Thomas K. Ross

Health Care Quality Management

Tools and Applications

• Broschiertes Buch

Produktbeschreibung

Increasingly health care organizations are challenged to improve patient outcomes, redesign business processes, and execute quality and risk management initiatives. Health Care Quality Management offers anintroduction to the field and practice of quality management, provides hands-on experience with Excel and other tools, and shows how these principles are adopted by health care organizations to improve patient outcomes and program quality. The book includes case studies to illustrate how patient outcomes have been improved and business processes redesigned to achieve improvements in quality, risk reduction and other key business results/outcomes.

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In today's challenging health care environment, health care organizations are faced with improving patient outcomes, redesigning business processes, and executing quality and risk management initiatives. Health Care Quality Management offers an introduction to the field and practice of quality management and reveals the best practices and strategies health care organizations can adopt to improve patient outcomes and program quality.

Filled with illustrative case studies that show how business processes can be restructured to achieve improvements in quality, risk reduction, and other key business results and outcomes
Clearly demonstrates how to effectively use process analysis tools to identify issues and causes, select corrective actions, and monitor implemented solutions
Includes vital information on the use of statistical process control to monitor system performance (variables) and outcomes (attributes)
Also contains multiple data sets that can be used to practice the skills and tools discussed and reviews examples of where and how the tools have been applied in health care
Provides information on root cause analysis and failure mode effects analysis and offers, as discussion, the clinical tools and applications that are used to improve patient care By emphasizing the tools of statistics and information technology, this book teaches future health care professionals how to identify opportunities for quality improvement and use the tools to make those improvements.

Produktdetails

• Verlag: Wiley & Sons
• 1. Auflage
• Seitenzahl: 624
• Erscheinungstermin: 7. Januar 2014
• Englisch
• Abmessung: 233mm x 177mm x 38mm
• Gewicht: 1002g
• ISBN-13: 9781118505533
• ISBN-10: 1118505530
• Artikelnr.: 39177423

Autorenporträt

Thomas K. Ross, PhD, is assistant professor of health services and information management in College of Allied Health Sciences at East Carolina University, Greenville, North Carolina.

Inhaltsangabe

Figures and Tables xi Preface xix The Author xxvi Part 1: The State of
Quality Management in Health Care Chapter 1 Quality in Health Care 3
Introduction 3 The Goal of Quality Management 5 Quality Pioneers in Health
Care 12 Requisite Skills for Improving Health Care 19 Quality Control in
Industry 23 System Thinking 27 Summary 33 References 35 Chapter 2 Error and
Variation 37 Introduction 37 The Medical Decision-Making Process 37 Human
Error and James Reason 40 Small Area Variations and John Wennberg 43
Practice Guidelines and Brent James 49 The Structure-Process-Outcome
Paradigm 50 The Three Faces of Quality 51 Underuse, Overuse, and Misuse 55
Controlling Variation and Improving Outcomes 57 Summary 58 References 60
Chapter 3 Regulating the Quality and Quantity of Health Care 63
Introduction 63 Licensure, Accreditation, and Credentialing 65 Malpractice
71 The Economics of Health Care Markets 73 A Brief History of Health Care
Financing in the United States 88 Pay for Performance and the CMS Quality
Initiative 102 Summary 105 References 108 Part 2: Quality Management Tools
Chapter 4 Process Analysis Tools 113 Introduction 113 Tools to Identify
Problems 116 Tools to Identify Causes 137 Tools to Identify Solutions 146
Tool to Monitor Progress 152 Summary 155 References 159 Chapter 5 Root
Cause Analysis 161 Introduction 161 Root Cause Analysis 162 Single-Event
Analysis 178 Multiple-Event Analysis 189 Prevention and Recovery 199 Cases
and Applications 205 Summary 212 References 214 Chapter 6 Statistical
Process Control for Monitoring System Performance 217 Introduction 217
Statistics Review 220 Types of Variation 226 Setting Performance Targets
228 Statistical Process Control for Continuous Data: X . and R Charts 231
Tinkering 255 Cases and Applications 257 Summary 261 References 264 Chapter
7 Statistical Process Control for Monitoring Failure Rates 265 Introduction
265 Statistical Process Control for Binomial Data: p and np Charts 266
Establishing Valid Control Limits 282 Constant and Variable Control Limits
284 Rebasing Control Limits and Monitoring Changes over Time 287 Cases and
Applications 290 Improving Performance Using SPC 295 Summary 296 References
299 Chapter 8 Statistical Process Control for Monitoring Nonconformities
301 Introduction 301 Statistical Process Control for Counts: c and u Charts
302 Medicare Hospital Quality Initiative Example 312 Cases and Applications
317 Selecting a Control Chart 321 Benefits of SPC 323 Inhibitors of the Use
of SPC 325 Summary 329 References 332 Chapter 9 Exploring Quality Issues
with Statistical Tools 333 Introduction 333 Chi-Square Analysis 335
Analysis of Variance 344 Analysis of Means 350 Regression Analysis354
Quality Improvement and Research 362 Summary 365 References 370 Chapter 10
Failure Mode and Effects Analysis 373 Introduction 373 General System
Theory 374 The Value Chain 383 Failure Mode and Eff ects Analysis 386
Designing Better Systems 398 Summary 403 References 406 Part 3: Medical
Practice Management Chapter 11 Practice Policies 411 Introduction 411
Practice Policies 413 Computer Decision Support427 Cases and Applications
428 Summary 432 References 434 Chapter 12 Case, Disease, and Outcomes
Management 437 Introduction 437 Case Management 440 Disease Management 449
Outcomes Management 463 Summary 468 References 470 Chapter 13 Profiling,
Economic Credentialing, and Risk Adjustment 473 Introduction 473 Physician
Profiling and Report Cards 476 Academic Detailing 485 Economic
Credentialing 488 Risk Adjustment 490 Summary 505 References 507 Chapter 14
Benchmarking and Implementation 511 Introduction 511 Benchmarking and Best
Practice 512 Balanced Scorecards 523 Dashboards 531 Implementation
Strategies 537 Summary 542 References 544 Chapter 15 The Future of Quality
Management in Health Care 547 Introduction 547 Bringing It All Together 549
Value and What an Employee (or Manager) Should Do 558 The Future of Health
Care and Quality Management 561 Summary 564 References 566 Index 567