2019 HSC Section 2 - Practice Management

Brenner et al

to elucidate the scope of ambulatory safety issues and inter- ventions. 36 Ambulatory safety concerns include medication safety, safety culture, transitions among providers, timely and accurate diagnosis (to include issues arising from refer- rals from one provider to another), and management of test results. Patient engagement and timely, accurate diagnosis were identified as safety research gaps specific to the ambu- latory setting, which warrant future attention. Conclusion PS/QI is the cornerstone of 21st-century health care and the future for otolaryngology–head and neck surgery. Otolaryngology–Head and Neck Surgery is excited to lead in promoting PS/QI for our field with a dedicated educational PS/QI primer on research and performance reporting. Part 1 of this series provides the historical context for PS/QI and is a resource for information on national quality metrics and otolaryngology-specific performance measures. In addition, it highlights opportunities for integrating PS/QI into one’s oto- laryngology practice. Ultimately, payers will drive patients to quality care based on outcomes. Otolaryngologists have a responsibility to embrace a culture of PS/QI. In leading this discussion, we will define optimal quality otolaryngology care through objective data and metrics. Author Contributions Cecelia E. Schmalbach , design, substantial contribution, revisions, final approval, accountable for all work; Michael J. Brenner , design, substantial contribution, revisions, final approval, accountable for all work; C. W. David Chang , design, substantial contribution, revisions, final approval, accountable for all work; Emily F. Boss , design, substantial contribution, revisions, final approval, accountable for all work; Julie L. Goldman , design, substantial contribution, revi- sions, final approval, accountable for all work; Richard M. Rosenfeld , substantial contribution, revisions, final approval, accoun- table for all work. Disclosures Competing interests: Cecelia E. Schmalbach, AO North America Non-Profit Trauma Consortium; honorarium; Deputy Editor of Otolaryngology-HNS; Michael J. Brenner, PS/QI Associate Editor Oto-HNS; C. W. David Chang, PS/QI Committee Chair; Emily F. Boss, PS/QI Committee Chair; Richard M. Rosenfeld, AAO-HNS Committee membership/reviewer/planner. Sponsorships: None. Funding source: None. 1. Schmalbach CE. Patient safety/quality improvement (PS/QI): Florence Nightingale prevails. Otolaryngol Head Neck Surg . 2015;152:771-773. 2. Donabedian A. Evaluating the quality of medical care: 1966. Milbank Q . 2005;83:691-729. 3. Birkmeyer JD, Dimick JB, Birkmeyer NJ. Measuring the qual- ity of surgical care: structure, process, or outcome? J Am Coll Surg . 2004;198:626-632. References

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