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5 aspects of an effective hospital chief quality officer


David M. Williams, Ph.D., executive director at the Institute for Healthcare Improvement , writes in Hospital Impact about five things that make for an effective  hospital chief quality officer:

  • “Create the infrastructure to support quality. To succeed, a CQO must set up a strong quality department, develop strong physician leadership, align staff incentives to quality and link quality with financial goals—including those related to cost reduction, population health and value-based payments.”
  • “Understand and design services to meet the customer’s need. One of the central tenets of improvement science is to meet the needs of the customer. CQOs must lead organizations to understand their patients’ needs and translate that understanding into annual and five-year quality plans.”
  • “Create breakthroughs in quality improvement. No matter how robust the planning and design process is, there will always be aspects of services that fail to meet customer needs. Quality improvement is not only necessary to fix broken processes, but also to refine and innovate.”
  • “Sustain performance through predictable and reliable processes. Once stable processes have been developed, quality leaders must closely manage performance.”
  • “Foster a culture that turns every person in the system into an improver.  IHI’s framework for high-impact leadership describes a set of behaviors that result from a clear understanding of continual improvement and the leader’s role in promoting it across a system. These behaviors include an unrelenting focus on person-centeredness, the use of transparency as a lever and coaching to develop knowledge. CQOs can start right away on this last behavior by encouraging others to test their ideas.”
To read his entire essay, please hit this link. 




‘Age-Friendly Health Systems’


A Hospitals & Health Networks piece looks at the future of geriatric friendly care as the John A. Hartford Foundation, Institute for Healthcare Improvement and the American Hospital Association, along with other partners, launch a joint Age-Friendly Health Systems initiative.

”The initiative is meant to develop and test evidence-based, health systemwide prototype models of care for older adults. Its goal is to spread the Age-Friendly Health Systems model to 20 percent of hospitals and health systems in the U.S. by 2020,” H&HN reported.

”The partners drew from the knowledge of top geriatric experts and evidence-based elements from 20 age-friendly models sponsored by Hartford to form the heart of the new age-friendly model.”

Kedar Mate, M.D., chief education and innovation officer at the IHI, and principal investigator of the initiative, says there are four “Ms” in the program: ”medication (getting medicines right, reviewing the medication, de-escalating therapy and looking at medications as a whole as a big risk area), mobility (getting people up, keeping them moving to make sure they can perform activities for independence and prevent functional decline), mentation (improving care for patients with depression, dementia and delirium) and ‘what matters.’ The last is considered top priority, Dr. Mate says, because “unless we know what matters to older people, we cannot do what matters for older people.”

H&HN reported: ”The first year of the grant will be dedicated to working within small-scale clinical settings to streamline and simplify age-friendly models and eventually scale up to the size of the four systems involved initially: Kaiser Permanente, Oakland, Calif.; Trinity Health System, Steubenville, Ohio; Providence St. Joseph Health, in seven Pacific, Mountain and Great Plains states; and Anne Arundel Medical Center, Annapolis, Md.”

To read more, please this link.


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