Advanced Performance Improvement in Health Care: Principles and Methods: Principles and Methods

by Donald Lighter

Overview

This book explores the many recent advances in the application of quality improvement approaches in the healthcare industry. It includes a discussion of the underlying forces for change in healthcare organizations, issues relating to statistical analysis and management of healthcare information, as well as comprehensive sections on lean and six sigma applications in health care. This text is excellent as a stand alone text or as a supplement to the first text by Lighter and Fair, Quality Management in Health Care, which offers an introduction to the basics of quality improvement for healthcare professionals.

Product Details

ISBN-13:	9780763764494
Publisher:	Jones & Bartlett Learning
Publication date:	11/10/2009
Edition description:	1E
Pages:	446
Product dimensions:	6.90(w) x 8.90(h) x 1.00(d)

About the Author

Dr. Donald E. Lighter currently serves as the Associate Medical Director for Clinical Outcomes Programs for the Shriners Hospitals for Children, where he is responsible for leading the design and implementation of programs to evaluate and improve the care of children in the Shriners system. Shriners’ unique hospital system provides free care for children with serious orthopaedic abnormalities and burns. After finishing his medical degree at St. Louis University Medical School, Dr. Lighter completed a pediatric residency and practiced general pediatrics in both private practice and academic settings for over twenty-five years. Dr. Lighter’s experience in managed care has spanned nearly twenty years, having led the formation of two IPAs and three HMOs. Over the past ten years, Dr. Lighter has worked both with commercial and Medicaid HMOs, and presently he is Director at The Institute for Healthcare Research and Education and a founder of CyberCE, Inc., an online educational consulting company. Additionally, Dr. Lighter is a professor and a member of the core faculty for The University of Tennessee’s Physicians’ Executive MBA program, an innovative curriculum that relies heavily on the Internet to provide didactic material for physicians working toward a Masters in Business Administration degree. He also serves as a Senior Examiner in the Malcolm Baldrige National Quality Award Program.

Table of Contents

Chapter 1 The Business Case for Quality
B Head _{Mandate for Improvement}
B Head _{Value Proposition: How Does Quality Relate to Performance?}
B Head _{How Do Organizations Measure the Value Proposition?}
B Head _{Measurement Is the Key to Performance Incentives}
B Head _{The Marketplace Wins in the End}
B Head _{Discussion Questions}
B Head _References
B Head _{Additional Resources}
B Head _{Appendix 1.1: CM S Physicians Quality Reporting Initiative ( PQRI) Measures}
Chapter 2 Teams in Healthcare Performance Improvement
B Head _{Teamwork Is Key for Improving Performance
Choosing a Project
Team Development
Application of the Team Approach
Steps in Creating Teams
Team Selection
Teamwork Tools
Discussion Questions
Reference
Additional Resources}
Chapter 3 Process Tools
B Head _{All Work Consists of Processes
What Is the Value Proposition?
Process Analysis Toolkit
Application of Improvement Tools
Summary
Discussion Questions
Additional Resources}
Chapter 4 Medical Informatics and Information Resources for Quality Improvement
B Head _{What Is Medical Informatics and Why Is It Important?
Types of Measurement Systems
Microsystem Data
Medical Record Systems
Analysis Packages
Summary
Discussion Questions
References
Additional Resources
Appendix 4.1: CAHPS Survey for Pediatric Primary Care
Appendix 4.2: Sou rces for Benchmarking Data and Operational Definitions
Appendix 4.3: Resource-Based Relative Value System}
Chapter 5 Essentials of Statistical Thinking and Analysis
B Head _{Art and Science of Statistical Thinking
Statistical Process Control Puts Statistical Thinking Into Practice
SPC Basics
Control Chart: Shewhart’s Genius
Types of Control Charts
Choosing and Using Continuous Variable Charts
Limitations of SPC and “Bumps in the Road”
Analysis Packages for SPC
Approaches to Refining SPC Analyses
Barriers to Implementation of SPC
Advanced Statistical Tools
Discussion Questions
References
Additional Reading}
Chapter 6 Approaches to Improvement – Standardization and Lean Process Management
B Head _{Standardization: Is It Really a “Four-Letter Word"?
Principles of Lean Management
Lean Improvement Cycle
The Lean Toolbox
Application of Standardization: Clinical Practice Guidelines
Summary
Discussion Questions
References
Additional Reading
Lean Glossary and Concepts}
Chapter 7 Six Sigma – Principles and Applications in Health Care
B Head _{Six Sigma: Tool for Process Effectiveness
History of Six Sigma
Basics of Six Sigma: Statistical Background
Six Sigma Metrics
Six Sigma Improvement Model (SSIM)
Voices of Six Sigma
B Head Gauge Repeatability and Reproducibility
B Head DMAIC: The Six Sigma Improvement Model
B Head Design For Six Sigma: Starting Right
B Head Discussion Questions
B Head Additional Resources
B Head References
Six Sigma Glossary}
Chapter 8 Alignment and Integration of Performance Improvement Systems – the Malcolm Baldrige National Quality Award
B Head _{History and Background}
B Head _{Baldrige Organizational Structure}
B Head _{Baldrige Award Process}
B Head _{Baldrige Core Values}
B Head _{Baldrige Criteria: Basis for Evaluation}
B Head _{Structure of a Baldrige Application}
B Head _{Healthcare Recipients 2002–2008}
B Head _{Conducting a Self-Assessment}
B Head _Summary
B Head _{Discussion Questions}
B Head _Reference
B Head _{Baldrige Award Glossary}