Australia
Key Contact
Julie K. Johnson, MSPH, PhD
Associate Professor and Deputy Director
Centre for Clinical Governance Research
Faculty of Medicine
University of New South Wales
Sydney, NSW 2052
AUSTRALIA
Phone: +61 2 9385 1474
Fax: +61 2 9663 4926
Introduction
Julie K. Johnson, MSPH, PhD is Associate Professor in the Faculty of Medicine and Deputy Director of the Centre for Clinical Governance Research at the University of New South Wales in Sydney Australia. Most recently, she was an Assistant Professor of Medicine at the University of Chicago. Dr. Johnson's career interests involve building a series of collaborative relationships to improve the quality and safety of health care through teaching, research, and clinical improvement. Her ultimate goal is to translate theory into practice while generating new knowledge about the best models for improving care. Dr. Johnson has a master's degree in public health from the University of North Carolina and a PhD in evaluative clinical sciences from Dartmouth College in Hanover, New Hampshire. The area of focus for her doctoral research was building an understanding of the structure, process, and outcomes of the clinical microsystem - the small group of providers and staff that care for a defined population of patients. She uses qualitative research methods - including focus groups, interviews, and observational studies - to better understand processes of care and the effect of the care process on clinical teams, teamwork, and patients and families. While on the faculty at University of Chicago, she used qualitative methods to study errors in ambulatory pediatric settings, to conduct observations in pediatric cardiac surgery, to observe how clinical teams function on inpatient medicine rounds, and to improve handovers of patient care.
Presentations
Peer reviewed presentations:
Gelmon, S and Johnson, J. "Framing Improvement: Applying Best Practices from the Baldrige National Quality Award Program." Institute for Healthcare Improvement EuroForum. Prague, Czech Republic. Poster Presentation. April 27, 2006.
Johnson, J; Whelan, C; Podrazik, P. "Bringing Systems Based Practice and Practice Based Learning and Improvement to the Bedside." Society for Hospital Medicine Annual Conference. Washington, DC. May 4, 2006.
Chien, A; Coker, T; Choi, L; Wasserman, R; Slora, E; Bodnar, P; Johnson, J. "A Primary Care Research Agenda According to PROS." Pediatric Academic Societies' Annual Meeting. Poster Presentation. San Francisco, CA, May 1, 2006.
DuBeau, C; Whelan, C; Johnson, J; Podrazik, P; Cook, S. "Foley Catheter Census Audits: Teaching PBLI with Geriatric Content in Real-time Inpatient Practice." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 4, 2006
Levine, S; Baron, A; C DuBeau, C; Johnson, J; Johnson, K; Podrazik, P; G Sachs, G; Scott, D; Whelan, C; Cook, S. "Assessing Impact of a Geriatrics Faculty Development Program: Commitment-to-Change (CTC) Contracts." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 5, 2006
Martin, J; Baron, A; DuBeau, C; Levine, S; Johnson, J; Podrazik, P; G Sachs, G; Scott, D; Whelan, C; Cook, S. "Enhancing Teaching and Clinical Care on the Inaptient Setting: Evaluation of a Faculty Development Program." American Geriatrics Society Annual Conference. Poster Presentation. Chicago, IL. May 5, 2006
Barach, P. and Johnson, J. "Teams, Teamwork, and Team Training in Health Care: Building and Assessing High Performance Teams." Ottawa Conference on Medical Education. New York, NY. May 22, 2006.
Johnson, J.; Whelan, C.; and Podrazik, P. "The Process of Teaching on Today Wards: Recognizing and Improving Your Own Process." Ottawa Conference on Medical Education. New York, NY. May 23, 2006.
Arora, V.; Johnson, J. and Barach P. "Assessing and Improving the Transfer of Patient Care Responsibilities: Implementing the 2006 JCAHO Patient Safety Goals." Harvard Quality Colloquium plenary speaker, Boston, MA, August 2006.
Johnson, J.; Arora, V.; Barach, P.; Frankel, R. "Assessing and improving communication of patient care information in hospital settings." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.
