quality as a global burden.pptx

8/13/2019 Quality as a Global Burden.pptx

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The Global Framework of Quality Improvement and

Patient Safety


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Teora del Foco (Bulbtheory)


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What?

??


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Why?

Healthcare Quality Summit:

Building the Health Care Workforceof the Future

http://transcriptvids.com/v/ZDv5OIAvWQI.html
http://transcriptvids.com/v/ZDv5OIAvWQI.htmlhttp://transcriptvids.com/v/ZDv5OIAvWQI.htmlhttp://transcriptvids.com/v/ZDv5OIAvWQI.htmlhttp://transcriptvids.com/v/ZDv5OIAvWQI.html


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Who?


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Organizations for Accreditation

DNV Healthcare Inc

United Kingdom Accreditation Forum

Malaysian Society for Quality in Health

Joint Commission International

Canadian Council on Health ServicesAccreditation

Australian Council for HealthcareStandards International


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Who knows about quality andpatient safety? Institute of Patient and Family Centered Care National Institute for Health Research (NIH)

National Institute for Health and Care Excellence Sociedad Espaola de Calidad Asistencial (SECA) International Society for Quality in Healthcare (ISQUA)

Imperial College London Centre for Patient Safety and Service Quality Lancaster Patient Safety Research Unit Clinical Excellence Commission

Patient-Based Care Ministerio de Sanidad, Servicios Sociales e Igualdad (Espaa)

Agency for Healthcare Research and Quality (US) The Kings Foundation (England) American Society for Quality National Association for Healthcare Quality (US) Leapfrog Group (US) The Picker Institute Planetree


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Quality Toolkit American Society for Quality Institute for Healthcare Improvement Michigans Quality Improvement Guidebook National Association of County and City Health Officials

(NACCHO) Quality Improvement Toolkit

SESCAM Manual de Calidad

Institute for Safe Medication Practices Patient Safety

VA National Center for Patient Safety Root Analysis Joint Commission

Sentinel Event Forms and Tools


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Where is the information?


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Title

2011ImpactFactor Description

New England

Journal ofMedicine

47.05 Special section for Health Policy Reform focusing on: Cost of

Health Care; Healthcare Delivery; Health IT; ComparativeEffectiveness; Public Health; Quality of Care.Journal of theAmerican MedicalAssociation

27.75 Topics include: Quality of Care, Quality of Life, PatientSafety/Medical Error, Patient-Physician Communication,Patient Education/Health Literacy.

Annals of InternalMedicine

16.7 Encourage material that is specifically related to improvingpatient care, avoiding medical errors, and comparativeeffectiveness research.

Archives of

Internal Medicine

11.5 Topics include: Quality of Care, Quality of Life, Patient

Safety/Medical Error, Patient-Physician Communication,Patient Education/Health Literacy.Milbank Quarterly 5.6 Topics addressed include but are not limited to the impact of

social factors on health, disease prevention, allocation ofhealthcare resource, legal and ethical issues in health policy,healthcare management, organization and financing ofhealthcare.

American Journalof Medicine

5.4 Clinical Effectiveness; focus on one quality control challengeand solutions.

Annals of FamilyMedicine 5.4 The Annals seeks to identify and address important questionsin health and the provision of patient-centered, prioritized, high-quality health care. We welcome clinical, biomedical, socialand health services research. The Annals publishes originalresearch, methodology, and theory, as well as essays fromreflective clinicians, patients, families, communities, andpolicymakers. We publish selected systematic reviews thatbuild on current knowledge to advance new theory, methods,or research directions.
http://www.nejm.org/http://www.nejm.org/http://www.nejm.org/http://jama.ama-assn.org/http://jama.ama-assn.org/http://jama.ama-assn.org/http://annals.org/journal.aspxhttp://annals.org/journal.aspxhttp://archinte.jamanetwork.com/journal.aspxhttp://archinte.jamanetwork.com/journal.aspxhttp://www.milbank.org/publications/the-milbank-quarterlyhttp://www.amjmed.com/http://www.amjmed.com/http://www.amjmed.com/http://www.annfammed.org/http://www.annfammed.org/http://www.annfammed.org/http://www.annfammed.org/http://www.amjmed.com/http://www.amjmed.com/http://www.milbank.org/publications/the-milbank-quarterlyhttp://archinte.jamanetwork.com/journal.aspxhttp://archinte.jamanetwork.com/journal.aspxhttp://annals.org/journal.aspxhttp://annals.org/journal.aspxhttp://jama.ama-assn.org/http://jama.ama-assn.org/http://jama.ama-assn.org/http://www.nejm.org/http://www.nejm.org/http://www.nejm.org/


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Title2011 Impact

Factor Description

Health Affairs 3.8 Narrative Matters section - narrative essays based on firsthand encounters with thehealthcare system that explore personal, ethical, and moral issues or delivering orreceiving healthcare today; Specific topics for all articles include: Access, EvidenceBased Medicine, Information Technology; Quality of Care.

