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Quality and Performance Improvement in Healthcare An AHIMA publication presenting a comprehensive introduction to the theory, practice and management of performance and quality improvement processes for quality of patient care in healthcare organizations. Each chapter presents real-life examples, issues and backgrounds that solidify the importance of quality improvement in healthcare.
Intervention Research and Evidence-Based Quality Improvement: designing, conducting, analyzing and funding First Edition received 2012 First Place AJN Book of the Year Award in Nursing Research "This is a resource for success and should be a part of any researcher's library." --Doody's Medical Reviews (Praise for the First Edition) Written for researchers, clinicians and doctoral students, the newly revised edition of this comprehensive reference continues to deliver the essentials of intervention research with added content on evidence-based quality improvement, a must for improving healthcare quality, safety and population health outcomes. Although typically it takes years for research-based interventions to make their way to real world clinical settings, this "prolonged time for translation" frustrates researchers and their interprofessional teams. This second edition now delves even deeper into key strategies for rapidly moving research-based interventions into real world settings in the form of evidence-based quality improvement as well as the challenges of working in an increasingly diverse professional research environment. Intervention Research and Evidence-Based Quality Improvement, Second Edition begins at the pilot study phase for intervention research and highlights every step of the way through to full-scale randomized controlled trials. Written in user-friendly format, content covers designing, conducting, analyzing, and funding intervention studies that improve healthcare quality and people's health outcomes. Chapters cover writing grant applications and show examples of actual applications that have been funded by NIH and other organizations. These real-life samples are available online, alongside additional progress reports and final reports. Real-world examples of evidence-based quality improvement projects that have improved outcomes also are highlighted in this second edition. New to the Second Edition: Describes evidence-based quality improvement and specific steps in conducting EBQI projects, which are essential for enhancing healthcare quality, safety and costs along with enhancing population health outcomes.Emphasizes the importance of interprofessional teamsFocuses on using research-based interventions in real-world settingsSix new chapters o Generating Versus Using Evidence to Guide Best Practice o Setting the Stage for Intervention Research and Evidence-based Quality Improvement o Evidence-based Quality Improvement o Translational Research: Why and How o Factors Influencing Successful Uptake of Evidence-Based Interventions in Clinical Practice o Using Social Media to Enhance Uptake of Research-Based Interventions into Real World Clinical Settings Key Features: Provides a practical, comprehensive resource for designing, conducting, analyzing, and funding intervention studiesOutlines the specific steps in designing, conducting and evaluating outcomes of evidence-based quality improvement projectsIncludes examples of funding research grants, progress reports, and final reportsServes as a core text for students in doctoral nursing and other health sciences programs
Optimizing Patient Flow: advanced strategies for managing variability to enhance access, quality and safety Edited by Eugene Litvak, Ph.D., a world-renowned leader in hospital operations management and redesign Foreword by Dr. Harvey Fineberg, president of the Gordon and Betty Moore Foundation and former president of the Institute of Medicine Optimizing patient flow impacts patient safety and the quality of care, and it has financial implications for health care institutions. Yet the story hasn't changed much in the decades that patient flow has been a focus of health care administrators. Hospitals are straining to meet demand. Surgeries continue to be delayed. Ambulances are diverted. Emergency departments are overcrowded while waiting for inpatient beds. Staffing shortages and economic challenges only serve to exacerbate the inefficiencies of patient flow. Perhaps this approach to managing patient flow is not the best one. Crowded emergency departments and empty operating rooms are indicative of the variability in patient flow throughout the hospital, including emergency rooms and ICUs, as well as the flow to other settings of care, such as home care. Our second title edited by patient flow expert Dr. Eugene Litvak, Optimizing Patient Flow: Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety, offers readers innovative techniques for optimizing patient flow and improving operations management while providing clear examples of successful implementation. It can help you optimize patient flow in your own organization. This book goes beyond the introductory information provided in JCR s popular Managing Patient Flow in Hospitals: Strategies and Solutions, Second Edition. Dr. Litvak has teamed with CEOs, doctors, and researchers who have compiled their own experiences with patient flow to produce a book that guides the reader to practical and achievable advances in patient flow by sharing stories of how it was attained in actual health care organizations and providing specific approaches to reducing and managing variability. Key Topics Reducing and managing natural and artificial variability Smoothing and optimizing the admissions process and surgical flow Capacity planning and queue management strategies Assessing the quantitative impact of patient flow issues on patients and staff Standardizing patient admission, transfer, and discharge Key Features Hospital CEOs share their actual experiences implementing patient flow measures Researchers present the nuts and bolts of the mechanics of patient flow Real-life case studies illustrate how improved patient flow impacts emergency departments, telemetry bed utilization, and post-acute care Standards: No direct standards correlations, but related to Leadership and Performance Improvement Setting: Hospitals, critical access hospital, home care Key Audience Hospital executives including chief operating officers and chief financial officers Board members Physicians and medical officers Nurses and nurse executives Quality, process improvement, and productivity managers Emergency department, surgery, critical care, and nursing operations professionals
