Pub Date : 2025-11-01Epub Date: 2025-09-17DOI: 10.1097/JMQ.0000000000000267
Julie Cerese, Phillip Chang, Kencee Graves, Nikki Grubeling, Mbonu Ikezuagu, David Levine, Amy Lu, Matt Miller, Shlomit Schaal, Thomas Sauls, Maha Siddiqui
Health system executives continually aim to understand how organizational structures impact performance, especially in quality departments. This article, built on over 2 decades of Vizient research, identifies key characteristics of top-performing healthcare organizations. The researchers employed a modified Delphi methodology, involving a multiphase process that integrated literature reviews, content analyses, and expert consensus from top-performing organizations. Key findings reveal that top-performing organizations employ centralized goal setting with decentralized responsibility for implementation, fostering shared accountability at all levels. Horizontal integration underscores the multidisciplinary nature of top-performing quality departments, integrating diverse functions such as patient safety, infection control, and data analytics. Adaptability is an essential factor, with organizations incorporating evolving functions like ambulatory care and analytics, reflecting the dynamic needs of health care systems. By embracing adaptable, integrative, and balanced frameworks, organizations can position themselves to respond effectively to emerging challenges, maintain operational efficiency, and uphold high standards of care delivery.
{"title":"A Roadmap to Excellence: Insights From Quality Structures of Top-Performing Healthcare Organizations.","authors":"Julie Cerese, Phillip Chang, Kencee Graves, Nikki Grubeling, Mbonu Ikezuagu, David Levine, Amy Lu, Matt Miller, Shlomit Schaal, Thomas Sauls, Maha Siddiqui","doi":"10.1097/JMQ.0000000000000267","DOIUrl":"10.1097/JMQ.0000000000000267","url":null,"abstract":"<p><p>Health system executives continually aim to understand how organizational structures impact performance, especially in quality departments. This article, built on over 2 decades of Vizient research, identifies key characteristics of top-performing healthcare organizations. The researchers employed a modified Delphi methodology, involving a multiphase process that integrated literature reviews, content analyses, and expert consensus from top-performing organizations. Key findings reveal that top-performing organizations employ centralized goal setting with decentralized responsibility for implementation, fostering shared accountability at all levels. Horizontal integration underscores the multidisciplinary nature of top-performing quality departments, integrating diverse functions such as patient safety, infection control, and data analytics. Adaptability is an essential factor, with organizations incorporating evolving functions like ambulatory care and analytics, reflecting the dynamic needs of health care systems. By embracing adaptable, integrative, and balanced frameworks, organizations can position themselves to respond effectively to emerging challenges, maintain operational efficiency, and uphold high standards of care delivery.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12570613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01Epub Date: 2025-07-03DOI: 10.1097/JMQ.0000000000000262
Morris Kharasch, Lindsay T Fazio, Tabitha Rosca, Nancy Schindler, Susan G Fisher, Lakshmi K Halasyamani
In an effort to provide comprehensive and consistently high-quality health care, the need to address professional behavior is rising. The physician conduct program was designed to reduce physician conduct concerns while providing an organizational culture in which physicians would thrive. This program includes a trained team, an event-reporting system, and a physician advisory council. Root causes, perspectives, and corrective strategies for each reported incident are explored with identified individuals in each incident. Over the 4 past years, complaints (n = 583) have included: rude or disrespectful comments to colleagues (52%), lack of physician communication with colleagues (15%), disrespectful interactions (23%) and inadequate communication with patients (5%), and violation of organizational policies (5%). The professional conduct program has provided a cohesive, systematic resource aligned with the health system's focus on teamwork, collegiality, and excellence in patient care.
