Adams Carmen, O'Brien Roxanne, Scruth Elizabeth
Quality and Regulatory Services, Kaiser Permanente Northern California, Oakland.
Qual Manag Health Care. 2015 Jan-Mar;24(1):4-8. doi: 10.1097/QMH.0000000000000015.
The evolving nature of health care related to optimizing the quality of patient care while increasing efficiencies presents an opportunity to redesign roles within hospital quality departments to meet these upcoming challenges. Specifically, passage of the Patient Protection and Affordable Care Act and creation of Accountable Care Organizations will require hospitals to carefully monitor patient care outcomes as well as continually seek to improve their processes. An approach used by the Kaiser Permanente Northern California Regional Quality and Regulatory Services Department assisted the 21 hospitals of Kaiser Permanente Northern California to improve quality-of-care outcomes, establish effective assessment teams, and create infrastructure for sustainability. Leadership by a centralized internal consulting group used a model that weighs risk and opportunity against cost and outcomes to support strategic planning as projects and initiatives developed, rather than after they were initiated. This model can assist other organizations in maximizing cost-efficient and -effective performance improvement approaches to clinical and operational excellence.
医疗保健的不断发展，涉及在提高效率的同时优化患者护理质量，这为重新设计医院质量部门的角色以应对这些即将到来的挑战提供了契机。具体而言，《患者保护与平价医疗法案》的通过以及 accountable care organizations 的创建，将要求医院仔细监测患者护理结果，并不断寻求改进其流程。北加利福尼亚凯撒医疗区域质量与监管服务部采用的一种方法，协助北加利福尼亚凯撒医疗的 21 家医院改善护理质量结果、建立有效的评估团队，并创建可持续发展的基础设施。一个集中的内部咨询小组的领导采用了一种模型，该模型在项目和计划制定过程中（而非启动之后），权衡风险与机会、成本与结果，以支持战略规划。这种模型可以帮助其他组织最大限度地采用具有成本效益的绩效改进方法，实现临床和运营卓越。
