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Continuous Quality Improvement in Health Care : Theory, Implementations, and Applications,9780763727123
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Continuous Quality Improvement in Health Care : Theory, Implementations, and Applications

by ;
Edition:
3rd
ISBN13:

9780763727123

ISBN10:
0763727121
Format:
Hardcover
Pub. Date:
8/12/2005
Publisher(s):
Jones & Bartlett
List Price: $105.66

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This is the 3rd edition with a publication date of 8/12/2005.
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Summary

Through a unique interdisciplinary perspective on quality management in heath care, this text covers the subjects of operations management, organizational behavior, and health services research. With a particular focus on Total Quality Management and Continuous Quality Improvement, the challenges of implementation and institutionalization are addressed using examples from a variety of health care organizations. Updated material includes a new focus on reducing medical errors, the introduction of CPOE, Baldridge Award criteria, and seven new case studies.

Table of Contents

Contributors xiii
Preface xvii
Foreword xxiii
Acknowledgments xxv
PART I---INTRODUCTION
1(64)
Defining Quality Improvement
3(38)
Curtis P. McLaughlin
Arnold D. Kaluzny
Institutional Improvement
4(1)
Societal Learning
4(1)
Professional Responsibility
5(1)
Rationale and Distinguishing Characteristics
5(4)
Elements of CQI
9(3)
The Past and Future of Health Care Quality Management
12(9)
Emergence of TQM
21(7)
Application to Health Care Organizations
28(2)
Comparing Industrial and Health Care Quality
30(6)
Problems, Challenges, and Quality Issues in Health Care
36(5)
Does TQM/CQI Work in Health Care?
41(24)
Curtis P. McLaughlin
Kit N. Simpson
Early Lessons from the National Demonstration Project
42(1)
Early Empirical Evidence
43(11)
Advantages of CQI Application in Health Care
54(5)
The Big Bang---The Quality Chasm
59(1)
Convergence
60(1)
Third Party Measurement Systems
60(4)
Conclusion
64(1)
PART II---BASICS
65(124)
The Outcome Model of Quality
67(28)
Susan I. DesHarnais
Curtis P. McLaughlin
A Conceptual Framework and Definitions of Quality
67(4)
The History and Politics in the United States of Doing Quality Assessment Using Outcome Data
71(10)
Risk Adjustment and Benchmarking of Outcome Data: Data Requirements and Risk-Adjustment Techniques for Comparing Health Outcomes Across Providers and/or Over Time
81(5)
Uses of Risk-Adjusted Data: What is Benchmarking, and Why Might We Want to Do It?
86(5)
Professional and Institutional Responses for Addressing Quality Issues in Health Care
91(3)
Conclusions
94(1)
Measurement and Statistical Analysis in CQI
95(36)
Diane L. Kelly
Susan Paul Johnson
The Role of Variation in Quality Improvement
96(6)
Measurement and Statistical Analysis
102(7)
Quality Improvement Tools
109(21)
Conclusion
130(1)
Measuring Consumer Satisfaction
131(23)
Shulamit L. Bernard
Lucy A. Savitz
Defining Consumer Satisfaction
132(2)
Who Is the Consumer?
134(1)
Why Measure Consumer Satisfaction?
135(2)
Measuring Satisfaction
137(10)
Conclusions
147(7)
Appendix 5-A
148(6)
Understanding and Improving Team Effectiveness in Quality Improvement
154(35)
Bruce Fried
William R. Carpenter
Teams in Health Care
159(2)
High Performance Teams and Quality Improvement
161(2)
Understanding and Improving the Performance of Quality Improvement Teams
163(9)
Resources and Support
172(7)
Team Processes
179(10)
PART III---IMPLEMENTATION
189(90)
CQI, Transformation, and the ``Learning'' Organization
191(20)
Vaughn M. Upshaw
Arnold D. Kaluzny
Curtis P. McLaughlin
Transforming Health Care
192(2)
Accepting Continuous Improvement
194(1)
Continuous Improvement and Managed Care
195(1)
Getting to Mass Customization
196(1)
The Task Ahead
197(2)
Managing Transformation and Learning
199(3)
Physician Leaders and Transformation
202(8)
Conclusions
210(1)
Measuring & Assessing Adverse Medical Events to Promote Patient Safety
211(15)
Lucy A. Savitz
Shulamit L. Bernard
Defining Safety and Adverse Events
211(3)
Evidence for Safe Practice
214(2)
Adverse Medical Event Monitoring and Detection
216(4)
Tools for Driving Evidence-Based Quality Improvement: The AHRQ PSIs
220(5)
Conclusions
225(1)
The Human Face of Medical Error: Classification and Reduction
226(17)
Joseph G. Van Matre
Donna J. Slovensky
Curtis P. McLaughlin
Medical Errors
227(2)
Why a Classification System?
229(3)
Representing the Suggested Approach
232(4)
Matching Countermeasures to Error Types
236(4)
Adopting the Aviation Industry Approach
240(1)
Multi-Causation and Cross-Sectional Focus
241(1)
Conclusion
242(1)
Information Management and Technology for CQI
243(36)
Curtis P. McLaughlin
David C. Kibbe
Historical Underinvestment in Health Care Information Technology
243(4)
Information for Organizational Improvements
247(6)
Data Quality Concepts, Issues, and Technologies
253(7)
Information Management Issues, Concepts, and Technologies
260(7)
Information Technology for Interorganizational Quality Efforts and Policies
