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 He
who ceases to try
and do better
ceases to do well.
Oliver Cromwell
Instructions
for Quality Improvement Project
for Major Depression in Primary Care
Increasingly patients;
employers; managed care companies; accrediting bodies as well
as the state and federal government are paying increasing attention
to the quality of medical care delivered. An understanding
of this process is important for the practicing physician.
Using performance measures identified in the HEDIS data set,
RAND Corporation studies and by the American Health Care Policy
and Research group, you will have the opportunity to perform
a quality measurement and subsequent improvement project, if
necessary, with the patients in your continuity of care clinic.
Goals
- To assess the
care provided to patients in your continuity of care clinic
with a diagnosis of depression
- To compare the
care you documented with current practice guidelines
Instructions
- During the first
week of the rotation you are expected to identify 10 patients
within your continuity of care clinic that you have seen in
the last 12 months with a diagnosis of major depression.
- The charts of
these patients are to be pulled and the data collection sheet
is to be completed. No easily identifiable information
about the patient's name or identity is to be marked on the
data collection sheets. The sheets are confidential
information just as any items in the patient's medical record
or peer review data. The data
collection sheet link is to the left in .pdf format..
- By the end of
the second week of the rotation the data sheets should be
completed
- During the third
week of the rotation you should compile aggregate
data on all 10 of your patients.
- By Wednesday of
the fourth week of your rotation, the compiled data should
be presented to Dr. Resch in a face-to-face session.
- During this
session you are expected to present a written plan that
would allow you to use the data you collected to reach a
100% compliance with the current guidelines. These
areas may be additional history taken, examinations
performed, or documentation changes.
- Please plan
to make your action steps specific.
Evaluation
- You will not be
evaluated on the results of your study, rather on the due
diligence in which you conducted your study.
- You will be evaluated
on the plan you created to address any deficiencies, if any,
you identified.
- Is the plan
specific?
- Can the plan
be implemented with minimal additional time burden?
- Will the plan
address the deficiencies identified?
- What additional
information or resources are needed to complete this plan?
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