Unique in its comprehensive approach, Principles and Methods of Quality Management in Health Care explores modern quality management processes in health care using specific analytical methods. The first of its kind, this text introduces your students to numerous proven quantitative and qualitative tools they can apply in any health care setting. Just a sample of what your students will learn: What factors complicate the quality improvement approach to diseases, and the numerous ways analyzing disease states in quality improvement terms can be approached. How to structure effective teams to design and implement creative quality improvement solutions to marketplace challenges. How to outline an approach to quality improvement projects, including possible interventions, data sources, and performance and outcome measures. How the quality improvement approach to data collection and analysis differs from traditional methods of data analysis in health care. How adding the Statistical Process Control scientific approach can improve the validity of a quality improvement program. What the differences are between p- and np- charts, and the advantage of using one over the other.

Contributors

vii

Foreword

ix

Preface

xi

Acknowledgments

xiii

The Rationale for Quality Improvement in Health Care

1

(10)

Donald E. Lighter

Curtis P. McLaughlin

Introduction

1

(1)

The Changing Health Care Environment

1

(3)

The Growth of Quality Improvement in Health Care

4

(2)

Transition to Integrated Health Care Delivery Systems

6

(1)

The Delicate Balance Between Quality and Access

7

(1)

The Next Level: Systemwide Quality Improvement

8

(1)

Exercises

9

(2)

Group Processes in Health Care Quality Improvement

11

(26)

Donald E. Lighter

Introduction

11

(1)

Teamwork Concepts

12

(2)

Using Teams in Organizations

14

(8)

Group Process Techniques

22

(9)

Special Situations---Team Building Approaches

31

(4)

Teamwork Is the Key to Higher Quality

35

(1)

Exercises

35

(2)

Process Orientation in Health Care Quality

37

(49)

Donald E. Lighter

Health Care as Processes

37

(2)

Process Analysis Tools

39

(36)

Data Requirements in Quality Management

75

(9)

Exercises

84

(2)

Statistical Process Control---Basic Principles

86

(23)

Donald E. Lighter

Douglas C. Fair

Introduction

86

(1)

Data Analysis Models

86

(3)

Process Problems

89

(2)

Statistical Basis of SPC

91

(15)

Conclusion

106

(1)

Exercises

107

(2)

Statistical Process Control Approaches---Basic Theory and Use of Control Charts

109

(42)

Douglas C. Fair

Donald E. Lighter

Introduction

109

(1)

Analysis of Discrete Variables

109

(14)

Analysis of Continuous Variables

123

(26)

Exercises

149

(2)

Statistical Factors

150

(1)

Advanced Statistical Process Control

151

(62)

Douglas C. Fair

Introduction

151

(1)

Using the Control Chart Selection Diagram

151

(60)

Exercises

211

(2)

Advanced Statistical Applications in Continuous Quality Improvement

213

(46)

Donald E. Lighter

Introduction

213

(1)

Discrete Contributions

213

(2)

Continuous Distributions

215

(6)

Statistical Inference

221

(2)

Analysis of Variance

223

(12)

Regression Analysis

235

(13)

Design of Experiments

248

(5)

Sources of Data for Quality Improvement

253

(4)

Exercises

257

(2)

Clinical Processes---Clinical Practice Guidelines

259

(22)

Donald E. Lighter

Neda Lewis

Introduction

259

(1)

History of Clinical Practice Guidelines in Health Care

259

(2)

Use of Clinical Practice Guidelines in Health Care

261

(4)

Creation of Clinical Practice Guidelines

265

(1)

Selection of a Clinical Condition for Guideline Development

265

(3)

Creation or Adoption of the CPG

268

(1)

Validation of the Clinical Practice Guideline

269

(2)

Implementation of the Guidelines

271

(5)

Who Will Use Clinical Practice Guidelines?

276

(3)

Conclusion

279

(1)

Exercises

279

(2)

Implementation of Quality Improvement

281

(40)

Donald E. Lighter

Introduction

281

(1)

Deming's 14 Principles Applied to Health Care

281

(14)

Approaches to Implementation

295

(1)

Phases of Organizational Change

296

(14)

Institutionalization of Change

310

(1)

The Balanced Scorecard Approach to Quality Improvement

311

(8)

Quality Improvement Implementation in Complex Organizations

319

(1)

Exercises

319

(2)

Making Continuous Quality Improvement Work---Care Management

321

(57)

Donald E. Lighter

Introduction

321

(1)

Care Management---A New Approach

322

(1)

Care Management---Theoretical Framework

323

(1)

Key Elements of a Care Management Program

324

(5)

Development of a Care Management Program

329

(21)

Financial Analysis of Care Management Programs

350

(14)

Provider Involvement in Care Management

364

(3)

Partnerships within the Industry

367

(2)

The Future of Care Management

369

(1)

Exercises

370

(8)

Quality Improvement and Health Statistics Data Sources

374

(4)

Legal and Regulatory Issues in Quality Improvement

378

(42)

Donald E. Lighter

Sally A. Lighter

Introduction

378

(1)

Federal Legislation and Regulation

378

(6)

The National Committee for Quality Assurance (NCQA)

384

(8)

American Accreditation Health Care Commission/URAC (AAHCC/URAC)

392

(2)

The Joint Commission on Accreditation of Healthcare Organizations

394

(1)

The Foundation for Accountability (FACCT)

395

(3)

Malcolm Baldrige National Quality Award for Health Care

398

(4)

Quality Improvement and Reducing Risk

402

(1)

Regulatory Agencies and the Growth of Quality Improvement in Health Care

403

(1)

Exercises

403

(17)

Domain 1 QISMC Standards

406

(5)

Domain 2 QISMC Standards

411

(4)

Domain 3 QISMC Standards

415

(5)

The Future of Continuous Quality Improvement in Health Care

420

(15)

Donald E. Lighter

Introduction

420

(1)

Improved Information Management

420

(6)

Health Care System Integration

426

(1)

Consumerism

427

(1)

Education

428

(1)

Federal and State Government Programs Emphasis on Quality

429

(2)

Adoption of the Quality Philosophy

431

(1)

Quality Improvement Is the Answer

432

(1)

Exercises

432

(3)

Glossary

435

(12)

Index

447

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

Amazon no longer offers textbook rentals. We do!

Amazon no longer offers textbook rentals. We do!

We're the #1 textbook rental company. Let us show you why.

Principles and Methods of Quality Management in Health Care

9780834218611

0834218615

Supplemental Materials

Summary

Table of Contents

Supplemental Materials

Rewards Program