Value Based Health Care Linking Finance and Quality

by Dlugacz, Yosef D.

• ISBN13: 9780470281673
• ISBN10: 0470281677
• Edition: 1st
• Format: Paperback
• Copyright: 2009-11-02
• Publisher: Jossey-Bass

Summary

This important resource offers a complete examination of value-based health care management which links quality and financial success. The text is written by an international leader and author in health care quality. The book is filled with illustrative examples of tangible products of value, based on the author's more than 20 years experience with quality in multiple health care settings. Written for health care administrators and other professionals, the book provides the information, tools, and techniques that link quality to finance.

Author Biography

Yosef Dlugacz, PhD, is senior vice president and chief of Clinical Quality, Education, and Research, Krasnoff Quality Management Institute, a division of the North Shore-Long Island Jewish Health System.

Table of Contents

Figures and Tables	p. ix
Preface	p. xi
Acknowledgments	p. xiii
The Author	p. xv
Introduction	p. xvii
Basic Principles of Quality Management	p. 1
Drivers of Change	p. 3
Learning Objectives	p. 3
External Drivers	p. 5
Internal Drivers	p. 11
Summary	p. 20
Key Terms	p. 20
Things to Think About	p. 20
Improving Patient Safety	p. 21
Learning Objectives	p. 21
Understanding Quality Measures	p. 23
Working with Quality Information	p. 24
Measuring Value	p. 27
Asking Questions Via Data	p. 30
Presenting Results	p. 34
Effective Communication Improves Patient Safety	p. 37
Summary	p. 39
Key Terms	p. 39
Things to Think About	p. 39
Focus on the Patient	p. 41
Learning Objectives	p. 41
Effective Communication and Patient-Focused Care	p. 43
Handoff Information Transfer	p. 47
SBAR	p. 47
Barriers to Effective Communication	p. 48
Strategies to Reduce Barriers	p. 50
Care and Communication Guidelines	p. 51
Patient Education	p. 52
Near-Miss Reporting	p. 59
Chronic Disease Management	p. 61
Task Forces	p. 63
Patient Rights and Responsibilities	p. 65
Compassionate Caring	p. 65
Summary	p. 67
Key Terms	p. 68
Things to Think About	p. 68
Understanding Processes, Outcomes, and Costs	p. 69
Learning Objectives	p. 69
Some Events Should Never Occur	p. 70
Leaders' Role in Good Outcomes	p. 72
Physicians' Role in Good Outcomes	p. 74
Financial Value of Good Outcomes	p. 76
Changing the Traditional Culture	p. 77
Summary	p. 86
Key Terms	p. 86
Things to Think About	p. 86
Getting Down to Business	p. 87
The Value of Prevention	p. 89
Learning Objectives	p. 89
The Promotion of Prevention	p. 90
The Problems with Prevention	p. 91
The Patient's Role	p. 92
Prevention Measures	p. 93
Regulatory Groups' Role in Prevention	p. 94
Data's Role in Promoting Prevention	p. 95
Management of Chronic Conditions	p. 99
Prevention in Ambulatory Care	p. 101
Proactive Prevention in the Hospital	p. 106
National Patient Safety Goals	p. 107
Technology and Prevention	p. 108
Summary	p. 110
Key Terms	p. 111
Things to Think About	p. 111
The Cost of Sentinel Events	p. 113
Learning Objectives	p. 113
Changing the Incident Analysis Framework	p. 115
The Value of Root Cause Analysis	p. 117
Monitoring Behavioral Health	p. 121
Eliminating Never Events	p. 124
Improving Error Reports	p. 125
Quality Management's Role in Controlling Adverse Events	p. 126
The Traditional Hierarchy Leads to Errors	p. 128
The Economics of Malpractice	p. 129
Summary	p. 130
Key Terms	p. 131
Things to Think About	p. 131
Managing Expenses in a High-Risk Environment	p. 133
Learning Objectives	p. 133
Improving Cost in the ICU	p. 134
Match the Resources to the Patient	p. 136
End-of-Life Care	p. 137
Sustaining Change	p. 138
Improving Operating Room Efficiency	p. 141
Improving Oversight	p. 142
Managing Throughput	p. 143
Summary	p. 146
Key Terms	p. 147
Things to Think About	p. 147
Improving Communication and Establishing Trust	p. 149
Learning Objectives	p. 149
Developing Trust	p. 150
The Role of Quality Management in Increasing Trust	p. 151
Transparency, Tracers, and Trust	p. 151
Establishing a Common Language	p. 157
Sustaining Change	p. 159
Monitoring Care	p. 160
Assessing Competency	p. 163
The Role of Regulatory Requirements in Ensuring Competency	p. 164
Medical Staff Credentialing	p. 165
Objectifying Competency	p. 165
Staffing Effectiveness	p. 168
Promoting Competency	p. 169
Summary	p. 169
Key Terms	p. 170
Things to Think About	p. 170
Promoting a Safe Environment of Care	p. 171
Learning Objectives	p. 171
Communication Across Disciplines	p. 172
Working Together to Identify and Solve Problems	p. 174
Improving Processes	p. 175
Monitoring Safety	p. 176
Ensuring Accountability	p. 178
Maintaining a Safe Environment	p. 180
Establishing Oversight	p. 180
Communicating About Safety	p. 181
Assessing and Improving the Environment	p. 182
Summary	p. 183
Key Terms	p. 184
Things to Think About	p. 184
Conclusion	p. 185
References	p. 191
Useful Web Sites	p. 195
Index	p. 197
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