The official journal of the National Association for Healthcare Quality
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January/February 2005 Table of Contents
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Guest Editorial: Healthcare Safety—What Does Managed Care Have to Do with It?
Lynn Unruh, Nancy Rudner Lugo
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FEATURE ARTICLES
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 Measuring Quality in Nurse-Managed Centers Using HEDIS Measures
Violet H. Barkauskas, Joanne M. Pohl, Ramona Benkert, Margaret A. Wells
Nurse-managed centers (NMCs) provide viable options for primary
healthcare and contribute substantially to filling access gaps for
vulnerable populations. The NMCs achieved or exceeded HEDIS 50th
percentile levels in a number of important clinical areas, but did not
attain the 50th percentile level in others. Thus, HEDIS measures are
relevant for the assessment of care quality and provide useful data for
quality improvement in NMCs.
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15
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Development and Implementation of an Interdisciplinary Plan of Care
Cynthia Lewis, Mary Lou Hoffmann, Angela Gard, Jacqueline Coons, Pat Bichinich, Jeff Euclid
The interdisciplinary plan of care (IPOC) demonstrates the integration
of prioritized problems, outcomes, and measurement toward goal
attainment. This article focuses on the journey of this team to the
successful implementation of an IPOC.
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24
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Diffusion of Information Technology Supporting the Institute of Medicine’s Quality Chasm Care Aims
Darrell Burke, Nir Menachemi, Robert G. Brooks
This article examines the degree to which healthcare information
technology supporting the Institute of Medicine’s six care aims is
utilized in the hospital setting and explores organizational factors
associated with HIT use. Results suggest that, on average, hospitals
have not yet embraced HIT to support the IOM’s care aims and that
associated organizational factors vary according to care aim.
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33
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Palliative Care as a Quality Improvement Strategy for Advanced, Chronic Illness
Diane Meier
Healthcare organizations use palliative care to improve quality of
care, because it is an effective approach to relieving pain,
discomfort, and stress; improving patient and family satisfaction;
improving continuity and reducing fragmentation of care delivery; and
contributing to efficient and effective use of healthcare resources.
This article summarizes the data, provides case examples of the effect
of palliative care, and identifies resources for implementing programs.
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40
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Simulation of Begin and End Ages for Mammography Screening
Kimbroe J. Carter, Frank Castro, Edward Kessler, Barbara A. Erickson
Abstract: This article is designed to assist healthcare professionals in
identifying begin and end ages for annual breast cancer mammography
screening through the use of cost-effectiveness and computer modeling.
The present study identifies the end age for screening more clearly
than currently available evidence while meeting the societal limits of
$50,000 per life-year saved and equitable spending for the young and
old alike.
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48
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Quality Toolbox: The Kaiser Permanente FMEA Model— Simplified for Healthcare Personnel
Diane Storer Brown, Doug Bonacum, Dawn Vonderheide-Liem
Abstract: This article shares a simplified approach for healthcare personnel for
conducting failure modes and effects analysis projects as part of
organizational performance improvement programs. A checklist and
worksheets to document and monitor project progress are provided as
helpful tools for project teams.
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