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Clinical microassessment guide

Clinical Microsystem Action Guide Improving Health Care by Improving Your Microsystem Version The Clinical Microsystem Action Guide is a collection of helpful tools information and ideas designed to assist clinical microsystems to increase self-awareness and engage in continuous improvement in health care delivery within their clinical microsystem and in partnership with other clinical microsystems and macroorganizations www clinicalmicrosystem org DARTMOUTH MEDICAL SCHOOL INSTITUTE FOR HEALTHCARE IMPROVEMENT ? Trustees of Dartmouth College Godfrey Nelson Batalden Version Rev CTable of Contents Preface and acknowledgements Welcome - Clinical Microsystem Background ? Institute of Medicine ? Self-Awareness Journey ? The Lenses of a Microsystem ? Science-Based Improvement I Assessing Your Practice Workbook ??The Green Book ? II Assess Your Clinical Microsystem III Start to Build Your Own Clinical Microsystem Diagram IV The Core Processes of Clinical Microsystems A Patient Entry Access Assignment B Orientation C Initial Work up Assessment D Plan of Care E C A R E Vital Signs V Patient Subpopulations Planning Patient-centered Care A Acute Emergent B Chronic C Preventive D Palliative VI Customer Knowledge A Gaining Customer Knowledge Worksheet Interview Survey VII Measurement and Monitoring A Feed forward and Feedback B Balanced Scorecard Instrument Panels C Clinical Value Compass VIII Linking Microsystems IX Special Themes A Safety B External Environment C Health Professional Education X Improving Your Clinical Microsystem A The basics B Continuous improvement tools forms knowledge C Storyboards XI Want to Learn More XII References and articles XIII Appendix Table of Tools and Forms ? Trustees of Dartmouth College Godfrey Nelson Batalden Version Rev CPreface and Acknowledgements Our years of experience in exploring inquiring and testing improvement ideas through the Center for the Evaluative Clinical Sciences at Dartmouth Medical School the Dartmouth-Hitchcock system Institute for Healthcare Improvement and health care systems throughout the United States England Sweden and Norway have provided the background of this Clinical Microsystem Action Guide The people in the clinical microsystem who usually work together with technology support have been generous in their interest and energies to learn with us the tools and helpful information that will increase self-awareness to lead to action plans to improve their clinical microsystem New knowledge and insights have been added based on this focused research We are appreciative of the clinical microsystems throughout the US and around the world including England France Kosovo Norway and Sweden that have tested and given us feedback on the materials presented in Version of the Clinical Microsystem Action Guide Based on our ?eld testing and continued development of microsystem knowledge we o ?er Version This work will continue to evolve over time as the knowledge of clinical microsystems grows and as more and more health care systems engage in the discovery of clinical microsystems success characteristics and test tools and actions that can be taken to improve the health care delivery system the workforce environment and patient care outcomes We are grateful for the support provided by the Robert Wood Johnson Foundation for RWJF Grant Number that have furthered our experience and