Organizational Technologies for Transforming Care: Measures and Strategies for Pursuit of IOM Quality Aims
Open accessAbstract
Progress on the Institute of Medicine's (IOM's) 6 aims to bridge the "quality chasm" requires both measurement and the concerting of multiple organizational technologies. The basic thesis of this article is that rapid progress on the IOM's multiple aims calls for transformative change within and among healthcare organizations. The promise of a number of types of transformative approaches is closely linked to their ability to simultaneously build upon several organizational technologies: clinical, social, information, and administrative technologies. To encourage and advance such efforts, this article identifies illustrative measures of attainment of the IOM's 6 aims or targeted areas for improvement that reflect the contributions of the 4 organizational technologies. It discusses examples of relationships between the IOM aims and the organizational technologies considered. Finally, the article offers illustrations of the interplay of these organizational technologies and IOM aims-across an array of organizational innovations with transformative potential. Included among such innovations are information technology in the form of electronic medical records, computer-based physician order entry, and patient health records; organization-wide patient-centered cultural change such as Studer's Hardwiring Excellence; Six Sigma and Toyota Production Management/LEAN; major clinical technology change, for example, minimally invasive cardiac surgery and broader treatment innovations such as disease management.
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Reviewed studies lacked measures of quality and safety outcome indicators.
“However, reviewed studies lacked measures of quality and safety outcome indicators, something that will need to be rectified to determine the whole impact of Lean on patients [92].”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [92]
Cites
Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors
Koppel, R. (2005) · JAMA · doi:10.1001/jama.293.10.1197 · Cited by 2,126 · see citing works
Disrupted Routines: Team Learning and New Technology Implementation in Hospitals
Edmondson, A. C., Bohmer, R. M., & Pisano, G. P. (2001) · Administrative Science Quarterly · doi:10.2307/3094828 · Cited by 1,729 · see citing works
Han, Y. Y., Carcillo, J. A., Venkataraman, S. T., Clark, R. S. B., Watson, R. S., Nguyen, T. C., Bayir, H., & Orr, R. A. (2005) · Pediatrics · doi:10.1542/peds.2005-1287 · Cited by 1,149 · see citing works
Disparities in Health Care by Race, Ethnicity, and Language Among the Insured
Fiscella, K. A., Franks, P. J., Doescher, M. P., & Saver, B. G. (2002) · Medical Care · doi:10.1097/00005650-200201000-00007 · Cited by 917 · see citing works
Language proficiency and adverse events in US hospitals: a pilot study
Divi, C., Koss, R. G., Schmaltz, S. P., & Loeb, J. M. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzl069 · Cited by 745 · see citing works
PATIENT PERCEPTIONS OF THE QUALITY OF HEALTH SERVICES
Sofaer, S., & Firminger, K. B. (2005) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.25.050503.153958 · Cited by 557 · see citing works
High Rates of Adverse Drug Events in a Highly Computerized Hospital
(2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.10.1111 · Cited by 363 · see citing works
Jha, A. K., Ferris, T. G., Donelan, K., DesRoches, C., Shields, A., Rosenbaum, S., & Blumenthal, D. (2006) · Health Affairs · doi:10.1377/hlthaff.25.w496 · Cited by 304 · see citing works
Complexity science and health care management
McDaniel, R. R., & Driebe, D. J. (2004) · Advances in health care management · doi:10.1016/s1474-8231(01)02021-3 · Cited by 277 · see citing works
The Value Of Electronic Health Records In Solo Or Small Group Practices
Miller, R. H., West, C., Brown, T., Sim, I., & Ganchoff, C. (2005) · Health Affairs · doi:10.1377/hlthaff.24.5.1127 · Cited by 249 · see citing works
The Missing Link: Bridging The Patient–Provider Health Information Gap
