#MEQAPI – Tweetchat June 7-2018 3:00ET Partnering with Patients

Just a reminder, MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement, and you can visit us at http://www.meqapi.org.

Many healthcare conferences these days feature at least one session on “patient empowerment”, and pretty much everyone talks about “partnership”. However, in few cases are those two threads combined – partnership with patients. Typically, the “partnership” being discussed is between insurers, researchers, manufacturers, government, or provider networks.

During a Live Streamed panel discussion at the Inaugural Healthcare IT Expo in New Orleans (#HITExpo), I called for us to flip the focus, and look at healthcare systems through the eyes of patients. The “Going Beyond EHR’s” session touched on many of the issues, but it is worth looking specifically at partnership from the patient’s point of view, and unpacking some of the dimensions involved.

Using a Ishikawa fishbone structure, we will chat about several dimensions of partnership with patients.

Patient partnership


  1. Policies: How do national, state, or organizational  policies, laws, and processes improve or degrade PATIENT PARTNERSHIP?
  2. Equipment: What risks, issues, and missed opportunities relate to medical equipment and PATIENT PARTNERSHIP?
  3. Measurement: What measurements serve as early warnings of issues, or can affect PATIENT PARTNERSHIP?
  4. Environment: What environmental factors influence PATIENT PARTNERSHIP?
  5. People: What people factors improve or degrade PATIENT PARTNERSHIP?
  6. Materials: What medical materials improve or degrade PATIENT PARTNERSHIP?


MEQAPI focuses on healthcare improvement, and in the spirit of shameless borrowing (and efficiency), takes existing perspectives from the IHI, AHRQ, and others.

To quote the IHI on what the Triple Aim encompasses:

The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:

  • Improving the patient experience of care (including quality and satisfaction);
  • Improving the health of populations; and
  • Reducing the per capita cost of health care.

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. We expand this to include Accessibility, STEEEPA.

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


The Author and Moderator: Matthew is a principal analyst for healthcare improvement at the Washington D.C. based firm of Whitney, Bradley, and Brown (WBB), and is a strategic adviser and board member at the Blue Faery Liver Cancer Association. Matthew is a peer reviewer for the international journal of Knowledge Management Research and Practice, and blogs regularly for Physician’s Weekly.




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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