Implementing Continuous Quality Improvement in Health Care A Global Casebook

by McLaughlin, Curtis P.; Johnson, Julie K.; Sollecito, William A.

• ISBN13: 9780763795368
• ISBN10: 0763795364
• Edition: 1st
• Format: Paperback
• Copyright: 2011-05-05
• Publisher: Jones & Bartlett Learning

Summary

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

Preface	p. xii
Contributing Authors	p. xv
About the Authors	p. xx
Frequently Used Acronyms	p. xxii
Continuous Quality Improvement Using Plan, Do, Study/Check, Act (PDSA/PDCA) and Quality-Improvement Tools	p. 1
West Florida Regional Medical Center	p. 3
Introduction	p. 3
The HCA CQI Process	p. 4
Four Examples of Teams	p. 10
Looking Ahead	p. 28
Case Analysis	p. 29
Assignment Questions	p. 29
Class Exercise	p. 30
Holtz Children's Hospital: Reducing Central Line Infections	p. 31
Introduction	p. 31
Case Analysis	p. 39
Assignment Questions	p. 40
Class Exercise	p. 40
Acknowledgments	p. 41
Clemson's Nursing Home: Working with the State Quality Improvement Organization's Restraint Reduction Initiative	p. 43
Introduction	p. 43
Case Analysis	p. 55
Assignment Questions	p. 56
Class Exercise	p. 56
CQI for Malaria Control in Ghana	p. 57
Introduction	p. 57
Background	p. 58
Concern about Malaria	p. 60
An Early Experiment with CQI in Ghana	p. 62
Describing, Assessing, and Comparing Management Systems	p. 71
Results	p. 78
Design, Implementation, and Management of Processes for Malaria Control	p. 79
Limitations of the Study	p. 92
Is CQI a Viable Approach in Malaria Control?	p. 94
Conclusions and Recommendations of the Initial Study	p. 97
CQI Elsewhere in Ghana	p. 100
Case Analysis	p. 101
Assignment Questions	p. 101
Class Exercise	p. 102
Acknowledgments	p. 102
Organizing for Continuous Quality Improvement	p. 103
The Intermountain Way to Positively Impact Costs and Quality	p. 105
Introduction	p. 105
Case Analysis	p. 126
Assignment Questions	p. 131
Class Exercise	p. 131
Acknowledgments	p. 132
Planning a Transition	p. 133
Introduction	p. 133
Case Analysis	p. 137
Assignment Questions	p. 138
Class Exercise	p. 138
Dawn Valley Hospital: Selecting Quality Measures for the Hospital Board	p. 139
Introduction	p. 139
Case Analysis	p. 152
Assignment Questions	p. 152
Class Exercise	p. 153
Dr. Charles Bethe, DO, Network Medical Director	p. 155
Introduction	p. 155
Case Analysis	p. 174
Assignment Questions	p. 174
Class Exercise	p. 175
Educational and Social-Marketing Applications in Continuous Quality Improvement	p. 177
Forthright Medical Center: Social Marketing and the Surgical Checklist	p. 179
Introduction	p. 179
Case Analysis	p. 186
Assignment Questions	p. 186
Class Exercise	p. 187
Prince Court Medical Centre: A Private Malaysian Healthcare Institution Prepares for a Pandemic of Influenza A (H1N1)	p. 189
Introduction	p. 189
Case Analysis	p. 207
Assignment Questions	p. 208
Class Exercise	p. 208
Financial Analysis and Quality Management in Patriot County, Ohio	p. 209
Introduction	p. 209
Case Analysis	p. 226
Assignment Questions	p. 227
Class Exercise	p. 227
Quality in Pediatric Subspecialty Care	p. 229
Introduction	p. 229
Background	p. 231
Components	p. 231
Organizational Structure	p. 233
An Incremental Approach	p. 237
Case Analysis	p. 240
Assignment Questions	p. 241
Class Exercise	p. 241
Assessment, Incentives, and Regulation	p. 243
The Folic Acid Fortification Decision Bounces Around the World vCurtis P. McLaughlin	p. 245
Introduction	p. 245
Technical Background	p. 246
Alternatives	p. 248
Support Builds	p. 249
Public Recommendation Changes	p. 249
Cost-Benefit Analysis	p. 250
The Results Come In	p. 251
The Results Come In	p. 251
The New U.S. Economic Study	p. 253
Case Analysis	p. 256
Assignment Questions	p. 257
Class Exercise	p. 258
Continuing Improvement for the National Health Service Quality and Outcomes Framework	p. 259
Introduction	p. 259
The Indicators	p. 260
Case Analysis	p. 271
Assignment Questions	p. 272
Class Exercise	p. 272
North Carolina Local Health Department Accreditation Program	p. 273
Introduction	p. 273
Background	p. 274
Why Accreditation in North Carolina?	p. 276
Program Structure and Design	p. 278
Accreditation Program Status	p. 290
Link between Quality Improvement and Accreditation	p. 296
National Voluntary Accreditation	p. 298
Program Sustainability	p. 300
Case Analysis	p. 300
Assignment Questions	p. 301
Class Exercise	p. 302
The Lewis Blackman Hospital Patient Safety Act: It's Hard to Kill a Healthy 15-Year-Old	p. 303
Introduction	p. 303
Case Analysis	p. 312
Assignment Questions	p. 312
Class Exercise	p. 312
Elk Hills Community Medical Center: Revisiting the Baldrige Award	p. 313
Introduction	p. 313
Baldrige Revisited	p. 314
Successful Applications	p. 319
Case Analysis	p. 321
Assignment Questions	p. 321
Class Exercise	p. 322
Process Improvement Research	p. 323
Stents vs. Bypass: Expanding the Evidence Base	p. 325
Introduction	p. 325
Holding Off on Stents	p. 327
Case Analysis	p. 330
Assignment Questions	p. 330
Class Exercise	p. 331
Cal Mason, COO, Metro Children's Hospital: Planned Experimentation in CQI	p. 333
Introduction	p. 333
The Improvement Project	p. 334
Designing the Study	p. 338
Conducting the Factorial Experiment	p. 341
Case Analysis	p. 347
Assignment Questions	p. 347
Class Exercise	p. 348
Acknowledgments	p. 348
The Houston Medical Center Bed Tower: Quality and the Built Environment	p. 349
Introduction	p. 349
The Role of the Built Environment in Quality and Safety	p. 350
The Effect of Design on the Care Process	p. 352
Potential Solutions through Design	p. 353
Case Analysis	p. 361
Assignment Questions	p. 361
Class Exercise	p. 362
Acknowledgments	p. 362
References	p. 363
Index	p. 371
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