267(10)
Future Directions and Trends for Information Technology in CQI
277(2)
PART IV---APPLICATION
279(166)
Integrating Approaches to Health Professional Development With Approaches to Improving Patient Care
281(16)
Julie J. Mohr
Paul Batalden
Background
281(2)
The Process of Professional Preparation and Development
283(3)
Organizing, Delivering, and Improving Patient Care: Organization-Centered Strategies, Issue-Centered Strategies, and Microsystem-Centered Strategies
286(10)
Conclusion
296(1)
Quality Improvement in Primary Care: The Role of Organization, Collaboratives, and Managed Care
297(21)
Leif I. Solberg
Thomas E. Kottke
Milo L. Brekke
Internal Factors: The Care Delivery Organization and QI
298(5)
External Factors: The Care Delivery Organization and QI Managed Care and Purchasers
303(2)
Quality Improvement Collaboratives
305(2)
IMPROVE: A Test of a Managed Care-Sponsored QIC for Improving Primary Care Preventive Services Delivery
307(8)
Conclusions and Recommendations
315(3)
CQI in Contract Research Organizations
318(39)
William A. Sollecito
Kaye H. Fendt
Growth of CROs
319(5)
How CROs Work
324(3)
CQI Customer Focus
327(13)
Training and Empowerment
340(4)
Leadership
344(2)
Statistical Process Control-Statistical Thinking
346(9)
Conclusions
355(2)
Continuous Quality Improvement in Public Health Organizations
357(50)
Glen P. Mays
Paul K. Halverson
Public Health and Quality Improvement
357(2)
Critical Dimensions of Public Health Quality Improvement Initiatives
359(12)
Implementation of Quality Improvement Initiatives in Public Health
371(33)
Quality Improvement and Public Health: Key Implementation Issues
404(3)
Inquiring into the Quality and Safety of Care in the Academic Clinical Microsystem
407(17)
Julie J. Mohr
Paul Batalden
Paul Barach
Microsystem Theory
407(4)
Improving Quality and Safety Within the Academic Clinical Microsystem
411(12)
Conclusion
423(1)
Quality: From Professional Responsibility to Public Policy and Back Again
424(21)
Curtis P. McLaughlin
Arnold D. Kaluzny
Political Initiatives
424(5)
Responding in a Market Economy
429(1)
Health Care Disintermediation: An Expanding Force
430(6)
The Future: Shifting Roles
436(7)
Conclusion
443(2)
PART V---ILLUSTRATION
445(176)
Intermountain Health Care
447(38)
Richard M.J. Bohmer
Amy C. Edmondson
Laura R. Feldman
Intermountain Health Care: Structure
448(8)
Brent James, MD, M.Stat
456(1)
History of Clinical Care Management at IHC
457(7)
Change Infrastructure
464(10)
Clinical Care Management: Operations
474(6)
Realizing the Benefits of Clinical Management
480(2)
The Long-term Plan
482(1)
Case Analysis
483(1)
Assignment Questions
483(1)
Class Exercise
484(1)
Quality in Pediatric Subspecialty Care
485(12)
William A. Sollecito
Peter A. Margolis
Paul V. Miles
Robert Perelman
Richard B. Colletti
Background
486(1)
Components
487(2)
Organizational Structure
489(4)
An Incremental Approach
493(2)
Case Analysis
495(1)
Assignment Questions
495(1)
Class Exercise
496(1)
Community-Based Quality Improvement Efforts in Kingsport, Tennessee
497(25)
Curtis P. McLaughlin
Kit N. Simpson
Quality First
497(2)
Community Competition
499(1)
Community Cooperation
500(7)
Other Events Take Over
507(13)
Case Analysis
520(1)
Assignment Questions
520(1)
Class Exercise
521(1)
West Florida Regional Medical Center
522(25)
Curtis P. McLaughlin
The HCA CQI Process
523(8)
Four Examples of Teams
531(14)
Looking Ahead
545(1)
Case Analysis
545(1)
Assignment Questions
546(1)
Class Exercise
546(1)
Rex Healthcare and Service Line Teams
547(13)
Curtis P. McLaughlin
Linda C. Jordan
Quality at Rex
548(1)
Competition in the Research Triangle
549(1)
History of Quality and Performance Improvement Efforts at Rex
550(8)
Case Analysis
558(1)
Assignment Questions
558(1)
Class Exercise
559(1)
Dr. Johnson, Network Medical Director
560(19)
William Q. Judge
Curtis P. McLaughlin
Personal Background
561(2)
Corporate Background
563(10)
Dr. Johnson's Observations About the Job
573(3)
Case Analysis
576(1)
Assignment Questions
576(2)
Class Exercise
578(1)
North Carolina Science to Service Project
579(24)
Beth Melcher
Christina Rausch
Historical Background
581(2)
The North Carolina Situation
583(1)
North Carolina's Response
584(1)
Project Startup
585(1)
Project Activities
586(6)
General Issues and Observations
592(1)
Staff Conclusions
593(7)
Future Direction
600(1)
Case Analysis
601(1)
Assignment Questions
601(1)
Class Exercise
602(1)
Transforming Health Care: The President's Health Information Technology Plan
603(18)
The Problem: Challenges to the U.S. Health Care System
604(1)
The Solution---Health Information Technology
605(3)
Implementation
608(8)
Public-Private Partnership
616(1)
Role of the National Coordinator for Health Information Technology
616(1)
Reports From OPM, DOD, and VA
617(2)
Conclusion
619(1)
Case Analysis
619(1)
Assignment Questions
619(1)
Class Exercise
620(1)
Appendix A---Malcolm Baldrige Award 2004 Health Care Criteria for Performance Excellence 621(7)
Bibliography 628(35)
Index 663


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