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A professional practice transformation consultant, David H. Smith has 20 years of experience with health information technology (HIT). Trained in practice coaching for Primary Care Medical Home implementation by the National Committee for Quality Assurance and TransforMED (part of the American Academy of Family Physicians), he has participated in national TransforMED practice transformation efforts and the national Beacon Community effort to transform use of HIT to improve quality of care. He is trained in project management and has expert knowledge of HIT and electronic health record certification standards.

Focus on the fundamentals

Kids playing basketball

Round the back, under the legs, and...It's a miss!

Don't you love March Madness? Go Cougars, Ducks, Beavers, Lobos, Bruins, Trojans, Rebels and Utes (if your team is missing, please add them somewhere in between the Cougars and the Utes).

I love to play and watch basketball. From ages 13-15, I would get up at 6 a.m. nearly every day to practice the fundamentals of shooting foul shots and layups at the hoop outside my home. With the ultimate goals of scoring and winning the game, the fundamentals are the best way to ensure that the ball will go in the hoop.

I love quality improvement too. You set your aim and goal; create your plan; use outcome, process and balance measures to guide the effort; put it in practice; and study the outcomes. When it works, you save people from mistakes, help them realize how to manage their care better and catch people before they fall through the cracks.

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