Annals for Hospitalists Inpatient Notes - Reaching for Higher Value in Health Care by Bringing Together Clinicians and Researchers—The Michigan Program on Value Enhancement
Authors: Geoffrey D. Barnes, Eve A. Kerr
Journal: Annals of Internal Medicine (2019)

Web Exclusives19 November 2019Annals for Hospitalists Inpatient Notes - Reaching for Higher Value in Health Care by Bringing Together Clinicians and Researchers—The Michigan Program on Value EnhancementGeoffrey D. Barnes, MD, MSc and Eve A. Kerr, MD, MPHGeoffrey D. Barnes, MD, MScMichigan Program on Value Enhancement, Michigan Medicine Quality Department and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan (G.D.B., E.A.K.)Search for more papers by this author and Eve A. Kerr, MD, MPHMichigan Program on Value Enhancement, Michigan Medicine Quality Department and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan (G.D.B., E.A.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-2980 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Hospitalists frequently serve as clinical leaders of quality improvement (QI) projects. Their first-hand knowledge of clinical care processes and breadth of clinical expertise make them perfectly suited for these roles. In many health systems, these clinical QI leads are paired with QI staff or “performance improvement coaches” who have process expertise in one or more QI methodologies (e.g., Lean).However, even with a clinician-QI staff partnership, many well-intentioned QI projects are limited by suboptimal design and analysis. Hospitalists who work in this space should consider collaborating with health services researchers who can assist with rigorous preintervention assessments, innovative intervention design, ...References1. Churruca K, Ludlow K, Taylor N, et al. The time has come: Embedded implementation research for health care improvement. J Eval Clin Pract. 2019;25:373-380. [PMID: 30632246] doi:10.1111/jep.13100 CrossrefMedlineGoogle Scholar2. Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10:53. [PMID: 25895742] doi:10.1186/s13012-015-0242-0 CrossrefMedlineGoogle Scholar3. Januzzi JL, Mahler SA, Christenson RH, et al. Recommendations for institutions transitioning to high-sensitivity troponin testing: JACC Scientific expert panel. J Am Coll Cardiol. 2019;73:1059-1077. [PMID: 30798981] doi:10.1016/j.jacc.2018.12.046 CrossrefMedlineGoogle Scholar4. Bindman AB, Pronovost PJ, Asch DA. Funding innovation in a learning health care system. JAMA. 2018;319:119-120. [PMID: 29270611] doi:10.1001/jama.2017.18205 CrossrefMedlineGoogle Scholar5. Lieu TA, Madvig PR. Strategies for building delivery science in an integrated health care system. J Gen Intern Med. 2019;34:1043-1047. [PMID: 30684194] doi:10.1007/s11606-018-4797-8 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Michigan Program on Value Enhancement, Michigan Medicine Quality Department and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan (G.D.B., E.A.K.)Disclosures: Dr. Kerr is Director of the Michigan Program on Value Enhancement. Authors not named here have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2980.Corresponding Author: Geoffrey D. Barnes, MD, MSc, Michigan Program on Value Enhancement, Michigan Medicine Quality Department and Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI 48109; e-mail, [email protected]edu.Current Author Addresses: Drs. Barnes and Kerr: Michigan Program on Value Enhancement, Michigan Medicine Quality Department and Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI 48109. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 19 November 2019 David H. Wesorick and Vineet Chopra Metrics Cited byEmergency Department Clinician Perceptions of Implementing High-Sensitivity Troponin T Assay in an Academic Hospital Emergency Department 19 November 2019Volume 171, Issue 10Page: HO2-HO3KeywordsEmergency departmentHealth careHealth care policyHospitalistsLength of stayMedical servicesQuality improvementResearch designStatistical modelsTroponin ePublished: 19 November 2019 Issue Published: 19 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...