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Quality Book of Tools 1 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools 2 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools 3 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools 4 Copyright © 2010 Cheryl Levitt and Linda Hilts Comparison of Categories
Quality Book of Tools 5 Copyright © 2010 Cheryl Levitt and Linda Hilts PlanDevelop a plan for improving quality DoExecute the plan, first on a small scale StudyEvaluate feedback to confirm or to adjust the plan ActMake the plan permanent or study the adjustments Don Berwick Berwick DM. A Primer on Leading the Improvement of Systems. BMJ. 1996;312:
Quality Book of Tools 6 Copyright © 2010 Cheryl Levitt and Linda Hilts Institute for Healthcare Improvement The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. Diabetes Spectrum. 2004;17(2):
Quality Book of Tools 7 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools 8 Copyright © 2010 Cheryl Levitt and Linda Hilts Indicators Indicators identify the common elements that can be assessed 8 categories have 70 indicators: - 43 practice management - 27 clinical
Quality Book of Tools 9 Copyright © 2010 Cheryl Levitt and Linda Hilts Types of Criteria – required by law* – required to demonstrate best practice – required to demonstrate additional quality
Quality Book of Tools 10 Copyright © 2010 Cheryl Levitt and Linda Hilts Efficient Sub-Category F.1 Efficient Information Management Indicator F.1.1 There is a system to manage patients’ tests and reports efficiently Criteria F The practice team has a system for avoiding duplication of tests and referrals F The practice team has a system for ensuring patients’ test results are ready and available for the next appointment F The annual patient satisfaction survey asks whether the patient had unnecessary repeat testing or delays in receiving test results or consultant reports
Quality Book of Tools 11 Copyright © 2010 Cheryl Levitt and Linda Hilts Criteria and Interpretation F The practice team has a system for avoiding duplication of tests and referrals Interpretation The practice management can describe how tests and referrals are tracked to avoid duplication F The practice team has a system for ensuring patients’ test results are ready and available for the next appointment Interpretation Management can describe how the practice team ensures that test results and reports are available for the next appointment F The annual patient satisfaction survey asks whether the patient had unnecessary repeat testing or delays in receiving test results or consultant reports Interpretation A patient satisfaction survey includes question(s) on unnecessary repeat testing and delays in receiving results or consultant reports
Quality Book of Tools 12 Copyright © 2010 Cheryl Levitt and Linda Hilts Further Information (see up to date links at White B. Preventing Errors in Your Practice: Four Principles for Better Test-Result Tracking. Fam Pract Manag [Internet] Jul/Aug [cited 2010 Jul 22];9(7): Available from: College of Physicians & Surgeons of Ontario. Medical Records [Internet] Mar/Apr [cited 2010 Jul 21]. Available from:
Quality Book of Tools 13 Copyright © 2010 Cheryl Levitt and Linda Hilts To purchase see:
Quality Book of Tools 14 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools 15 Copyright © 2010 Cheryl Levitt and Linda Hilts
1 Copyright © 2010, Elsevier Inc. All rights Reserved Fig 2.1 Chapter 2.
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