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Editorial Review |

Continuous Quality Improvement in a Dermatologic Surgery Office

Kathryn Kesheimer, MHA; W. Patrick Davey, MD
Arch Dermatol. 2000;136(11):1400-1403. doi:10.1001/archderm.136.11.1400.
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Dermatologic surgeons must develop an office continuous quality improvement (CQI) program to document the quality of dermatologic surgical care. This activity is being monitored by health maintenance organizations, insurance companies, and accreditation organizations such as the Accreditation Association for Ambulatory Health Care,1 the Joint Commission on Accreditation of Healthcare Organizations, and the National Committee for Quality Assurance.2 The Accreditation Association for Ambulatory Health Care considers Quality Management and Improvement to be an essential core standard for accreditation. This article presents a "how to" approach to CQI that links quality improvement activities, peer review, and risk management in an organized systematic manner.

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Figure 1.

Sample quality improvement plan.

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Figure 2.

Process improvement steps.

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Figure 3.

Example of continuous quality improvement data converted to graphical format (the amount of time it takes for nursing staff to return patient calls).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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