Optimizing Patient Care through Quality, Safety, and Value Initiatives

Quality, safety, and value — a triad of related and interdependent components — together form the fundamental basis of providing optimal patient care. This is the precept that drives the work of Michael G. Vitale, MD, MPH, Chief Quality Officer for the Department of Orthopedic Surgery at NewYork-Presbyterian/Columbia. Dr. Vitale, in collaboration with William N. Levine, MD, Orthopedic Surgeon-in-Chief, and Kevin Wang, Quality Officer for Columbia Orthopedics, is vigorously pursuing the development of protocols and processes that will improve the overall outcomes of patients who seek out orthopedic care.

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Self-Reporting Devices Help Patients with Nonverbal CP

When a nonverbal child is in pain, it’s usually the parent who acts as the interpreter. Does the child behave differently, or move in a different way? But being parents, they may be prone to bias. Healthcare professionals have therefore been seeking objective ways to assess pain and discomfort in nonverbal patients — such as intellectually developmentally disabled children with cerebral palsy — using self-reporting devices otherwise known as “augmentative and alternative communications” tools.

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