International

Norway

Key Contact

Christian von Plessen, PhD, Head of Lung cancer section, Dep of Pulmonary Medicine, Haukeland University Hospital, 5021 Bergen, Norway, Tel 0047 55972946, cell: 0047 97662551, christian.von.plessen@helse-bergen.no

Introduction

Christian is an internist and pulmonlogjst at Haukeland University Hospital in bergen, Norway. He is the head of the Lung cancer section at the department of pulmonary medicine. Christian recently defended his PhD thesis Improving the quality of chemotherapy for patients with advanced non-small cell lung cancer. His main interests in the field of quality improvement are clinical microsystems, patient flow, palliative respiratory care, comprehensive approaches to system wide improvements.

Units applying Clinical Microsystem Framework

COPD and Lung Cancer

Presentations

Quality Improvement

10.06.2004
Kliniske mikrosystemer. Mikro- og makroperspektiv - anvendelse av konseptet ved Lungeavdelingen Haukeland Universitetssykehus. Foredrag med avdelingsdirektor Alf H. Andreassen ved kurset "Helseledelse" arrangert av Senter for Videre- og etterutdanning, Universitetet i Bergen

04.11.2004
Initiating quality projects and making change in Norwegian health care. My experience of quality projects (do's and dont's advice) and my reflections on improvement changes - why some worked and some did not. Foredrag med avdelingsdirektor Alf H. Andreassen ved kurset "Quality and safety improvement in health care" for helsepersonell, Senter for Videre- og etterutdanning, Universitetet i Bergen

02.03.2005
Exploring your clinical microsystem with a new lens. Seminar om kliniske mikrosystemer med Professor Paul Batalden og Goran Henriks, European Microsystems Festival, Joenkoeping, Sverige

19.04.2005
Exploring your clinical microsystem with a new lens. Seminar om kliniske mikrosystemer med Professor Paul Batalden og Goeran Henriks pa European Forum on Quality Improvement in Health Care London

02.09.2005
Effektivitet pa Lungeavdelingen post 3. Finseseminar. Finse

06.09.2005
Samhandling som grunnlag for resultater. Lederutviklingsprogram Helse Bergen

20.9.2005
Mikrosystem - lose problemer der de oppstar. Sammen med avdelingsdirektor Alf Andreassen ved Helsedirektoratets konferanse Nasjonal konferanse for kvalitetsforbedring i sosial- og helsetjenesten, Oslo

28.10.2005
Kliniske Mikrosystemer - et praktisk verktoy i kvalitetsforbedring. Eksempler fra Lungeavdelingen, Norsk Forening for Lungemedisin, Oslo

01.04.2006
Arbeidsplassen i et systemperspektiv. Temadag Kvinneklinikken, Ullensvang

14.06.2006
Mikrosystemtenkningen skaper verdi for pasienten. Erfaringer fra Helse Bergen, Ringerikskonferansen, Ringerike

07.11.2006
Lindring al dyspnoe. Kurs i palliasjon, samarbeid mellom Bergen kommune og Haukeland Universitetssykehus

01.03.2007
Utvikling av kliniske mikrosystem. Mikrosystemfestivalen, Joenkoeping, Sverige

14.03.2007
Clinical mikrosystems. Med Goeran Henriks og Holger Kunz, Hauptstadt Kongress Anesthaesie, Berlin, Tyskland

15.09.2007
Hvorfor tar man rontgen for blodprovene? Kvalitetsdagen, HUS, Bergen

30.09.2007
Klinisk Mikrosystem og Pusterom, eksempel av et klinisk mikrosystem. Nasjonal konferanse for kvalitetsforbedring i sosial- og helsetjenesten, Oslo

22.11.2007
Palliativt klinisk mikrosystem pa Lungeavdelingen. Haukeland Universitetssykehus, Onkologisk forum, Oslo

27.03.2008
From cure to care, breathing zone a palliative clinical microsystem. 5. Clinical Microsystem Festival, Joenkoeping, Sverige

05.03.2009
Using microsystems to reduce anonymity in a hospital department. Med Ulla Olgaard, Center for Kvalitet, Region Syddanmark. 6. Clinical Microsystem Festival, Joenkoeping, Sverige

11.03.2009
Planlegging og gjennomforing av klinisk forbedringsarbeid ved lungeavdelingen, Haukeland universitetssykehus HF, basert pa mikrosystemtenkning og tilrettelagt for publisering. NFKH konferanse Oslo.

Medical Lectures

17.11.2005
Kvalitetsindikatorer i behandlingen av lungekreftpasienter ved Haukeland sykehus/Lungekreftpoliklinikken. Onkolgisk Forum, Tromso

23.01.2007
From cure to care. Lungerehabliteringskonferansen, Oslo

28.04.2007
We can afford third line treatment in lung cancer, contra. Nordic Lung Congress, Uppsala, Sweden

12.11.2007
Tungpust - Hva kan PUSTEROM pa Lungeavdelingen tilby? og Fysioterapi ved dyspnoe. Med Anne Grethe Paulsberg, Legeforeningskurs i palliasjon, Bergen

17.06.2008
Dyspnoe. Palliativt Forum Bergen

03.11.2008
Effectiveness of third generation chemotherapy on the survival of patients with advanced non-small cell lung cancer - a national study. Behandlingsvariasjoner i lungekreftbehandlingen, Oslo

Publications

Peer reviewed papers

Plessen von, C, Grinde, O, Gulsvik, A. Cryptogenic fibrosing alveolitis in a Norwegian hospital district 1984-98. Lungeforum, 1999; 9 (suppl 11): 28

Plessen von, C, Grinde, O, Gulsvik, A. Incidence and prevalence of cryptogenic fibrosing alveolitis in a Norwegian community. Respir Med 2003. 97: 428-35.

Plessen von C, Aslaksen A. Improving the quality of palliative care for ambulatory patients with lung cancer. BMJ 2005; 330(7503):1309-1313.

Plessen von C, Bergman B, Andresen O. Palliative chemotherapy beyond three courses conveys no survival or consistent quality-of-life benefits in advanced non-small-cell lung cancer. Br J Cancer 2006; 95(8):966-973.

