Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

by McLaughlin, Curtis P.

• ISBN13: 9780834216556
• ISBN10: 0834216558
• Edition: 2nd
• Format: Hardcover
• Copyright: 1999-07-01
• Publisher: Wolters Kluwer

Summary

Univ. of North Carolina, Chapel Hill. Provides a systemic approach to implementing total quality management and continuous quality improvement in primary care clinics, hospital laboratories, public health departments, and academic health centers. For graduate students. Previous edition: c1994.

Table of Contents

Contributors	xiii	(4)
Preface	xvii	(4)
Acknowledgments	xxi
PART I--INTRODUCTION	1	(56)
Chapter 1 -- Defining Quality Improvement: Past, Present, and Future	3	(31)
Curtis P. McLaughlin
Arnold D. Kaluzny
Rationale and Distinguishing Characteristics	4	(3)
Elements of CQI	7	(3)
The Past and Future of Health Care Quality Management	10	(10)
Emergence of TQM	20	(7)
Application to Health Care Organizations	27	(2)
Comparing Industrial and Health Care Quality	29	(1)
Problems, Challenges, and Issues in Health Care	30	(4)
Chapter 2 -- Does TQM/CQI Work in Health Care?	34	(23)
Curtis P. McLaughlin
Kit N. Simpson
Lessons from the National Demonstration Project	34	(1)
Empirical Evidence	35	(11)
Advantages of CQI Application in Health Care	46	(3)
Quality and Organizational Survival	49	(6)
Conclusion	55	(2)
PART II--BASICS	57	(112)
Chapter 3 -- The Outcome Model of Quality	59	(34)
Susan I. DesHarnais
Curtis P. McLaughlin
Clinical Quality	59	(1)
The Politics of Quality Assessment	60	(6)
Framework for Quality Management	66	(18)
Institutional Responses	84	(8)
Conclusion	92	(1)
Chapter 4 -- Measurement and Statistical Analysis in CQI	93	(36)
Susan Paul Johnson
Curtis P. McLaughlin
Variation: What Is It and Why Eliminate It?	94	(1)
Process Capability	95	(1)
How Does CQI Differ from QA?	96	(1)
Tools for Quality Improvement	96	(32)
Conclusion	128	(1)
Chapter 5 -- Measuring Consumer Satisfaction	129	(18)
Lucy A. Savitz
Defining Consumer Satisfaction	129	(4)
Why Measure Consumer Satisfaction?	133	(1)
Measuring Satisfaction	134	(2)
Data Capture	136	(6)
Using Patient Satisfaction Measures	142	(4)
Conclusion	146	(1)
Chapter 6 -- Teams at the Core of Continuous Learning	147	(22)
Peter J. Dean
Rebecca La Vallee
Curtis P. McLaughlin
An Experience of the Stages of Team Building	148	(2)
Diversity of Team Membership	150	(3)
Team Characteristics	153	(2)
Group Roles	155	(5)
Task	160	(1)
Team Management	160	(2)
Organizing the Environment for Teams	162	(3)
Organizational Learning Skills	165	(2)
Conclusion	167	(2)
PART III--IMPLEMENTATION	169	(110)
Chapter 7 -- CQI, Transformation, and the "Learning" Organization	171	(20)
Vaughn Upshaw
Arnold D. Kaluzny
Curtis P. McLaughlin
Transforming Health Care	172	(2)
Continuous Quality Improvement and Managed Care	174	(4)
Managing Transformation and Learning	178	(3)
Physician Leaders and Transformation	181	(8)
Conclusion	189	(2)
Chapter 8 -- The Process of Implementation	191	(17)
Lucy R. Fischer
Leif I. Solberg
Thomas E. Kottke
Project IMPROVE	191	(4)
How Does Change in the Health Care Environment Affect a CQI Process?	195	(6)
How Does Clinic Organization Influence a QI Process?	201	(2)
What Is the Impact of a QI Process on Clinic Organization?	203	(3)
Conclusion	206	(2)
Chapter 9 -- Information Management and Technology for CQI	208	(41)
David C. Kibbe
A Framework for CQI Information Management: The Data-to-Decision Cycle	210	(8)
Data Quality Concepts, Issues, and Technologies	218	(10)
Information Management Issues, Concepts, and Technologies	228	(6)
Knowledge Management as the New Frontier for CQI Information Technology	234	(8)
Information Technology to Improve Decisions Made by Caregivers and Patients	242	(5)
Conclusion	247	(2)
Chapter 10 -- Collaborating for Improvement in Health Professions Education	249	(17)
