A5085731423- Inflammatory Bowel Disease
- Multiple Sclerosis Research Studies
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Microscopic Colitis
- Economic and Financial Impacts of Cancer
- Chronic Disease Management Strategies
- Health Policy Implementation Science
- Palliative Care and End-of-Life Issues
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Adolescent and Pediatric Healthcare
- Healthcare cost, quality, practices
- Eosinophilic Esophagitis
- Mental Health and Patient Involvement
- Long-Term Effects of COVID-19
- Polyomavirus and related diseases
- Immunotherapy and Immune Responses
- Mycobacterium research and diagnosis
- COVID-19 epidemiological studies
- Diagnosis and Treatment of Venous Diseases
- Emergency and Acute Care Studies
Dartmouth Institute for Health Policy and Clinical Practice
2010-2025
Dartmouth College
2010-2025
Dartmouth Health
2022-2025
Dartmouth–Hitchcock Medical Center
2009-2024
Smilow Cancer Hospital
2024
Yale Cancer Center
2024
Dartmouth Psychiatric Research Center
2010-2024
Yale University
2023
Wilson Community College
2023
Harvard University
2022
Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting quality improvement work, providing guidance authors reviewers reports on healthcare work. In interim, enormous growth occurred understanding factors that influence success, failure, efforts. Progress been particularly strong three areas: theoretical basis work; impact contextual outcomes; development methodologies studying...
Introduction The Learning and Leadership Collaborative (LLC) supports cystic fibrosis (CF) centres’ responses to the variation in CF outcomes USA. Between 2002 2013, Cystic Fibrosis Foundation (CFF) designed, tested modified LLC guide front line staff efforts these efforts. This paper describes CFF evolution essential elements that have facilitated increased improvement capability of centres improved outcomes. Methods centre teams across USA participated 11 LLCs 12 months’ duration since...
Costimulation by CD40 and its ligand CD40L (CD154) is important for the functional differentiation of T cells. Preclinical studies have recognized importance this costimulatory interaction in pathogenesis experimental models multiple sclerosis (MS). To determine safety, pharmacokinetics, immune effect a humanized monoclonal antibody (mAb) against (toralizumab/IDEC-131) patients with relapsing-remitting MS (RRMS).
To describe the implementation of age-friendly health systems (AFHS) 4Ms Framework, an evidence-based framework to assess and act on "What Matters, Medication, Mentation Mobility deliver Age-Friendly care for patients 65 older", achieve Institute Health Improvement (IHI) Committed Care Excellence recognition in a convenient system test two novel strategies.The study was conducted over 1100 clinics 35 states DC. MinuteClinics are located community-based retail pharmacies rural, suburban,...
Investment in human experience is imperative for healthcare organizations. It a strategic focus that can lead to great benefits. Those overlook experience, seeing it as "simply" about satisfaction or survey data, do so at cost their organization, team members, and most importantly those we serve – patients. A commitment integrating the patient, workforce, community essential all organizations realizing goals they strive impact aspire achieve. leads high-quality outcomes care for. creates...
There is a growing body of evidence on shared decision-making (SDM) training programs worldwide. However, there wide variation in program design, duration, effectiveness, and evaluation both academia (ie, medical school) the practice setting. SDM has been slow to integrate settings.
There is significant variation in processes and outcomes of care for patients with inflammatory bowel disease (IBD), suggesting opportunities to improve quality care. We aimed determine whether a structured program can IBD outcomes, including the need unplanned health utilization.We used approach adult 27 community-based gastroenterology practices academic medical centers. Patient-reported (PRO) utilization were collected at clinical visits. Outcomes monitored monthly using statistical...
Inflammatory bowel diseases (IBD) are associated with unpredictable disease exacerbation and need for urgent care. We aimed to assess long-term sustained improvement in emergency department (ED) utilization following completion of a multicenter quality (QI) initiative. Methods: After the QI initiative, we developed an “urgent care toolkit” sites implement. measured patient- provider-reported outcomes at clinical visits. Results: Improvements ED hospitalization were over 3 years Conclusions:...