Helbekkmo N, Sundtrom S, Aaseboe U, Brunsvig PF, Plessen von C, Bremnes RM. Vinorelbine/carboplatin vs gemcitabine/carboplatin in advanced NSCLC shows similar efficacy, but different impact of toxicity. Br J Cancer 2007 Aug 6;97(3):283-9.

Plessen von C, Strand TE, Wentzel-Larsen T--, Omenaas E, Wilking N, Soerenson S. Survival of patients with advanced non-small cell lung cancer before and after the general introduction of palliative chemotherapy in Norway - a population based study. Thorax 2008 Apr 4 [Epub ahead of print].

Helbekkmo N, Aasebo U, Sundstrom SH, von Plessen C, Brunsvig PF, Bremnes RM; for the Norwegian Lung Cancer Study Group. Treatment outcome in performance status 2 advanced NSCLC patients administered platinum-based combination chemotherapy. Lung Cancer. 2008 Apr 14. [Epub ahead of print]

Gronberg, H, Bremnes RM, Aasebo U, Brunsvig PF, Flotten, O, Amundsen, T, von Plessen C, Wang, M, Sundstrom SH for the Norwegian Lung Cancer Study Group. A prospective phase II study: High-dose pemetrexed as second-line chemotherapy in small-cell lung cancer. Lung Cancer 2008. Jun 5 [Epub ahead of print]

Abstracts

Plessen von, C, Grinde, O, Gulsvik, A. Cryptogenic fibrosing alveolitis in Bergen Hospital district 1984-98. Eur Resp J, 1999; 14 (suppl 30): 342s.

Plessen von, C, Grinde, O, Gulsvik, A. The occurence of diagnostic criteria for cryptogenic fibrosing alveolitis in patients with pulmonary fibrosis without known causes. A population based study. Eur Resp J, 2000; 16 (suppl 31): 116-7s

Grinde, O, Plessen von, C, Gulsvik, A. Inter- and Intraphysician reproducibility in the coding of files of patients with cryptogenic fibrosing alveolitis and related diagnoses. Eur Resp J, 2000; 16 (suppl 31): 116s

Plessen von, C, Grinde, O, Gulsvik, A. Incidence and prevalence of cryptogenic fibrosing alveolitis. J Resp Crit Care Med 2000; 161 (3), A49

Plessen von C, Strand TE, Wentzel-Larsen T, Omenaas E, Wilking N, Aasebo, U, Bremnes R, Soerenson S. Survival of patients with advanced non-small cell lung cancer before and after the general introduction of palliative chemotherapy in Norway - a population based study. JTO 2007 Sept 2(8) Suppl 4:S458.

Other publications

Plessen von, C. 1996. Krankheitserfahrungen von krebskranken Kindern und ihren Familien. 1996. Dissertasjon. Universitet Witten/Herdecke, Tyskland, Haensel-Hohenhausen, ISBN 3-8267-2394-5

Bremnes RM, Plessen von C, Sundstrom S. [Lung cancer--of more current interest than before]. Tidsskr Nor Laegeforen 2006; 126(15):1940.

Plessen von C. Palliativ kjemoterapi ved lungekreft kan begrenses Tidsskr Nor Laegeforen 127: 559. 2007

Accepted manuscripts

A randomized phase III study by the Norwegian Lung Cancer Study Group: Pemetrexed plus carboplatin versus gemcitabine plus carboplatin as first line chemotherapy in advanced non-small cell lung cancer. Bjorn H. Gronberg BH, Bremnes Rm, Flotten O, Amundsen T, Brunsvig PF, Hjelde H, von Plessen C, Stornes F, Tollali T, Wammer F, Aasebo U, Sundstrom S. on behalf of the Norwegian Lung Cancer Study Group. Akseptert i Journal of Clinical Oncology

Ad hoc referee
Journal of the Royal Society of Medicine, Age and Aging, British Medical Journal, Norwegian Journal of Epidemiology.

Italy

Key Contact

Introduction

Presentations

Publications

URLs

Japan

Key Contact

Shiro Yuasa, M.D.
Vice director of Japanese Red Cross Society Himeji Hospital
1-12-1 Shimoteno, Himeji-shi, Hyogo-ken, Japan 670-0081
shiyua1108@nifty.com

Armenia

Key Contacts

Yerevan State Medical University

Lusine Danielyan
Quality Improvement Lead

Marine Grigoryan
Leader of Children toxicology center, Clinical Microsystems framework promoter

Introduction

Lusine Danielyan is Innovation and Improvement lead for Yerevan State Medical University (YSMU) Clinics. Lusine has worked in YSMU for 12 years both for University Clinics management and 3 years as an improvement leader working at University clinical departments.

MD PHD in Public Health. Her interests are in supporting frontline teams in leading and working on guidelines for quality improvement work, patient safety and in leading large-scale change.

Marine Grigoryan is Head of children Toxicology Clinic, and chairman of "Swedish support" medical association" NGO. Her interests are in working on Health care competence development and health educational projects, and also health care improvement in way of Clinical Microsystems.

MD PHD in Public Health

Units applying Clinical Microsystems Framework

University clinical departments
( Children toxicology clinic, Play therapy department of "Muratcan" YSMU hospital)

Presentations

"Armenian Passion for Life", Shoushan Manoukyan, Lusine Hovhannisyan

Small Improvements in Armenian Microsystems Understanding, Shoushan Manoukyan

How to Work with Microsystem in the Daily Care, Shoushan Manoukyan, Lusine Hovhannisyan

Using Macro - Meso - Micro-Systems Armenian Example- Marine Grigoryan

Being a Member in Microsystems, Lusine Hovhannisyan

Publications

1. Danielyan L.M., Mardiyan M.A., Kocharyan S.P. The problems of day hospital restorative cure organization and the evaluation of medical rehabilitation effectiveness in multidisciplinary hospital. // Tashkent 2005, 52-53

2. Mardiyan M.A., Petrosyan H.H., Kocharyan S.P., Danielyan L.M., Sukiasyan R.R. The estimation of healthcare primary link of quality - medical help, according to the sociological inquest data. // The first international conference ,, New Perspectives of Georgian Health Care", Tbilisi, 2005, 29-32