Tang, P. C., & Lansky, D. J. (2005) · Health Affairs · doi:10.1377/hlthaff.24.5.1290 · Cited by 238 · see citing works
Measuring patients’ experiences with individual primary care physicians
Safran, D. G., Karp, M., Coltin, K. L., Chang, H., Li, A., OGREN, J. A., & Rogers, W. H. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00311.x · Cited by 221 · see citing works
Himmelstein, D. U., & Woolhandler, S. J. (1986) · New England Journal of Medicine · doi:10.1056/nejm198602133140710 · Cited by 200 · see citing works
Sidorov, J. E. (2006) · Health Affairs · doi:10.1377/hlthaff.25.4.1079 · Cited by 177 · see citing works
Reducing Waste in US Health Care Systems
Bush, R. W. (2007) · JAMA · doi:10.1001/jama.297.8.871 · Cited by 133 · see citing works
Electronic Medical Records And Health Care Transformation
Walker, J. M. (2005) · Health Affairs · doi:10.1377/hlthaff.24.5.1118 · Cited by 53 · see citing works
The 100,000 Lives Campaign: Crystallizing Standards Of Care For Hospitals
Gosfield, A. G., & Reinertsen, J. L. (2005) · Health Affairs · doi:10.1377/hlthaff.24.6.1560 · Cited by 49 · see citing works
Extracting Knowledge From Science: A Conversation With Elias Zerhouni
Culliton, B. J. (2006) · Health Affairs · doi:10.1377/hlthaff.25.w94 · Cited by 41 · see citing works
Himmelstein, D. U., Woolhandler, S. J., & Wolfe, S. M. (2004) · International Journal of Health Services · doi:10.2190/d2bl-huxy-rlf8-ulxa · Cited by 26 · see citing works
Towards an intelligent hospital environment: OR of the future.
Sutherland, J. V., van den Heuvel, W., Ganous, T., et al. (2005) · PubMed · Cited by 25 · see citing works
Crossing to safety: transforming healthcare organizations for patient safety.
Ralston, J. D., & Larson, E. B. (2006) · PubMed · Cited by 24 · see citing works
Gamm, L. D., Barsukiewicz, C. K., Kh, D., & Vasey, J. J. (1998) · PubMed · Cited by 13 · see citing works
Self-citationThe art and science of winning physician support for Six Sigma change.
Ettinger, W., & Van Kooy, M. (2003) · PubMed · Cited by 13 · see citing works
Supplemental Insurance and Mortality in Elderly Americans: Findings From a National Cohort
Doescher, M. P. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.3.251 · Cited by 10 · see citing works
Developing an Illustrated Version of the Consumer Assessment of Health Plans (CAHPS®)
Shea, J. A., Aguirre, A. C., Sabatini, J., et al. (2005) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(05)31005-1 · Cited by 8 · see citing works
Gamm, L. D., Bolin, J. N., & Kash, B. A. (2005) · Journal of Ambulatory Care Management · doi:10.1097/00004479-200507000-00004 · Cited by 4 · see citing works
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Vest, J. R., & Gamm, L. D. (2009) · Implementation Science · doi:10.1186/1748-5908-4-35 · Cited by 216 · see citing works
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- Authors
- Gamm, L., Kash, B., & Bolin, J.
- Affiliations
- Texas A&M Health Science Center (US)
- Venue
- Journal of Ambulatory Care Management
- Published
- 2007-10
- Volume
- 30
- Issue
- 4
- Pages
- 291-301
- ISSN
- 0148-9917 (ISSN-L)
- OpenAlex
- W2033343471
- Cited by
- 24
- References
- 26
- Citations by year
- 2022: 1 · 2019: 1 · 2018: 4 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 5.88
- Type
- journal article
- Language
- en
- Open access
- green
- papers.ssrn.com
- Locations
- Journal of Ambulatory Care Management (publishedVersion)
- PubMed (publishedVersion)
- SSRN Electronic Journal (submittedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- organizational technology, quality chasm, quality improvement, healthcare organizations, organizational change, electronic health records, patient-centered care, Six Sigma, lean manufacturing, minimally invasive cardiac surgery, disease management, organizational measurement
- MeSH terms
- Diffusion of Innovation, Humans, Practice Management, Medical, Quality of Health Care, United States, National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division, Total Quality Management, Disease Management
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