Publications by authors named "Scott A Berry"
Objective: It is unclear whether data from patient-reported outcome measures (PROMs) are captured and used by clinicians despite policy initiatives. We examined the extent to which fall risk and urinary incontinence (UI) reported on PROMS and provided to clinicians prior to a patient visit are subsequently captured in the electronic medical record (EMR). Additionally, we aimed to determine whether the use of PROMs and EMR documentation is higher for visits where PROM data was provided to clinicians.
View Article and Find Full Text PDFGeisinger's ProvenCare™ Program (for elective coronary artery bypass surgery, total hip replacement, and others) has shown that the principles of reliability science, facilitated by a robust electronic health record and institutional commitment, allow the re-engineering of complicated clinical processes. This eliminates unwarranted variation and promotes the completion of evidence-based elements of care. It has not been established that ProvenCare can be generalized to other institutions.
View Article and Find Full Text PDFArticle Synopsis
- Geisinger Health System (GHS) adapted its ProvenCare model for perinatal care, creating a standardized care pathway based on consensus among healthcare providers on 103 best practice measures (BPMs) at 22 sites.
- Implementation followed a nine-phase methodology, showing significant improvements in clinical outcomes; specifically, the primary cesarean section rate dropped by 32% while maintaining stable birth trauma rates.
- The initiative highlights the effectiveness of integrating evidence-based practices into care workflows to enhance patient care processes and outcomes.
Clinical microsystems, Part 4. Building innovative population-specific mesosystems.
Jt Comm J Qual Patient Saf
November 2008
Background: In 2005, the Geisinger Health System (Danville, Pennsylvania) developed ProvenCare, first applied to coronary artery bypass graft (CABG), as an innovative provider-driven quality improvement program to promote reliable delivery of evidence-based best practices. A new mesosystem is created for each ProvenCare model, integrating the care delivery process between contributing microsystems and defining new mesosystem leadership. The approach has been expanded to many patient populations, including percutaneous coronary intervention (PCI).
View Article and Find Full Text PDFClinical microsystems, part 1. The building blocks of health systems.
Jt Comm J Qual Patient Saf
July 2008
Background: Wherever, however, and whenever health care is delivered-no matter the setting or population of patients-the body of knowledge on clinical microsystems can guide and support innovation and peak performance. Many health care leaders and staff at all levels of their organizations in many countries have adapted microsystem knowledge to their local settings.
Clinical Microsystems: A PANORAMIC VIEW: HOW DO CLINICAL MICROSYSTEMS FIT TOGETHER? As the patient's journey of care seeking and care delivery takes place over time, he or she will move into and out of an assortment of clinical microsystems, such as a family practitioner's office, an emergency department, and an intensive care unit.
Objective: To test whether an integrated delivery system could successfully implement an evidence-based pay-for-performance program for coronary artery bypass graft (CABG) surgery.
Methods: The program consisted of 3 components: (1) establishing implementable best practices; (2) developing risk-based pricing; (3) establishing a mechanism for patient engagement. Surgeons reviewed all class I and IIa "2004 American Heart Association/American College of Cardiology Guidelines for CABG Surgery" and translated them into 40 verifiable behaviors.