Health Care Quality Management - Tools and Applications

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.

List of contents

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
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About the author

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.

Summary

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.

Product details

• Authors: Thomas K Ross, Thomas K. Ross, Tk Ross
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 18.02.2014
• EAN: 9781118505533
• ISBN: 978-1-118-50553-3
• No. of pages: 624
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; Gesundheitswesen, Health & Social Care, Öffentlicher Gesundheitsdienst u. Gesundheitspolitik, Public Health Services & Policy, Gesundheits- u. Sozialwesen