Fundamentals of Health Care Improvement: a guide to improving your patients' care Building upon the second edition of this book published in 2012, the authors further delve into the process of quality improvement in the clinical setting. Rather than focusing on improvement of a specific patient, there is emphasis on system improvements. With increased emphasis on improved patient and system outcomes, it is imperative that healthcare professionals have an understanding of this concept. This work teaches introductory quality improvement in a structured, easy-to-understand manner The authors state that the book is designed for healthcare professional students as well as healthcare professionals who are beginning to learn clinical quality improvement. They are clear authorities on healthcare quality management and have garnered the support of both The Joint Commission and the Institute for Healthcare Improvement. Mirroring the medical model, this book teaches healthcare quality improvement by implementing diagnosis of the problem, problem management, analysis, change, and leadership in system improvement. Pre- and post-lesson vignettes include patients as part of the treatment team. This intentionally puts emphasis on shared decision making. Post-lesson tools include specific exercises and questions to assist readers in encoding the preceding information. Graphs and tables are well designed and positioned to not interrupt the text. New to this edition is an appendix containing 16 supporting tools, many of which are also accessible online. This edition modernizes the previous ones by centering care on the patient and including the patient in the team. Jill P Massengale, DNP(James A. Haley Veterans' Hospital)
Introduction to Healthcare Quality Management, Third Edition For decades, the essential principles of healthcare quality management--measurement, assessment, and improvement--have remained the same. The ongoing shift to value-based care, however, has driven change in the practices and approaches healthcare providers use to evaluate their performance and improve their organizations' clinical, safety, and patient satisfaction outcomes.Introduction to Healthcare Quality Management explains the basic principles and techniques of quality management in healthcare. Written for students and professionals with little or no clinical experience, the book focuses primarily on measuring and improving the operational and service aspects of healthcare delivery. Real-world case studies and examples provide an applied learning approach that helps readers understand how to measure, assess, and improve an organization's performance and ensure the delivery of reliable, high-quality care. Thoroughly revised with updated references, examples, case studies, activities, and supplementary resources, this edition includes new content on: strategies for managing quality in population health care, application of the Institute for Healthcare Improvement's Triple Aim framework, Value-based reimbursement models, patient-centered discharge planning and case management, external regulations and accreditation standards, Lean and Six Sigma improvement techniques, adoption of improvement models from other industries. An excellent resource for students and practicing health professionals alike, Introduction to Healthcare Quality Management provides readers with the core knowledge they need to drive innovative change in quality management practices.
Quality Health Care: a guide to developing and using indicators by Written by an internationally-recognized expert in the field of quality management, this text is an essential guide for understanding how to plan and implement a successful quality measurement program in your healthcare facility. It begins by presenting an overview of the context for quality measurement, the forces influencing the demand for quality reform, how to listen to the voice of the customer, and the characteristics of quality that customers value most. Students will also learn how to select and define indicators to collect data and how to organize data into a dashboard that can provide feedback on progress toward quality measurement. Finally, this book explores how to analyze the data by detailing how variation lives in your data, and whether this variation is acceptable. Case studies are provided to demonstrate how quality measurement can be applied to clinical as well as operational aspects of healthcare delivery.
Applying Quality Management in Healthcare by Stakeholders at all levels of a healthcare system have a vested interest in improving quality and safety. Managers play instrumental roles in creating and delivering high-quality services but many frontline clinical and administrative staff members are also involved, directly or indirectly, in shaping patient care systems and designing safer, more efficient processes.
Performance Improvement in Hospitals and Health Systems: managing analytics and quality in healthcare Healthcare Organizations offer significant opportunities for change and improvement in their overall performance. Hospitals and clinics are generally large, complex, and inefficient, and need serious development in process workflow and management systems, which will ultimately lead to better patient and financial outcomes. The National Academy of Medicine has stated that hospital systems are broken, and that they must begin by "¿ improving hospital efficiency and patient flow, and using operational management methods and information technologies." In fact, costs and quality are two of the important aspects of the "triple aim" in healthcare. One area that offers significant potential for improvement is through the application of performance improvement methods to patient and process flows. Performance improvement has a significant impact on a hospital¿s over financial and strategic performance. Performance improvement involves the deployment of quantitative and scientific methods to model and influence the functioning of organizations. Performance improvement professionals are tasked with managing a variety of activities, such as deploying new information technologies, serving as project managers for construction events, re-engineering departmental process workflow, eliminating bottlenecks, and improving the flow and movement of patients between resource-intensive clinical areas. All of these are high risk, and require use of advanced, sophisticated methods to improve efficiency and quality, while minimizing disruptions from change. This updated edition is a comprehensive and concise guide to performance improvement in healthcare. It describes the management engineering principles focused on designing optimal management and information systems and processes. Case studies and examples are integrated throughout all chapters.
