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Accelerating Best Care in Pennsylvania: Adapting a Large Academic System's Quality Improvement Process to Rural Community Hospitals

Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas

Julie Gunderson, RN, BSN, MM, CPHQ

Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas

David J. Ballard, MD, MSPH, PhD

Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas

Alexis Skoufalos, EdD

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania, alexis.skoufalos{at}jefferson.edu

Bettina Berman, RN, CPHQ

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania

David B. Nash, MD, MBA

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania

Industrial quality improvement (QI) methods such as continuous quality improvement (CQI) may help bridge the gap between evidence-based "best care" and the quality of care provided. In 2006, Baylor Health Care System collaborated with Jefferson Medical College of Thomas Jefferson University to conduct a QI demonstration project in select Pennsylvania hospitals using CQI techniques developed by Baylor. The training was provided over a 6-month period and focused on methods for rapid-cycle improvement; data system design; data management; tools to improve patient outcomes, processes of care, and cost-effectiveness; use of clinical guidelines and protocols; leadership skills; and customer service skills. Participants successfully implemented a variety of QI projects. QI education programs developed and pioneered within large health care systems can be adapted and applied successfully to other settings, providing needed tools to smaller rural and community hospitals that lack the necessary resources to establish such programs independently.(Am J Med Qual 2008;23:252-258)

Key Words: quality improvement • ABC in PA • Baylor Health Care System

American Journal of Medical Quality, Vol. 23, No. 4, 252-258 (2008)
DOI: 10.1177/1062860608319814


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