Academic

Medicine

3.5 Articles must be relevant to the journal's mission: The article addresses a serious

challenge facing the academic medicine community; The article significantly adds to orenhances the existing literature on the subject in question.

Journal ofGeneral InternalMedicine

2.8 Topics include: Quality Improvement, Clinical Medicine, Epidemiology, Prevention,Healthcare Delivery, Curriculum Development; Special Topics include; Innovation &Improvement, Health Policy.

Quality of LifeResearch

2.3 Quality of Life Research is an international, multidisciplinary journal devoted to the rapidcommunication of original research, theoretical articles and methodological reportsrelated to the field of quality of life, in all the health sciences. The journal also offers

editorials, literature, book and software reviews, correspondence and abstracts ofconferences.

Medical DecisionMaking

2.3 Topics include: Optimal strategies for patient care and policy decision making;Understanding individual and group decision-making processes; Outcomes of decisions,their measurement, and valuation; Risk communication, risk attitudes, and judgment;Methods to teach about and improve actual decision; Methods for technologyassessment, literature synthesis, comparative effectiveness research and evidence-based decision making.

HealthExpectations 2.3 Health Expectations is a quarterly, peer-reviewed journal publishing original research,review articles and critical commentaries. It includes papers, which clarify concepts,develop theories, and critically analyze and evaluate specific policies and practices. TheJournal provides a multi-disciplinary and international forum in which researchers from avariety of backgrounds can present their work to other researchers, policy makers, healthcare professionals, managers and consumer advocates.

Value in Health 2.2 Value in Health is a multidisciplinary peer-reviewed journal reporting on evaluations ofmedical technologies including pharmaceuticals, biologics, devices, procedures, andother health care interventions. The Journal provides a scientific forum for communicating

health economics and outcomes research methods and findings, furthering ISPOR'svision that 'society allocate scarce health care resources wisely, fairly, and efficiently.'
http://www.healthaffairs.org/http://journals.lww.com/academicmedicine/pages/default.aspxhttp://journals.lww.com/academicmedicine/pages/default.aspxhttp://www.springer.com/medicine/internal/journal/11606http://www.springer.com/medicine/internal/journal/11606http://www.springer.com/medicine/internal/journal/11606http://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://mdm.sagepub.com/http://mdm.sagepub.com/http://www.wiley.com/WileyCDA/WileyTitle/productCd-HEX.htmlhttp://www.wiley.com/WileyCDA/WileyTitle/productCd-HEX.htmlhttp://www.ispor.org/valueinhealth_index.asphttp://www.ispor.org/valueinhealth_index.asphttp://www.wiley.com/WileyCDA/WileyTitle/productCd-HEX.htmlhttp://www.wiley.com/WileyCDA/WileyTitle/productCd-HEX.htmlhttp://mdm.sagepub.com/http://mdm.sagepub.com/http://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/journal/11136?detailsPage=aboutThishttp://www.springer.com/medicine/internal/journal/11606http://www.springer.com/medicine/internal/journal/11606http://www.springer.com/medicine/internal/journal/11606http://journals.lww.com/academicmedicine/pages/default.aspxhttp://journals.lww.com/academicmedicine/pages/default.aspxhttp://www.healthaffairs.org/


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Title

2011ImpactFactor Description

Health ServicesResearch

2.2 Area of specific interest include: Delivery of care (access to and utilization of health careservices, cost, cost-effectiveness, quality & outcomes of care, practice variations, technologyassessment, healthcare workforce issues); Impact of policy changes; evaluation of nationaldemonstration programs (disease prevention, chronic disease mgmt, community basedefforts); Examination of changes in systems of care; Determinants of health outcomes.

