Holsinger Debra, McCabe Judi, Warren Kevin
TMF Health Quality Institute, Austin, Texas, USA.
J Healthc Qual. 2008 Jul-Aug;30(4):6-11. doi: 10.1111/j.1945-1474.2008.tb01147.x.
TMF Health Quality Institute (TMF) is the Medicare quality improvement organization for Texas. Under its contract with the Centers for Medicare and Medicaid Services, an agency of the U.S. Department of Health and Human Services, TMF undertook an initiative to reduce unnecessary Medicare 1-day hospital admissions in Texas. The initiative used the Institute for Healthcare Improvement's collaborative model design for improvement. Hospitals in the collaborative focused on the admission process in combination with education of physicians, utilization managers, and case managers, resulting in a 19% decrease in 1-day stays among participant hospitals and demonstrating that the collaborative model can be used successfully to improve utilization management.
TMF健康质量研究所（TMF）是德克萨斯州的医疗保险质量改进组织。根据其与美国卫生与公众服务部下属机构医疗保险和医疗补助服务中心签订的合同，TMF发起了一项旨在减少德克萨斯州不必要的医疗保险1日住院率的倡议。该倡议采用了医疗改进研究所的协作式改进模型设计。协作中的医院专注于入院流程，并结合对医生、利用管理专员和病例管理员的培训，使得参与的医院1日住院率下降了19%，这表明协作模型可成功用于改善利用管理。
