Musings: DxImprovement Officer

Michael.H.Kanter at KP.ORG Michael.H.Kanter at KP.ORG
Sun Aug 21 21:42:32 UTC 2016


I am not aware of any evidence that creating a Dx Imporvement Officer will 
reduce DX errors but at Kaiser Permanente, our normal method of process 
improvement is to appoint a physician leader of whatever issue we are 
trying to improve.  This physician does coordinate activities across 
departmental and administrative boundaries.  We have this for patient 
safety as well as many other conditions like hypertension, diabetes, 
palliative care, domestic violence, depression, HIV, maternal- child care, 
 ect.  In the Southern California Region, we are forming a similar 
structure for diagnostic error/diagnostic reliability.   I see this role 
as fundamental to creating any system wide improvements but dont have any 
real evidence to show this works other than this is the structure we use 
for most things we do. 


Michael Kanter, M.D., CPPS
Regional Medical Director of Quality & Clinical Analysis
Southern California Permanente Medical Group
(626) 405-5722 (tie line 8+335)

Executive Vice President,
Chief Quality Officer,
The Permanente Federation

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From:   Maureen Cahill <MCahill at NCSBN.ORG>
To:     IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Date:   08/21/2016 01:46 PM
Subject:        Re: [IMPROVEDX] Musings: DxImprovement Officer



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Such a person might advise about the diagnostic aids available and the 
ways to maximize the facility/system EHR.
Maureen
 
Maureen Cahill [Associate] 312.525.3646 (D) mcahill at ncsbn.org
National Council of State Boards of Nursing (NCSBN) 111 E. Wacker Drive, 
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Our Mission – NCSBN, Leading in nursing regulation
 
 
 
From: Lorri Zipperer [mailto:Lorri at ZPM1.COM] 
Sent: Sunday, August 21, 2016 1:12 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Musings: DxImprovement Officer
 
I am sure list members are aware of the efforts in hospitals/health 
systems to have an defined individual serve (ideally full time) as a 
mid-level leader to coordinate specific areas of improvement across 
organizations: patient safety officers are a top-of-mind example of this 
model. These roles ideally have the authority and expertise to span 
boundaries between the various improvement projects and levels of the 
organization (from front line to C-Suite) to enhance collaboration, 
communication and learning. In addition they actively provide their 
insights as needed through involvement in investigations, committee work, 
and policy development (amongst other things).
Does the group see that a similar role to help reduce Dxerror would be of 
value?  Do we need a DxImprovement officer role? If so, what would/could 
its unique contribution to dx error reduction be? What evidence could 
support it? 
Lorri
Lorri Zipperer, Cybrarian
Zipperer Project Management
lorri at zpm1.com
www.zpm1.com
LinkedIn Group / Patient Safety Partners: 
http://www.linkedin.com/groups?gid=163248
Normality is a paved road; It's comfortable to walk, but no flowers grow. 
Vincent van Gogh.
 
 


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