Description of pharmacist-led quality improvement huddles in the patient-centered medical home model

Wells, Trisha; Rockafellow, Stuart; Coe, Antoinette B.; Yoo, Anne; Choe, Hae Mi; Thompson, Aleda

doi:10.1016/j.japh.2018.08.007

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Unfortunately, many of the gaps in care identified in this study are precisely those which the 2007 patient-centered medical home (PCMH) model was designed to address. The model was proposed to improve care coordination by placing a PCP who knows the patient well at the head of the health care team (Almalki et al, 2018;David, Saynisch, Luster, Smith-McLallen, & Chawla, 2018;Landrey et al, 2018;Wells et al, 2018). However, our findings echo those from other papers that indicate this kind of long-term relationship in primary care is becoming increasingly rare as hospital-based practices rotate providers through primary care clinics, or structure care such that the patient sees whichever provider is available at the time of their visit.…”

Section: Discussionmentioning

confidence: 99%

Provider Perspectives of Medication Complexity in Home Health Care: A Qualitative Secondary Data Analysis

et al. 2019

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A primary service provided by home care is medication management. Issues with medication management at home place older adults at high risk for hospital admission, readmission, and adverse events. This study sought to understand medication management challenges from the home care provider perspective. A qualitative secondary data analysis approach was used to analyze program evaluation interview data from an interprofessional educational intervention study designed to decrease medication complexity in older urban adults receiving home care. Directed and summative content analysis approaches were used to analyze data from 90 clinician and student participants. Medication safety issues along with provider–provider communication problems were central themes with medication complexity. Fragmented care coordination contributed to medication management complexity. Patient-, provider-, and system-level factors influencing medication complexity and management were identified as contributing to both communication and coordination challenges.

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Section: Discussionmentioning

confidence: 99%

Provider Perspectives of Medication Complexity in Home Health Care: A Qualitative Secondary Data Analysis

et al. 2019

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“…9,22,30,36,39,40,57,64,66,93,100,127,151,169,171 Twenty-one percent of studies (N=33) used qualitative methods, 6,21,24,25,[29][30][31]37,43,44,54,55,57,58,[62][63][64]66,68,69,77,80,82,87,88,98,127,142,145,148,154,157,164 among w h i c h h a l f ( N = 1 7 ) u s e d m i x e d m e t h o d s . 2 86,88,89,…”

Section: Methodsmentioning

confidence: 99%

“…9,31,34,50,55,57,59,60,66,69,71,93,100,108,121,122,130,132,134,135,[140][141][142][143][144][145][146][147][148][149][150][151]166,168,170,172 Fewer studies described huddles used to recognize workrelated issues that may be addressed by training, coaching, or revising tools and methods (4.4%; N=7) 40,57,62,89,112,152,169 or to provide a framework for running Plan-Do-Study-Act cycles (1.3%; N=2). 163,164…”

Section: Huddle Purposementioning

confidence: 99%

“…9 % ; N=14), 9,21,30,33,44,47,57,83,88,123,136,150,169,170 physician trainees (13.5%; N=7), 1,35,51,55,100,108,117 unspecified members of the health care team (13.5%; N=7) 57,59,68,69,127,145,162 or safety team (7.7%; N=4), 47,135,136,171 and pharmacists (6.0%; N=3). 111,136,164 In 67.1% (N=106) of all studies, information about huddle leaders was lacking.…”

Section: Participating Staffmentioning

confidence: 99%

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Huddles and their effectiveness at the frontlines of clinical care: a scoping review

et al. 2021

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BACKGROUND: Brief, stand-up meetings known as huddles may improve clinical care, but knowledge about huddle implementation and effectiveness at the frontlines is fragmented and setting specific. This work provides a comprehensive overview of huddles used in diverse health care settings, examines the empirical support for huddle effectiveness, and identifies knowledge gaps and opportunities for future research. METHODS: A scoping review was completed by searching the databases PubMed, EBSCOhost, ProQuest, and OvidSP for studies published in English from inception to May 31, 2019. Eligible studies described huddles that (1) took place in a clinical or medical setting providing health care patient services, (2) included frontline staff members, (3) were used to improve care quality, and (4) were studied empirically. Two reviewers independently screened abstracts and full texts; seven reviewers independently abstracted data from full texts. RESULTS: Of 2,185 identified studies, 158 met inclusion criteria. The majority (67.7%) of studies described huddles used to improve team communication, collaboration, and/or coordination. Huddles positively impacted team process outcomes in 67.7% of studies, including improvements in efficiency, process-based functioning, and communication across clinical roles (64.4%); situational awareness and staff perceptions of safety and safety climate (44.6%); and staff satisfaction and engagement (29.7%). Almost half of studies (44.3%) reported huddles positively impacting clinical care outcomes such as patients receiving timely and/or evidence-based assessments and care (31.4%); decreased medical errors and adverse drug events (24.3%); and decreased rates of other negative outcomes (20.0%). DISCUSSION: Huddles involving frontline staff are an increasingly prevalent practice across diverse health care settings. Huddles are generally interdisciplinary and aimed at improving team communication, collaboration, and/or coordination. Data from the scoping review point to the effectiveness of huddles at improving work and team process outcomes and indicate the positive impact of huddles can extend beyond processes to include improvements in clinical outcomes. STUDY REGISTRATION: This scoping review was registered with the Open Science Framework on 18 January 2019 (https://osf.io/bdj2x/).

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“…Choe and her colleagues wrote about their pharmacist-led quality improvement huddle recently in the Journal of the American Pharmacists Association. 1 For Amanda Brummel, PharmD, BCACP, leading multidisciplinary teams has also been about figuring out what quality metrics are important for an organization.…”

Section: Quality and Consistencymentioning

confidence: 99%

When working on teams, remember to build on your strengths

Bonner¹

2018

Pharmacy Today

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Description of pharmacist-led quality improvement huddles in the patient-centered medical home model

Cited by 5 publications

References 7 publications

Provider Perspectives of Medication Complexity in Home Health Care: A Qualitative Secondary Data Analysis

Provider Perspectives of Medication Complexity in Home Health Care: A Qualitative Secondary Data Analysis

Huddles and their effectiveness at the frontlines of clinical care: a scoping review

When working on teams, remember to build on your strengths

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