G. Ross Baker
Sherril Gelmon
Linda Headrick
Marian L. Knapp
Linda Norman
Doris Quinn
Duncan Neuhauser
Integrating Continual Improvement Methods into Higher Education	250	(5)
Creating an Interdisciplinary Professional Education Collaborative	255	(1)
A Lesson from the Local Improvement Team Case Studies	256	(3)
Key Issues in Institutionalizing the Initiative	259	(2)
Future Challenges	261	(5)
Chapter 11 -- Why Focus on Health Professional Development?	266	(13)
Paul B. Batalden
Organization-Centered Strategy	268	(4)
Issue-Centered Programming	272	(2)
Professional Development-Based Strategy	274	(5)
PART IV--APPLICATION	279	(152)
Chapter 12 -- CQI in Primary Care	281	(17)
Linda S. Kinsinger
Russell P. Harris
Arnold D. Kaluzny
The Challenge of Change in Primary Care	281	(2)
Practice Characteristics Affecting CQI	283	(1)
One Model of CQI in Primary Care: The North Carolina Prescribe for Health Project	284	(10)
Summary	294	(2)
The Future of CQI in Primary Care	296	(2)
Chapter 13 -- CQI IN MANAGED CARE	298	(25)
Leif I. Solberg
Thomas E. Kottke
Milo L. Brekke
From Cost to Quality: A Managed Care Evolution	299	(2)
Barriers to Managed Care Use of CQI to Improve Value/Health	301	(3)
IMPROVE: A Test of Managed Care CQI for Improving the Quality of Primary Care Preventive Services	304	(9)
Lessons from IMPROVE	313	(6)
Conclusions and Recommendations	319	(4)
Chapter 14 -- CQI in Contract Research Organizations	323	(37)
William A. Sollecito
Growth of CROs	323	(6)
How CROs Work	329	(2)
CQI Customer Focus	331	(15)
Training and Empowerment	346	(3)
Leadership	349	(3)
Statistical Process Control/Statistical Thinking	352	(7)
Conclusion	359	(1)
Chapter 15 -- CQI in Public Health Organizations	360	(44)
Glen P. Mays
Theresa Hatzell
Arnold D. Kaluzny
Paul K. Halverson
Critical Dimensions of Public Health Quality Improvement Initiatives	361	(12)
Implementation of Quality Improvement Initiatives in Public Health	373	(28)
Quality Improvement and Public Health: Key Implementation Issues	401	(3)
Chapter 16 -- Applying and Supporting CQI in Academic Health Centers	404	(16)
Susan I. DesHarnais
Curtis P. McLaughlin
Teaching	404	(8)
Research	412	(3)
Patient Care	415	(2)
Outreach/Access/Population Base	417	(2)
Conclusion	419	(1)
Chapter 17 -- CQI and Patient-Centered Care	420	(11)
David Levy
William Thar
Curtis P. McLaughlin
A Patient-Centered Approach	423	(3)
Patient-Centered Care for Noncatastrophic Cases	426	(2)
Conclusion	428	(3)
PART V--ILLUSTRATION	431	(156)
Case 1 -- CQI Principles for a Personnel Problem	433	(10)
Michael McDade
Background	433	(8)
Case Analysis	441	(2)
Case 2 -- The Family Practice Center	443	(21)
David C. Kibbe
Curtis P. McLaughlin
Forming a Team	444	(1)
Continuity of Care	445	(16)
Case Analysis	461	(3)
Case 3 -- Holston Valley Hospital and Medical Center	464	(30)
Curtis P. McLaughlin
Kit N. Simpson
Quality First	464	(24)
Case Analysis	488	(6)
Case 4 -- West Florida Regional Medical Center	494	(26)
Curtis P. McLaughlin
The HCA CQI Process	495	(22)
Case Analysis	517	(3)
Case 5 -- Rex Healthcare and Service Line Teams	520	(13)
Curtis P. McLaughlin
Linda C. Jordan
Quality at Rex	521	(1)
Competition in the Research Triangle	522	(1)
History of Quality and Performance Improvement Efforts at Rex	523	(7)
Case Analysis	530	(3)
Case 6 -- Dr. Johnson, Network Medical Director	533	(18)
William Q. Judge
Curtis P. McLaughlin
Background	534	(14)
Case Analysis	548	(3)
Case 7 -- The Patient Transportation Project at University Hospitals	551	(36)
Sandra K. Evans
Ronald T. Pannesi
University Hospitals	552	(27)
Case Analysis	579	(8)
Appendix A -- Malcolm Baldrige Award 1999 Health Care Criteria for Performance Excellence	587	(8)
Bibliography	595	(36)
List of Sources	631	(8)
Index	639	(18)
About the Editors	657