Health care quality management : tools and applications / / Thomas K. Ross

• Autore: Ross Thomas K
• Pubblicazione: San Francisco : , : Jossey-Bass, a Wiley Brand, , [2014]; 2014
• Edizione: First edition.
• Descrizione fisica: 1 online resource (xxiv, 591 pages) : illustrations
• Disciplina: 362.1
• Soggetto topico: Health services administration - Quality control; Medical care - Quality control
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Health Care Quality Management: Tools and Applications -- Copyright -- Contents -- Figures and Tables -- Preface -- What the Book Will Not Discuss -- The Central Idea of the Text -- Overview of the Book -- Acknowledgments -- The Author -- Part 1: The State of Quality Management in Health Care -- Chapter 1: Quality in Health Care -- Introduction -- The Goal of Quality Management -- Defining Quality -- Defining Health Care Quality -- Quality Pioneers in Health Care -- Ignaz Semmelweis (1818-1865) -- Florence Nightingale (1820-1910) -- Ernest Codman (1869-1940) -- Requisite Skills for Improving Health Care -- Evolution of Production Processes -- Quality Control in Industry -- Walter Shewhart (1891-1967) -- W. Edwards Deming (1900-1993) -- Kaoru Ishikawa (1915-1989) -- Evolution of Quality Management -- System Thinking -- Summary -- References -- Chapter 2: Error and Variation -- Introduction -- The Medical Decision-Making Process -- Human Error and James Reason -- Small Area Variations and John Wennberg -- John Wennberg -- Practice Guidelines and Brent James -- The Structure-Process-Outcome Paradigm -- The Three Faces of Quality -- Underuse, Overuse, and Misuse -- Controlling Variation and Improving Outcomes -- Summary -- References -- Chapter 3: Regulating the Quality and Quantity of Health Care -- Introduction -- Licensure, Accreditation, and Credentialing -- Occupational Licensing -- Suspended Licenses -- Licensing of Facilities -- Accreditation -- Credentialing -- Malpractice -- The Economics of Health Care Markets -- Demand and Supply of Medical Services -- The Decision to Purchase -- The Demand Curve -- The Decision to Produce -- The Supply Curve -- Health Insurance and Moral Hazard -- Copayments -- Caveats -- Supplier-Induced Demand and the Target Income Hypothesis -- A Brief History of Health Care Financing in the United States. ; Reimbursement Methodologies and Operating Incentives -- Reimbursement and Overuse, Underuse, and Misuse -- Return on Investment on Delivering High-Quality Care -- Revenue -- Cost of Treatment -- Cost of Quality Improvement -- Impact on Net Income -- Pay for Performance and the CMS Quality Initiative -- Summary -- References -- Part 2: Quality Management Tools -- Chapter 4: Process Analysis Tools -- Introduction -- Tools to Identify Problems -- Pareto Charts -- Stratification Charts -- Histograms -- Check Sheets -- Tools to Identify Causes -- Cause and Effect Diagrams -- Cause and Effect Example: Medication Error -- Scatter Diagrams -- Flowcharts -- Tools to Identify Solutions -- Multivoting -- Q-sort -- Tool to Monitor Progress -- Run Chart -- Summary -- References -- Chapter 5: Root Cause Analysis -- Introduction -- Root Cause Analysis -- The Goal of RCA and Types of Error -- Why Do Errors Occur? -- Classifying Error -- The Causes of Error -- The Root Causes of Medical Events -- Types of Root Cause Analyses -- Single-Event Analysis -- Data Collection Techniques -- Data Analysis and Identifying a Cause -- Implementing Corrective or Preventive Action -- Multiple-Event Analysis -- Data Collection -- Data Analysis -- Implementing Preventative Action -- Adding Cases to the Adverse Event Data Base -- Prevention and Recovery -- Cases and Applications -- Single-Event Analysis: The Wrong Patient -- Multiple-Event Analysis: Patient Falls in VA Facilities -- Summary -- References -- Chapter 6: Statistical Process Control for Monitoring System Performance -- Introduction -- Why Don't Systems Produce the Expected Output? -- When Is Corrective Action Required? -- Statistics Review -- Types of Variation -- Setting Performance Targets -- Statistical Process Control for Continuous Data: X and R Charts -- Emergency Room Wait Time Example. ; Medication Management Example -- Diagnosing the Problem -- Comparing Performance across Shifts -- Performance