Table 2

Recommended Approaches to Engaging Physicians and Medical Directors in Quality Improvement

Approaches implemented by nursing home providers

Identify a physician champion in the nursing home that could involve other physicians in improving the systems of care that physicians impact directly

Implement pre-printed fax-back forms to physicians that include all fields of information required by physician, relevant to various clinical topics (e.g., pain), to enhance communication between physician and nursing home staff

Involve local hospice to provide training on pain management to physicians and nursing home staff

Approaches implemented by QIO staff

Offer training session to medical directors on the role of the medical director in nursing home quality improvement

Write column in monthly newsletter to providers on the role of the medical director and attending physicians in nursing home quality

Offer coaching to nursing home staff on how to give physicians the information they need to make a decision

Partner with the local chapter of the American Medical Directors Association (AMDA) to advocate for involvement in quality improvement among medical directors and physicians


Kissam et al. BMC Geriatrics 2003 3:2   doi:10.1186/1471-2318-3-2

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