{"title":"A Physician Conduct Improvement Program to Address Disruptive Behavior in a Health Care Setting.","authors":"Morris Kharasch, Lindsay T Fazio, Tabitha Rosca, Nancy Schindler, Susan G Fisher, Lakshmi K Halasyamani","doi":"10.1097/JMQ.0000000000000262","DOIUrl":"10.1097/JMQ.0000000000000262","url":null,"abstract":"<p><p>In an effort to provide comprehensive and consistently high-quality health care, the need to address professional behavior is rising. The physician conduct program was designed to reduce physician conduct concerns while providing an organizational culture in which physicians would thrive. This program includes a trained team, an event-reporting system, and a physician advisory council. Root causes, perspectives, and corrective strategies for each reported incident are explored with identified individuals in each incident. Over the 4 past years, complaints (n = 583) have included: rude or disrespectful comments to colleagues (52%), lack of physician communication with colleagues (15%), disrespectful interactions (23%) and inadequate communication with patients (5%), and violation of organizational policies (5%). The professional conduct program has provided a cohesive, systematic resource aligned with the health system's focus on teamwork, collegiality, and excellence in patient care.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"266-273"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01Epub Date: 2025-10-31DOI: 10.1097/JMQ.0000000000000222
Brandon Temel, Nelish Ardeshna, Joye Allen, Andrew Siler, Malte Breitlow, Gabriel Solomon, Christopher Grondin
{"title":"Addressing Diuresis Delays in Heart Failure: An Electronic Health Record Intervention.","authors":"Brandon Temel, Nelish Ardeshna, Joye Allen, Andrew Siler, Malte Breitlow, Gabriel Solomon, Christopher Grondin","doi":"10.1097/JMQ.0000000000000222","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000222","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 6","pages":"286-287"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01Epub Date: 2025-10-31DOI: 10.1097/JMQ.0000000000000271
Stephen Weber
{"title":"Leading in Healthcare Quality and Safety in the Era of Digital Health and AI: Applying Discipline to Manage Fear and FOMO.","authors":"Stephen Weber","doi":"10.1097/JMQ.0000000000000271","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000271","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 6","pages":"282-284"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01Epub Date: 2025-10-31DOI: 10.1097/JMQ.0000000000000272
Pranavi V Sreeramoju
{"title":"Framing Quality and Laying the Bricks.","authors":"Pranavi V Sreeramoju","doi":"10.1097/JMQ.0000000000000272","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000272","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 6","pages":"253-254"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-06-12DOI: 10.1097/JMQ.0000000000000256
William Bonadio, Peter Haskins, Maheen Javaid, Nicole Eiden, Aditi Ranade, Tara Holmes, Brendan Connell
{"title":"Effect of ED Prompt on Improving Provider Documentation of Repeat Vital Signs in Children Presenting With Fever and Tachycardia.","authors":"William Bonadio, Peter Haskins, Maheen Javaid, Nicole Eiden, Aditi Ranade, Tara Holmes, Brendan Connell","doi":"10.1097/JMQ.0000000000000256","DOIUrl":"10.1097/JMQ.0000000000000256","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"245"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-06-12DOI: 10.1097/JMQ.0000000000000254
Anita M Wilson, Katherine Berg, Aaron Douglas, John Caruso, Gretchen Diemer, Kathleen Day, Rosemary Frasso, Steven K Herrine, David Abraham
This study identified a method for assessing the alignment between undergraduate medical education program learning objectives and graduate medical education program competencies. Using a modified Delphi approach in which the number of rounds (3) and consensus (70% agreement) were determined a priori, the study sought to align objectives and competency measures between the programs. The authors invited panelists from Sidney Kimmel Medical College at Thomas Jefferson University to independently respond to a questionnaire via an email invitation. In the questionnaire, panelists made 46 decisions about the alignment between the undergraduate medical education program learning objectives and the Accreditation Council for Graduate Medical Education Harmonized Milestones subcompetencies. Approximately, 57% (26/46) of the decisions reached a consensus that there was an alignment between the objectives and the subcompetencies. By aligning the objective and subcompetencies, this study provided a first step toward closing the gap in the communication of student competencies.
{"title":"Closing the Communication Gap: Assessing the Alignment Between UME and GME Competencies.","authors":"Anita M Wilson, Katherine Berg, Aaron Douglas, John Caruso, Gretchen Diemer, Kathleen Day, Rosemary Frasso, Steven K Herrine, David Abraham","doi":"10.1097/JMQ.0000000000000254","DOIUrl":"10.1097/JMQ.0000000000000254","url":null,"abstract":"<p><p>This study identified a method for assessing the alignment between undergraduate medical education program learning objectives and graduate medical education program competencies. Using a modified Delphi approach in which the number of rounds (3) and consensus (70% agreement) were determined a priori, the study sought to align objectives and competency measures between the programs. The authors invited panelists from Sidney Kimmel Medical College at Thomas Jefferson University to independently respond to a questionnaire via an email invitation. In the questionnaire, panelists made 46 decisions about the alignment between the undergraduate medical education program learning objectives and the Accreditation Council for Graduate Medical Education Harmonized Milestones subcompetencies. Approximately, 57% (26/46) of the decisions reached a consensus that there was an alignment between the objectives and the subcompetencies. By aligning the objective and subcompetencies, this study provided a first step toward closing the gap in the communication of student competencies.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"235-242"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1097/JMQ.0000000000000259
Ashlee Newton, Victoria E Boyd, Hope Feldman, Prakash Kharel, Erin Walker, A Dhanya Mackeen
{"title":"Promoting a Culture of Quality and Safety via Morbidity and Mortality (M&M) Conferences.","authors":"Ashlee Newton, Victoria E Boyd, Hope Feldman, Prakash Kharel, Erin Walker, A Dhanya Mackeen","doi":"10.1097/JMQ.0000000000000259","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000259","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 5","pages":"251-252"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-04-25DOI: 10.1097/JMQ.0000000000000251
Farzana Hoque
{"title":"Patient Experience as a National Quality Metric.","authors":"Farzana Hoque","doi":"10.1097/JMQ.0000000000000251","DOIUrl":"10.1097/JMQ.0000000000000251","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"246"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reducing Cardiovascular Risk and Improving Treatment Adherence With a Novel Medical Student-Delivered Education Program.","authors":"Rithvik Kata, Ayush Shah, Tamanaa Atrafi, Benjamin Varughese, Claire Christman, Cynthia Cheng","doi":"10.1097/JMQ.0000000000000258","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000258","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 5","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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