Evidence map›Paper›PMID 40956281›Full record

ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality

A Roadmap to Excellence: Insights From Quality Structures of Top-Performing Healthcare Organizations.

Julie Cerese, Phillip Chang, Kencee Graves, Nikki Grubeling, Mbonu Ikezuagu, David Levine, Amy Lu, Matt Miller, Shlomit Schaal, Thomas Sauls and 1 more

Abstract read
In one paragraph

Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Julie CereseVizient Inc., Chicago, IL.
Phillip ChangMemorial Hermann Health System, Houston, TX.
Kencee GravesUniversity of Utah Health Care, Salt Lake City, UT.
Nikki GrubelingVizient Inc., Chicago, IL.
Mbonu IkezuaguFroedtert & ThedaCare Health, Milwaukee, WI.
David LevineVizient Inc., Chicago, IL.
Amy LuUCSF Health, San Francisco, CA.
Matt MillerCleveland Clinic, Cleveland, OH.
Shlomit SchaalHouston Methodist, Houston, TX.
Thomas SaulsVizient Inc., Chicago, IL.
Maha SiddiquiVizient Inc., Chicago, IL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health system executives continually aim to understand how organizational structures impact performance, especially in quality departments. This article, built on over 2 decades of Vizient research, identifies key characteristics of top-performing healthcare organizations. The researchers employed a modified Delphi methodology, involving a multiphase process that integrated literature reviews, content analyses, and expert consensus from top-performing organizations. Key findings reveal that top-performing organizations employ centralized goal setting with decentralized responsibility for implementation, fostering shared accountability at all levels. Horizontal integration underscores the multidisciplinary nature of top-performing quality departments, integrating diverse functions such as patient safety, infection control, and data analytics. Adaptability is an essential factor, with organizations incorporating evolving functions like ambulatory care and analytics, reflecting the dynamic needs of health care systems. By embracing adaptable, integrative, and balanced frameworks, organizations can position themselves to respond effectively to emerging challenges, maintain operational efficiency, and uphold high standards of care delivery.

Indexed as

Delivery of Health CareQuality of Health CareDelphi TechniqueEfficiency, OrganizationalHumansOrganizational ObjectivesPatient SafetyQuality Improvementhealth care leadershiphealth care qualityoperational efficiencyorganizational excellencequality structurestop-performing organizations

Identifiers

PMID40956281
PMCPMC12570613

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.