|
1
|
Kapadia M, Lehmann L, Auletta J, Beatty L, Bhatt N, Blacken R, Demmel K, Dodd T, Desmond C, Fitch T, Flesch L, Hartley D, Huber J, Ingraham H, Jakubowski R, Klunk A, Krupski C, Kusnier K, Liberio N, Maakaron J, Mueller M, Myers KC, Pai A, Parker L, Patel S, Phelan R, Polishchuk V, Sigmund A, Sper C, Tarquini S, Juckett M, Jaglowski S, Dandoy C, Rotz S. Quality Improvement in Hematopoietic Stem Cell Transplant and Cellular Therapy: Using the Model for Improvement to impact Outcomes. Transplant Cell Ther 2022; 28:233-241. [PMID: 35151937 DOI: 10.1016/j.jtct.2022.02.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 01/18/2022] [Accepted: 02/01/2022] [Indexed: 10/19/2022]
Abstract
Quality improvement and quality assurance form a complementary and independent relationship. Quality assurance measures compliance against industry standards utilizing audits, whereas quality improvement is a continuous process focused on processes and systems that can improve care. The Model for Improvement is a robust quality improvement tool that transplant and cellular therapy teams can employ to redesign healthcare processes. The Model for Improvement utilizes several components addressed in sequence to organize and critically evaluate improvement activities. Unlike other health sciences clinical research, quality improvement projects, and research are based on dynamic hypotheses that develop into observable, serial tests of change with continuous collection and feedback of performance data to stakeholders.
Collapse
Affiliation(s)
- Malika Kapadia
- Division of Pediatric Oncology, Dana Farber/Boston Children's Cancer and Blood Disorders Center, Department of Pediatrics, Harvard University Medical School Boston, MA, USA.
| | - Leslie Lehmann
- Division of Pediatric Oncology, Dana Farber/Boston Children's Cancer and Blood Disorders Center, Department of Pediatrics, Harvard University Medical School Boston, MA, USA.
| | - Jeffery Auletta
- National Marrow Donor Program/Be The Match and Hematology/Oncology/BMT & Infectious Diseases, Nationwide Children's Hospital.
| | - Lisa Beatty
- Division of Pediatric Oncology, Dana Farber/Boston Children's Cancer and Blood Disorders Center, Department of Pediatrics, Harvard University Medical School Boston, MA, USA.
| | - Neel Bhatt
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
| | - Robyn Blacken
- Division of Pediatric Oncology, Dana Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.
| | - Kathy Demmel
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Therese Dodd
- Sarah Cannon Transplant & Cellular Therapy Network, Nashville, TN.
| | - Catherine Desmond
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Taylor Fitch
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Laura Flesch
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - David Hartley
- University of Cincinnati College of Medicine, Department of Pediatrics; James M Anderson Center, Cincinnati, OH.
| | - John Huber
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Hannah Ingraham
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Rita Jakubowski
- Department of Medical Oncology/ Hematopoietic and Cellular Therapy Service; Icahn School of Medicine/Mount Sinai Medical Center, New York, New York.
| | - Anna Klunk
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Christa Krupski
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Katilyn Kusnier
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Nicole Liberio
- Division of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Department of Pediatrics, Medical College of Wisconsin and Children's Wisconsin, Milwaukee, WI.
| | - Joseph Maakaron
- Division of Hematology, Oncology, and Transplantation; Department of Medicine; University of Minnesota.
| | - Mark Mueller
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Kasiani C Myers
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Ahna Pai
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Behavioral Medicine and Clinical Psychology, Cincinnati, OH.
| | - Loretta Parker
- The University of Oklahoma College of Medicine, Department of Pediatrics; Division of Hematology/Oncology, Oklahoma City, OK.
| | - Sagar Patel
- Huntsman Cancer Institute, University of Utah.
| | - Rachel Phelan
- Division of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Department of Pediatrics, Medical College of Wisconsin and Children's Wisconsin, Milwaukee, WI.
| | - Veronika Polishchuk
- Division of Hematology, Oncology, and Bone and Marrow Transplant, Nationwide Children's Hospital, Department of Pediatrics, Ohio State University, OH, USA.
| | - Audrey Sigmund
- Divisions of Hematology and Medical Oncology, The Ohio State University, Columbus, OH.
| | - Christine Sper
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Sarah Tarquini
- Dana-Farber Boston Children's Cancer and Blood Disorders Center.
| | - Mark Juckett
- Division of Hematology, Oncology, and Transplantation; Department of Medicine; University of Minnesota.
| | - Samantha Jaglowski
- Division of Hematology-Oncology and transplantation; Department of Pediatrics. Ohio State University Medical Center.
| | - Christopher Dandoy
- University of Cincinnati College of Medicine, Department of Pediatrics; Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati, OH.
| | - Seth Rotz
- Department of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children's Hospital, Cleveland, Ohio, USA.
| |
Collapse
|