Implementing Continuous Quality Improvement in Health Care

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2011-04-14
  • Publisher: Jones & Bartlett Learning

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This collection of 18 case studies covers a broad range of subjects related to health care quality improvement efforts. Ideal as complement to the new Fourth Edition of Continuous Quality Improvement in Health Care, these case studies explore themes such as CQI in Ghana Malaria Control, CQI to reduce central line infections in pediatric hospital, a mothera (TM)s advocacy group against medical errors, WHO Safe Surgery Saves Lives Campaign, The Malcolm Baldrige Award Process in Health Care, Comparison of NICE and similar agencies for comparative effectiveness research, and much more.

Table of Contents

Prefacep. xii
Contributing Authorsp. xv
About the Authorsp. xx
Frequently Used Acronymsp. xxii
Continuous Quality Improvement Using Plan, Do, Study/Check, Act (PDSA/PDCA) and Quality-Improvement Toolsp. 1
West Florida Regional Medical Centerp. 3
Introductionp. 3
The HCA CQI Processp. 4
Four Examples of Teamsp. 10
Looking Aheadp. 28
Case Analysisp. 29
Assignment Questionsp. 29
Class Exercisep. 30
Holtz Children's Hospital: Reducing Central Line Infectionsp. 31
Introductionp. 31
Case Analysisp. 39
Assignment Questionsp. 40
Class Exercisep. 40
Acknowledgmentsp. 41
Clemson's Nursing Home: Working with the State Quality Improvement Organization's Restraint Reduction Initiativep. 43
Introductionp. 43
Case Analysisp. 55
Assignment Questionsp. 56
Class Exercisep. 56
CQI for Malaria Control in Ghanap. 57
Introductionp. 57
Backgroundp. 58
Concern about Malariap. 60
An Early Experiment with CQI in Ghanap. 62
Describing, Assessing, and Comparing Management Systemsp. 71
Resultsp. 78
Design, Implementation, and Management of Processes for Malaria Controlp. 79
Limitations of the Studyp. 92
Is CQI a Viable Approach in Malaria Control?p. 94
Conclusions and Recommendations of the Initial Studyp. 97
CQI Elsewhere in Ghanap. 100
Case Analysisp. 101
Assignment Questionsp. 101
Class Exercisep. 102
Acknowledgmentsp. 102
Organizing for Continuous Quality Improvementp. 103
The Intermountain Way to Positively Impact Costs and Qualityp. 105
Introductionp. 105
Case Analysisp. 126
Assignment Questionsp. 131
Class Exercisep. 131
Acknowledgmentsp. 132
Planning a Transitionp. 133
Introductionp. 133
Case Analysisp. 137
Assignment Questionsp. 138
Class Exercisep. 138
Dawn Valley Hospital: Selecting Quality Measures for the Hospital Boardp. 139
Introductionp. 139
Case Analysisp. 152
Assignment Questionsp. 152
Class Exercisep. 153
Dr. Charles Bethe, DO, Network Medical Directorp. 155
Introductionp. 155
Case Analysisp. 174
Assignment Questionsp. 174
Class Exercisep. 175
Educational and Social-Marketing Applications in Continuous Quality Improvementp. 177
Forthright Medical Center: Social Marketing and the Surgical Checklistp. 179
Introductionp. 179
Case Analysisp. 186
Assignment Questionsp. 186
Class Exercisep. 187
Prince Court Medical Centre: A Private Malaysian Healthcare Institution Prepares for a Pandemic of Influenza A (H1N1)p. 189
Introductionp. 189
Case Analysisp. 207
Assignment Questionsp. 208
Class Exercisep. 208
Financial Analysis and Quality Management in Patriot County, Ohiop. 209
Introductionp. 209
Case Analysisp. 226
Assignment Questionsp. 227
Class Exercisep. 227
Quality in Pediatric Subspecialty Carep. 229
Introductionp. 229
Backgroundp. 231
Componentsp. 231
Organizational Structurep. 233
An Incremental Approachp. 237
Case Analysisp. 240
Assignment Questionsp. 241
Class Exercisep. 241
Assessment, Incentives, and Regulationp. 243
The Folic Acid Fortification Decision Bounces Around the World vCurtis P. McLaughlinp. 245
Introductionp. 245
Technical Backgroundp. 246
Alternativesp. 248
Support Buildsp. 249
Public Recommendation Changesp. 249
Cost-Benefit Analysisp. 250
The Results Come Inp. 251
The Results Come Inp. 251
The New U.S. Economic Studyp. 253
Case Analysisp. 256
Assignment Questionsp. 257
Class Exercisep. 258
Continuing Improvement for the National Health Service Quality and Outcomes Frameworkp. 259
Introductionp. 259
The Indicatorsp. 260
Case Analysisp. 271
Assignment Questionsp. 272
Class Exercisep. 272
North Carolina Local Health Department Accreditation Programp. 273
Introductionp. 273
Backgroundp. 274
Why Accreditation in North Carolina?p. 276
Program Structure and Designp. 278
Accreditation Program Statusp. 290
Link between Quality Improvement and Accreditationp. 296
National Voluntary Accreditationp. 298
Program Sustainabilityp. 300
Case Analysisp. 300
Assignment Questionsp. 301
Class Exercisep. 302
The Lewis Blackman Hospital Patient Safety Act: It's Hard to Kill a Healthy 15-Year-Oldp. 303
Introductionp. 303
Case Analysisp. 312
Assignment Questionsp. 312
Class Exercisep. 312
Elk Hills Community Medical Center: Revisiting the Baldrige Awardp. 313
Introductionp. 313
Baldrige Revisitedp. 314
Successful Applicationsp. 319
Case Analysisp. 321
Assignment Questionsp. 321
Class Exercisep. 322
Process Improvement Researchp. 323
Stents vs. Bypass: Expanding the Evidence Basep. 325
Introductionp. 325
Holding Off on Stentsp. 327
Case Analysisp. 330
Assignment Questionsp. 330
Class Exercisep. 331
Cal Mason, COO, Metro Children's Hospital: Planned Experimentation in CQIp. 333
Introductionp. 333
The Improvement Projectp. 334
Designing the Studyp. 338
Conducting the Factorial Experimentp. 341
Case Analysisp. 347
Assignment Questionsp. 347
Class Exercisep. 348
Acknowledgmentsp. 348
The Houston Medical Center Bed Tower: Quality and the Built Environmentp. 349
Introductionp. 349
The Role of the Built Environment in Quality and Safetyp. 350
The Effect of Design on the Care Processp. 352
Potential Solutions through Designp. 353
Case Analysisp. 361
Assignment Questionsp. 361
Class Exercisep. 362
Acknowledgmentsp. 362
Referencesp. 363
Indexp. 371
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