3. Mardiyan M.A., Narimanyan M.Z., Petrosyan H.H., Danielyan L.M. The peculiarities of family medicine clinic's activity in conditions of university clinics.// International scientific conference proceedings. Dedicated to the 75th Anniversary of YSMU after M.Heratsi, Yerevan, 2005, 231-232

4. Danielyan L.M., Mardiyan M.A., Shakaryan A.A., Narimanyan M.Z. Analysis of public health care quality according to data of sociological survey among physicians.// Medical Science of Armenia, Yerevan, 2006 XLVI No 2, 102-104

France

Key Contact

Centre de Référence Maladies Rares Mucoviscidose de Nantes

Gilles RAULT
Pediatrician, Director of the CF Center in Roscoff Hospital, Coordinator of the Expertise Center in Nantes Hospital

Dominique POUGHEON-BERTRAND
Engineer – Consultant – Parent of a CF adolescent, Coordinator of the PHARE (Programme  Hospitalier d’Amélioration des Résultats et de l’Expertise) beside the Expertise Center in Nantes Hospital

Introduction

Gilles Rault is MD, paediatrician, graduate from medical school of Rennes. He has achieved his residency in Paris University Hospitals, his fellowship in University Hospital of Necker, Paris before taking the medical head of the Center of Perharidy in Roscoff on the North coast of Brittany. He is currently the medical coordinator of the CF Center of Roscoff, of the French CF Expertise Center of Nantes and of the Nortwestern France CF Network gathering the 9 CF Centers of 4 regions (Brittany, Pays de la Loire, Centre and Poitou-Charentes). He is the Principal Investigator of this CF Network elected in 2008 as a member of the Clinical Trials Network of the European Cystic Fibrosis Society – ECFS CTN. He is co-chairman of the scientific board of the French CF Registry, member of the board of the French CF Foundation, and of the french CF Society. He has been one of the pionners for the implementation of the CF Newborn Screening in Britanny from 1988 and one of the main actors of its extension to he whole country in 2001. During 6 months in 2008 he stayed in the US to: first, attend the Quality course in Dartmouth Institute « The Design and Improvement of Clinical Microsystems » (Gene Nelson, Paul Batalden, Gerald 0’Connor & Marjorie Godfrey), second, accomplish benchmarking visits in several CF Centers:  Denver CO, Salt-Lake-City UT, Akron OH, Chicago IL, Madison WI. He has been involved in quality improvement since the 21st North American CF Conference, Anaheim, 2007, when attending the session « Quality Improvement in CF Care : Steal Shamelessly, Share Generously ». gilles.rault@perharidy.fr

Dominique Pougheon Bertrand is graduate from Ecole Polytechnique (X79) and Ecole Nationale des Ponts et Chaussées (ENPC84). She has been working for more than 20 years as a consultant in Industry, on Just-in-time and QI contracts. She moved to consultancy  services for health care organizations in 2001. She has been at the Board of the French CF Foundation (Vaincre la Mucoviscidose) for three years and started the work on QIP in the Quality Steering Committee with representatives of the French CF Society and the 2 CF Expertise Centers. She attended the Quality Course in Dartmouth (ECS 124) in Spring 2011 before joining the CF Expertise Center to implement the PHARE Pilot Phase since july 2011.  dominiquepougheon@orange.fr

Units Applyaing Clinical Microsystems Framework

CF Centers in France

  • 7 CF Centers involved in PHARE Pilot Phase in 2011-2012
  • National Deployment starting in 2012

Green Book (in French)

Presentations

«Guide d’Action pour accélérer l’amélioration de la qualité de la prise en charge des personnes atteintes de mucoviscidose » - Août 2011

« ROQ : Le Registre, Outil d’évaluation de la Qualité » - Août 2011

Publications

http://www.ncbi.nlm.nih.gov/pubmed?term=%22rault%20G%22%20and%20%22Cystic%20fibrosis%22