across Days -- Identifying the Major Causes of a Problem -- Tinkering -- Cases and Applications -- SPC and Cardiac Surgery: Application 1 -- SPC and Hip Replacement: Application 2 -- SPC and Door-to-Needle Time: Application 3 -- Summary -- References -- Chapter 7: Statistical Process Control for Monitoring Failure Rates -- Introduction -- Statistical Process Control for Binomial Data: p and np charts -- Accuracy of Surgical Coding Example -- Heart Failure and Smoking Cessation Counseling Example -- Establishing Valid Control Limits -- Constant and Variable Control Limits -- Rebasing Control Limits and Monitoring Changes over Time -- Cases and Applications -- SPC and Cardiac Rehabilitation Guidelines: Application 1 -- SPC and Thyroid Surgery Complications: Application 2 -- SPC and Emergency Room Services: Application 3 -- SPC and Anesthesia Administration: Application 4 -- Improving Performance Using SPC -- Summary -- References -- Chapter 8: Statistical Process Control for Monitoring Nonconformities -- Introduction -- Statistical Process Control for Counts: c and u Charts -- Medical Record Coding Example -- Dietary Concerns Example -- Medicare Hospital Quality Initiative Example -- Cases and Applications -- SPC and MRSA: Application 1 -- SPC and a Public Health Outbreak: Application 2 -- SPC and Volume of Surgical Procedures: Application 3 -- Selecting a Control Chart -- Benefits of SPC -- Inhibitors of the Use of SPC -- Final Thoughts on SPC -- Summary -- References -- Chapter 9: Exploring Quality Issues with Statistical Tools -- Introduction -- Chi-Square Analysis -- Applications of Chi-Square Analysis -- Analysis of Variance -- Applications of ANOVA -- Analysis of Means -- Applications of ANOM -- Regression Analysis -- Multiple Regression. ; Applications of Regression Analysis -- Quality Improvement and Research -- Summary -- References -- Chapter 10: Failure Mode and Effects Analysis -- Introduction -- General System Theory -- Outcome -- Output -- Throughput -- Input -- Feedback -- The Value Chain -- Failure Mode and Effects Analysis -- The FMEA Process -- Designing Better Systems -- Summary -- References -- Part 3: Medical Practice Management -- Chapter 11: Practice Policies -- Introduction -- Practice Policies -- Variety of Practice Policies -- Practice Policy Components -- Implementation of Practice Policies -- Implementation Approaches to Avoid -- Uses and Barriers of Practice Policies -- Computer Decision Support -- Cases and Applications -- Summary -- References -- Chapter 12: Case, Disease, and Outcomes Management -- Introduction -- Case Management -- Case Management Functions -- Measurement and Accountability -- Case Management Cases -- Disease Management -- Opportunities for Improvement -- Developing a Disease Management Program -- Role of Self-Care -- Disease Management Goals -- General Structure of a Disease Management Program -- Disease Management Cases -- Outcomes Management -- Outcomes Management Cases -- Summary -- References -- Chapter 13: Profiling, Economic Credentialing, and Risk Adjustment -- Introduction -- Physician Profiling and Report Cards -- Developing a Practice Profile -- Profiling Cases -- Concerns over the Use of Practice Profiles -- Academic Detailing -- The Academic Detailing Process -- Academic Detailing Cases -- Economic Credentialing -- Risk Adjustment -- Risk Factors -- Risk Adjustment Systems -- Summary -- References -- Chapter 14: Benchmarking and Implementation -- Introduction -- Benchmarking and Best Practice -- The Benchmarking Process -- Benchmark Data Sources -- Balanced Scorecards -- Dashboards -- Implementation Strategies -- Summary. ; References -- Chapter 15: The Future of Quality Management in Health Care -- Introduction -- Bringing It All Together -- Quality and Variation -- Quality Management Tools -- Medical Practice Management -- Value and What an Employee (or Manager) Should Do -- The Future of Health Care and Quality Management -- Three Conditions for Reform -- Summary -- References -- Index.
• Sommario/riassunto: 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.
• Titolo autorizzato: Health care quality management
• ISBN: 9781118603642; 1118603648
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910809020603321
• Lo trovi qui: Univ. Federico II