Multiple sclerosis (MS) is a costly, chronic, complex condition, which requires customization of care at the system level to achieve better outcomes. The authors describe cluster-randomized, coach-supported quality improvement (QI) intervention in MS continuous QI (MS-CQI) Collaborative, was multicenter learning health (LHS) study improve outcomes (2018-2022). developed within MS-CQI LHS, included aspects standard approaches utilized care. This 12-step standardized Toolkit; team coaching...
The healthcare industry continues to experience high rates of burnout, turnover, and staffing shortages that erode quality care. Interventions are feasible, engaging, impactful needed improve cultures support mitigate harm from exposure morally injurious events. This improvement project encompassed the methodical building, implementation, testing RECONN (Reflection Connection), an organizational intervention designed by interdisciplinary team impact moral injury increase social among nurses....
In the pursuit of improved clinical outcomes and patient experience in health care, shared decision-making (SDM) stands as a pivotal concept garnering increasing attention, but SDM utilization varies widely, often leading to confusion regarding team members' roles. This study explores knowledge, skills, attitudes oncology clinicians engaged pioneering educational initiative at comprehensive cancer care center, aimed enhancing frontline capabilities.
Introduction: The collection of patient-reported outcomes (PROs) in routine clinical practice provides opportunities to “feed-forward” the patient’s perspective his/her team inform planning and management. This data can also be aggregated “feedback” population-level analytics that treatment decision-making, predictive modeling, population-based care, system-level quality improvement efforts. Methods Aiding Interpretation Acting on Results: Three case studies demonstrate a number features...
Coproduction introduces a fundamental shift in how healthcare service is conceptualised. The mechanistic idea of being 'product' generated by the system and delivered to patients replaced that co-created users services. Fjeldstad et al offer an approach for conceptualising value creation complex contexts we believe applicable coproduction service. We have adapted Fjeldstad's model based on detailed case study renal haemodialysis Jonkoping, Sweden, which demonstrates characteristics key...
Fatigue is a significant and burdensome symptom for patients with multiple sclerosis associated other symptoms, signs, decreased quality of life.A prospective pilot study was conducted convenience sample (n = 34) relapsing-remitting using phone application, FatigueApp.com, to collect data on patient-reported outcome measures (Patient-Reported Outcomes Measurement Information System [PROMIS]).FatigueApp feasibility good, the ability self-reported fatigue symptoms PROMIS measures.This showed...
<h3>Background:</h3> Transitional Care Management (TCM) is a reimbursable service designed to minimize hospital readmissions. We describe multifaceted approach increase TCM services among 107 primary care providers in rural catchment area of 4250 square miles. <h3>Objective:</h3> The objective was use phone calls, office visits, and billing codes; the secondary decrease <h3>Methods:</h3> utilized learning health system model, an improvement support team (IST), collaborative that included...
The coproduction learning health system (CLHS) model extends the definition of a to explicitly bring together patients and care partners, teams, administrators, scientists share work optimizing outcomes, improving value, generating new knowledge. CLHS highlights partnership for that is supported by data can be used support individual patient care, quality improvement, research. We provide case study describes application this transform within an oncology program at academic medical center.
There has been substantial development of shared decision-making (SDM) methods and approaches in the past few decades, but despite this, building capability scaling application SDM clinical practice remains a challenge. Here authors describe initial experience with new virtual Practical Approach continuing education program for busy practicing clinicians who care people complex, chronic, costly conditions are frequently faced preference-sensitive decisions. This was designed to provide plain...
Coproduction learning health system models clearly define the use of clinical and patient-reported data for quality improvement, but less is known about how to document formative coproduction value creation over course a improvement initiative. The authors aimed 1) assess feasibility, utility, acceptability novel self-assessment tools 2) identify domains creation.