Finding Gaps in Quality and Value (Part 2)

Stuart, Sheri; Stuart, Michael E.
April 2005
Click (1532-0391);Apr2005, Vol. 5 Issue 2, p50
The article begins the consideration of the sequential phases of evidence-based quality improvement work, starting out with readying an organization for evidence-based quality improvement. It looks into the details of using the five A's (Asking, Acquiring, Appraising, Applying, Again), of evidence-based medicine to identify and close quality and cost gaps in health care organizations. Once an organization creates the structural components, such as committees and work groups, and establishes processes for those groups, and once it ensures that staff have the needed knowledge, skills and tools to carry out the five A's, each group can begin to identify "fixable" or "closable" quality, cost, satisfaction and uncertainty gaps in clinical care.


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