Our Solution: The SPLICE Model
The Center seeks to develop training programs, 协作努力,并建议六个关键成分(SPLICE)的变化,以创造改进. SPLICE是Avedis Donabedian的结构-过程-结果模型的扩展,包含了结构, process, leadership, insight, change and engagement. SPLICE被定义为通过交织的线来连接. Similarly, 只有当所有成分都被适当地包含在正确的测量中时,才会有改善的结果.
Structure
As an ingredient in improvement, 结构需要一个监督这些努力的机构, the people and their responsibilities. 在过去的30年里,这些结构部件呈指数级增长.
![拼图块的图标联锁在一个橙色的圆圈.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/structure-icon.png?h=440&iar=0&w=640&hash=F283865A08D5C6536EF6907211BA1AF9)
Process
改进过程使用数据来通知变更. 这个过程使用向领导和关键利益相关者提出的关键指标,他们决定实施和监控指标绩效的干预措施.
![一张纸的图标,上面有文字和一个放大镜,图标后面有一个绿色的圆圈.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/process-icon.png?h=440&iar=0&w=640&hash=E994F8C669E4AEBCE76917E8C1071934)
Leadership
Leadership can help drive improvement through their most important role; strengthening their organization's financial, operational, quality and safety performance, 并使这些改进对组织可见.
![一个人胜利地举着旗帜的图标,图标后面有一个紫色的圆圈.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/leadership-icon.png?h=440&iar=0&w=640&hash=D417C10BA150CF684009F73F7A3C7FDC)
Insight
医疗保健领域的洞察力被定义为一家医院的绩效不同于另一家医院的具体原因. To find these, dashboards and key data metrics should be analyzed, 与领导进行解释和讨论,以帮助推动改进干预措施.
![一个小灯泡和一个齿轮的图标,图标后面有一个金色的圆圈.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/insights-icon.png?h=440&iar=0&w=640&hash=ACA6262D584A009B5095620CFB252A3C)
Change
改变需要时间和资源来有效地实施. 一旦制定干预措施以改进关键措施, 负责领导这些干预措施的小组需要得到支持才能成功地贯彻到底.
![一条线分成三个指向不同方向的箭头的图标, with a ruby circle behind the icon.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/change-icon.png?h=440&iar=0&w=640&hash=A550B864EE5C36E059597B0FC41F41AC)
Engagement
创建可持续的变化需要您的团队参与改进干预. 如果领导层理解并体现了他们在改进中的作用, 然后临床医生对改善工作的兴趣和参与就会增加.
![三个人连接成一个圆圈的图标,图标后面有一个蓝绿色的圆圈.](/-/media/armstrong-institute/images/healthcare-analytics-improvement/engagement-icon.png?h=440&iar=0&w=640&hash=C48E8060FDB7A2C31EEB29762D940CEA)
Meet the Team
Angela Green, Ph.D., R.N.
约翰霍普金斯健康系统质量与安全副总裁
与约翰霍普金斯大学护理学院联合聘任
![angela green headshot](/-/media/armstrong-institute/images/headshots/angela-green.jpg?h=300&iar=0&w=240&hash=1A50C32AD3172CFA1AAF57FABFB3C840)
Diane O’Connor, M.B.A.
约翰霍普金斯医学院患者安全和质量执行主任
![Headshot of Diane O'Connor](/-/media/armstrong-institute/images/headshots/oconnor-diane.jpg?h=300&iar=0&w=240&hash=1E3556C90DA2FEDE64F164A8ED9DE0E6)
Laura Winner, DrPH, R.N., B.S.N., M.B.A.
约翰霍普金斯医学院卓越运营高级总监
![Laura Winner headshot](/-/media/armstrong-institute/images/headshots/winner-laura-2.jpg?h=3896&iar=0&w=2981&hash=B815675C897CA8D024752228C656545A)
Jenna Swann
约翰霍普金斯医学院监管财务和临床分析高级总监
![Headshot of Jenna Swann](/-/media/armstrong-institute/images/headshots/jenna-swann.jpg?h=300&iar=0&w=240&hash=52ED662A42F4717A832730C03C6E168E)
Jennifer Bailey, R.N., M.S.
约翰霍普金斯医学院质量与转型副总裁
![jenny bailey headshot](/-/media/armstrong-institute/images/headshots/bailey_jenny.jpg?h=2520&iar=0&w=1802&hash=A9CB3508A9CD49758B0E202F3947F2B4)
Steve Meth, J.D., M.S.
约翰霍普金斯医学院的首席推荐十大正规网赌平台体验官
![Headshot of Steve Meth](/-/media/armstrong-institute/images/headshots/meth-steve.jpg?h=300&iar=0&w=240&hash=C507A90213894805BCA847C92400659F)
Peter Hill, M.D.
约翰霍普金斯医疗系统医疗事务高级副总裁
![Peter Hill](/-/media/about/images/leadership-headshots/hill-peter.jpg?h=300&iar=0&w=240&hash=F6DB15E199ED8E8902CA4DD938E63D64)
David C. Stockwell, M.D., M.B.A.
约翰霍普金斯儿童中心的首席医疗官
麻醉学、重症医学和儿科学副教授, The Johns Hopkins University School of Medicine
![David Christopher Stockwell, M.D., M.B.A.](/-/media/armstrong-institute/images/headshots/stockwell-david.jpg?h=100&iar=0&w=80&hash=AFB799EBD6B28D7466F5A20C471407A1)
Cited Sources
Nelson EC, Batalden PB, Godfrey MM.. Quality by Design: A Clinical Microsystems Approach. Lebanon, NH: Center for the Evaluative Clinical Sciences at Dartmouth; Jossey-Bass/Wiley; 2007.
Donabedian A. 质量的定义及其评价方法. Ann Arbor, MI: Health Administration Press; 1980.