Qip
Qip
Qip
Healthcare Delivery
Information and Health Technology
Microsystem Mode
Organizational Culture and Support
Foster, T. C., Johnson, J. K., Nelson, E. C., & Batalden, P. B. (2007). Using a Malcolm Baldrige framework to understand high-performing clinical microsystems.
Quality and Safety in Health Care, 16(5), 334-341.
Microsystem Model:
Patient Focus & Staff Focus
Staff focus includes insuring
competent hiring, an
adequate orientation
process for new staff
Example:
o Orientation and
Continued Education
o Staff value
Example:
o Ample hospital
amenities
o Birth plans
o Workload
o Provides classes
Carondelet Health Network (2015). After delivery and at home. Retrieved from http://www.carondelet.org/patients-visitors/billing
assistance.aspx
Microsystem Model:
Interdependence of Care Team
This area of assessment includes trust, collaboration,
willingness to help other staff, appreciation of
interdisciplinary roles, and consistent respect among
coworkers.
Examples
o Dependence on Nurses
o Nurse Teamwork
o Respect Coworkers experience
Johnson, J.K., (2003, February 02). Clinical microsystem assessment tool [PDF document]. Retrieved from
https://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View
Microsystem Model:
Use of Information and Healthcare Technology
Information: The
connector between staff,
patients and patient
needs.
Examples:
o Patients
o Providers
o Staff
Information Technology:
Technology facilitates
effective communication to
keep all parties involved in
patient care.
Examples:
o EHR
o Paper Chart
o Transition to Cerner
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Microsystem Model:
Process for Healthcare Delivery Improvement
Johnson, J.K., (2003, February 02). Clinical microsystem assessment tool [PDF document].
Retrieved
Johnson, J.K., (2003, February 02). Clinical microsystem assessment tool [PDF document]. Retrieve
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from https://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View
Management proposes a
plan for implementation.
Staff provides
feedback on
implementation.
Management
ensures all staff can
effectively use
electronic charting.
Initially we will
remove mother
paper charting.
Shortly after,
newborn charting
will be removed.
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Evaluate staff
opinions on
change, and revise
as needed.
References
Foster, T. C., Johnson, J. K., Nelson, E. C., & Batalden, P. B. (2007). Using a Malcolm Baldrige framework to understand
high-performing clinical microsystems. Quality and Safety in Health Care, 16(5), 334-341.
Johnson, J.K., (2003, February 02). Clinical microsystem assessment tool [PDF document]. Retrieved from
https://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health care:
Part 1. Learning from high performing front-line clinical units. The Joint Commission Journal on Quality and Patient Safety,
28(9), 472-493.
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