Quality and Safety

Quality care is a combination of patient safety, outcomes and service. The PDC strives to provide the highest quality care every day to its patients and is active with multiple initiatives that deliver and reflect patient-centered quality care. The Quality and Safety initiative is led by John Paat, MD, Associate Chief Medical Officer and Medical Director for Quality Reporting and Safety. PDC providers and clinics participate in a number of national quality programs to measure and ensure safety. 

Quality initiatives touch every component of the healthcare system. Consumers can review the quality measures information that is available on www.medicare.gov to help make healthcare choices.

Activities focus on the continuous enhancement of quality and safety for all patients, visitors and employees.  The PDC leverages technology to capture data, and balanced score plans to manage processes, and works to improve processes and outcomes through a standard process improvement strategy of Define, Measure, Analyze, Improve and Control (DMAIC) process.


Accreditations and Certifications


Joint Commission

The Joint Commission is an independent, non-for-profit organization that evaluates and accredits more than 20,000 health care organizations in the United States.  It strives to continuously improve the safety and quality of care provided to the public through the provision of healthcare accreditation and related services that support performance improvement in healthcare organizations. The PDC’s accreditation process occurs every three years and is independent from Duke University Health System. The PDC earned Ambulatory Health Care Accreditation in 2013 and in 2016.    [LEARN MORE]

Value-based Care

Duke Health is preparing to transition to Value Based Care, a model of care that rewards quality of care rather than quantity of care, by offering compensation incentives for performance excellence when certain criteria are met.  

Primary Care Medical Home

A primary care medical home (PCMH) is a care delivery model that coordinates continuity of patient care through their primary care physician. This model ensures patients receive the necessary patient-centered care when and where it is needed.

PCMH accreditation demonstrates a commitment to quality and quality improvement by ongoing engagement in various activities including:

  • Evidence-based medicine
  • Clinical decision-support tools to engage patients and caregivers in shared decision making
  • Performance measurement and improvement,
  • Patient satisfaction measurement and improvement of patient experience
  • Population health management.

Publicly sharing quality and safety data and improvement activities is an important marker of this system-level commitment to quality. In 2016, the PDC gained PCMH certification through its Joint Commission accreditation review, and is actively involved in implementing this model throughout its primary care clinics. [LEARN MORE]

Accountable Care Organizations

Accountable Care Organizations (ACOs) are groups of health care professionals who work together voluntarily to give high quality coordinated care to their Medicare patients. The goal is to ensure that patients, especially the chronically ill, receive the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. One important aspect of the ACO is data collection and reporting, which supports quality improvement initiatives.

Duke Connected Care is a community-based, physician-led ACO that aims to improve the quality of healthcare while addressing the national challenge of rising healthcare costs. PDC providers are an integral component of the DCC network. DCC’s designated care management program, DukeWELL, focuses on improving the value, quality and care to help our patients manage their chronic diseases. In 2014, Duke Connected Care was successful in its first year in reporting population-based Clinical Quality Metrics. [LEARN MORE]

Physician Quality Reporting System

Physician Quality Reporting System (PQRS) is a quality reporting program that encourages individual eligible professionals and group practices to report information on the quality of care to Medicare. PQRS gives participating providers and group practices the opportunity to assess the quality of care they provide to their patients, helping to ensure that patients get the right care at the right time. The PDC demonstrates successful group PQRS reporting through the interactions between ACO quality reporting, Meaningful Use and other CMS initiatives.  [LEARN MORE]