scholarly journals The Transitions of Care Clinic: Demonstrating the Utility of the Single-Site Quality Improvement Study

2021 ◽  
Vol 16 (10) ◽  
Author(s):  
Luci K Leykum ◽  
Lauren S Penney ◽  
Jacqueline A Pugh
Keyword(s):  
Quality Improvement ◽  
Single Site ◽  
Transitions Of Care ◽  
Site Quality ◽  
Care Clinic

scholarly journals A telephone assessment and advice service within an ED Physiotherapy clinic: A single-site quality improvement cohort study

2021 ◽  
Author(s):  
Marie Kelly ◽  
Anna Higgins ◽  
Adrian Murphy ◽  
Karen McCreesh
Keyword(s):  
Cohort Study ◽  
Quality Improvement ◽  
Usual Care ◽  
Wait Time ◽  
Single Site ◽  
Site Quality ◽  
Attendance Rates ◽  
Improvement Project ◽  
Face To Face ◽  
Advice Service

Abstract BackgroundIn response to issues with timely access and high non-attendance rates for Emergency Department (ED) physiotherapy, a telephone assessment and advice service was evaluated as part of a quality improvement project. This telehealth option requires minimal resources, with the added benefit of allowing the healthcare professional streamline care. A primary aim was to investigate whether this service model can reduce wait times and non-attendance rates, compared to usual care. A secondary aim was to evaluate service user acceptability.MethodsThis was a single-site quality improvement cohort study that compares data on wait time to first physiotherapy contact, non-attendance rates and participant satisfaction between patients that opted for a service based on initial telephone assessment and advice, versus routine face-to-face appointments. 116 patients were referred for ED physiotherapy over the 3-month pilot at the ED and out-patient physiotherapy department, X, Ireland. 91 patients (78%) opted for the telephone assessment and advice service, with 40% (n=36) contacting the service. 25 patients (22%) opted for the face-to-face service. Data on wait time and non-attendance rates was gathered using the hospital data reporting system. Satisfaction data was collected on discharge using a satisfaction survey adapted from the General Practice Assessment Questionnaire. Independent-samples t-test or Mann Whitney U Test was utilised depending on the distribution of the data. For categorical data, Chi-Square tests were performed. A level of significance of p ≤ 0.05 was set for this study.ResultsThose that contacted the telephone assessment and advice service had a significantly reduced wait time (median 6 days; 3 – 8 days) compared to those that opted for usual care (median 35 days; 19 – 39 days) (p ≤ 0.05). There was no significant between-group differences for non-attendance rates or satisfaction.ConclusionA telephone assessment and advice service may be useful in minimising delays for advice for those referred to ED Physiotherapy for musculoskeleltal problems. This telehealth option appears to be broadly acceptable and since it can be introduced rapidly, it may be helpful in triaging referrals and minimising face-to-face consultations, in line with COVID-19 recommendations. However, a large scale randomised controlled trial is warranted to confirm these findings.

scholarly journals A telephone assessment and advice service within an ED physiotherapy clinic: a single-site quality improvement cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marie Kelly ◽  
Anna Higgins ◽  
Adrian Murphy ◽  
Karen McCreesh
Keyword(s):  
Cohort Study ◽  
Quality Improvement ◽  
Usual Care ◽  
Wait Time ◽  
Single Site ◽  
Site Quality ◽  
Attendance Rates ◽  
Improvement Project ◽  
Face To Face ◽  
Advice Service

Abstract Background In response to issues with timely access and high non-attendance rates for Emergency Department (ED) physiotherapy, a telephone assessment and advice service was evaluated as part of a quality improvement project. This telehealth option requires minimal resources, with the added benefit of allowing the healthcare professional streamline care. A primary aim was to investigate whether this service model can reduce wait times and non-attendance rates, compared to usual care. A secondary aim was to evaluate service user acceptability. Methods This was a single-site quality improvement cohort study that compares data on wait time to first physiotherapy contact, non-attendance rates and participant satisfaction between patients that opted for a service based on initial telephone assessment and advice, versus routine face-to-face appointments. 116 patients were referred for ED physiotherapy over the 3-month pilot at the ED and out-patient physiotherapy department, XMercy University Hospital, Cork, Ireland. 91 patients (78%) opted for the telephone assessment and advice service, with 40% (n=36) contacting the service. 25 patients (22%) opted for the face-to-face service. Data on wait time and non-attendance rates was gathered using the hospital data reporting system. Satisfaction data was collected on discharge using a satisfaction survey adapted from the General Practice Assessment Questionnaire. Independent-samples t-test or Mann Whitney U Test was utilised depending on the distribution of the data. For categorical data, Chi-Square tests were performed. A level of significance of p ≤ 0.05 was set for this study. Results Those that contacted the telephone assessment and advice service had a significantly reduced wait time (median 6 days; 3–8 days) compared to those that opted for usual care (median 35 days; 19–39 days) (p ≤ 0.05). There was no significant between-group differences for non-attendance rates or satisfaction. Conclusion A telephone assessment and advice service may be useful in minimising delays for advice for those referred to ED Physiotherapy for musculoskeleltal problems. This telehealth option appears to be broadly acceptable and since it can be introduced rapidly, it may be helpful in triaging referrals and minimising face-to-face consultations, in line with COVID-19 recommendations. However, a large scale randomised controlled trial is warranted to confirm these findings.

