A knowledge management model: Implications for enhancing quality in health care

Orzano, A. John; McInerney, Claire R.; Scharf, Davida; Tallia, Alfred F.; Crabtree, Benjamin F.

doi:10.1002/asi.20763

Cited by 79 publications

(102 citation statements)

References 154 publications

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“…9 A better understanding and support of successful models of practice-based dissemination and uptake of information and knowledge are important, but it appears that the transformation process may also depend on addressing issues surrounding role change perceived as threatening to physician autonomy in a traditionally clinician-centric profession. 29 In summary, this study identifies key factors shaping the dissemination of the PCMH model central to the success and sustainability of primary care health services reform. Role identification is a key component of creating the medical home culture.…”

Section: Resultsmentioning

confidence: 99%

The Patient Centered Medical Home: Mental Models and Practice Culture Driving the Transformation Process

et al. 2013

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BACKGROUND:The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. The PCMH model is a departure from more traditional models of healthcare delivery and requires significant transformation to be realized. OBJECTIVE: To describe factors shaping mental models and practice culture driving the PCMH transformation process in a large multi-payer PCMH demonstration project. DESIGN: Individual interviews were conducted at 17 primary care practices in South Eastern Pennsylvania. PARTICIPANTS: A total of 118 individual interviews were conducted with clinicians (N=47), patient educators (N=4), office administrators (N=12), medical assistants (N=26), front office staff (N=7), nurses (N=4), care managers (N=11), social workers (N =4), and other stakeholders (N = 3). A multi-disciplinary research team used a grounded theory approach to develop the key constructs describing factors shaping successful practice transformation. KEY RESULTS: Three central themes emerged from the data related to changes in practice culture and mental models necessary for PCMH practice transformation: 1) shifting practice perspectives towards proactive, population-oriented care based in practice-patient partnerships; 2) creating a culture of self-examination; and 3) challenges to developing new roles within the practice through distribution of responsibilities and team-based care. The most tension in shifting the required mental models was displayed between clinician and medical assistant participants, revealing significant barriers towards moving away from clinician-centric care. CONCLUSIONS: Key factors driving the PCMH transformation process require shifting mental models at the individual level and culture change at the practice level. Transformation is based upon structural and process changes that support orientation of practice mental models towards perceptions of population health, selfassessment, and the development of shared decisionmaking. Staff buy-in to the new roles and responsibilities driving PCMH transformation was described as central to making sustainable change at the practice level; however, key barriers related to clinician autonomy appeared to interfere with the formation of teambased care.KEY WORDS: patient-centered care; primary health care; delivery of health care; workplace; program evaluation.

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Section: Resultsmentioning

confidence: 99%

The Patient Centered Medical Home: Mental Models and Practice Culture Driving the Transformation Process

et al. 2013

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“…Trazendo o argumento de que a Gestão do Conhecimento é um produto benéfico para ajudar os médicos a gerenciar suas práticas e, finalmente, administrar cuidados de qualidade aos seus pacientes (ORZANO et al, 2008).…”

Section: Periódicosunclassified

Gestão do Conhecimento, Ciência da Informação e Biblioteconomia: uma análise bibliométrica da produção científica

Coelho

2014

RDBCI: Rev. Digit. Bibliotecon. Cienc. Inf.

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1 Christianne Coelho de Souza Reinisch2 RESUMO: A comunicação científica é representada pela produção bibliográfica, evidenciando a importância da recuperação, do estudo e da avaliação desta produção. Para tanto, tem-se a bibliometria como a área que faz estudos estatísticos da produção científica. Desta forma, o presente artigo analisa, quantitativamente, as produções científicas resultantes de uma busca que associou os descritores biblioteconomia e/ou "ciência da informação" com "gestão do conhecimento". O período pesquisado foi de 2007 a fevereiro de 2013 e o protocolo de busca envolveu quatro bases de dados, resultando em 453 artigos. Observou-se um boom de publicações no ano de 2008, sendo 17 periódicos considerados mais produtivos, em um universo de 241. Entre os autores mais produtivos destacaram-se os seguintes países de filiação: Austrália; Reino Unido; África do Sul e Irã. Entre as palavras mais presentes nos textos, 30 foram elencadas, entre elas, bibliotecas, sistemas, organização, aprendizagem, saúde. PALAVRAS-CHAVE:Gestão do Conhecimento. Ciência da Informação. Biblioteconomia. Análise Bibliométrica. ABSTRACT: Scientific communication is represented by the bibliographic production,highlighting the importance of recovery, study and evaluation of this production. Therefore, it has been as bibliometrics area that does statistical studies of scientific production. Thus, this paper quantitatively analyzes the scientific production resulting from a search that linked the descriptors "knowledge management " and librarianship (or "information science") Nesse sentido, sendo a bibliometria a técnica utilizada para estudos métricos da informação registrada, propõe-se uma análise bibliométrica da literatura, objetivando identificar as características das publicações resultantes da junção e/ou associação das temáticas: Gestão do Conhecimento, Biblioteconomia e Ciência da Informação.O trabalho contempla uma análise bibliométrica, abordando indicadores de impacto, de produtividade de autores e periódicos, além da frequência de palavras.Como propósito principal do artigo, tem-se: situar a comunicação científica nas áreas de Biblioteconomia e/ou Ciência da Informação associadas à Gestão do Conhecimento, por intermédio de revisão bibliométrica. GESTÃO DO CONHECIMENTO, CIÊNCIA DA INFORMAÇÃO E BIBLIOTECONOMIACom o advento da era da informação ou do computador, a Gestão doConhecimento passou a significar o aproveitamento deliberado de ativos de conhecimento. Considerando que as tecnologias permitem que um conhecimento valioso possa ser "lembrado" por meio da aprendizagem organizacional e da memória institucional, além de permitir que conhecimentos valiosos possam ser "publicados"(DALKIR, 2011).A partir disso, a valoração dos ativos de conhecimento tem sido mais acentuada, se comparada aos ativos físicos. Em decorrência dessa preocupação, a Gestão doConhecimento se estabelece como disciplina de estudo, na qual novos conceitos e definições surgem para dar conta desta complexa atividade de -conforme citado -" [...] coo...