  1. 1. [Mucoviscidosis: recommendations for organization of centers and patient care systems]. Rault G, Roussey M, Desrues B, Turck D, Perez T, Wallaert B, Derelle J, Tréguer R. Arch Pediatr. 2001 Dec;8 Suppl 5:802s-817s. French. No abstract available.
  2. [Does neonatal screening of cystic fibrosis affect outcome? Comparative study of two cohorts in Britanny and Loire-Atlantique with follow-up after ten years]. Siret D, Branger B, Storni V, Bretaudeau G, Dagorne M, Moisan-Petit V, David V, Picherot G, Rault G, Roussey M. Arch Pediatr. 2000 Nov;7(11):1154-62. French
  3. Neonatal screening for cystic fibrosis in Brittany, France: assessment of 10 years' experience and impact on prenatal diagnosis. Scotet V, de Braekeleer M, Roussey M, Rault G, Parent P, Dagorne M, Journel H, Lemoigne A, Codet JP, Catheline M, David V, Chaventré A, Duguépéroux I, Verlingue C, Quéré I, Mercier B, Audrézet MP, Férec C. Lancet. 2000 Sep 2;356(9232):789-94
  4. Cystic fibrosis mutations: report from the French Registry. The Clinical Centers of the CF. Guilloud-Bataille M, De Crozes D, Rault G, Degioanni A, Feingold J. Hum Hered. 2000 Mar-Apr;50(2):142-5.
  5. Complex allele [-102T>A+S549R(T>G)] is associated with milder forms of cystic fibrosis than allele S549R(T>G) alone. Romey MC, Guittard C, Chazalette JP, Frossard P, Dawson KP, Patton MA, Casals T, Bazarbachi T, Girodon E, Rault G, Bozon D, Seguret F, Demaille J, Claustres M. Hum Genet. 1999 Jul-Aug;105(1-2):145-50
  6. [Clinical networks and cystic fibrosis]. Foucaud P, Rault G, Sautegeau A, Navarro J. Arch Pediatr. 1996;3 Suppl 1:312s-314s. French. No abstract available.
  7. [Cystic fibrosis: current treatment and perspectives]. Rault G. Soins Pediatr Pueric. 1995 Nov-Dec;(167-168):12-20. French. No abstract available
  8. [Cystic fibrosis. Epidemiology, physiopathology and symptoms]. Rault G. Soins Pediatr Pueric. 1995 Nov-Dec;(167-168):5-11. French. No abstract available
  9. Neonatal screening for cystic fibrosis: result of a pilot study using both immunoreactive trypsinogen and cystic fibrosis gene mutation analyses. Férec C, Verlingue C, Parent P, Morin JF, Codet JP, Rault G, Dagorne M, Lemoigne A, Journel H, Roussey M, et al. Hum Genet. 1995 Nov;96(5):542-8.
  10. [Mucoviscidosis: comparative analysis of epidemiological data of French and North American registries]. Rault G, Guilloud-Bataille M, Feingold J. Rev Pneumol Clin. 1995;51(3):115-21. French
  11. Frequency of aquagenic palmoplantar keratoderma in cystic fibrosis: a new sign of cystic fibrosis? Garçon-Michel N, Roguedas-Contios AM, Rault G, Le Bihan J, Ramel S, Revert K, Dirou A, Misery L. Br J Dermatol. 2010 Jul;163(1):162-6. Epub 2010 Mar 10.
  12. Psychological effects of false-positive results in cystic fibrosis newborn screening: a two-year follow-up. Beucher J, Leray E, Deneuville E, Roblin M, Pin I, Bremont F, Turck D, Giniès JL, Foucaud P, Rault G, Derelle J, David V, Journel H, Marchand S, Veillard D, Roussey M. J Pediatr. 2010 May;156(5):771-6, 776.e1. Epub 2010 Feb 20
  13. Pulmonary outcome differences in U.S. and French cystic fibrosis cohorts diagnosed through newborn screening. Walsh AC, Rault G, Li Z, Scotet V, Duguépéroux I, Férec C, Roussey M, Laxova A, Farrell PM; participating CF centres of Brittany, France. J Cyst Fibros. 2010 Jan;9(1):44-50. Epub 2009 Nov 18
  14. The very low penetrance of cystic fibrosis for the R117H mutation: a reappraisal for genetic counselling and newborn screening.  Thauvin-Robinet C, Munck A, Huet F, Génin E, Bellis G, Gautier E, Audrézet MP, Férec C, Lalau G, Georges MD, Claustres M, Bienvenu T, Gérard B, Boisseau P, Cabet-Bey F, Feldmann D, Clavel C, Bieth E, Iron A, Simon-Bouy B, Costa C, Medina R, Leclerc J, Hubert D, Nové-Josserand R, Sermet-Gaudelus I, Rault G, Flori J, Leroy S, Wizla N, Bellon G, Haloun A, Perez-Martin S, d'Acremont G, Corvol H, Clément A, Houssin E, Binquet C, Bonithon-Kopp C, Alberti-Boulmé C, Morris MA, Faivre L, Goossens M, Roussey M; Collaborating Working Group on R117H, Girodon E.J Med Genet. 2009 Nov;46(11):752-8. Epub 2009 Jun 29
  15. Multicenter study of prevalence of nontuberculous mycobacteria in patients with cystic fibrosis in france. Roux AL, Catherinot E, Ripoll F, Soismier N, Macheras E, Ravilly S, Bellis G, Vibet MA, Le Roux E, Lemonnier L, Gutierrez C, Vincent V, Fauroux B, Rottman M, Guillemot D, Gaillard JL; Jean-Louis Herrmann for the OMA Group. J Clin Microbiol. 2009 Dec;47(12):4124-8. Epub 2009 Oct 21
  16. Neonatal screening of cystic fibrosis: diagnostic problems with CFTR mild mutations. Roussey M, Le Bihannic A, Scotet V, Audrezet MP, Blayau M, Dagorne M, David V, Deneuville E, Giniès JL, Laurans M, Moisan-Petit V, Rault G, Vigneron P, Férec C. J Inherit Metab Dis. 2007 Aug;30(4):613. Epub 2007 Jul 12
  17. [Longitudinal evaluation of pulmonary function tests in children with newborn screening for cystic fibrosis. Relationships with pulmonary infection. Study of 40 children undergoing 744 pulmonary function tests]. Burggraeve N, Branger B, Dabadie A, Deneuville E, Rault G, Roussey M. Arch Pediatr. 2007 Jul;14(7):864-9. Epub 2007 May 29. French.
  18. Immunoreactive trypsin/DNA newborn screening for cystic fibrosis: should the R117H variant be included in CFTR mutation panels? Scotet V, Audrézet MP, Roussey M, Rault G, Dirou-Prigent A, Journel H, Moisan-Petit V, Storni V, Férec C. Pediatrics. 2006 Nov;118(5):e1523-9. Epub 2006 Oct 2
  19. Cystic fibrosis mortality trends in France. Bellis G, Cazes MH, Parant A, Gaimard M, Travers C, Le Roux E, Ravilly S, Rault G. J Cyst Fibros. 2007 May;6(3):179-86. Epub 2006 Aug 17
  20. [Neonatal screening of cystic fibrosis: diagnostic and ethical problems with mild mutations]. Roussey M, Le Bihannic A, Audrezet MP, Blayau M, Dagorne M, Deneuville E, Férec C, Journel H, Moisan-Petit V, Rault G, Scotet V, Storni V, Vigneron P. Arch Pediatr. 2005 Jun;12(6):650-3. French. No abstract available.
  21. Reproductive attitudes of couples having a child with cystic fibrosis in Brittany (France).De Braekeleer M, Rault G, Bellis G. J Hum Genet. 2004;49(6):285-9. Epub 2004 Apr 23.
  22. Impact of public health strategies on the birth prevalence of cystic fibrosis in Brittany, France. Scotet V, Audrézet MP, Roussey M, Rault G, Blayau M, De Braekeleer M, Férec C. Hum Genet. 2003 Aug;113(3):280-5. Epub 2003 May 27
  23. Comparing the clinical evolution of cystic fibrosis screened neonatally to that of cystic fibrosis diagnosed from clinical symptoms: a 10-year retrospective study in a French region (Brittany). Siret D, Bretaudeau G, Branger B, Dabadie A, Dagorne M, David V, de Braekeleer M, Moisan-Petit V, Picherot G, Rault G, Storni V, Roussey M. Pediatr Pulmonol. 2003 May;35(5):342-9
  24. Spatial and temporal distribution of cystic fibrosis and of its mutations in Brittany, France: a retrospective study from 1960. Scotet V, Gillet D, Duguépéroux I, Audrézet MP, Bellis G, Garnier B, Roussey M, Rault G, Parent P, De Braekeleer M, Férec C; Réseau Mucoviscidose Bretagne et Pays de Loire. Hum Genet. 2002 Sep;111(3):247-54. Epub 2002 Aug 1
  25. Disease knowledge in a high-risk population for cystic fibrosis. Braekeleer MD, Bellis G, Rault G, Allard C, Milot M, Simard F. Patient Educ Couns. 2001 Jun;43(3):263-8
  26. Neonatal screening for cystic fibrosis in Brittany, France: assessment of 10 years' experience and impact on prenatal diagnosis. Scotet V, de Braekeleer M, Roussey M, Rault G, Parent P, Dagorne M, Journel H, Lemoigne A, Codet JP, Catheline M, David V, Chaventré A, Duguépéroux I, Verlingue C, Quéré I, Mercier B, Audrézet MP, Férec C. Lancet. 2000 Sep 2;356(9232):789-94
  27. Reproductive attitudes of couples having a child with cystic fibrosis in Saguenay-Lac-Saint-Jean (Quebec, Canada).De Braekeleer M, Bellis G, Rault G, Allard C, Milot M, Simard F. Ann Genet. 2000 Apr-Jun;43(2):93-7
     

