Quality Management In Health Care: Principles And Methods / Edition 2

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More About This Textbook


Now in its second edition, Quality Management in Health Care: Principles and Methods addresses the mounting pressure on the health care industry to control costs while providing the highest quality care and services. In doing so, it provides students with a solid foundation in the implementation of quality improvement activities and the tools necessary to evaluate and improve their efforts toward quality of care. With an emphasis on general theory and practical applications, the text delineates the techniques that form the basis of quality management in medicine, such as group processes, process orientation, statistical process control, and statistical techniques. A clear and concise writing style and effective use of examples, illustrations, and case studies elucidate the complex topics presented in the text.
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Product Details

  • ISBN-13: 9780763732189
  • Publisher: Jones & Bartlett Learning
  • Publication date: 2/24/2004
  • Edition description: 2E
  • Edition number: 2
  • Pages: 589
  • Sales rank: 913,169
  • Product dimensions: 10.00 (w) x 7.00 (h) x 1.23 (d)

Table of Contents

Contributors vii
Foreword to the First Edition ix
Foreword to the Second Edition xi
Preface xiii
Acknowledgments xv
Chapter 1 The Rationale for Quality Improvement in Health Care 1
Introduction 1
Changing Health Care Environment 2
Growth of QI in Health Care 4
Transition to Integrated Health Care Delivery Systems 7
Delicate Balance Between Quality and Access 8
Next Level: Systemwide 10
Discussion Points 10
Chapter 2 Group Processes in Health Care Quality Improvement 13
Introduction 13
Teamwork Concepts 14
Use of Teams in Organizations 17
Group Process Techniques 27
Special Situations: Team-Building Approaches 35
Teamwork: The Key to Higher Quality 39
Discussion Points 40
Chapter 3 Process Orientation in Health Care 43
Introduction 43
Process-Analysis Tools 45
Failure Mode and Effects Analysis--Prospective Process Review 84
Root Cause Analysis--Retropective Process Review 88
Continuous QI--Concurrent Process Review 89
Relationship of Quality Assurance Approaches 90
Data Requirements in Quality 91
Discussion Points 99
Chapter 4 Statistical Process Control: Basic Principles 103
Introduction 103
Data Analysis Models 103
Process Problems and Statistical Process Control 106
Statistical Basis of SPC 109
Conclusion 122
Discussion Points 122
Appendix 4.A 124
Chapter 5 Statistical Process Control Approaches: Basic Theory and Use of Control Charts 127
Introduction 127
Overview of Data Types 127
Charts for Categorical Attributes 128
Charts for Counts Attributes 135
Analysis of Variables Data 144
Runs Testing in Control Charts 169
The Power of Control Charts 170
Discussion Points 170
Appendix 5.A 172
Chapter 6 Advanced Statistical Process Control 173
Introduction 173
Using the Control Chart Selection Diagram 173
Discussion Points 237
Chapter 7 Advanced Statistical Applications in Continuous Quality Improvement 239
Introduction 239
Discrete Contributions 239
Continuous Distributions 242
Statistical Inference 248
Regression Analysis 262
Analysis of Means 275
Design of Experiments 282
Sources of Data for QI 287
Discussion Points 292
Chapter 8 Clinical Processes: Clinical Practice Guidelines 295
Introduction 295
History of Clinical Practice Guidelines in Health Care 295
Use of CPGs in Health Care 297
Creation of CPGs 302
Discussion Points 317
Chapter 9 Strategies for Implementing Quality Improvement 321
Introduction 321
Deming's 14 Principles Applied to Health Care 321
Approaches to Implementation 337
Phases of Organizational Change 337
Institutionalization of Change 353
Balanced Scorecard Approach to QI 354
QI Implementation in Complex Organizations 362
Discussion Points 363
Chapter 10 Making Continuous Quality Improvement Work: Care Management 365
Introduction 365
Care Management: A Contemporary Approach 366
Care Management: Theoretical Framework 367
Key Elements of a Care Management Program 369
Development of a Care Management Program 374
Financial Analysis of Care Management Programs 398
Provider Involvement in Care Management 414
Partnerships Within the Industry 416
Future of Care Management 419
Discussion Points 420
Appendix 10.A Quality Improvement and Health Statistics Data Sources 425
Chapter 11 Legal and Regulatory Issues in Quality Improvement 429
Introduction 429
Federal Legislation and Regulation 430
The NCQA 437
Utilization Review Accreditation Commission 445
Joint Commission on Accreditation of Healthcare Organizations 447
Foundation for Accountability 449
Malcolm Baldrige National Quality Award 452
International Organization for Standardization 9000 454
QI and Reducing Risk 458
Regulatory Agencies and the Growth of QI in Health Care 459
Discussion Points 459
Appendix 11.A QISMC Domain 1 463
Appendix 11.B QISMC Domain 2 491
Appendix 11.C QISMC Domain 3 507
Appendix 11.D QISMC Domain 4 537
Chapter 12 The Future of Continuous Quality Improvement in Health Care 541
Introduction 541
Quality Milestone 1 Improved Information Management 542
Quality Milestone 2 Health Care System Integration 548
Quality Milestone 3 Consumerism 549
Quality Milestone 4 Education 551
Quality Milestone 5 Federal and State Government Programs Emphasis on Quality 552
Quality Milestone 6 Adoption of the Quality Philosophy 554
QI Is the Answer 555
Discussion Points 556
Glossary 563
Index 575
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