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Category Archives:Practice Improvement

Proactive Office Encounters March 12, 2010 How my Orthopaedic Surgeon saved me from Bowel Cancer Bob W will tell you that his life was saved from bowel cancer by his doctor. The surprising thing in Bob’s story is that he is referring to his orthopaedic surgeon! Bob is one of 8.6 million people cared for by Kaiser Permanente, a US health care organisation [...] Posted in Practice Improvement, Prevention, eHealth \| \| No Comments	IHI Clinical Office Practice Forum 2010 March 7, 2010 Each year the Institute of Healthcare Improvement hold a major forum on Improving Clinical Office Practice. This year ‘Improving Patient Care in the Office Practice and the Community’ is the 11th such forum and will be held in Washington. I’m currently posting from AA76 LA to Washington Dulles, so will keep ‘practice improvement’ informed of any new [...] Posted in Practice Improvement \| \| No Comments
Putting Guidelines into Practice February 1, 2009 How can we bridge the ‘chasm’ between what the evidence tells us we should achieve in chronic disease, and what we manage to achieve in practice? (Cf NICS Gap Report) This is perhaps the key question that we are collaborating to answer. Ralph Audehm has directed us to a few recent articles that aim to identify the [...] Posted in Clinical, Practice Improvement \| \| No Comments	Cool Tools – Doctors Control Panel January 11, 2009 This may be just the thing you’re looking for! Do you wish it was easier to provide proactive care? Do you get frustrated by the lack of features in your clinical software? “Yes”, said Anton Knieriemen (Vic Collabs, current wave) to these questions. And then he decided to fix the flaming thing. He wrote a computer program that links [...] Posted in Clinical, Information Management, Practice Improvement, Practice Management \| Tagged software \| 5 Comments
Fix the Flaming Thing October 1, 2008 We’ve talked about the Zen concept of ‘Falling Forwards’. In Japan, they talk about ‘Kaizen’ – continuous improvement. Locally, the concept might be expressed as ‘Fix the Flaming Thing’ – FTFT for short. Some improvements require wholescale system changes. (The American Healthcare System, for example). But some very simple policy and procedural changes by the ‘powers that [...] Posted in Practice Improvement \| Tagged improvement, policy \| 5 Comments	Becoming a Time Lord July 24, 2008 Zen and the Art of General Practice Part Two Do you run on time? In our discussion on achieving ‘Zen’ in general practice, time pressure was identified as one of the most significant factors that decrease our enjoyment at work. It is a chief ‘zen-zapper’. No one benefits from a waiting room full of people. It is certainly not [...] Posted in Practice Improvement, Productivity \| Tagged access, appointments, time, zen \| 7 Comments
Design and the Doctor’s Surgery July 2, 2008 The Radio National Program ‘By Design’ last week featured ‘Design and the doctor’s surgery’ and it may be worth a listen if you are constrained by the physical capacity of your premises. The RACGP has released a new ‘workbook’ on the subject ‘Rebirth of a Clinic: A design workbook for architecture [...] Posted in Practice Improvement \| Tagged design \| No Comments	Thinking Lean in Texas April 30, 2008 Dallas, Texas: From your roving correspondent, currently attending the 9th Annual Institute of Healthcare Improvement Summit on Clinical Office Redesign, held this year in the Gaylord Texan Hotel, Grapevine, Dallas.This annual international conference attracts 1500 doctors and health administrators to discuss the latest issues in quality and improvement for ‘ambulatory’ care. The larger IHI conference [...] Posted in Practice Improvement \| \| No Comments
Access and the John West measure. February 10, 2008 Access from the APCC point of view is about access to effective and timely care. We will do the community an enormous service if we can increase the capacity of general practice to care for the health of that community. If we are to demonstrate an improvement in ‘access’ to general practice, we need to be able [...] Posted in Practice Improvement \| Tagged access, apcc, collaboratives \| No Comments	Zen and the Art of General Practice January 29, 2008 “God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.” I have recently had reason to think about Tom Marshall’s propositon that ”General Practice is the best job in the world – you get paid for talking to your friends.” Certainly [...] Posted in Practice Improvement \| Tagged improvement, systems, zen \| 5 Comments

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