Johnson, J. "Using Qualitative Methods to Understand Team Functioning in the Operating Room." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.
Johnson, J.; Whelan, C.; Arneson, J.; Gradman, J.; Perovice, N.; Lovinger, D. "Physician-nurse communication in inpatient general medicine." International Conference on Communication in Healthcare 2006. Basel, Switzerland, September 2006.
Johnson, J.; Arora, V.; Barach, P.; "Assessing and Improving the Transfer of Patient Care Responsibilities: Implementing the 2006 JCAHO Patient Safety Goal for Safe and Effective Handoffs." American Academy of Medical Colleges Annual Conference. Seattle, WA. October 2006.
Arora, V.; Johnson, J. "Improving Inpatient Hand-Offs: Building a Standardized Hand-Off to Meet the New JCAHO Goal." Midwest Society of General Internal Medicine. Chicago, IL. October 2006.
Farnan, J.; Johnson, J.; Meltzer, D.; Humphrey, H.; Arora, V. "Assessing Supervision in Internal Medicine Residency Training." Midwest Society of General Internal Medicine. Chicago, IL. October 2006.
Barach, P.; Johnson, J.; Dickerman, K.; Reiling, J. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2006.
Stevens, D.; Johnson, J.; "Improve Patient Care and Education in Academic Health Centers Now: Strategies that Work." Institute for Healthcare Improvement National Forum. December 2006.
V. Arora, J. Johnson, P. Barach. A Model for Building a Standardized Hand-off Protocol For Anesthesia Care, International Anesthesia Research Society Annual 81st Congress. Anesthesia and Analgesia, 2007, 104:S-83.
J.M. Farnan, J.K. Johnson, D.O. Meltzer, H.J. Humphrey, V.M. Arora. "Resident Uncertainty in Clinical Decision-Making and Impact on Patient Care: A Qualitative Study." Society for General Internal Medicine. Session: Society for Medical Decision-Making, April 27, 2007.
J.M. Farnan, J.K. Johnson, D.O. Meltzer, H.J. Humphrey, V.M. Arora. "Assessing Supervision in Internal Medicine Residency Training." Society for General Internal Medicine. Session: Medical Education, April 28, 2007.
Neuspiel, D.; Johnson, JK; Woods, D. "Reducing Errors in Ambulatory Pediatrics." Pediatric Academic Society, May 4, 2007. Toronto, ON
Barach, P.; Johnson, J.; Lagasse, B. Workshop on ACGME Outcomes Project for Measuring Core Competencies. American Society for Anesthesia Annual Meeting. October 2007. San Francisco, CA.
Barach, P.; Johnson, J.; Dickerman, K.; Sadler, B. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2007. Orlando, FL
Stevens, D.; Johnson, J.; "Rapid Response Systems in Teaching Hospitals:Case Studies of Successful Innovation" Institute for Healthcare Improvement National Forum. December 2007. Orlando, FL.
Farnan JM, Johnson JK, Horwitz L, Arora VM. "Pilot Testing the OSHE [The Observed Simulated Hand-off Experience]" plenary session, Society for General Internal Medicine, Midwest Regional Meeting, Chicago IL, September 2008.
Johnson JK, Farnan JM, Prochaska M, Vinci L, Davis A, Arora VM. "'What are the Missing Pieces?' A process analysis of communication between hospital-based and primary care physicians during patient care transitions" oral abstract, Society for General Internal Medicine, Midwest Regional Meeting, Chicago IL, September 2008.
Barraclough, B; Braithwaite, J; Travaglia, J; Corbett, A; Johnson, J. International trends in patient safety governance. Poster presentation at ISQua 2008: Twenty-fifth International Safety and Quality Conference: Healthcare quality and safety: meeting the next challenges. International Society for Quality in Health Care Copenhagen, Denmark. October 19-22, 2008.
Barach, P.; Johnson, J.; Dickerman, K.; Sadler, B.; Parker, D. "Designing Hospitals for Safe Patient Outcomes." Institute for Healthcare Improvement National Forum. December 2008. Orlando, FL
Smorenburg, S and Johnson, J. Spotlight on the Night. International Forum for Quality and Safety. March 20, 2009. Berlin, Germany.
