Quality Institute

Quality Institute

Focus Areas: Quality and Efficiency, Clinical-Community Partnerships

The Quality Institute at United Hospital Fund, in partnership with key stakeholders, develops and promotes innovative strategies to strengthen and spread best practices across the spectrum of health care settings. We tackle tough questions about how to define and measure quality, engage patients in improving services, and are developing the next generation of health care quality improvement leaders.

PROFILING QUALITY
As health care moves toward paying for value rather than volume, the Quality Institute is working with a variety of partners, including the New York State Department of Health, to develop and implement meaningful measures of provider performance—measures that reflect a growing concern, for example, with primary care’s attention to prevention, management of acute and chronic disease, and cost-effective, appropriate use of services.

Through a State Innovation Models (SIM) contract with the New York State Department of Health (Health Research Incorporated), the Quality Institute provides expertise, analysis, and strategic support for oversight of quality measurement, monitoring, and improvement for the Advanced Primary Care (APC) transformation program.

BUILDING CAPACITY
Tremendous strides have been made in quality improvement and patient safety but health care providers need continuing support and resources to ensure safe and effective care within a value-based model. Quality Institute initiatives, individually and in partnerships, promote the systematic use of best practices in a range of care settings. The Institute’s Antibiotic Stewardship Certificate Program and Outpatient Antibiotic Stewardship Initiative, for example, anticipated and address a national priority of ensuring the prudent use of antibiotics across settings—not only in hospital inpatient care but in nursing homes and ambulatory care as well. 

The UHF/Greater New York Hospital Association Clinical Quality Fellowship Program (CQFP) supports and extends those efforts by training a cadre of physicians and nurses to become quality improvement specialists and champions; many of these Fellows go on to leadership positions in institutions throughout the New York metropolitan area. At a more macro level, the High Reliability Leadership Forum brings together senior leaders from 11 GNYHA member hospitals to develop strategies for sustainable quality improvement efforts at their facilities. 

PATIENT ENGAGEMENT
Current measures of performance tend to focus on the volume and type of care provided and not on outcomes that could aid patients’ treatment decisions or help engage them in their care. The Quality Institute is leading efforts to assess, advance, and spread measures that will help patients make informed decisions about choosing a health care provider for their specific needs, and that will reflect patients’ perceptions of the outcomes of treatment—observable changes in their functioning, for example—to improve care planning and evaluation. Our work promotes better discharge planning and ensure the accessibility of information and tools needed to help patients and families make informed choices about post-acute care, examines quality measures central to consumer decision-making, and advances the use of patient-reported outcome measures in primary care.

The Quality Institute is supported, in part, by:
Charina Endowment Fund
The Hearst Foundations
New York State Department of Health (Health Research Incorporated)
New York State Health Foundation
The Engelberg Foundation

The content on these pages was prepared by UHF and does not necessarily represent the views of these funders.

 
The Quality Institute Team
Anne-Marie J. Audet, MD, MSc, SM
Anne-Marie J. Audet, MD, MSc, SM

Anne-Marie J. Audet, M.D., M.Sc., is senior medical officer of the Quality Institute.

Previously, she served as vice president for Delivery System Reform and Breakthrough Opportunities programs at The Commonwealth Fund, where she oversaw a public reporting website, WhyNotTheBest.org.  She was responsible for a portfolio of grants on a range of delivery system reform topics, including the evolution of accountable care organizations; the role of coordinated care systems that integrate clinical and behavioral care and social services for high-cost, complex populations; patient safety; and physicians’ roles in quality.  

Earlier, Dr. Audet worked in policy analysis at the American College of Physicians, where she staffed the Clinical Efficacy Assessment Committee, one of the first nationally recognized pioneering programs for developing evidence-based guidelines. She has also held positions with the Medicare Health Care Quality Improvement Program in Massachusetts, where she led the implementation of a new quality improvement program for Medicare; and with Beth Israel Deaconess Medical Center in Boston. 

Dr. Audet is currently on the editorial board of the American Journal of Medical Quality, the Journal of Health Care Quality, and the Journal of Implementation Sciences.  

She is an assistant professor of medicine and public health at Cornell University and is a founding board member of the Massachusetts Medical Society and Alliance Charitable Foundation Board, now serving as a special advisor. Dr. Audet holds an M.D. and M.Sc. in epidemiology from McGill University and an S.M. in health policy and management from Harvard University.


Joan Guzik is the director of quality improvement for the Quality Institute. She has extensive experience in quality and patient safety initiatives, most recently as the director of quality improvement and then regulatory coordinator at the Robert Wood Johnson University Hospital Somerset in New Jersey. Joan has also worked as the director of standards at Saint Barnabas Medical Center (N.J.), and spent almost twenty years at NYU Medical Center as director, accreditation and standards compliance, administrator of special projects, and director, program development and planning.

Joan holds an MBA from Boston University and a BS in occupational therapy from Tufts University. She also earned the Certified Professional in Healthcare Quality (CPHQ) credential from the NAHQ.

Lynn Rogut, MCRP

Lynn Rogut is the director of quality and team leader of UHF’s Quality Institute, and she is involved in several key projects central to UHF’s work on improving health care quality in New York. She has long-standing interests in patient-centered care, including improving health care quality from the patient’s perspective, strengthening the evidence base in medical care, and supporting the dissemination of innovative health policy research. She also has extensive experience in managing grant solicitations, reviews, and awards.  

Prior to joining UHF, Ms. Rogut was a consultant to non-profit institutions and foundations and served for 11 years as the deputy director of the Robert Wood Johnson Foundation Investigator Awards in Health Policy Research program. Earlier in her career, her positions spanned a range of health care services from high tech to high touch: Through her role as executive director of the New York Center for Liver Transplantation, she was involved in the launch of liver transplant services in New York State, and in an earlier assignment at UHF as project director of the Patient-Centered Care Consortium, she helped introduce the concept and practices of patient-centered care to staff at 15 New York City hospitals. Before that, she served as director of planning at SUNY Downstate Medical Center.  

She holds a bachelor’s degree and master’s degree in city and regional planning from Rutgers University.

Pooja Kothari, RN, MPH
Pooja Kothari, RN, MPH

Publications
Aug. 6, 2019
A Model for Improving and Assessing Outpatient Stewardship Initiatives for Acute Respiratory Infections

Results from an observational study evaluating the effectiveness of antibiotic stewardship interventions in New York City outpatient settings.

March 13, 2019
Pathways to Progress on Difficult Decisions in Post-Acute Care

Fourth in the Difficult Decisions series, laying out the best practices, innovations, and policy levers that could help support New Yorkers who need to make decisions about post-acute care.

Jan. 9, 2019
The Illusion of Choice: Why Decisions About Post-Acute Care Are Difficult for Patients and Family Caregivers

Second in the “Difficult Decisions” series of reports on the many factors that go into hospital discharge planning, with a focus on the experiences of patients, families, and caregivers.