What question did this study set out to answer?

To develop and evaluate process improvement interventions across four clinical priority areas in an urban safety net adult rheumatology clinic serving a diverse patient population.

February 15, 2020The Journal of RheumatologyOpen Access

Using Process Improvement and Systems Redesign to Improve Rheumatology Care Quality in a Safety Net Clinic

View Full Paper

Ask AI

Bookmark

Authors

AAAlfredo AguirreUniversity of California, San Francisco LTLaura TrupinBrigham and Women's Hospital MMMary MargarettenUniversity of California, San Francisco

Discussion

Member takes

Implication

Quality improvement initiative demonstrates enhanced care delivery across key clinical measures in a safety net rheumatology clinic, highlighting the value of structured workflow redesign.

Key Points

To develop and evaluate process improvement interventions across four clinical priority areas in an urban safety net adult rheumatology clinic serving a diverse patient population.
Applied the Institute for Healthcare Improvement Model for Improvement between 2015 and 2017 to redesign clinical processes across four target domains: PCV13 vaccination, CDAI monitoring, LTBI screening, and reproductive counseling.
Tracked performance metrics and healthcare delivery patterns using Shewhart charts among N=1,205 clinic patients (71% women, 88% racial/ethnic minorities).
Prespecified performance benchmarks were met for CDAI monitoring (93%) and LTBI screening for new biologic users (91%).
Performance achieved 78% for PCV13 administration and 46% for teratogenic reproductive health counseling, showing documented improvement over time on Shewhart charts despite missing prespecified targets.

Cite This Study

Aguirre et al. (2020) studied this question.

synapsesocial.com/papers/6a72c2eca2d7cf2e39c2fb7d https://doi.org/10.3899/jrheum.190472

View Full Paper

Ask AI

Bookmark

Implication

Quality improvement initiative demonstrates enhanced care delivery across key clinical measures in a safety net rheumatology clinic, highlighting the value of structured workflow redesign.

Using Process Improvement and Systems Redesign to Improve Rheumatology Care Quality in a Safety Net Clinic

Discussion

Member takes

Implication

Key Points

Cite This Study

Using Process Improvement and Systems Redesign to Improve Rheumatology Care Quality in a Safety Net Clinic

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider