The Healthcare Quality Book: Vision, Strategy, And Tools

by Ransom, Scott B.

• ISBN13: 9781567932249
• ISBN10: 156793224X
• Format: Hardcover
• Copyright: 2004-09-01
• Publisher: Foundation of the Amer College

Table of Contents

Academic Foreword	xix
Stephen M. Shortell
Executive Foreword	xxi
Gail Warden
Preface	xxiii
Acknowledgments	xxvii
Part I Science and Knowledge Foundation
Healthcare Quality and the Patient	3	(22)
Donald Berwick
Maulik S. Joshi
Important Reports	4	(2)
A Focus on the Patient	6	(1)
Lessons Learned in Quality Improvement	7	(10)
Case Study	17	(5)
Conclusion	22	(1)
Study Questions	23	(1)
References	24	(1)
Basic Concepts of Healthcare Quality	25	(18)
Leon Wyszewianski
Definition-Related Concepts	26	(6)
Measurement - Related Concepts	32	(7)
Conclusion	39	(1)
Study Questions	40	(1)
References	40	(3)
Variation in Medical Practice and Implications for Quality	43	(20)
David J. Ballard
Robert S. Hopkins III
David Nicewander
Background and Terminology	43	(4)
Scope and Use of Variation in Healthcare	47	(1)
Clinical and Operational Issues	48	(2)
Keys to Successful Implementation and Lessons Learned from Failures	50	(2)
Case Study	52	(2)
Conclusion	54	(3)
Study Questions	57	(1)
References	58	(5)
Quality Improvement Systems, Theories, and Tools	63	(26)
Mike Stoccklein
Theories, Paradigms, and Assumptions: Foundation of the Iceberg Model	63	(4)
Systems and Processes: Middle of the Iceberg Model	67	(8)
Tools, Methods, and Procedures: Tip of the Iceberg Model	75	(5)
Application of Quality Improvement Science in Healthcare	80	(2)
The First and Second Curves of Healthcare Quality Improvement	82	(1)
Case Study: A Second Curve Example	82	(2)
Conclusion	84	(1)
Study Questions	85	(1)
References	85	(4)
Part II Organization and Microsystem
The Search for a Few Good Indicators	89	(28)
Robert C. Lloyd
National Indicator Initiatives	90	(4)
The Measurement Challenge	94	(1)
Milestones Along the Quality Measurement Journey	95	(18)
Conclusion	113	(1)
Study Questions	113	(2)
References	115	(2)
Data Collection	117	(28)
John J. Byrnes
Categories of Data: Case Example	117	(2)
Considerations in Data Collection	119	(2)
Sources of Data	121	(12)
Case Study in Clinical Reporting	133	(6)
Conclusion	139	(1)
Study Questions	140	(2)
References	142	(3)
Statistical Tools for Quality Improvement	145	(22)
Kwan Y. Lee
Linda S. Hanold
Rick G. Koss
Jerod M. Loeb
Fundamentals of Performance Measurement	145	(7)
Control Chart Analysis	152	(5)
Comparison Chart Analysis	157	(5)
Using Data for Performance Improvement	162	(3)
Study Questions	165	(1)
References	165	(2)
Physician and Provider Profiling	167	(16)
David B. Nash
Adam Evans
Background and Terminology	167	(2)
Scope and Use of Profiling in Healthcare	169	(6)
Keys to Successful Implementation and Lessons Learned	175	(3)
Case Study	178	(2)
Study Questions	180	(1)
References	180	(3)
Measuring and Improving Patient Experiences of Care	183	(30)
Susan Edgman-Levitan
Regulatory and Federal Patient Survey Initiatives	184	(2)
Using Patient Feedback for Quality Improvement	186	(7)
Scope and Use of Patient Experiences in Healthcare	193	(7)
Keys to Successful Implementation and Lessons Learned	200	(3)
Lessons Learned, or ``The Roads Not to Take''	203	(4)
Case Study	207	(2)
Conclusion	209	(1)
Study Questions	209	(1)
References	210	(3)
Dashboards and Scorecards: Tools for Creating Alignment	213	(28)
Michael D. Pugh
Background and Terminology	213	(2)
Scope and Use of Dashboards and Scorecards in Healthcare	215	(7)
Clinical and Operational Issues	222	(5)
Keys to Successful Implementation and Lessons Learned	227	(6)
Case Study: St. Joseph Hospital	233	(2)
Conclusion	235	(1)
Study Questions	236	(4)
References	240	(1)
Patient Safety and Medical Errors	241	(26)
Frances A. Griffin
Carol Haraden
Background and Terminology	241	(4)
Scope and Use of Patient Safety Considerations in Healthcare	245	(12)
Clinical and Operational Issues	257	(2)
Case Study: OSF Health System	259	(5)
Conclusion	264	(1)
Study Questions	264	(1)
References	265	(2)
Information Technology Applications for Improved Quality	267	(42)
Richard E. Ward
Background and Terminology	267	(3)
Taking a Lesson from Other Industries	270	(2)
The Emerging Field of Medical Informatics	272	(1)
Two Tiers of Clinical IT	272	(4)
Technologies for Different Types of Clinical Care Management Initiatives	276	(2)
Requirements and Architecture Framework for Clinical IT	278	(5)
Workflow Automation Technology Applied to Clinical Processes	283	(2)
Other Clinical IT Components	285	(4)
Case Examples	289	(4)
Overall Return on Investment of Clinical Information Systems	293	(7)
Key Strategy Debates	300	(5)
The Challenge	305	(2)
Study Questions	307	(1)
References	307	(2)
Leadership for Quality	309	(20)
James L. Reinertsen
Background and Overview	309	(5)
Scope and Use of Leadership Concepts in Healthcare	314	(4)
Clinical and Operational Issues	318	(1)
Keys to Successful Quality Leadership and Lessons Learned	319	(2)
Case Study of Leadership: Interview with William Rupp, M.D	321	(5)
Study Questions	326	(1)
References	327	(2)
Organizational Quality Infrastructure: How Does an Organization Staff Quality?	329	(20)
A. Al-Assaf
Management Commitment	330	(3)
Allocation of Resources	333	(1)
Organizational Structure	334	(2)
Increasing Awareness of Healthcare Quality	336	(1)
Mapping Quality Improvement Interventions	337	(5)
Challenges, Opportunities, and Lessons Learned	342	(5)
Study Questions	347	(1)
References	347	(2)
Implementing Quality as the Core Organizational Strategy	349	(22)
Scott B. Ransom
Narendra Kini
Michael L. Jones
Elizabeth R. Ransom
Implementing Quality in Healthcare Organizations	351	(13)
Case Study: Entering the Digital Era	364	(5)
Study Questions	369	(1)
References	369	(2)
Implementing Healthcare Quality Improvement: Changing Clinician Behavior	371	(28)
Valerie Weber
John Bulger
Understanding Change Management in Healthcare	371	(8)
Active Implementation Strategies	379	(5)
Addressing the Cost of Implementation	384	(2)
Keys to Successful Implementation and Lessons Learned	386	(2)
Case Studies	388	(5)
Conclusion	393	(1)
Study Questions	393	(1)
References	393	(6)
Part III Environment
Medical Malpractice and Medicolegal Implications of Quality	399	(12)
Troyen A. Brennan
Ann Louise Puopolo
John L. McCarthy
Robert Hanscom
Luke Sato
Background and Terminology	399	(2)
Scope and Use of Medicolegal Implications of Quality in Healthcare	401	(2)
Clinical and Operational Issues	403	(4)
Keys to Success and Understanding Failure	407	(2)
Study Questions	409	(1)
References	410	(1)
Accreditation: Its Role in Driving Accountability in Healthcare	411	(24)
Greg Pawlson
Paul Schyve
Background and Terminology	411	(4)
Scope and Use of Accreditation in Healthcare: Successes and Failures	415	(6)
The Future of Accreditation: Challenges and Changes	421	(8)
Conclusion	429	(1)
Study Questions	430	(1)
References	431	(4)
How Purchasers Select and Pay for Quality	435	(18)
Francois de Brantes
Background and Terminology	436	(2)
Bridges to Excellence	438	(4)
Defining the Program Specifications---The ``What''	442	(8)
Designing the Program Implementation---The ``How''	450	(1)
Conclusion	450	(1)
Study Questions	451	(1)
References	451	(2)
Appendix 1. Control Chart Formulas	453	(6)
Appendix 2. Comparison Chart Formulas	459	(6)
Appendix 3. Case Studies	465	(10)
Index	475	(16)
About the Authors	491