Harb Nidal H, Said Patricia A, Gusta Shirley L, Wesson Amanda M, Brautigam Jordan D, Lemke Jon H, DeLessio Stephen T, Cropper Douglas P, Shammas Nicolas W
Quality and Safety Department, Genesis Health System, Davenport, IA, USA.
Cardiovascular Division, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
J Healthc Leadersh. 2022 Dec 5;14:203-213. doi: 10.2147/JHL.S378664. eCollection 2022.
The 15 Top Health System program, an IBM Watson study, objectively measures health systems' performance overall on an annual basis using publicly reported data available from the Center for Medicare and Medicaid Services (CMS) and state data banks. Genesis Health System was recognized as an IBM Watson Health 15 Top Health System for two consecutive years in 2020 and 2021. A system-based approach with a "physician-lead, professionally-managed" framework, led to accomplishing the 15 Top Health System. The steps needed included adoption of the IBM Watson database to determine current status of certain key performance indicators, establishing a clinical effectiveness program and governance structure, and adopting Lean methodologies to analyze and determine appropriate interventions with long-term solution. The desire and willingness to accomplish this ambitious goal start with adoption by the Board and the administration of the health system while supplying appropriate financial and human resources that are dedicated to the success of the journey. In this manuscript, we describe the journey and steps implemented to accomplish the outcomes that led to the recognition as a 15 Top Health System for quality excellence.
IBM 沃森研究的“15 强顶级医疗系统”项目，每年利用医疗保险和医疗补助服务中心（CMS）公开报告的数据以及州数据库，客观衡量医疗系统的整体表现。创世纪医疗系统在 2020 年和 2021 年连续两年被评为 IBM 沃森健康 15 强顶级医疗系统。一种基于系统的方法，采用“医生主导、专业管理”的框架，促成了 15 强顶级医疗系统的达成。所需步骤包括采用 IBM 沃森数据库来确定某些关键绩效指标的当前状况，建立临床有效性项目和治理结构，以及采用精益方法来分析并确定具有长期解决方案的适当干预措施。实现这一宏伟目标的愿望和意愿始于医疗系统的董事会和管理层的采纳，同时提供致力于该进程成功的适当财务和人力资源。在本手稿中，我们描述了为实现卓越质量而被评为 15 强顶级医疗系统所实施的历程和步骤。
