TY - JOUR KW - Clinical Competence/standards/statistics & numerical data KW - Education, Medical, Graduate/methods KW - Educational Measurement/methods KW - Educational Status KW - Efficiency KW - Efficiency, Organizational/standards/statistics & numerical data KW - Health Knowledge, Attitudes, Practice KW - Humans KW - Internship and Residency/standards/statistics & numerical data KW - Models, Organizational KW - Oregon KW - Patient Care Team KW - Patient-Centered Care/methods/organization & administration KW - Program Evaluation KW - Quality Improvement KW - Quality of Health Care/standards/statistics & numerical data KW - Task Performance and Analysis AU - S. A. Fields AU - D. Cohen A1 - AB - BACKGROUND AND OBJECTIVES: Oregon Health & Science University Family Medicine implemented a balanced scorecard within our clinics that embraces the inherent tensions between care quality, financial productivity, and operational efficiency. This data-driven performance improvement process involved: (1) consensus-building around specific indicators to be measured, (2) developing and refining the balanced scorecard, and (3) using the balanced scorecard in the quality improvement process. Developing and implementing the balanced scorecard stimulated an important culture shift among clinics; practice members now actively use data to recognize successes, understand emerging problems, and make changes in response to these problems. Our experience shows how Patient-centered Medical Homes can be enhanced through use of information technology and evidence-based tools that support improved decision making and performance and help practices develop into learning organizations. BT - Family medicine C5 - HIT & Telehealth; Medical Home CP - 10 CY - United States IS - 10 JF - Family medicine N2 - BACKGROUND AND OBJECTIVES: Oregon Health & Science University Family Medicine implemented a balanced scorecard within our clinics that embraces the inherent tensions between care quality, financial productivity, and operational efficiency. This data-driven performance improvement process involved: (1) consensus-building around specific indicators to be measured, (2) developing and refining the balanced scorecard, and (3) using the balanced scorecard in the quality improvement process. Developing and implementing the balanced scorecard stimulated an important culture shift among clinics; practice members now actively use data to recognize successes, understand emerging problems, and make changes in response to these problems. Our experience shows how Patient-centered Medical Homes can be enhanced through use of information technology and evidence-based tools that support improved decision making and performance and help practices develop into learning organizations. PP - United States PY - 2011 SN - 1938-3800; 0742-3225 SP - 735 EP - 739 EP - T1 - Performance enhancement using a balanced scorecard in a Patient-centered Medical Home T2 - Family medicine TI - Performance enhancement using a balanced scorecard in a Patient-centered Medical Home U1 - HIT & Telehealth; Medical Home U2 - 22076718 VL - 43 VO - 1938-3800; 0742-3225 Y1 - 2011 ER -