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Ambulatory Quality Improvement in Academic Medical Centers: A Changing Landscape

Jefferson School of Population Health, Philadelphia, Pennsylvania, brian.leas{at}jefferson.edu

Neil I. Goldfarb, BA

Jefferson School of Population Health, Philadelphia, Pennsylvania

Robert C. Browne, MPP

University HealthSystem Consortium, Oak Brook, Illinois

Mark Keroack, MD, MPH

University HealthSystem Consortium, Oak Brook, Illinois

David B. Nash, MD, MBA

Jefferson School of Population Health, Philadelphia, Pennsylvania

Efforts to improve the quality of ambulatory care have received tremendous attention as bold new initiatives aimed at influencing the environment of care through financial incentives, public transparency, and information technology rapidly spread. Academic medical centers, which represent a long tradition of excellence and innovation in medical care, might be expected to lead the charge in these new arenas, but motivation for change may be mitigated by the unique complexity and multiple goals of these institutions. A survey conducted in the fall of 2006 examined the early impact of these major new influences on faculty practice plans. Respondents reported that many institutions have begun to develop key components of a quality infrastructure, but much work remains before a robust model emerges at most sites. Some academic medical centers have also embraced pay-for-performance and public reporting efforts, but many are not equipped or eager to engage in these new initiatives. (Am J Med Qual 2009;24:287-294)

Key Words: ambulatory • quality improvement • academic medical center • faculty practice plan

This version was published on July 1, 2009

American Journal of Medical Quality, Vol. 24, No. 4, 287-294 (2009)
DOI: 10.1177/1062860609334898


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