Crossing the quality chasm: implications for health services administration education.
Crossing the quality chasm: implications for health services administration education.
复制标题
跨越质量鸿沟:对卫生服务管理教育的影响。
DOI:
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发表时间:
2004
期刊:
影响因子:
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通讯作者:
S. Shortell
中科院分区:
文献类型:
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作者:
B. Horak;W. Welton;S. Shortell
Programs in Health Services Administration (HSA) should respond to the mandate to improve patient care as put forth by the Institute of Medicine (IOM) and other reports on the proliferation and consequences of medical errors. This article will identify a framework to base curriculum change, competency areas, and educational methods to impart quality improvement knowledge and skills. The first six competency areas reflect the six redesign imperatives from the IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century (2001): redesign of the care process; use of information technologies; knowledge and skills management; development of effective teams; coordination of care; and use of performance and outcomes measurement. Based on a literature review, five additional areas were identified: strategic quality planning; programs for patient safety and risk management; change management; roles of stakeholders, payers and regulators; and development of a learning environment and blame-free culture. Examples of curriculum content are provided from HSA programs at Georgetown University, University of Washington, and University of California at Berkeley.