Smith_Clinical_Models-Handout

Smith_Clinical_Models-Handout - Clinical Models of Quality...

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Clinical Models of Quality Implications for Error Reduction Maureen Smith, MD PhD Overview ± Accountability in health care – Professional model – Economic model ± Exercise – Accountability in the systems model ± Implications for error reduction Accountability in Health Care ± Emanuel & Emanuel – Annals of Internal Medicine – 15 January 1996 – Volume 124 Issue 2 –Pages 229 -2 39
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Accountability ± Who – Locus of Accountability – At least 11 distinct parties (patients, insurers…) – Held accountable or hold others accountable ± What – Domains of Accountability – professional competence, legal and ethical conduct, financial performance, adequacy of access, public health promotion, and community benefit ± How – Procedures of Accountability – Evaluation of adherence and response Physician Accountability Models of Accountability ± Stress different loci (who), domains (what), procedures (how) ± Models – Professional –Econom ic –Systems?
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Professional Model ±
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Smith_Clinical_Models-Handout - Clinical Models of Quality...

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