Table 1, [Taxonomy of Quality Improvement Strategies With Examples of Substrategies]. - Patient Safety and Quality

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Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr.

Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

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Table 1

Taxonomy of Quality Improvement Strategies With Examples of Substrategies

QI Strategy	Examples
Provider reminder systems	Reminders in charts for providers Computer-based reminders for providers Computer-based decision support
Facilitated relay of clinical data to providers	Transmission of clinical data from outpatient specialty clinic to primary care provider by means other than medical record (e.g., phone call or fax)
Audit and feedback	Feedback of performance to individual providers Quality indicators and reports National/State quality report cards Publicly released performance data Benchmarking – provision of outcomes data from top performers for comparison with provider’s own data
Provider education	Workshops and conferences Educational outreach visits (e.g., academic detailing) Distributed educational materials
Patient education	Classes Parent and family education Patient pamphlets Intensive education strategies promoting self-management of chronic conditions
Patient reminder systems	Materials and devices promoting self-management
Promotion of self-management	Postcards or calls to patients
Organizational change	Case management, disease management TQM, CQI techniques Multidisciplinary teams Change from paper to computer-based records Increased staffing Skill-mix changes
Financial incentives, regulation, and policy	Provider directed: Financial incentives based on achievement of performance goals Alternative reimbursement systems (e.g., fee-for-service, capitated payments) Licensure requirements Patient directed: Copayments for certain visit types Health insurance premiums, user fees Health system directed: Initiatives by accreditation bodies (e.g., residency work hour limits) Changes in reimbursement schemes (e.g., capitation, prospective payment, salaried providers)

: Note: Reprinted with permission from AHRQ³⁸ (pp. 17–18).

From: Chapter 44, Tools and Strategies for Quality Improvement and Patient Safety

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Hughes RG. Tools and Strategies for Quality Improvement and Patient Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Table 1, [Taxonomy of Quality Improvement Strategies With Examples of Substrategies].
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Table 1, [Taxonomy of Quality Improvement Strategies With Examples of Substrateg...
Table 1, [Taxonomy of Quality Improvement Strategies With Examples of Substrategies]. - Patient Safety and Quality
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