December, 2003 

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New Office Sets Bar

In a world inundated with catchy Madison Avenue slogans and blitzkrieg multi-media marketing campaigns, the word “quality” is used to describe everything from air to Airedales. At Ford, "Quality is Job One," and In & Out Burger has "Quality You Can Taste." Sociologists ponder our "quality of life" and college football coaches pray for "quality wins" to boost their chances of going to a bowl game.

But what is quality? How do you know you have it? And if you have it, how do you measure it?

At the School of Dentistry, answering those questions is the job of Marina Jimenez, director of the new office of quality assurance. A 1990 graduate of the USC dental hygiene program, Jimenez has worked in the school's faculty practice since its inception in 1992. She also has served intermittently as a dental hygiene clinical instructor over the past decade and a half.

While quality may be difficult to define in some industries, Jimenez believes the School of Dentistry's is clearly conveyed in its Standards of Care. Her task is to quantify those standards and to accurately measure the school's performance.

"I'm really fortunate to have a background here at the School of Dentistry. I know the clinical protocol and systems and I'm familiar with the tradition of excellence that exists here. It's been a real asset as I begin to evaluate the quality assurance system," says Jimenez.

A primary focal point of the quality assurance effort is customizing axiUm, the school's new patient management software, to track crucial information regarding patient treatment, records and satisfaction. "It is a really robust piece of software. Catherine Conti, our clinical affairs director, is part of a team that is really working diligently to customize it to our clinic’s specific needs," says Jimenez.

Jimenez has already begun collecting chart audits digitally with axiUm and is in the process of conducting patient satisfaction surveys with the versatile software.

Data will be collected in all USCSD clinics. In remote locations, such as the Mobile Clinic, audits will be performed over a secure Internet connection.

Jimenez is eager to deploy aspects of the patient management software that will assist student and faculty practioners in reducing clinical errors. For instance, axiUm will “red flag” all relevant information in a patient’s health history. Also, the software will not permit operators to continue in areas where important information, such as baseline vitals, has not been entered.

Working with Joyce Galligan, chair of the safety and asepsis committee, Jimenez is also gathering data regarding clinical infection control. Students are audited at random to determine their compliance with School of Dentistry infection control standards.

"This is an instructive and constructive exercise and carries no punitive action for negative results. We want to keep it as a learning exercise," says Jimenez.

In addition to compiling clinical data, Jimenez will collaborate with Eileen Suffet, director of the office of outcomes assessment, to work on various clinical assessment projects.

"Our goal is to clearly understand the school's performance so we can achieve optimal results. We will provide data to the leadership that will serve as a basis for improvements in patient care, clinical operation and student education," says Jimenez.

She hopes to develop both PBL cases for students and continuing education courses for faculty and staff based upon problems identified by the quality assurance program.

"I really want everyone to recognize the importance of quality assurance in our clinics. Once our new system is in place and fully functional, I believe it will allow us to continually improve and assure that our clinical care is well above acceptable standards, is patient centered, and always emphasizes and embraces health, safety and the well-being of our patients," says Jimenez.

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