to 90% and 93%, respectively. The COPD Global Initiative for Obstructive Lung Disease pharmacotherapy guidelines adherence increased substantially for patients with all disease stages. Chest CT scan results notification documentation improved from a baseline of 67 to 76% to 98%. Comparison between baseline and QI periods yielded statistically significant increases for these indicators. Conclusions QI measures for an ambulatory pulmonary practice can be designed, implemented, and monitored. Key components include a well-structured electronic medical record, measurable outcomes, strong QI leadership, and specific interventions, such as providing feedback through QI review meetings and individual “report cards.” Quality improvement (QI) measures often are cited as goals for individual practices and medical centers and may someday form a component of reimbursement guidelines. Relatively few QI metrics relevant to ambulatory pulmonary medicine have been published. We describe the development and implementation of a QI program in an academic pulmonary division, including progress to date and lessons learned. Metrics for the pulmonary QI Dashboard were developed based on an extensive literature review. Patients were identified through International Classification of Diseases-based billing databases, and results data were obtained from a manual and automated review of the electronic medical record. The performance of the division was monitored and presented in regular faculty meetings. Quarterly, confidential, individual scorecards gave each clinician feedback about his or her performance and compared the feedback to that of the faculty of the entire division. Significant improvements were found in many QI measures during a 2-year period. The number of patients with asthma who received appropriately prescribed inhaled corticosteroids increased from a baseline of 76 to 92% to 98%. Flu shot and pneumococcal vaccine administration documentation for patients with COPD increased from baseline values of 11 to 32% and 11 to 34%, respectively, to 90% and 93%, respectively. The COPD Global Initiative for Obstructive Lung Disease pharmacotherapy guidelines adherence increased substantially for patients with all disease stages. Chest CT scan results notification documentation improved from a baseline of 67 to 76% to 98%. Comparison between baseline and QI periods yielded statistically significant increases for these indicators. QI measures for an ambulatory pulmonary practice can be designed, implemented, and monitored. Key components include a well-structured electronic medical record, measurable outcomes, strong QI leadership, and specific interventions, such as providing feedback through QI review meetings and individual “report cards.”" @default.
• W1996355856 created "2016-06-24" @default.
• W1996355856 creator A5012614640 @default.
• W1996355856 creator A5027679980 @default.
• W1996355856 creator A5043342646 @default.
• W1996355856 creator A5048022550 @default.
• W1996355856 creator A5049109616 @default.
• W1996355856 creator A5053818199 @default.
• W1996355856 creator A5058462699 @default.
• W1996355856 creator A5087979959 @default.
• W1996355856 date "2009-10-01" @default.
• W1996355856 modified "2023-09-23" @default.
• W1996355856 title "Design and Measurement of Quality Improvement Indicators in Ambulatory Pulmonary Care" @default.
• W1996355856 cites W1990171448 @default.
• W1996355856 cites W1994307831 @default.
• W1996355856 cites W2013265806 @default.
• W1996355856 cites W2023802459 @default.
• W1996355856 cites W2049613855 @default.
• W1996355856 cites W2085042331 @default.
• W1996355856 cites W2085069191 @default.
• W1996355856 cites W2128788812 @default.
• W1996355856 doi "https://doi.org/10.1378/chest.09-0619" @default.
• W1996355856 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19809055" @default.
• W1996355856 hasPublicationYear "2009" @default.
• W1996355856 type Work @default.
• W1996355856 sameAs 1996355856 @default.
• W1996355856 citedByCount "15" @default.
• W1996355856 countsByYear W19963558562012 @default.
• W1996355856 countsByYear W19963558562013 @default.
• W1996355856 countsByYear W19963558562015 @default.
• W1996355856 countsByYear W19963558562017 @default.
• W1996355856 countsByYear W19963558562020 @default.
• W1996355856 countsByYear W19963558562021 @default.
• W1996355856 crossrefType "journal-article" @default.
• W1996355856 hasAuthorship W1996355856A5012614640 @default.
