Kaohsiung Journal of Medical Sciences
Volume 24, Issue 12 , Pages 634-639, December 2008

Experiences of Interprofessional Implementation of a Healthcare Matrix

  • Su-Shin Lee

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Departments of Surgery, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Hung-Che Chiang

      Affiliations

    • Departments of Public Health, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Meng-Chum Chen

      Affiliations

    • Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Ling-Sui Chen

      Affiliations

    • Division of Performance Management, Department of Administration, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Pei-Ling Hsu

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • I-Feng Sun

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chung-Sheng Lai

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Departments of Surgery, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Chung-Sheng Lai, Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Received 5 January 2009; accepted 22 January 2009.

Article Outline

The Taiwan Joint Commission on Hospital Accreditation endorsed the Institute of Medicine (IOM) dimensions of health care quality as safe, timely, effective, efficient, equitable, and patient-centered. The Taiwan Association of Medical Education has also adopted the Accreditation Council for Graduate Medical Education (ACGME) outcome project and core competencies for Taiwan physicians in training. These schemes focus on patient care, medical knowledge and skills, interpersonal and communication skills, professionalism, system-based practice and practice-based learning and improvement. Bingham (2004) described a Healthcare Matrix that links to the ACGME Core Competencies and the IOM Dimensions of Quality as a tool to improve health care. The matrix provides a blueprint to help residents learn the core competencies in patient care, and to help the faculty to link mastery of the competencies with improvements in quality of care. However, the “six-by-six” framework was too complicated to fill in. Furthermore, the translation of the IOM aims and ACGME core competencies into the Chinese language seemed incoherent and difficult to remember. We simplified the matrix by merging some columns of the original Healthcare Matrix, and reduced the 6 × 6 form into a 4 × 5 framework. The matrix was applied in case conferences, mortality and morbidity conferences, combined meetings and nursing quality assurance meetings in different departments. This format organizes the presentation and discussion, highlighting strengths or deficiencies in key aspects of patient care. With interprofessional collaboration, the matrix has been used in the departments of Plastic Surgery, and Nursing and Performance Management in our hospital. The achievements are encouraging. The Taiwan Edition Healthcare Matrix is worthy of consideration, having been used in a Mandarin-speaking region of Asia.

Key Words:  core competencies , Healthcare Matrix , quality assurance , resident training

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Accreditation Council for Graduate Medical Education  . ACGME Outcomes Project . Available at: http://www.acgme.org/outcome/ [Date accessed: October 30, 2008]
  2. Lee CC , Tsai KD , Lin CY , et al.   The Healthcare Matrix for both care quality and physician competency . J Med Education . 2008;12:45–51
  3. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Good Quality of Health Care in America. Washington, D.C.: National Academy Press. Available at: http://www.nap.edu/books/0309072808/html/[Date accessed: October 25, 2008]
  4. Wei YJ , Chung KP , Cheng SH . The evolution of healthcare quality assessment: from accreditation to report card system . Taiwan J Public Health . 2005;24:275–283
  5. Bingham JW , Quinn DC , Richardson MG , et al.   Using a healthcare matrix to assess patient care in terms of aims for improvement and core competencies . Jt Comm J Qual Patient Saf . 2005;31:98–105
  6. Quinn DC , Bingham JW . Healthcare Matrix . http://Available at http://www.vanderbilt.edu/technology_transfer/siteadmin/tech/docs/Executive_Summary-_Healthcare_Matrix.pdf [Date accessed: November 10, 2008]
  7. Quinn DC , Bingham JW , Shourbaji NA , et al.   Medical students learn to access care using the healthcare matrix . Med Teach . 2007;29:660–665
  8. Mor V . Defining and measuring quality outcomes in long-term care . J Am Med Dir Assoc . 2006;7:532–540
  9. Huang P . Quality assurance in Taiwan, the Republic of China . Int J Qual Health Care . 1996;8:75–82
  10. Kenagy JW , Berwick DM , Shore MF . Service quality in health care . JAMA . 1999;281:661–665
  11. Tabrizi JS , Wilson AJ , O'Rourke PK . Customer quality in health care . Patient Educ Couns . 2009;74:130–131
  12. Robertson KM , Gan TJ . Clinical research and good clinical practice . Best Pract Res Clin Anaesthesiol . 2001;15:655–667
  13. Grol R . Improving the quality of medical care: building bridges among professional pride, payer profit and patient satisfaction . JAMA . 2001;286:2578–2585
  14. Bedotto RA . Biomechanical assessment and treatment in lower extremity prosthetics and orthotics: a clinical perspective . Phys Med Rehabil Clin N Am . 2006;17:203–243
  15. Harvey G . Quality in health care: traditions, influences and future directions . Int J Qual Health Care . 1996;8:341–350
  16. Aiken LH , Havans DS , Sloan DM . The magnet nursing services recognition program: a comparison of two groups of magnet hospitals . Am J Nurs . 2000;100:26–35
  17. Smith CS , Francovich C , Morris M , et al.   Toward an ecological perspective of resident teaching clinic . Adv Health Sci Educ Theory Pract . 2008; [Date accessed: November 10, 2008]

PII: S1607-551X(09)70028-2

doi:10.1016/S1607-551X(09)70028-2

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 12 , Pages 634-639, December 2008

Article Tools