QUERI. Robert L Jesse, MD, PhD Chief Consultant Medical Surgical Service. Transforming Healthcare. Transactional Quality and Management: a healthcare redesign process through which clinical practices are both enhanced and ensured by real-time insights into their systems .
Robert L Jesse, MD, PhDChief Consultant Medical Surgical Service
a healthcare redesign process through which clinical practices are both enhanced and ensured by real-time insights into their systems.
Guiding Principle #1:
If data is important enough that it is needed to manage the patient and/or the system, then it must be acquired as an integral part of the work process and not through retrospective data collection.
“Solutions” must make the work easier, and not impose undue burden or require re-work.
Real-time visibility into the system must be available, and it must be transparent across the enterprise:
In order to ensure that we effectively manage the delivery of evidence-based care we must manage complexity
Structure and Function
Patient as node
on Wide Area
Level of Implementation Complexity
Performance Improvement Levers