• W1996355856 hasAuthorship W1996355856A5027679980 @default.
• W1996355856 hasAuthorship W1996355856A5043342646 @default.
• W1996355856 hasAuthorship W1996355856A5048022550 @default.
• W1996355856 hasAuthorship W1996355856A5049109616 @default.
• W1996355856 hasAuthorship W1996355856A5053818199 @default.
• W1996355856 hasAuthorship W1996355856A5058462699 @default.
• W1996355856 hasAuthorship W1996355856A5087979959 @default.
• W1996355856 hasConcept C111368507 @default.
• W1996355856 hasConcept C126322002 @default.
• W1996355856 hasConcept C12725497 @default.
• W1996355856 hasConcept C127313418 @default.
• W1996355856 hasConcept C160735492 @default.
• W1996355856 hasConcept C162324750 @default.
• W1996355856 hasConcept C1862650 @default.
• W1996355856 hasConcept C187736073 @default.
• W1996355856 hasConcept C194828623 @default.
• W1996355856 hasConcept C195910791 @default.
• W1996355856 hasConcept C198783460 @default.
• W1996355856 hasConcept C199360897 @default.
• W1996355856 hasConcept C2776780178 @default.
• W1996355856 hasConcept C2779703844 @default.
• W1996355856 hasConcept C35785553 @default.
• W1996355856 hasConcept C41008148 @default.
• W1996355856 hasConcept C50522688 @default.
• W1996355856 hasConcept C512399662 @default.
• W1996355856 hasConcept C56666940 @default.
• W1996355856 hasConcept C71405471 @default.
• W1996355856 hasConcept C71924100 @default.
• W1996355856 hasConceptScore W1996355856C111368507 @default.
• W1996355856 hasConceptScore W1996355856C126322002 @default.
• W1996355856 hasConceptScore W1996355856C12725497 @default.
• W1996355856 hasConceptScore W1996355856C127313418 @default.
• W1996355856 hasConceptScore W1996355856C160735492 @default.
• W1996355856 hasConceptScore W1996355856C162324750 @default.
• W1996355856 hasConceptScore W1996355856C1862650 @default.
• W1996355856 hasConceptScore W1996355856C187736073 @default.
• W1996355856 hasConceptScore W1996355856C194828623 @default.
• W1996355856 hasConceptScore W1996355856C195910791 @default.
• W1996355856 hasConceptScore W1996355856C198783460 @default.
• W1996355856 hasConceptScore W1996355856C199360897 @default.
• W1996355856 hasConceptScore W1996355856C2776780178 @default.
• W1996355856 hasConceptScore W1996355856C2779703844 @default.
• W1996355856 hasConceptScore W1996355856C35785553 @default.
• W1996355856 hasConceptScore W1996355856C41008148 @default.
• W1996355856 hasConceptScore W1996355856C50522688 @default.
• W1996355856 hasConceptScore W1996355856C512399662 @default.
• W1996355856 hasConceptScore W1996355856C56666940 @default.
• W1996355856 hasConceptScore W1996355856C71405471 @default.
• W1996355856 hasConceptScore W1996355856C71924100 @default.
• W1996355856 hasIssue "4" @default.
• W1996355856 hasLocation W19963558561 @default.
• W1996355856 hasLocation W19963558562 @default.
• W1996355856 hasOpenAccess W1996355856 @default.
• W1996355856 hasPrimaryLocation W19963558561 @default.
• W1996355856 hasRelatedWork W138283967 @default.
• W1996355856 hasRelatedWork W1978219073 @default.
• W1996355856 hasRelatedWork W2016577469 @default.
• W1996355856 hasRelatedWork W2025193597 @default.
• W1996355856 hasRelatedWork W2149407053 @default.
• W1996355856 hasRelatedWork W2168449172 @default.
• W1996355856 hasRelatedWork W2312635070 @default.
• W1996355856 hasRelatedWork W2380042176 @default.
• W1996355856 hasRelatedWork W2599503823 @default.

• next