The nature of chaplaincy and the goals of QI: Patient-centered care as professional responsibility

Hastings Center Report

Volumn 38, Issue 6, 2008, Pages 30-33

  Berlinger, Nancy ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

COUNSELING; ETHICS; HEALTH CARE QUALITY; HOSPITAL SUBDIVISIONS AND COMPONENTS; HUMAN; MOTIVATION; PATIENT CARE; PROFESSIONAL STANDARD; REVIEW; STANDARD; UNITED STATES;

CHAPLAINCY SERVICE, HOSPITAL; GOALS; HUMANS; PASTORAL CARE; PATIENT-CENTERED CARE; PROFESSIONAL ROLE; QUALITY ASSURANCE, HEALTH CARE; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 57849154980     PISSN: 00930334     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (12)

1. Institute of Medicine, Crossing the Quality Chasm (Washington, D.C.: Institute of Medicine, 2001), 5-6; http://www.nap.edu/open-book.php?isbn= 0309072808.
2. M.A. Baily et al., "The Ethics of Using QI Methods to Improve Health Care Quality and Safety," Hastings Center Report Special Report 36, no. 4 (2006): S3.
3. Some hospitals use "PI" - performance improvement - methods, which emphasize the role of human performance in the delivery of health care, but both PI and QI are systematic and data-guided, and according to one recent assessment, "there is no discrete boundary between them." T. Bornstein, "Quality Improvement and Performance Improvement: Different Means to the Same End?" QA Brief, USAID-sponsored Quality Assurance Project, Spring 2001. This working definition of QI should, therefore, work for chaplains in "PI" institutions. Similarly, this working definition should work for chaplains in institutions that may use a particular QI method, such as Six Sigma.
4. Institute for Healthcare Improvement, "Patient-Centered Care: General," http://www.ihi.org/IHI/Topics/PatientCenteredCare/Patient- CenteredCareGeneral/.
5. Agency for Healthcare Research and Quality, "Expanding Patient-Centered Care To Empower Patients and Assist Providers," Research in Action, issue 5 (2002), under subtitle, "Health Care Evolves Toward a Patient-Centered Model," http://www.ahrq.gov/qual/ ptcareria.htm.
6. Institute of Medicine, Crossing the Quality Chasm, 6.
7. National Quality Forum, "NQF Brochure," 2004, http://216.122.138.39/pdf/NQFbrochure2004.pdf.
8. Agency for Healthcare Research and Quality, "Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies," Technical Review 9 (2005): 1, http://www.ahrq.gov/downloads/pub/evidence/pdf/qualgap3/ qualgap3.pdf.
9. National Consensus Project for Quality Palliative Care, Clinical Practice Guidelines for Quality Palliative Care, 5-6, http://www.national- consensusproject.org.
10. Ibid., 29.
11. Ibid., 41-42.
12. Unpublished case study supplied to author by a chaplaincy director, May 2008. Some identifying details have been changed.