Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement

Lois J. Gould, Patricia A. Wachter, Hanan Aboumatar, Renee Blanding, Daniel Brotman, Janine Bullard, Maureen Gilmore, Sherita Hill Golden, Eric E Howell, Lisa Earnest Ishii, K. H Ken Lee, Martin Gregory Paul, Leo Rotello, Andrew Satin, Elizabeth C. Wick, Laura Winner, Michael E. Zenilman, Peter J. Pronovost

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Clinical communities are an emerging approach to quality improvement (QI) to which several large-scale projects have attributed some success. In 2011 the Armstrong Institute for Patient Safety and Quality established clinical communities as a core strategy to connect frontline providers from six different hospitals to improve quality of care, patient safety, and value across the health system. CLINICAL COMMUNITIES: Fourteen clinical communities that presented great opportunity for improvement were established. A community could focus on a clinical area, a patient population, a group, a process, a safety-related issue, or nearly any health care issue. The collaborative spirit of the communities embraced interdisciplinary membership and representation from each hospital in each community. Communities engaged in team-building activities and facilitated discussions, met monthly, and were encouraged to meet in person to develop relationships and build trust. After a community was established, patients and families were invited to join and share their perspectives and experiences. ENABLING STRUCTURES: The clinical community structure provided clinicians access to resources, such as technical experts and safety and QI researchers, that were not easily otherwise accessible or available. Communities convened clinicians from each hospital to consider safety problems and their resolution and share learning with workplace peers and local unit safety teams.

CONCLUSION: The clinical communities engaged 195 clinicians from across the health system in QI projects and peer learning. Challenges included limited financial support and time for clinicians, timely access to data, limited resources from the health system, and not enough time with improvement experts.

LanguageEnglish (US)
Pages387-395
Number of pages9
JournalJoint Commission Journal on Quality and Patient Safety
Volume41
Issue number9
StatePublished - Sep 1 2015

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Quality Improvement
Medicine
Safety
Patient Safety
Learning
Financial Support
Group Processes
Quality of Health Care
Health Resources
Health
Population Groups
Workplace
Research Personnel
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

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Clinical Communities at Johns Hopkins Medicine : An Emerging Approach to Quality Improvement. / Gould, Lois J.; Wachter, Patricia A.; Aboumatar, Hanan; Blanding, Renee; Brotman, Daniel; Bullard, Janine; Gilmore, Maureen; Golden, Sherita Hill; Howell, Eric E; Ishii, Lisa Earnest; Lee, K. H Ken; Paul, Martin Gregory; Rotello, Leo; Satin, Andrew; Wick, Elizabeth C.; Winner, Laura; Zenilman, Michael E.; Pronovost, Peter J.

In: Joint Commission Journal on Quality and Patient Safety, Vol. 41, No. 9, 01.09.2015, p. 387-395.

Research output: Contribution to journalArticle

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