#MEQAPI – Tweetchat Feb 16th 2017 3ET

Next tweetchat: Thursday February 16th, 2017 3:00-4:00 PM ET

Topic: Patient Involvement in Healthcare Improvement

MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare quality, and includes everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

We have selected a mini case study based on the BMJ paper by Lawton et al concerning a Patient Reporting and Action for a Safe Environment (PRASE) intervention.

Paper: “Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention

Url: http://qualitysafety.bmj.com/content/early/2017/02/03/bmjqs-2016-005570

The six domains of care quality (STEEEP) mapped out by the Agency for Healthcare Research and Quality (AHRQ) are foundational to healthcare improvement. All care, and by inference quality measures, should be focused on being Safe, Timely, Effective, Efficient, Equitable, and Patient Centered. A central focus of Lean Six Sigma is the need for all quality efforts to be aligned to the Voice of the Customer (VoC).

In healthcare, this means the patient’s voice, yet few quality measure in the National Quality Measures Clearinghouse (NQMC) are proxies for patient outcome, and fewer still are obtained from patient input. The lack of patient involvement in developing measures, collecting quality data, and understanding cost of noncompliance has led to missed opportunities and increased risk and waste. Lawton et al describe the use of the Patient Reporting and Action for a Safe Environment (PRASE) intervention at 33 hospital wards.

The intervention demonstrated a repeatable modality for patient involvement and participation in healthcare improvement.


  1. Have you seen opportunities for patient involvement in healthcare improvement, what were they
  2. What risks do you foresee in using patient input and participation in quality initiatives
  3. How would patient participation be kept within HIPAA boundaries
  4. What role does/should technology play in patient participation in healthcare improvement
  5. How can providers and patients work together to improve healthcare




Published by

Matthew Loxton

Healthcare Analyst using Lean Six Sigma, Knowledge Management, & Organizational Learning to improve healthcare http://linkedin.com/in/mloxton

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