URLs

Lebanon

Key Contact

Introduction

Presentations

Publications

URLs

Spain

Key Contact

Introduction

Presentations

Publications

URLs

Australia

Key Contact

Julie K. Johnson, MSPH, PhD
Associate Professor and Deputy Director
Centre for Clinical Governance Research
Faculty of Medicine
University of New South Wales
Sydney, NSW 2052
AUSTRALIA

Phone: +61 2 9385 1474
Fax: +61 2 9663 4926

Introduction

Julie K. Johnson, MSPH, PhD is Associate Professor in the Faculty of Medicine and Deputy Director of the Centre for Clinical Governance Research at the University of New South Wales in Sydney Australia. Most recently, she was an Assistant Professor of Medicine at the University of Chicago. Dr. Johnson's career interests involve building a series of collaborative relationships to improve the quality and safety of health care through teaching, research, and clinical improvement. Her ultimate goal is to translate theory into practice while generating new knowledge about the best models for improving care. Dr. Johnson has a master's degree in public health from the University of North Carolina and a PhD in evaluative clinical sciences from Dartmouth College in Hanover, New Hampshire. The area of focus for her doctoral research was building an understanding of the structure, process, and outcomes of the clinical microsystem - the small group of providers and staff that care for a defined population of patients. She uses qualitative research methods - including focus groups, interviews, and observational studies - to better understand processes of care and the effect of the care process on clinical teams, teamwork, and patients and families. While on the faculty at University of Chicago, she used qualitative methods to study errors in ambulatory pediatric settings, to conduct observations in pediatric cardiac surgery, to observe how clinical teams function on inpatient medicine rounds, and to improve handovers of patient care.

Presentations

Peer reviewed presentations:

Gelmon, S and Johnson, J. "Framing Improvement: Applying Best Practices from the Baldrige National Quality Award Program." Institute for Healthcare Improvement EuroForum. Prague, Czech Republic. Poster Presentation. April 27, 2006.

Johnson, J; Whelan, C; Podrazik, P. "Bringing Systems Based Practice and Practice Based Learning and Improvement to the Bedside." Society for Hospital Medicine Annual Conference. Washington, DC. May 4, 2006.

Chien, A; Coker, T; Choi, L; Wasserman, R; Slora, E; Bodnar, P; Johnson, J. "A Primary Care Research Agenda According to PROS." Pediatric Academic Societies' Annual Meeting. Poster Presentation. San Francisco, CA, May 1, 2006.

DuBeau, C; Whelan, C; Johnson, J; Podrazik, P; Cook, S. "Foley Catheter Census Audits: Teaching PBLI with Geriatric Content in Real-time Inpatient Practice." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 4, 2006

Levine, S; Baron, A; C DuBeau, C; Johnson, J; Johnson, K; Podrazik, P; G Sachs, G; Scott, D; Whelan, C; Cook, S. "Assessing Impact of a Geriatrics Faculty Development Program: Commitment-to-Change (CTC) Contracts." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 5, 2006

Martin, J; Baron, A; DuBeau, C; Levine, S; Johnson, J; Podrazik, P; G Sachs, G; Scott, D; Whelan, C; Cook, S. "Enhancing Teaching and Clinical Care on the Inaptient Setting: Evaluation of a Faculty Development Program." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 5, 2006

Barach, P. and Johnson, J. "Teams, Teamwork, and Team Training in Health Care: Building and Assessing High Performance Teams." Ottawa Conference on Medical Education. New York, NY. May 22, 2006.

Johnson, J.; Whelan, C.; and Podrazik, P. "The Process of Teaching on Today Wards: Recognizing and Improving Your Own Process." Ottawa Conference on Medical Education. New York, NY. May 23, 2006.

Arora, V.; Johnson, J. and Barach P. "Assessing and Improving the Transfer of Patient Care Responsibilities: Implementing the 2006 JCAHO Patient Safety Goals." Harvard Quality Colloquium plenary speaker, Boston, MA, August 2006.

Johnson, J.; Arora, V.; Barach, P.; Frankel, R. "Assessing and improving communication of patient care information in hospital settings." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.

Johnson, J. "Using Qualitative Methods to Understand Team Functioning in the Operating Room." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.

Johnson, J.; Whelan, C.; Arneson, J.; Gradman, J.; Perovice, N.; Lovinger, D. "Physician-nurse communication in inpatient general medicine." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.

Johnson, J.; Arora, V.; Barach, P.; "Assessing and Improving the Transfer of Patient Care Responsibilities: Implementing the 2006 JCAHO Patient Safety Goal for Safe and Effective Handoffs." American Academy of Medical Colleges Annual Conference. Seattle, WA. October 2006.

Arora, V.; Johnson, J. "Improving Inpatient Hand-Offs: Building a Standardized Hand-Off to Meet the New JCAHO Goal." Midwest Society of General Internal Medicine. Chicago, IL. October 2006.

