UNASSIGNED: 180 Background: A practice based clinical leadership team (PBCL) was created in the outpatient @entity5 center to identify, evaluate, and implement initiatives to improve safety, quality, and @entity1 satisfaction. A quality leader facilitates the team which includes nursing, physician leaders, as well as subject matter experts from throughout the @entity5 service line. METHODS: Key focus areas include data review/analysis, facilitating performance improvement teams to enhance @entity1 satisfaction and @entity1 safety; and to reduce variations in care. PBCL members participate in Performance Improvement in Action (PIIA) program that includes just-in-time process improvement training while completing projects in a 90-day period. The PIIA approach embeds quality/lean tools in the organization. The training provides structure, common terminology, and stresses the use of data to make decisions, relying on the voice of the customer and clear articulation of the problem statement before jumping to solutions. The methodology incorporates six sigma/lean tools and plan-do-check-act. RESULTS: The PBCL structure has resulted in several specific improvement projects. The @entity1 throughput project team implemented recommendations that increased the percentage of @entity1 who arrived and completed lab tests before their scheduled appointment time by 36%. In addition, a simulation model was created which quantified a 28 minute reduction in total time in the department by increasing the number of @entity1 seen independently by advanced practice providers and removing the room assignment constraint by assigning providers to a "pod of rooms" rather than a specified room(s). An infusion fast track program was implemented for selected medications to expedite @entity1 throughput resulted in an 18 minute (52%) reduction of time in the department. CONCLUSIONS: Incorporating clinical leadership in a structured framework for quality improvement increases the buy-in to change while maintaining an objective, data driven approach. The team approach and use of performance metrics provides the opportunity to expedite pilot project testing while raising awareness of key metrics to inform of additional opportunities.

XXXX center improvement through practice-based clinical leadership team infrastructure.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient']
@entity5 :: (MESH:D009369,Disease) :: ['Cancer']