Publications
Recent significant publications:
(until August 2005, Julie Johnson published as Julie Mohr)
Books
1. Nelson, E; Batalden, P; Wasson, J; Mohr, J; Huber, T; Headrick, L. Clinical Microsystem Action Guide: Improving Health Care by Improving Your Microsystem.. Hanover, NH: Dartmouth College. 2004.
Book Chapters
2. Barraclough, B.; Braithwaite, J.; Travaglia, J.; Johnson, J.; and Corbett, A. (2009) International Trends in Patient Safety Governance. In: Dugdale, P. and Healty, J. (eds), Clincial Governance and Patient Safety, Canberra, Regnet ANU, forthcoming, [http://regent.anu.edu.au/index.php].
3. Johnson, J.K. In: Freshman, P; Rubino, L; and Chassiakos, Y., editors. (2009) "Collaboration Across the Disciplines in Healthcare". Jones and Bartlett Publishers, forthcoming.
4. Arora, VM; Johnson, J. "Spreading and Sustaining Use of Standardized Handoff Protocols for Residency Tranining." In: Implementing and Sustaining Improvements in Health Care. USA: Joint Commission Publishing. 2009. pp 88-97.
5. Johnson, J; Horowitz, S; Miller, S. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work. Agency for Healthcare Research and Quality. Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: New directions and alternative approaches. Vol. 2. Culture and Redesign. AHRQ Publication No. 08-0034-2. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
6. Arora V, Johnson J. "Hand-offs." Just the Facts: Hospital Medicine. Halasmayani, McKean, Bennet, eds. McGraw Hill. 2008.
7. Nelson, EC; Batalden, PB; Huber, TP; Johnson, JK; Godfrey, MM; Headrick, LA; Wasson, JH. Success Characteristics of High Performing Microsystems: Learning from the Best. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 3-33.
8. Nelson, EC; Batalden, PB; Edwards, WH; Godfrey, MM; Johnson, JK. Developing High Performing Microsystems. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 34-50.
9. Batalden, PB; Nelson, EC; Johnson, JK; Godfrey, MM; Huber, TP; Kosnik, L; Ashling, K. Leading Microsystems. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 51-68.
10. Huber, TP; Godfrey, MM; Nelson, EC; Johnson, JK; Campbell, C; Batalden, PB. Developing Professionals and Improving Worklife. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 106-123.
11. Godfrey, MM; Nelson, EC; Wasson, JH; Johnson, JK; Batalden, PB. Planning Patient Centered Services. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 124-147.
12. Wasson, JH; Godfrey, MM; Nelson, EC; Johnson, JK; Batalden, PB. Planning Patient Centered Care. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 148-164.
13. Johnson, JK; Barach, P; Cravero, JP; Blike, GT; Godfrey, MM; Batalden, PB; Nelson, EC. Improving Patient Safety. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 165-177.
14. Nelson, EC; Batalden, PB; Homa, K; Godfrey, MM; Campbell, C; Headrick, LA; Huber, TP; Johnson, JK; Wasson, JH. Creating a Rich Information Environment. In: Nelson, EC; Batalden, PB; Godfrey, TP (eds) Quality by Design: A Clinical Microsystems Approach. San Francisco: Jossey Bass. 2007. pp 178-196.
15. Nelson, EC; Batalden, PB; Plume, SK; Johnson, JK; Lazar, JS. Improving Clinical Care: A Clinical Improvement Worksheet. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 25-46.
16. Nelson, EC; Johnson, JK; Batalden, PB; Plume, SK. Measuring Outcomes and Costs: The Clinical Value Compass. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 47-64.
17. Johnson, JK; Mahoney, CC; Nelson, EC; Batalden, PB; Plume, SK. Learning from the Best: Clinical Benchmarking for Best Patient Care. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 65-80.
