Group visit: Similar to an individual planned visit
but designed for groups of patients, rather than individual patient-provider
Lean principles: Derived from the Toyota Production
System, lean principles in quality improvement increase efficiency of a system
by eliminating wasteful in producing products or services. Lean thinking
consists of: Defining value in terms of the customer; identifying the "value
stream" or the specific actions necessary to produce a product or service;
eliminating waste and making the process flow; allowing the customer's
definition of value to pull the product or service through the process; and
perfecting the process by continually removing waste.
Model for improvement: A methodology for continuously
Plan-Do-Study-Act Cycles: "The
Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change by planning
it, trying it, observing the results, and acting on what is learned," according to the Institute for Healthcare Improvement.
Planned visit: An encounter with the patient
initiated by the practice to focus on aspects of care that typically are not
delivered during the acute care visit.
Practice-based learning and improvement: One of six
competencies a residency program must require of its residents, as outlined by
the Accreditation Council for Graduate Medical Education (ACGME). "Residents must be able to investigate and
evaluate their patient care practices, appraise and assimilate scientific
evidence, and improve their patient care practices." The other competencies
are: medical knowledge, patient care, systems-based practice, professionalism,
and interpersonal and communication skills.
Registry: An information system that tracks individual patients as
well as populations of patients.
Self-management support: An endeavor in which the
healthcare team partners with patients to improve their ability to manage their
conditions day to day.
Systems-based practice: One of six competencies a
residency program must require of its residents, as outlined by the Accreditation
Council for Graduate Medical Education (ACGME). "Residents must demonstrate an
awareness of a responsiveness to the larger context and system of health care
the ability to effectively call on system resources to provide care that is of
optimal value." The other competencies are: medical knowledge, patient care,
practice-based learning and improvement, professionalism, and interpersonal and
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