Health andQuality of LifeOutcomes (onlineonly)

2.1 HRQOL assessment for the evaluation of medical therapies or psychosocial approaches andstudies on psychometric properties of HRQOL measures, including cultural validation ofinstruments; will also consider reviews summarizing the present state of knowledge,concerning a particular aspect of HRQOL.

InternationalJournal forQuality inHealthcare

2.0 Quality Improvement; Health Services Research; Qualitative and Quantitative studies;Particularly interested in: healthcare evaluation; technology assessment; health economics;utilization review; cost containment; nursing care research; clinical research related to quality.

PostgraduateMedical Journal

1.9 Articles on current practice and new developments in all branches of medicine; Interested inQuality Improvement Reports.

BMC FamilyPractice

1.8 BMC Family Practice is an open access, peer-reviewed journal that considers articles on allaspects of primary health care, including clinical management of patients, professionaltraining, shared decision making, and the organisation and evaluation of health care in thecommunity.It is journal policy to publish work deemed by peer reviewers to be a coherent andsound addition to scientific knowledge and to put less emphasis on interest levels, providedthat the research constitutes a useful contribution to the field.

BMJ Quality andSafety

1.7 International journal; of particular interest: the development and integration of quality andsafety initiatives into routine practice; experience of improving practice in all sectors of healthcare services; influence of management and organizational learning on quality; views ofconsumers and their role as promoters of improved quality; research relevant to quality andsafety.

BMC HealthService Research

1.7 BMC Health Services Research is an Open Access, peer-reviewed journal that considersarticles on all aspects of health services research, including delivery of care, management ofhealth services, assessment of healthcare needs, measurement of outcomes, allocation ofhealthcare resources, evaluation of different health markets and health services organizations,international comparative analysis of health systems, health economics and the impact ofhealth policies and regulations.
http://www.hsr.org/http://www.hsr.org/http://www.hqol.com/http://www.hqol.com/http://www.hqol.com/http://www.hqol.com/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://pmj.bmj.com/http://pmj.bmj.com/http://www.biomedcentral.com/bmcfampract/http://www.biomedcentral.com/bmcfampract/http://qualitysafety.bmj.com/http://qualitysafety.bmj.com/http://www.biomedcentral.com/bmchealthservres/about/http://www.biomedcentral.com/bmchealthservres/about/http://www.biomedcentral.com/bmchealthservres/about/http://www.biomedcentral.com/bmchealthservres/about/http://qualitysafety.bmj.com/http://qualitysafety.bmj.com/http://www.biomedcentral.com/bmcfampract/http://www.biomedcentral.com/bmcfampract/http://pmj.bmj.com/http://pmj.bmj.com/http://pmj.bmj.com/http://pmj.bmj.com/http://pmj.bmj.com/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://intqhc.oxfordjournals.org/http://www.hqol.com/http://www.hqol.com/http://www.hqol.com/http://www.hqol.com/http://www.hsr.org/http://www.hsr.org/http://www.hsr.org/http://www.hsr.org/http://www.hsr.org/


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Title2011Impact

Factor Description

AmericanJournal ofMedical Quality

1.6 Official journal of the American College of Medical Quality; Publishes original work inthe entire field of quality measurement & improvement; needs to have general medicalquality interest.

Journal ofFamily Practice

1.5 Topics should have practical importance to the community family physician; Studiesshould address clinical questions or healthcare delivery topics in primary care.

Journal ofHospitalMedicine

1.4 Topics include: Translational Research; Improving Hospital Care; ProfessionalDevelopment; Leadership; Educating Hospitalists; Clinical Problem Solving;Techniques & Guidelines for Performing Research; Reflections; Patient Commentary.

Journal ofEvaluation inClinical Practice(online only)

1.2 Particular interest: Evidence based medicine, clinical practice guidelines, clinicaldecision making, clinical services organization, implementation and delivery, healtheconomic evaluation, health process & outcome measurement; new or improvedmethods (conceptual and statistical) for systematic inquiry into clinical practice.
http://ajm.sagepub.com/http://ajm.sagepub.com/http://ajm.sagepub.com/http://www.jfponline.com/http://www.jfponline.com/http://www.hospitalmedicine.org/http://www.hospitalmedicine.org/http://www.hospitalmedicine.org/http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1http://www.hospitalmedicine.org/http://www.hospitalmedicine.org/http://www.hospitalmedicine.org/http://www.jfponline.com/http://www.jfponline.com/http://ajm.sagepub.com/http://ajm.sagepub.com/http://ajm.sagepub.com/


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Centre for Innovation in Quality and Patient-Based Care


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Quality Assurance (staff)

QA Staff

Quality ofHealthcare

Engineers

PatientSafety

Physicians


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Organization 1: Agencies

Use ofInformation

Design andTechnology

Patients,Carers and

Families

SafeSystems

Teams,Skills and

Safety

Economics,Evaluationand Policy

MedicationSafety


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Organizational Model 1 Use of Information

Safety indicators, safety intelligence and effective use of routinely collectedinformation within.