scholarly journals Comparison of Collaborative Versus Single-Site Quality Improvement to Reduce NICU Length of Stay

PEDIATRICS ◽  
2018 ◽  
Vol 142 (1) ◽  
pp. e20171395 ◽  
Author(s):  
Henry C. Lee ◽  
Mihoko V. Bennett ◽  
Margaret Crockett ◽  
Ruth Crowe ◽  
Steven G. Gwiazdowski ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Length Of Stay ◽  
Single Site ◽  
Site Quality

Coaching, Consultation and On-site Quality Improvement: Results from Recent Research

2011 ◽  
Author(s):  
Nicole Forry ◽  
Kathryn Tout ◽  
Martha Zaslow ◽  
Ivelisse Martinez-Beck
Keyword(s):  
Quality Improvement ◽  
Site Quality

scholarly journals Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic

2017 ◽  
Vol 43 (3) ◽  
pp. 127-137 ◽  
Author(s):  
Nicholas A. Rattray ◽  
Jason J. Sico ◽  
LeeAnn M. Cox ◽  
Alissa L. Russ ◽  
Marianne S. Matthias ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Transitions Of Care ◽  
Care Clinic ◽  
Challenges And Opportunities

scholarly journals Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education

2019 ◽  
Vol 11 (2) ◽  
pp. 189-195 ◽  
Author(s):  
Christine Haynes ◽  
Myrt Yamamoto ◽  
Cody Dashiell-Earp ◽  
Delani Gunawardena ◽  
Reshma Gupta ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Primary Care Clinic ◽  
Unmet Need ◽  
Performance Data ◽  
Resident Attitudes ◽  
Care Clinic ◽  
Level Data ◽  
Practice Performance ◽  
Clinic Practice ◽  
Feedback Data

ABSTRACT Background  There is an unmet need for formal curricula to deliver practice feedback training to residents. Objective  We developed a curriculum to help residents receive and interpret individual practice feedback data and to engage them in quality improvement efforts. Methods  We created a framework based on resident attribution, effective metric selection, faculty coaching, peer and site comparisons, and resident-driven goals. The curriculum used electronic health record–generated resident-level data and disease-specific ambulatory didactics to help motivate quality improvement efforts. It was rolled out to 144 internal medicine residents practicing at 1 of 4 primary care clinic sites from July 2016 to June 2017. Resident attitudes and behaviors were tracked with presurveys and postsurveys, completed by 126 (88%) and 85 (59%) residents, respectively. Data log-ins and completion of educational activities were monitored. Group-level performance data were tracked using run charts. Results  Survey results demonstrated significant improvements on a 5-point Likert scale in residents' self-reported ability to receive (from a mean of 2.0 to 3.3, P < .001) and to interpret and understand (mean of 2.4 to 3.2, P < .001) their practice performance data. There was also an increased likelihood they would report that their practice had seen improvements in patient care (13% versus 35%, P < .001). Run charts demonstrated no change in patient outcome metrics. Conclusions  A learner-centered longitudinal curriculum on ambulatory patient panels can help residents develop competency in receiving, interpreting, and effectively applying individualized practice performance data.

scholarly journals An Atrial Fibrillation Transitions of Care Clinic Improves Atrial Fibrillation Quality Metrics

2020 ◽  
Vol 6 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Bryan Q. Abadie ◽  
Benjamin Hansen ◽  
Jennifer Walker ◽  
Zachariah Deyo ◽  
Kevin Biese ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Quality Metrics ◽  
Transitions Of Care ◽  
Care Clinic

Su1604 QUALITY IMPROVEMENT CAMPAIGN LEAD TO HIGHER SURVEILLANCE RATE FOR HEPATOCELLULAR CARCINOMA IN PRIMARY CARE CLINIC

2020 ◽  
Vol 158 (6) ◽  
pp. S-1353-S-1354
Author(s):  
Kanit Bunnag ◽  
Amarat Kongsompong ◽  
Wit Jeamwijitkul ◽  
Worayon Chuerboonchai ◽  
Chutatip Charoenthanawut ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Primary Care ◽  
Quality Improvement ◽  
Primary Care Clinic ◽  
Care Clinic
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