Health Care Quality Management : Tools and Applications.

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.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.