Health Information Technology Toolkit for Physician Offices

The Health Information Technology Toolkit for Physician Offices helps these health care
organizations assess their readiness, plan, select, implement, make effective use of, and exchange
important information about the clients you serve. The toolkit contains numerous resources,
including tools for telehealth, health information exchange, and personal health records.

Electronic Medical Record-Facilitated Workflow Changes Enhance Quality and Efficiency, Generating Positive Return on Investment in Small Pediatrics Practice

This featured profile is available on the Agency for Healthcare Research and Quality’s Health
Care Innovations Exchange Web site. Four Seasons Pediatrics, a three-physician group in upstate
New York, redesigned its workflow, reduced staffing costs, and enhanced quality of care while
adopting an electronic medical record. The group also achieved a positive return on investment
within 2.5 years, earning financial rewards through the Bridges to Excellence program and other
pay-for-performance programs.

2015 National Patient Safety Goals: Ambulatory Care

The purpose of the Joint Commission Ambulatory Care National Safety Goals is to improve
patient safety in an ambulatory setting by focusing on specific goals.

Decrease Demand for Appointments

One key way for a health care system to improve access is to reduce unnecessary demand for
various services so that patients needing a particular service can receive it in a timely way.
This Institute for Healthcare Improvement Web page contains information on decreasing demand
for appointments, such as using alternatives to in-person visits (e.g., telephone, e-mail).

. Balance Supply and Demand on a Daily, Weekly, and Long-Term Basis

The foundation of improved access scheduling is matching supply and demand on a daily,
weekly, and monthly basis. This Institute for Healthcare Improvement Web page contains
information on communication methods to manage the daily and weekly supply and demand
variation and to anticipate and plan for recurring seasonal events.

E-Mail Enhances Communication With and Access to Pediatrician for Patients and Families

This featured profile is available on the Agency for Healthcare Research and Quality’s Health
Care Innovations Exchange Web site. A pediatric subspecialist offered the families of his
patients the opportunity to contact him via e-mail, with formal guidelines established with
respect to the appropriate use of the system (e.g., content, length, response time). More than 90
percent of families offered the service enrolled, with approximately 40 percent using the service
during a 2-year period. Families using the service reported enhanced communication with and
access to the pediatrician. The physician found that use of the e-mail service saved him time
versus answering the same inquiries via telephone. In addition, over time, the program has
engaged more teenagers to contact the doctor directly using electronic communication.

Patient Safety and the “Just Culture”

This presentation by David Marx defines just culture, the safety task, the just culture model, and
statewide initiatives in New York.

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems

The National Association for Healthcare Quality Call to Action: Safeguarding the Integrity of
Healthcare Quality and Safety Systems provides best practices to enhance quality, improve
ongoing safety reporting and protect staff. It addresses accountability, protection of those who
report quality and safety concerns, and accurate reporting and response.

Appoint a Safety Champion for Every Unit

Having a designated safety champion in every department and patient care unit demonstrates the
organization’s commitment to safety and may make other staff members feel more comfortable
about sharing information and asking questions. This Institute for Healthcare Improvement Web
site identifies tips for appointing a safety champion.

Point-of-Care Complexity Assessment Helps Primary Care Clinicians Identify Barriers to Improved Health and Craft Integrated Care Plans

This featured profile is available on the Agency for Healthcare Research and Quality’s Health
Care Innovations Exchange Web site. The Minnesota Complexity Assessment Method is used by
clinicians to guide their assessment of potentially complex patients; to identify disease-related,
social, and socioeconomic barriers to improved health; and to craft care plans to meet patient
needs, often involving an expanded health care team and community support services. Feasibility
testing and anecdotal reports from physicians and patients suggest that the approach is easy to
use, promotes an enhanced understanding of the patient’s situation, allows for more efficient and
effective team conferences, improves the training experience of residents, and facilitates the
development of customized care plans.

BLOG:

PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.