DeVoe Stephen G, Kennedy Amanda G, Tompkins Bradley J, Hitt Juvena R, Gagnon Eric L, Parsons Polly E, Repp Allen B
Department of Mental Health State of Vermont Waterbury Vermont USA.
Department of Medicine Quality Program, Robert Larner, MD College of Medicine The University of Vermont Burlington Vermont USA.
Learn Health Syst. 2022 Sep 2;7(2):e10338. doi: 10.1002/lrh2.10338. eCollection 2023 Apr.
Clinical departments at academic medical centers strive to deliver clinical care, provide education and training, support faculty development, and promote scholarship. These departments have experienced increasing demands to improve the quality, safety, and value of care delivery. However, many academic departments lack a sufficient number of clinical faculty members with expertise in improvement science to lead initiatives, teach, and generate scholarship. In this article, we describe the structure, activities, and early outcomes of a program within an academic department of medicine to promote scholarly improvement work.
The Department of Medicine at the University of Vermont Medical Center launched a Quality Program with three primary goals: (a) improve care delivery, (b) provide education and training, and (c) promote scholarship in improvement science. The program serves as a resource center for students, trainees and faculty, offering education and training, analytic support, consultation in design and methodology, and project management. It strives to integrate education, research, and care delivery to learn, apply evidence and improve health care.
Over the first 3 years of full implementation, the Quality Program supported an average of 123 projects annually, including prospective clinical quality improvement initiatives, retrospective assessment of clinical programs and practices, and curriculum development and evaluation. The projects have yielded a total of 127 scholarly products, defined as peer-reviewed publications and abstracts, posters, and oral presentations at local, regional, and national conferences.
The Quality Program may serve as a practical model for promoting care delivery improvement, training, and scholarship in improvement science while advancing the goals of a learning health system at the level of an academic clinical department. Dedicated resources within such departments offer the potential to enhance care delivery while promoting academic success for faculty and trainees in improvement science.
学术医疗中心的临床科室致力于提供临床护理、开展教育与培训、支持教师发展以及推动学术研究。这些科室在提高护理质量、安全性和价值方面面临着越来越高的要求。然而，许多学术科室缺乏足够数量的在改进科学方面具有专业知识的临床教师来领导项目、教学和开展学术研究。在本文中，我们描述了一个医学学术部门内促进学术改进工作的项目的结构、活动和早期成果。
佛蒙特大学医学中心的医学部启动了一个质量项目，该项目有三个主要目标：（a）改善护理服务；（b）提供教育与培训；（c）促进改进科学方面的学术研究。该项目为学生、学员和教师提供资源中心，提供教育与培训、分析支持、设计和方法咨询以及项目管理。它致力于将教育、研究和护理服务整合起来，以学习、应用证据并改善医疗保健。
在全面实施的前三年中，质量项目平均每年支持123个项目，包括前瞻性临床质量改进计划、临床项目和实践的回顾性评估以及课程开发与评估。这些项目共产生了127个学术成果，定义为同行评审的出版物和摘要、海报以及在地方、区域和全国会议上的口头报告。
质量项目可作为一个实用模型，用于促进护理服务改进、培训以及改进科学方面的学术研究，同时在学术临床科室层面推进学习型健康系统的目标。这些科室的专用资源有潜力在促进教师和学员在改进科学方面取得学术成功的同时提高护理服务水平。