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“…64 Bouty (2000), as per McFadyen et al 65 The importance of "openness to new ideas and perspectives" within a KM network is noted in Orzano, John A.;McInerney, Claire R.;Scharf, Davida;Tallia, Alfred F.;and Crabtree, Benjamin F. (2008 Based on beta test results, in April 2008 the website was redesigned to be m ore user friendly and aesthetically appealing. As a way to further increase usability, users of the iConsult teleconsultation program were required to acknowledge and agree to being part of an on-going "beta" test (Pilot) which stated:…”

Section: R3: Pilot Study Of International Consultants In Medicine (Icmentioning

confidence: 99%

“…The second was an external test involving actua l physicians (based in the U.S. and Bosnia) acting as Requestors and Volunteers in a controlled teleconsultation environment. These studies resulted in positiv e feedback that did not call for major changes to the sys tem, but identified follow-up items.64 Bouty (2000), as per McFadyen et al 65 The importance of "openness to new ideas and perspectives" within a KM network is noted in Orzano, John A.; McInerney, Claire R.; Scharf, Davida;Tallia, Alfred F.;and Crabtree, Benjamin F. (2008 At this time the system was fully operational, and responses received from the progra m users regarding changes were continually tracked in order to guide further improvements.The iCons in Medicine network and programs were available worldwide and membership included healthcare professionals f rom a variety of geographical regions. However, participation was lim ited to individuals wi th some level of fl uency in English.…”

mentioning

confidence: 99%

“…64 Bouty (2000), as per McFadyen et al 65 The importance of "openness to new ideas and perspectives" within a KM network is noted in Orzano, John A.; McInerney, Claire R.; Scharf, Davida;Tallia, Alfred F.;and Crabtree, Benjamin F. (2008 At this time the system was fully operational, and responses received from the progra m users regarding changes were continually tracked in order to guide further improvements.…”

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confidence: 99%

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International Disability Educational Alliance (IDEAnet)

Smith¹

2011

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. REPORT DATE PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBERCenter for International Rehabilitation Chicago, IL 60654 SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 SPONSOR/MONITOR'S REPORT NUMBER(S) DISTRIBUTION / AVAILABILITY STATEMENTApproved for Public Release; Distribution Unlimited SUPPLEMENTARY NOTES ABSTRACTDuring the course of the past five years, there has been exponential growth in the use of Information and Communications Technology (ICT) and in the development of new ways to share information online. The CIR's distance education programs aimed at providing training to rehabilitation service providers in areas recovering from conflict have always relied on a blended approach, combining online delivery with hands-on workshops. By delivering training online, a wider audience can be reached while ensuring cost-effectiveness. In addition to the CIR's training modules for rehabilitation service providers, virtual Communities of Practice (vCoPs) and the development of Open Content have been fostered within a Knowledge Management platform. Through these vCoPs and online social networking tools, it has been possible for the CIR to facilitate educational and capacity-building activities by organizing the telemedicine constituency online, while simultaneously providing access to medical knowledge and necessary training to healthcare providers in remote or underserved areas. DOD Final Report for award number: # W81XWH-06-1-0415/ Reporting period 2/24/06 -11/23/11 SUBJECT TERMSPage 4 of 206 IntroductionThe contractor for the Intern ational Disability Educationa l Alliance (I DEAnet) is the Center for International Rehabilitation (CIR). William K. Sm ith, MD, is the P rincipal Investigator. The mission of IDEAnet is to fo ster collaborative efforts to use distributed learning and telemedicine to address health d isparities and f oster effective, sustainable health and rehabilitation services internationally. These aims were accomplished through the inno...

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A knowledge management model: Implications for enhancing quality in health care

Cited by 79 publications

References 154 publications

The Patient Centered Medical Home: Mental Models and Practice Culture Driving the Transformation Process

The Patient Centered Medical Home: Mental Models and Practice Culture Driving the Transformation Process

Gestão do Conhecimento, Ciência da Informação e Biblioteconomia: uma análise bibliométrica da produção científica

International Disability Educational Alliance (IDEAnet)

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