Basics of Health Care Performance Improvement

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2011-11-22
  • Publisher: Jones & Bartlett Learning

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While quality improvement methods and approaches have become well accepted in American Industry, they have been slower to catch on in the largest American industry ;and arguably the most important: the health care services.A clear understanding of basic quality improvement methods, applications, and approaches is critical foundation for a successful career in health care administration. Building on the success of his previous text, Quality Management in Health Care: Principles and Methods, Dr. Lighter's new book, Basics of Performance Improvement; A Six Sigma Approach, is an ideal first course for students learning the basics of the Six Sigma, and its application in improving health care quality and patient outcomes. Ideal for both undergraduate and graduate level courses, the book also serves as an excellent reference for basic quality improvement approaches for QI professionals. Topic areas include:? Creating the business case for improving healthcare performance ? Group Processes in healthcare PI? Process tools in QI? Medical informatics and data resources? Process control? Advanced statistical applications? Approaches to improvement - standardization? Integration of care systems? Alignment and integration of performance improvement systems ; the Malcolm Baldrige National Quality Award? Accreditation and certification programs

Table of Contents

Prefacep. ix
Why Is Performance Improvement the "Big New Thing"?p. 1
Backgroundp. 5
Improving the Quality of Carep. 8
Patient Safety-A Specific Quality Goalp. 10
Reducing Costp. 14
Quality Frameworksp. 15
When will Quality Become "Job 1"?p. 17
Discussion Questionsp. 18
Referencesp. 19
Define Phase Toolsp. 21
Backgroundp. 21
Project Charterp. 22
Voice of the Customerp. 26
CAHPS Surveys and the Voice of the Customerp. 30
National CAHPS Benchmarking Databasep. 31
Other Methods of Listening to the Voice of the Customerp. 32
Kano Modelp. 35
Procedure for Kano Model processp. 37
Tips and tricksp. 38
Stakeholder Analysisp. 39
Procedure for stakeholder analysis and diagramp. 41
Tips and tricksp. 41
Process Mappingp. 41
Procedure for creating a process flowchartp. 42
Tips and tricksp. 43
SIPOC Process Mapp. 44
Procedure for SIPOC process mapp. 44
Tips and tricksp. 45
Brainstorming, Brainwriting, and Nominal Group Techniquep. 47
Procedure for brainstormingp. 47
Variants-brainwriting and nominal group technique (NGT)p. 48
Multivotingp. 49
Affinity diagramsp. 51
Critical-To-Quality (CTQ) Analysisp. 53
Procedure for creating a CTQ treep. 54
Completion of the Define Phasep. 55
Discussion Questionsp. 56
Referencesp. 57
Measure Phase Toolsp. 59
The Essence of the Measure Phasep. 59
Measure Phase Toolsp. 61
Process Mapsp. 61
Performance Evaluation and Review Technique (PERT) Chartp. 62
Deployment Flowchartp. 69
Prioritization Matrixp. 72
Process Cycle Efficiency (Value Added Ratio)p. 76
Time Value Analysis (TVA)p. 79
Pareto Chartsp. 80
Run Chartsp. 83
Control Chartsp. 88
Failure Mode and Effects Criticality Analysis (FMECA)p. 95
Deliverables in the Measure Phasep. 100
Data Collection and Analysis Planp. 100
Measurement System Analysisp. 103
Baseline Performance-Calculating Process Sigmap. 105
Finishing the Measure Phasep. 107
Further Readingp. 108
Discussion Questionsp. 108
Analyze Phase Toolsp. 111
The Essence of the Analyze Phasep. 111
Elements of the Analyze Phasep. 112
Root Cause Analysis (RCA)p. 113
Cause and Effect (C & E) Diagramp. 117
Statistical Methods of Establishing Relationshipsp. 120
Pearson Correlation Coefficientp. 121
Hypothesis Testingp. 125
Confidence Intervalp. 131
Analysis of Variance (ANOVA)p. 133
Regression Analysisp. 138
Brainstorming in the Analyze Phasep. 141
Deliverables of the Analyze Phasep. 141
Discussion Questionsp. 143
Referencesp. 144
Improve Phase Toolsp. 145
The Essence of the Improve Phasep. 145
Elements of the Improve Phasep. 146
Framework for the Improve Phasep. 146
Traditional Improvement Toolsp. 148
Change Managementp. 148
Project Planp. 150
Failure Mode and Effects Analysis (FMEA)p. 151
Kaizenp. 152
6Sp. 158
Prioritization Matrixp. 163
Deployment Flowchartp. 163
Pilot Testingp. 165
Six Sigma Toolsp. 168
Completing the Improve Phasep. 173
Discussion Questionsp. 173
Referencesp. 174
Control Phase Toolsp. 175
The Essence of the Control Phasep. 175
Elements of the Control Phasep. 176
Framework for the Control Phasep. 176
Control Phase Toolsp. 181
Flowchartsp. 181
Standardization and Institutionalization of Process Changesp. 183
Training Plans and Programsp. 191
Monitoring Plansp. 195
Poka Yokep. 196
Audit Plansp. 199
Control Chartsp. 201
Process Sigma Levelp. 209
Control Phase Deliverablesp. 210
Discussion Questionsp. 210
Other Resourcesp. 211
Risk Adjustmentp. 212
Referencesp. 212
LSS Case Studies in Health Carep. 215
Miami Baptist Hospitalp. 216
Pocono Medical Center (PMC), East Stroudsburg, PAp. 218
Nebraska Medical Center Peggy D. Cowdery Patient Care Centerp. 221
Radia, Incp. 224
Providence St. Joseph Medical Center (PSJMC), Burbank, CAp. 229
North Shore-Long Island Jewish Health System, New York Cityp. 234
Discussion Questionsp. 240
Referencesp. 241
DMAIC in an Era of Reformp. 243
Trends in Healthcare Reformp. 243
New Financial and Quality Realitiesp. 250
Financial Modelsp. 252
Quality Reporting and Improvementp. 257
Health Information Technology (HIT)p. 260
Role of DMAIC as a Quality Improvement Strategyp. 261
Discussion Questionsp. 262
Referencesp. 263
Appendix: Quality Measures for Accountable Care Organizationsp. 265
Glossary: DMAIC Terms and Definitionsp. 283
Indexp. 317
Table of Contents provided by Ingram. All Rights Reserved.

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