ITEMS IN FPM ON TOPIC:
Clinical process improvement
The article will describe strategies for improving the care of patients with chronic diseases, including how to secure physician buy-in of the chronic care model and how to sustain improvements in patient outcomes.
Argues that, while the implementation of the chronic care model described in the cover story ended up not to be self-supporting, family practices may be able to implement pieces of the model usefully without significant cost.
The article explains the key principles of reliability science and how they can help reduce errors and increase safety and quality when applied to health care.
The article will describe pragmatic methods for creating a more innovative, quality-focused practice and more innovative work culture, with family practice examples.
Argues that, even given all the barriers, practice improvement effort can pay off in enough ways that it is worth the effort.
Introduces "Big Ideas" issue, suggesting that most of the ideas featured have something to do with the FFM new practice model and that the authors may actually share a vision of the future of family medicine.
The tools and resources of evidence-based medicine (EBM) are extremely valuable. Just don't forget that EBM still has cult status in the eyes of many and that people still occasionally enjoy burning a heretic at the stake.
The author explains the importance of clinical judgment and physicians' ability to focus on what's important. He shares lessons that have helped him meet patients' needs while avoiding useless tests and ineffective treatments.
The author explains how "systems thinking" can help family physicians improve their care across six dimensions: safety, timeliness, efficiency, effectiveness, equity and patient-centeredness.
The article describes how one family practice uses a "today's visit" form to help patients focus on what they really want out of the current visit, leaving them more satisfied with their care and less likely to call with follow-up questions.