Establishing an Ambulatory Quality and Safety Oversight Structure

    loading  Checking for direct PDF access through Ovid


Ambulatory medicine is a vital and growing area of health care in the United States. At Johns Hopkins Medicine (JHM) ambulatory care in academic and community settings has expanded in size and complexity, resulting in more than 2 million visits annually. Leaders of JHM recognized the need for a governance and accountability system to oversee the quality and safety of ambulatory care. In fact, they started this journey back in 2011, forming the Armstrong Institute to coordinate improvement efforts across JHM and creating a governance structure for these efforts that started in inpatient services.1
In response to our burgeoning ambulatory medicine service, leaders of JHM created the Office of Johns Hopkins Physicians (OJHP) to coordinate and oversee the standards of care delivered to patients in all ambulatory settings. Providers of the OJHP include the clinical faculty from the Johns Hopkins University School of Medicine (n > 2000), doctors, nurse practitioners, physician assistants, and nurse midwives from Johns Hopkins Community Physicians (n > 400), providers from Sibley Memorial Hospital and Johns Hopkins All Children's Hospital (n > 50), and providers from several specialty group practices (n > 20). Collectively through all of our entities, these providers deliver care at more than 1000 unique practices in regions spanning Maryland, the District of Columbia, and Florida.
    loading  Loading Related Articles