Healthcare Outcomes Management: Strategies for Planning and Evaluation

by Block, Dale J.

• ISBN13: 9780763733896
• ISBN10: 076373389X
• Edition: 1st
• Format: Paperback
• Copyright: 2006-03-10
• Publisher: Jones & Bartlett Learning

Summary

This title explores the critical assessment of healthcare outcomes management and planning using the biopsychosocial approach of healthcare delivery as the framework for discussion.

Author Biography

Dale J. Block, MD, CPE, Assistant Professor, Department of Health Management Systems, Duquesne University, Rangos School of Health Science, Pittsburgh, Pennsylvania, Medical Director/Family physician, Greentree Medical Associates, Allegheny Medical Pracitce Network, West Penn Allegheny Health System, Pittsburgh, Pennsylvania

Table of Contents

Preface	ix
Introduction to Healthcare Outcomes Management and Planning	1	(8)
History of Quality Management---A Starting Point	1	(3)
Basic Principles of Quality Management	4	(5)
Quality Improvement in Health Care---Donabedian's Principles of Quality Improvement	9	(18)
Introduction to Donabedian's Principles of Quality Improvement	9	(1)
The Meaning of Quality Assurance	10	(1)
Targets of Quality Assurance	10	(1)
Components of Quality Assurance	11	(1)
The Quality Monitoring Cycle	12	(1)
Foundations of Quality Assurance	13	(1)
Components of Quality in Health Care	14	(5)
Monitoring and Improving Clinical Performance	19	(1)
Structure, Process, and Outcome	20	(2)
Understanding Healthcare Outcomes Management and Planning Using Donabedian's Model	22	(2)
Donabedian's Guidelines for Using Healthcare Outcome Management and Planning as an Indicator of Quality Healthcare Delivery	24	(1)
Donabedian's Classifications of Outcomes	24	(3)
Healthcare Delivery in the 21st Century---A Report from the Institute of Medicine	27	(16)
Introduction to the Report	27	(2)
The Need for Change	29	(2)
Establishing Aims for the 21st Century Healthcare Delivery System	31	(1)
Formulating New Rules to Redesign and Improve Care	32	(2)
Improving Outcomes of Common Conditions	34	(2)
Organizational Supports for Change	36	(1)
Establishing a New Environment for Healthcare Delivery	37	(1)
Applying Evidence to Healthcare Delivery	38	(1)
Using Information Technology	38	(2)
Aligning Payment Policies with Quality Improvement	40	(1)
Preparing the Workforce	41	(1)
Summary	42	(1)
Systems Approach to Healthcare Outcomes Management and Planning	43	(8)
Introduction to Systems in Health Care	43	(4)
The Scientific Paradigm	47	(1)
The Healthcare ``System''	48	(3)
The Biomedical Point of View	51	(10)
Introduction to Biomedicine	51	(1)
Cartesianism	52	(1)
Empiricism	53	(2)
Western Biomedical Doctrine	55	(6)
The Biopsychosocial Point of View	61	(16)
The Biopsychosocial Approach to Clinical Medicine	61	(8)
Clinical Practice and the Biopsychosocial Approach	69	(1)
Eliciting the Patient's Story and Life Circumstances	70	(2)
Integrating Biological, Psychological, Social, and Environmental Domains	72	(1)
Centrality of Relationships in Providing Healthcare Services	73	(1)
Understanding the Clinician	74	(1)
Focus the Approach for Clinical Practice	75	(1)
Providing Multidimensional Treatment	75	(1)
The Future of Clinical Biopsychosocial Practice	76	(1)
Applied Healthcare Outcomes Management---A Primer on Epidemiology	77	(12)
Introduction to Epidemiology	77	(1)
Areas of Concentration	78	(1)
Natural History of Disease	79	(1)
Epidemiologic Methodology	80	(3)
Basic Epidemiologic Measurement	83	(1)
Epidemiological Observations	84	(2)
Clinical Epidemiology	86	(3)
Healthcare Evaluation Design	89	(28)
Introduction to Healthcare Evaluation Design	89	(2)
Purpose of Evaluating Healthcare Delivery	91	(2)
Four Dimensions of Healthcare Evaluation	93	(1)
Healthcare Evaluation Design and Development	94	(3)
Positivism vs. Relativism	97	(1)
Qualitative and Quantitative Research Methodology	98	(1)
Experimental Healthcare Evaluations	99	(3)
The Randomized Control Trial---The Gold Standard of Experimental Evaluations in Health Care	102	(7)
Observational Healthcare Evaluations	109	(8)
Measuring Patient Satisfaction	117	(18)
Introduction to Measuring Patient Satisfaction	117	(1)
The Assessment of Patient Satisfaction	118	(2)
Measuring Humanity	120	(1)
Humanity and Patient Satisfaction	121	(3)
Quantitative Methods for Measuring Patient Satisfaction	124	(1)
The Eleven Stages of Quantitative Survey Design	124	(5)
Qualitative Methods for Measuring Patient Satisfaction	129	(6)
Measuring Cost-Effectiveness	135	(22)
Introduction to Healthcare Economics	135	(4)
Evidence-based Medicine	139	(2)
Value-based Medicine	141	(1)
The Management of Value	142	(1)
Cost-Utility Analysis	143	(1)
The Benefits of Value-based Medicine	144	(2)
Barriers to Entry for Value-based Medicine	146	(2)
Healthcare Economics and Its Contribution to Outcomes Management and Planning	148	(2)
Economic Healthcare Analysis	150	(6)
The Future of Value-based Medicine	156	(1)
Measuring Equity	157	(16)
Introduction to Medical Ethics	157	(5)
Ethics and Justice	162	(11)
Population-based Medicine in Healthcare Outcomes Management and Planning	173	(46)
The Point of Care	173	(5)
Population Health Perspective	178	(2)
Disease Prevention and Health Promotion	180	(4)
Health Risk Assessment	184	(7)
Demand Management	191	(5)
Disease Management	196	(6)
Disability Management	202	(8)
Endocrine	210	(9)
Environmental Health and Outcomes Management and Planning	219	(22)
Ecosystems and Population Health	219	(7)
Environmental Health Management	226	(1)
Systems Model for Environmental Change	227	(2)
Hazard vs. Risk	229	(2)
Environmental Health Risk Assessment	231	(5)
Risk Management	236	(5)
References	241	(10)
Index	251