Journal
ACTA HAEMATOLOGICA
Volume 144, Issue 6, Pages 672-677Publisher
KARGER
DOI: 10.1159/000515350
Keywords
Hemophilia; Quality improvement; Patient-centered care
Categories
Funding
- Health Resources & Services Administration - Maternal & Child Health Bureau [5 H30 MC00008-20-00]
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By establishing primary teams, we successfully improved coordination and communication with patients, as well as increased satisfaction and coordination and communication skills among clinical staff members.
Introduction: In response to the increasing complexity of care for patients with bleeding disorders, we established new clinical teams for our hemophilia treatment center (HTC). Aims: We undertook a quality improvement project to improve the coordination and communication with our patients by establishing primary assignments of clinical staff to individual patients (primary teams). Methods: A quality improvement project group was formed that established the goals and assignment of primary teams. Patients were surveyed for their knowledge of their primary teams as well as their ability to schedule and contact their primary providers. As a measure of the effects on clinical staff, a balancing survey was also conducted among providers impacted by the clinical assignment of teams. Results: Our results demonstrate improvements across both coordination and communication as reported by patients. Additionally, the assignment of primary teams was met with high satisfaction and improvement in coordination and communication as reported by the clinical staff members of the HTC. Conclusions: Initiation of a quality improvement project and the creation of a primary team system were feasible at a large HTC and resulted in improvements in both patient-reported and staff-reported outcomes of coordination and communication of care.
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