UPMC Prescription for Wellness: A Quality Improvement Case Study for Supporting Patient Engagement and Health Behavior Change

被引:7
|
作者
Maners, Rebecca J. [1 ]
Bakow, Eric [2 ]
Parkinson, Michael D. [3 ]
Fischer, Gary S. [4 ]
Camp, Geoffrey R. [5 ]
机构
[1] UPMC Informat Serv Div, 600 Grant St, Pittsburgh, PA 15219 USA
[2] UPMC Hlth Plan, Pittsburgh, PA USA
[3] UPMC Hlth Plan & WorkPartners, Pittsburgh, PA USA
[4] Univ Pittsburgh, Pittsburgh, PA USA
[5] UPMC Hlth Plan & UPMC Community Med, Pittsburgh, PA USA
关键词
quality improvement; health behavior change; lifestyle medicine; Six Sigma; patient engagement; PRIMARY-CARE; CLINICAL-PRACTICE; 6; SIGMA; INTERVENTIONS; BELIEFS; OBESITY; JOURNEY; WEIGHT; COSTS;
D O I
10.1177/1062860617741670
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Addressing patient health and care behaviors that underlie much of chronic disease continues to challenge providers, medical practices, health systems, and insurers. Improving health and care as described by the Quadruple Aim requires innovation at the front lines of clinical care: the doctor-patient interaction and office practice. This article describes the use of Lean Six Sigma in a quality improvement (QI) effort to design an effective and scalable method for physicians to prescribe health coaching for healthy behaviors in a primary care medical home within a large integrated delivery and financing system. Building on the national Agency for Healthcare Research and Quality and Robert Wood Johnson Foundation-funded Prescription for Health multisite demonstration, this QI case study provides important lessons for transforming patient-physician-practice support systems to better address lifestyle and care management challenges critical to producing better outcomes.
引用
收藏
页码:274 / 282
页数:9
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