Farnan, J.; Johnson, J.; Meltzer, D.; Humphrey, H.; Arora, V. "Assessing Supervision in Internal Medicine Residency Training." Midwest Society of General Internal Medicine. Chicago, IL. October 2006.

Barach, P.; Johnson, J.; Dickerman, K.; Reiling, J. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2006.

Stevens, D.; Johnson, J.; "Improve Patient Care and Education in Academic Health Centers Now: Strategies that Work." Institute for Healthcare Improvement National Forum. December 2006.

V. Arora, J. Johnson, P. Barach. A Model for Building a Standardized Hand-off Protocol For Anesthesia Care, International Anesthesia Research Society Annual 81st Congress. Anesthesia and Analgesia, 2007, 104:S-83.

J.M. Farnan, J.K. Johnson, D.O. Meltzer, H.J. Humphrey, V.M. Arora. "Resident Uncertainty in Clinical Decision-Making and Impact on Patient Care: A Qualitative Study." Society for General Internal Medicine. Session: Society for Medical Decision-Making, April 27, 2007.

J.M. Farnan, J.K. Johnson, D.O. Meltzer, H.J. Humphrey, V.M. Arora. "Assessing Supervision in Internal Medicine Residency Training." Society for General Internal Medicine. Session: Medical Education, April 28, 2007.

Neuspiel, D.; Johnson, JK; Woods, D. "Reducing Errors in Ambulatory Pediatrics." Pediatric Academic Society, May 4, 2007. Toronto, ON

Barach, P.; Johnson, J.; Lagasse, B. Workshop on ACGME Outcomes Project for Measuring Core Competencies. American Society for Anesthesia Annual Meeting. October 2007. San Francisco, CA.

Barach, P.; Johnson, J.; Dickerman, K.; Sadler, B. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2007. Orlando, FL

Stevens, D.; Johnson, J.; "Rapid Response Systems in Teaching Hospitals:Case Studies of Successful Innovation" Institute for Healthcare Improvement National Forum. December 2007. Orlando, FL.

Farnan JM, Johnson JK, Horwitz L, Arora VM. "Pilot Testing the OSHE [The Observed Simulated Hand-off Experience]" plenary session, Society for General Internal Medicine, Midwest Regional Meeting, Chicago IL, September 2008.

Johnson JK, Farnan JM, Prochaska M, Vinci L, Davis A, Arora VM. "'What are the Missing Pieces?' A process analysis of communication between hospital-based and primary care physicians during patient care transitions" oral abstract, Society for General Internal Medicine, Midwest Regional Meeting, Chicago IL, September 2008.

Barraclough, B; Braithwaite, J; Travaglia, J; Corbett, A; Johnson, J. International trends in patient safety governance. Poster presentation at ISQua 2008: Twenty-fifth International Safety and Quality Conference: Healthcare quality and safety: meeting the next challenges. International Society for Quality in Health Care Copenhagen, Denmark. October 19-22, 2008.

Barach, P.; Johnson, J.; Dickerman, K.; Sadler, B.; Parker, D. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2008. Orlando, FL

Smorenburg, S and Johnson, J. Spotlight on the Night. International Forum for Quality and Safety. March 20, 2009. Berlin, Germany.

Publications

Recent significant publications:
(until August 2005, Julie Johnson published as Julie Mohr)

Books

1. Nelson, E; Batalden, P; Wasson, J; Mohr, J; Huber, T; Headrick, L. Clinical Microsystem Action Guide: Improving Health Care by Improving Your Microsystem.. Hanover, NH: Dartmouth College. 2004.

Book Chapters

2. Barraclough, B.; Braithwaite, J.; Travaglia, J.; Johnson, J.; and Corbett, A. (2009) International Trends in Patient Safety Governance. In: Dugdale, P. and Healty, J. (eds), Clincial Governance and Patient Safety, Canberra, Regnet ANU, forthcoming, [http://regent.anu.edu.au/index.php].

3. Johnson, J.K. In: Freshman, P; Rubino, L; and Chassiakos, Y., editors. (2009) "Collaboration Across the Disciplines in Healthcare". Jones and Bartlett Publishers, forthcoming.

4. Arora, VM; Johnson, J. "Spreading and Sustaining Use of Standardized Handoff Protocols for Residency Tranining." In: Implementing and Sustaining Improvements in Health Care. USA: Joint Commission Publishing. 2009. pp 88-97.

5. Johnson, J; Horowitz, S; Miller, S. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work. Agency for Healthcare Research and Quality. Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: New directions and alternative approaches. Vol. 2. Culture and Redesign. AHRQ Publication No. 08-0034-2. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.

6. Arora V, Johnson J. "Hand-offs." Just the Facts: Hospital Medicine. Halasmayani, McKean, Bennet, eds. McGraw Hill. 2008.

7. Nelson, EC; Batalden, PB; Huber, TP; Johnson, JK; Godfrey, MM; Headrick, LA; Wasson, JH. Success Characteristics of High Performing Microsystems: Learning from the Best. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 3-33.

8. Nelson, EC; Batalden, PB; Edwards, WH; Godfrey, MM; Johnson, JK. Developing High Performing Microsystems. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 34-50.

9. Batalden, PB; Nelson, EC; Johnson, JK; Godfrey, MM; Huber, TP; Kosnik, L; Ashling, K. Leading Microsystems. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 51-68.

10. Huber, TP; Godfrey, MM; Nelson, EC; Johnson, JK; Campbell, C; Batalden, PB. Developing Professionals and Improving Worklife. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 106-123.

11. Godfrey, MM; Nelson, EC; Wasson, JH; Johnson, JK; Batalden, PB. Planning Patient Centered Services. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 124-147.

12. Wasson, JH; Godfrey, MM; Nelson, EC; Johnson, JK; Batalden, PB. Planning Patient Centered Care. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 148-164.

13. Johnson, JK; Barach, P; Cravero, JP; Blike, GT; Godfrey, MM; Batalden, PB; Nelson, EC. Improving Patient Safety. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 165-177.

14. Nelson, EC; Batalden, PB; Homa, K; Godfrey, MM; Campbell, C; Headrick, LA; Huber, TP; Johnson, JK; Wasson, JH. Creating a Rich Information Environment. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 178-196.

