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- Title
Fostering a Commitment to Quality: Best Practices in Safety- net Hospitals.
- Authors
Hochman, Michael; Briggs-Malonson, Medell; Wilkes, Erin; Bergman, Jonathan; Patty Daskivich, Lauren; Moin, Tannaz; Brook, Ilanit; Ryan, Gery W.; Brook, Robert H.; Mangione, Carol M.
- Abstract
In 2007, the Martin Luther King, Jr.- Harbor Hospital (MLK- Harbor), which served a large safety- net population in South Los Angeles, closed due to quality challenges. Shortly thereafter, an agreement was made to establish a new hospital, Martin Luther King, Jr. Community Hospital (MLKCH), to serve the unmet needs of the community. To assist the newly appointed MLKCH Board of Directors in building a culture of quality, we conducted a series of interviews with five high- performing hospital systems. In this report, we describe our findings. The hospitals we interviewed achieved a culture of quality by: 1) developing guiding principles that foster quality; 2) hiring and retaining personnel who are stewards of quality; 3) promoting efficient resource utilization; 4) developing a wellorganized quality improvement infrastructure; and 5) cultivating integrated, patient- centric care. The institutions highlighted in this report provide important lessons for MLKCH and other safety- net institutions.
- Subjects
COLORADO; GEORGIA; ILLINOIS; NEW York (State); WASHINGTON (State); CORPORATE culture; EMPLOYEE recruitment; FOCUS groups; HEALTH facility administration; HEALTH services administrators; HOSPITALS; INTERVIEWING; LEADERSHIP; RESEARCH methodology; CASE studies; MEDICAID; MEDICAL quality control; MEDICAL care costs; MEDICALLY uninsured persons; PHYSICIANS; PRIMARY health care; QUALITY assurance; QUESTIONNAIRES; SURVEYS; EMPLOYEE retention; THEMATIC analysis; PATIENT-centered care; SAFETY-net health care providers; FIELD notes (Science)
- Publication
Journal of Health Care for the Poor & Underserved, 2016, Vol 27, Issue 1, p293
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2016.0008