18. Batalden, PB; Johnson, JK; Nelson, EC; Plume, SK; Lazar, JS. Building on Change: Concepts for Improving Any Clinical Process. In: Nelson, EC; Batalden, PB; and Lazar, JS (eds) Practice Based Learning and Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace: Joint Commission Resources. 2007. pp 81-94.
19. Mohr, J. and Barach, P. Clinical Microsystems in Healthcare: How Human Factors Shape The Microsystem. In: Carayon, P. Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Lawrence Erlbaum Publishers. 2006. pp 95-107.
20. Mohr, JJ; Lannon, C; Thoma, K; Woods, D; Slora, E; Wasserman, R; Uhring, L. Learning from Errors in Ambulatory Pediatrics. Volume 1, pp 355-368. In Advances in Patient Safety: From Research to Implementation. Agency for Healthcare Research and Quality Advances in Patient Safety. February 2005. AHRQ Publication Nos. 050021.
21. Mohr, JJ and Batalden, PB. Integrating Approaches to Health Professional Development with Approaches to Improving Patient Care. In: McLaughlin, K and Kaluzny, A., editors. Continuous Quality Improvement In Health Care, 3rd Edition. Maryland: Aspen Publishers. 2005. pp 281 - 296.
22. Mohr, JJ; Batalden, PB; Barach, P. Inquiring Into the Quality and Safety of Care in the Academic Clinical Microsystem. In: McLaughlin, K and Kaluzny, A., editors. Continuous Quality Improvement In Health Care, 3rd Edition. Maryland: Aspen Publishers. 2005. pp 407-423.
Refereed Journal Articles
(until August 2005, Julie Johnson published as Julie Mohr)
23. Farnan J.M., Johnson J.K., Meltzer D.O., Humphrey H.J., Arora V.M. The Tension Between On-Call Supervision and Resident Autonomy: From the Micromanager to the Absentee Attending. American Journal of Medicine, accepted 3 Feb 2009, in press Sept 2009.
24. Barach, P; Johnson JK; Ahmad, A; Galvan, C; Bognar, A; Duncan, R; Starr, JP; Bacha, EA. A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease. J Thoracic Cardiovascular Surgery. 2008 Dec; 136 (6): 1422-1428.
25. Podrazik, PM; Levine, S; Smith, S; Scott, D; DuBeau, CE; Baron, A; Whelan, C; Johnson, JK; Cook, S; Arora, V; Meltzer, D; Sachs, G. The CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Program: A collaborative faculty development program for hospitalists, general internists, and geriatricians. Journal of Hospital Medicine. September 2008, 3(5):384-93.
26. Oyler, J., Vinci, L., Arora, V., Johnson, J. Teaching Internal Medicine Residents Quality Improvement Techniques using the ABIM's Practice Improvement Modules. Journal of General Internal Medicine. May 2008.
27. Farnan, J.; Johnson, J.; Meltzer, D.; Humphrey, H.; Arora, V. Resident Uncertainty in Clinical Decision-Making and Impact on Patient Care: A Qualitative Study. Quality and Safety in Health Care. 2008; 17:122-126.
28. Arora V, Johnson J, Meltzer D, Humphrey H. A Theoretical Framework and Competency-Based Approach to Improving Handoffs. Quality and Safety in Health Care. 2008; 17:11-14.
29. A Bognar, P Barach, JK Johnson, RC Duncan, D Birnbach, D Woods, JL Holl, and EA Bacha. Errors and the Burden of Errors: Attitudes, Perceptions, and the Culture of Safety in Pediatric Cardiac Surgical TeamsAnn Thorac Surg. 2008; 85: 1374.
30. Johnson, J. and Barach, P. The Role of Qualitative Methods in Designing Health Care Organizations. Environment and Behavior 2008 40: 191-204.
31. Foster, T; Johnson, J; Nelson, E; Batalden, P. "Using a Baldrige Framework to Understand High-Performing Microsystems." Quality and Safety in Health Care. Quality and Safety in Health Care. 2007. 16:334-341.