Design and Technology Novel designs and technologies (remote patient monitoring, smart phone apps) to

improve patient safety in hospitals and the community.

Patients, Carers and Families Patients' reaction to medical errors and patients' contribution to their own safety

Safe Systems Safety across entire care pathwayswith focus on infection and medication errors

and complex surgical procedures

Teams, Skills and Safety The 'human element' of safety-human factors and team performance in surgical

and cancer specialities

Economics, Evaluation and Policy Cross-cutting theme-the value and cost of patient safety interventions Medication Safety

The nature, causes and prevention of medication errors

Infection Prevention and Management Tackling the issue of healthcare acquired infection via a multidisciplinary approach


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Organization 2: AcademicCentres

Patient Safety

ClinicalGovernance

InformationManagement

Patient-BaseCare

Health SystemImprovement


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Organizational Model 2 Patient Safety

Revisin, analisis y reporte de incidentes; alertas, sepsis,mortalidad, Proyeccin de Riesgos y Polticas en salud

Clinical Governance Acreditacin, credencializacin, higiene de manos,

infecciones intrahospitalarias Gestion de la Informacin

Chartbook, Internet, Intranet, Knowledge Management,Records Management

Atencin Centrada en el Paciente

Prevencin de caidas, seguridad de medicacin,Programas de Educacin del Paciente, Advisory council Mejora de los sistema de salud

Evaluacin la Calidad, Consejera, Mejora Continua,Diseo de Programas


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Framework (Six Sigma )


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Aims of Quality HealthcareSystems


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Centre for Innovation in Quality and Patient-Based Care


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Quality Dimensions


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CIQP

CIQP

Departamentos

reas deExpertise

Departamentos

reas deExpertise

Departamentos

reas deExpertise

Departamentos

reas deExpertise

Departamentos

reas deExpertise


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Cinthya

ngel

Gaby

Juan

Betty

Pedro

Marta

Karina

Felipe

Mariel

Alondra

Reynaldo

Nombre rea OrganizacinDepartamento Pas Tema (s)


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Gabriela Calidad ACHSIDesarrollo yTecnologa Alemania Clinical Pathways, Mapeo de Procesos

Karina Calidad DNV PlaneacinProcesos y la Mejora Continua, Committees, Aseguramiento de

la Calidad

Cinthya Calidad IHI Coordinacin USMetodologa de la Calidad, Gestin Total de la Calidad, Teorade la Calidad, Acreditacion vs Certificacin, Gestin de Riesgos

Beatriz Calidad MSQH / CEC Desarrollo yTecnologa Organizaciones de Estandarizacin y Calidad en Mxico: CSG,Institutos Nacionales de Salud, Seguridad del PacienteDr.

Reynaldo Calidad CCHSAEstrategias de

implementacin Ambiente hospitalario y Metodologa TRACERDra. Marta Calidad JCI Coordinacin US Auditoras y Proceso de Acreditacin

Alondra

AtencinCentrada

en elPaciente

UKAFEstrategias de

implementacin Indicadores, Peer-Review

Pedro

AtencinCentrada

en elPaciente

AHRQInvestigacin yGestin de laInformacin

Guas Clnicas

Cristina

AtencinCentrada

en elPaciente ASQ

Investigacin yGestin de laInformacin

Historia de JCI

ngel

AtencinCentradaen el

Paciente

ImperialCollegeLondon Planeacin Investigacin, Buenas Prcticas, Evidence-Based Medicine

Juan

AtencinCentrada

en elPaciente

FAD /CAAGLOP

Estrategias deEvaluacin Quality Evaluation, Research, Critical Thinking

Felipe

Personajes en la Historia de la CalidadCarlos

quality as a global burden.pptx

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