15. Nelson, EC; Batalden, PB; Plume, SK; Johnson, JK; Lazar, JS. Improving Clinical Care: A Clinical Improvement Worksheet. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 25-46.

16. Nelson, EC; Johnson, JK; Batalden, PB; Plume, SK. Measuring Outcomes and Costs: The Clinical Value Compass. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 47-64.

17. Johnson, JK; Mahoney, CC; Nelson, EC; Batalden, PB; Plume, SK. Learning from the Best: Clinical Benchmarking for Best Patient Care. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 65-80.

18. Batalden, PB; Johnson, JK; Nelson, EC; Plume, SK; Lazar, JS. Building on Change: Concepts for Improving Any Clinical Process. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 81-94.

19. Mohr, J. and Barach, P. Clinical Microsystems in Healthcare: How Human Factors Shape The Microsystem. In: Carayon, P. Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Lawrence Erlbaum Publishers. 2006. pp 95-107.

20. Mohr, JJ; Lannon, C; Thoma, K; Woods, D; Slora, E; Wasserman, R; Uhring, L. Learning from Errors in Ambulatory Pediatrics. Volume 1, pp 355-368. In Advances in Patient Safety: From Research to Implementation. Agency for Healthcare Research and Quality Advances in Patient Safety. February 2005. AHRQ Publication Nos. 050021.

21. Mohr, JJ and Batalden, PB. Integrating Approaches to Health Professional Development with Approaches to Improving Patient Care. In: McLaughlin, K and Kaluzny, A., editors. Continuous Quality Improvement In Health Care, 3rd Edition. Maryland: Aspen Publishers. 2005. pp 281 - 296.

22. Mohr, JJ; Batalden, PB; Barach, P. Inquiring Into the Quality and Safety of Care in the Academic Clinical Microsystem. In: McLaughlin, K and Kaluzny, A., editors. Continuous Quality Improvement In Health Care, 3rd Edition. Maryland: Aspen Publishers. 2005. pp 407-423.

Refereed Journal Articles
(until August 2005, Julie Johnson published as Julie Mohr)

23. Farnan J.M., Johnson J.K., Meltzer D.O., Humphrey H.J., Arora V.M. The Tension Between On-Call Supervision and Resident Autonomy: From the Micromanager to the Absentee Attending. American Journal of Medicine, accepted 3 Feb 2009, in press Sept 2009.

24. Barach, P; Johnson JK; Ahmad, A; Galvan, C; Bognar, A; Duncan, R; Starr, JP; Bacha, EA. A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease. J Thoracic Cardiovascular Surgery. 2008 Dec; 136 (6): 1422-1428.

25. Podrazik, PM; Levine, S; Smith, S; Scott, D; DuBeau, CE; Baron, A; Whelan, C; Johnson, JK; Cook, S; Arora, V; Meltzer, D; Sachs, G. The CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Program: A collaborative faculty development program for hospitalists, general internists, and geriatricians. Journal of Hospital Medicine. September 2008, 3(5):384-93.

26. Oyler, J., Vinci, L., Arora, V., Johnson, J. Teaching Internal Medicine Residents Quality Improvement Techniques using the ABIM's Practice Improvement Modules. Journal of General Internal Medicine. May 2008.

27. Farnan, J.; Johnson, J.; Meltzer, D.; Humphrey, H.; Arora, V. Resident Uncertainty in Clinical Decision-Making and Impact on Patient Care: A Qualitative Study. Quality and Safety in Health Care. 2008; 17:122-126.

28. Arora V, Johnson J, Meltzer D, Humphrey H. A Theoretical Framework and Competency-Based Approach to Improving Handoffs. Quality and Safety in Health Care. 2008; 17:11-14.

29. A Bognar, P Barach, JK Johnson, RC Duncan, D Birnbach, D Woods, JL Holl, and EA Bacha. Errors and the Burden of Errors: Attitudes, Perceptions, and the Culture of Safety in Pediatric Cardiac Surgical TeamsAnn Thorac Surg. 2008; 85: 1374.

30. Johnson, J. and Barach, P. The Role of Qualitative Methods in Designing Health Care Organizations. Environment and Behavior 2008 40: 191-204.

31. Foster, T; Johnson, J; Nelson, E; Batalden, P. "Using a Baldrige Framework to Understand High-Performing Microsystems." Quality and Safety in Health Care. Quality and Safety in Health Care. 2007. 16:334-341.

32. Zolotor, A; Randolph, G; Johnson, J; Wegner, S.; Edwards, S; Powell, C; Esporas, M. Effectiveness of a Practice-Based, Multimodal Quality Improvement Intervention for Gastroenteritis Within a Medicaid Managed Care Network Pediatrics 2007;120;e644-e650.

33. Vohra, P; Daugherty, C; Johnson, J., Wen, M., Barach, P. Housestaff and Medical Student Attitudes towards Adverse Medical Events. Joint Commission Journal on Quality and Safety. 33(8), pp 493-501. August 2007.

34. Barach, P and Johnson, J. "Team-based Learning in Microsystems: An Organizational Model for Success." Technology, Instruction, Cognition and Learning (TICL). Vol 3, pp 307-321. 2006.

35. Barach, P. and Johnson, J. "Safety by Design: Understanding the dynamic complexity of redesigning care around the clinical microsystem." Quality and Safety in Health Care. 15 Suppl 1 i10 - i16. 2006.

36. Chien, A; Coker, T; Choi, L; Slora, E; Bodnar, P; Weiley, V; Wasserman, R; Johnson, J. What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambulatory Pediatrics. 6(6) 352-355. 2006.

37. Arora, V and Johnson, J. Meeting the JCAHO National Patient Safety Goal: A Model for Building a Standardized Hand-off Protocol. Joint Commission Journal on Quality and Safety. 32(11) 646-655. 2006.

38. Farnan, J; Johnson, J; and Arora, V. Communication in Hospital Care: An Essential Core Competency for Hospitalists. Seminars in Medical Practice. Vol. 9, 21-28. April 2006.

39. Kachalia, A; Johnson, J; Miller, S; Brennan, T. The Incorporation of Patient Safety into Board Certification Examinations. Academic Medicine. April 2006, 81(4) 317-325.