32. Zolotor, A; Randolph, G; Johnson, J; Wegner, S.; Edwards, S; Powell, C; Esporas, M. Effectiveness of a Practice-Based, Multimodal Quality Improvement Intervention for Gastroenteritis Within a Medicaid Managed Care Network Pediatrics 2007;120;e644-e650.
33. Vohra, P; Daugherty, C; Johnson, J., Wen, M., Barach, P. Housestaff and Medical Student Attitudes towards Adverse Medical Events. Joint Commission Journal on Quality and Safety. 33(8), pp 493-501. August 2007.
34. Barach, P and Johnson, J. "Team-based Learning in Microsystems: An Organizational Model for Success." Technology, Instruction, Cognition and Learning (TICL). Vol 3, pp 307-321. 2006.
35. Barach, P. and Johnson, J. "Safety by Design: Understanding the dynamic complexity of redesigning care around the clinical microsystem." Quality and Safety in Health Care. 15 Suppl 1 i10 - i16. 2006.
36. Chien, A; Coker, T; Choi, L; Slora, E; Bodnar, P; Weiley, V; Wasserman, R; Johnson, J. What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambulatory Pediatrics. 6(6) 352-355. 2006.
37. Arora, V and Johnson, J. Meeting the JCAHO National Patient Safety Goal: A Model for Building a Standardized Hand-off Protocol. Joint Commission Journal on Quality and Safety. 32(11) 646-655. 2006.
38. Farnan, J; Johnson, J; and Arora, V. Communication in Hospital Care: An Essential Core Competency for Hospitalists. Seminars in Medical Practice. Vol. 9, 21-28. April 2006.
39. Kachalia, A; Johnson, J; Miller, S; Brennan, T. The Incorporation of Patient Safety into Board Certification Examinations. Academic Medicine. April 2006, 81(4) 317-325.
40. Galvan C; Bacha EA; Mohr J; Barach P. A Human Factors Approach to Understanding Patient Safety During Pediatric Cardiac Surgery. Progress in Pediatric Cardiology. 20(1). 13-20. March 2005.
41. Collins-Fulea, C., Mohr, J.J., & Tillett, J. Improving midwifery practice: the American College of Nurse-Midwives' benchmarking project. Journal of Midwifery and Womens Health, 50(6). 2005. 461-471.
42. Woods, D; Johnson, J; Mehra, M; Shonkoff, JP; Thomas, EJ; Lannon, C; Ogata, ES; Holl, JL. Anatomy of a Patient Safety Event: A Pediatric Patient Safety Taxonomy. Quality and Safety in Health Care. December 2005 14: 422-427.
43. Arora, V; Johnson, J; Lovinger, D; Humphrey, H; Meltzer, D. Communication Failures in Patient Sign-out and Suggestions for Improvement: A Critical Incident Analysis. Quality and Safety in Health Care. December 2005 14:401-407.
44. Whelan, DT; Podrazik, PM; Johnson, JK. A Case-Based Approach to Teaching Practice-Based Learning and Improvement on the Wards. Seminars in Medical Practice. 2005. Vol 8. 64-74.
45. Mohr, JJ; Batalden, PB; Barach, P. Integrating Patient Safety Into the Clinical Microsystem. Quality and Safety in Health Care, December 2004.
Non-Peer Reviewed Original Articles
46. Johnson, JK and Horowitz, SD. Assuring Physician Competency in Patient Safety. In ACGME Bulletin August 2007, page 34.
47. Mohr, JJ. Creating a Safe Learning Organization. Frontiers in Health Services Management. Fall 2005, 22(1).41-44.
48. Mohr, JJ and Arora, V. Break the cycle: Root out the workaround. In ACGME Bulletin. Chicago: ACGME. November 2004.
49. Rodríguez, B; Moiduddin, A; Ketchel, A; Mohr, J; Williams, J; Benz, J; Gaylin, D; Fitzpatrick, M; Barach, P. EHR Final Report on Case Studies and State-Wide IT Survey Analysis. Report submitted to the Florida Agency for Health Care Administration (AHCA). June 29, 2004.