40. Galvan C; Bacha EA; Mohr J; Barach P. A Human Factors Approach to Understanding Patient Safety During Pediatric Cardiac Surgery. Progress in Pediatric Cardiology. 20(1). 13-20. March 2005.

41. Collins-Fulea, C., Mohr, J.J., & Tillett, J. Improving midwifery practice: the American College of Nurse-Midwives' benchmarking project. Journal of Midwifery and Womens Health, 50(6). 2005. 461-471.

42. Woods, D; Johnson, J; Mehra, M; Shonkoff, JP; Thomas, EJ; Lannon, C; Ogata, ES; Holl, JL. Anatomy of a Patient Safety Event: A Pediatric Patient Safety Taxonomy. Quality and Safety in Health Care. December 2005 14: 422-427.

43. Arora, V; Johnson, J; Lovinger, D; Humphrey, H; Meltzer, D. Communication Failures in Patient Sign-out and Suggestions for Improvement: A Critical Incident Analysis. Quality and Safety in Health Care. December 2005 14:401-407.

44. Whelan, DT; Podrazik, PM; Johnson, JK. A Case-Based Approach to Teaching Practice-Based Learning and Improvement on the Wards. Seminars in Medical Practice. 2005. Vol 8. 64-74.

45. Mohr, JJ; Batalden, PB; Barach, P. Integrating Patient Safety Into the Clinical Microsystem. Quality and Safety in Health Care, December 2004.

Non-Peer Reviewed Original Articles

46. Johnson, JK and Horowitz, SD. Assuring Physician Competency in Patient Safety. In ACGME Bulletin August 2007, page 34.

47. Mohr, JJ. Creating a Safe Learning Organization. Frontiers in Health Services Management. Fall 2005, 22(1).41-44.

48. Mohr, JJ and Arora, V. Break the cycle: Root out the workaround. In ACGME Bulletin. Chicago: ACGME. November 2004.

49. Rodríguez, B; Moiduddin, A; Ketchel, A; Mohr, J; Williams, J; Benz, J; Gaylin, D; Fitzpatrick, M; Barach, P. EHR Final Report on Case Studies and State-Wide IT Survey Analysis. Report submitted to the Florida Agency for Health Care Administration (AHCA). June 29, 2004.

United Kingdom

Key Contact

Laura Hibbs
Innovation and Improvement Lead, NHS Yorkshire and the Humber, MSc, BSc Hons, RN, DN

Introduction

Laura Hibbs is Innovation and Improvement lead for NHS Yorkshire and the Humber in the UK. Laura has worked in the NHS for 30 years both as a nurse and as an improvement leader working at a regional level.

Her interests are in supporting frontline teams in leading and owning their quality improvement work, in supporting the development of innovative, self-improving health communities and in leading large-scale change.

Units applying Clinical Microsystem Framework

Primary and secondary community settings

Presentations

The Role of the Coach in Supporting Frontline NHS teams in developing Microsystems working: An Exploratory Study
Laura Hibbs Presentation at R & D Conference Call February 6, 2009

Publications

Inglis, S., Conner, M., Barnett, K., Hibbs, L., Brown, M. (2004) Judging Excellence: users and carers making decisions Kingsham Press, Chichester.

Canada

Key Contact

Introduction

Presentations

Publications

URLs

Chile

Key Contact

Introduction

Presentations

Publications

URLs

Sweden

Key Contacts

Anette Nilson and Joakim Edvinsson
Qulturum, Jönköping County Council, Landstinget i Jönköpings län

Introduction

Anette Nilsson works as a project manager at Qulturum, Jönköping especially with team and leadership based on the Microsystem theories. Anette has earlier experiences from front line work and leadership within health care where she has worked with quality assurance, for example Investors In People Certificate. She is also project manager for Passion for life a program for elderly people. She is an often engaged lecturer both nationally and internationally. She coach teams in clinical microsystem theories in Jönköping county council. She also has experiences from coaching leaders in Armenia in clinical microsystem knowledge.

Joakim Edvinsson works as a project manager at Qulturum, Jönköping. He works with coaching teams based on the Microsystem theories. Joakim is a RN and doing master studies in nursing. He is a national project leader for a national quality registry (Senior alert) for preventing pressure sores, falls and malnutrition amongst the elderly. He is leading a improvement coach training program. He teaches teachers in the health care universities in the region about microsystems and improvement work. He is an engaged lecturer both nationally and internationally.

Presentations

A glimpse of presentations in different conferences arranged by for example IHI,BMJ and Qulturum

  • Coaching a way of thinking
  • It's all about people
  • Passion for life
  • Clinical Microsystem
  • The journey of Jönköping County Council

Some of the themes of Joakim's presentation

  • Coaching and coaching methods
  • Personal improvement work
  • Information logistic in health care
  • Clinical Microsystem
  • Quality improvement tools and methods.
  • Care prevention - a way to improve patient safety and patient quality.

Dokumentation/Documentation Microsystem Festivals

Germany

Key Contact

Introduction

Presentations

Publications

URLs

Kosovo

Key Contacts

Dr. James Strickler
Cristina Hammond, MPH
Ellen Thompson, MS, RN

Introduction

The Kosovo Projects began with faculty and student exchanges between Dartmouth Medical School and the University of Prishtina Medical Faculty in 1999 shortly after the end of the war in Kosovo. The number and types of projects has grown since then to include orthopaedics, obstetrics and gynecology, family medicine, and neonatology. The most recent programs focused on reducing infant and maternal mortality. Since 2001, all Dartmouth programs in Kososo have included the use of Clinical Microsystems methodologies to drive improvements. Improving health care in post-war Kosovo presented challenges that are not unique, related to political instability, damaged infrastructure, and limited resources. The microsystems approach - focusing on team-building, systems of care, and data-based decision-making ?proved effective in Kosovo to address both maternal health and chronic illness care. Strengthening primary care settings with microsystem improvements has thus far resulted in successes in leadership, teamwork, patient and staff satisfaction, and in the sustainability of these improvements. The use of Microsystems methods may enable primary care to be the focal point for improved health care in other low-resource, developing, or post-conflict countries.