High Reliability Organizations: a healthcare handbook for patient safety & quality Patient safety and quality are an ever-increasing concern to consumers, payers, providers, organizations, and governments. However, high reliability methods and science that can provide efficient and effective care have still not been totally implemented into our healthcare culture. Nurses, representing the majority of healthcare workers, are on the front line of the delivery and provision of safe and effective care and are ideally situated to drive the mission to achieve high reliability in healthcare.
Preparing for Continuous Quality Improvement for Healthcare: sustainability through functional tree structures This book provides a set of detailed instructions to help you construct your departmental, divisional, or organizational functional tree structure (FTS) and work towards world-class service. Preparing for Continuous Quality Improvement for Healthcare: Sustainability through Functional Tree Structures outlines a method that will enable your organization to set a stable base for future improvements that are sustainable and create breakthrough improvements in service, quality, and costs. More importantly, the FTS method outlined in the book will provide you with the tools to build processes tailored to your customers specifications and standards. It will enable you to improve your department, division, and entire organization and edge ahead of your competition. The book explains why organizations steeped in process improvement need to re-evaluate and re-establish their procedures especially if initial outcomes have not met expectations. Illustrating key concepts with examples, case studies, and flow charts, it provides you with a clear understanding of organizational functional structure and how to document current organizational and departmental functional tree structures. Describing how to identify a department's functional deficits, shortcomings, and waste, it explains how to select the best course of action for your organization. After reading this book, you will be able to create a pictorial representation of your organization's current functional structure and select the best course of action for achieving sustainable advancements in service, quality, and costs. The book will help to convert your managers from a people-management mentality to one of process management transforming leaders to educators and not guards."
Quality and performance improvement in healthcare : theory, practice, and management by 
Quality Management in Intensive Care by This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.
Improving Diagnosis in Health Care by Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. "Improving Diagnosis in Health Care" a continuation of the landmark Institute of Medicine reports "To Err Is Human" (2000) and "Crossing the Quality Chasm" (2001) finds that diagnosis-and, in particular, the occurrence of diagnostic errorsa "has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of "Improving Diagnosis in Health Care" contribute to the growing momentum for change in this crucial area of health care quality and safety."
Using Patient Reported Outcomes to Improve Health Care by A practical, introductory guide to the best use of Patient Reported Outcomes (PROs) to improve the quality of health care and patient health. Only title to exclusively introduce, explain and show how PROs can be best used to improve healthcare and patient outcomes Includes real life examples and case studies of PROs in practice Assesses the growing evidence base for PROs in practice Editor team from Office of Health Economics (OHE), The King's Fund and King's College London with contributions from practising clinicians, GPs and other healthcare professionals
Communicating Quality and Safety in Health Care by In response to the growing emphasis on clinicians' capacity to practise effective communication, Communicating Quality and Safety in Healthcare provides real-time communication scenarios and interprofessional case studies. The book engages healthcare trainees from across medicine, nursing and allied health services in a comprehensive and probing discussion of the communication demands that confront today's healthcare teams. This book explains the role of communication in mental health, emergency medicine, intensive care, and a wide range of other health service and community care contexts. It emphasises the ways in which patients and clinicians communicate, and how clinicians communicate with one another. The case studies explain why and how communication is critical to good care and healing. Each chapter analyses real-life practice situations, encourages the learner to ask probing questions about these situations, and sets out the principal components and strategies of good communication.
Leading Healthcare Transformation by A succinct and practical primer on healthcare transformation, Leading Healthcare Transformationis a key resource for all clinicians in leadership positions. It summarizes high-profile healthcare topics and includes a synopsis of the evidence, examples, lessons learned, and key action steps for each topic covered. Providing cutting-edge insights from the quality and physician perspectives, the book focuses on the most critical topics in the field today, including the issues of quality, cost, value, and new models of care. The book includes discussions on various quality improvement processes including Lean and Six Sigma. Detailing specific strategies and tools to help you achieve and sustain improvement, it explains how to build a culture of safety and identifies proven principles and practices for creating a high reliability organization. Blending the perspectives of administrators, nurses, and physicians, this insightful and practical resource provides the understanding you need to leverage health information technology for clinical improvement and to improve care coordination to reduce readmissions. The book includes a Foreword by Jonathan B. Perlin, MD, PhD, MSHA, FACP, FACMI.
A Systems Engineering Approach to Better, Less Expensive Health Care by This book identifies a comprehensive set of actions for enhancing health care across the Nation through greater use of systems-engineering principles. Systems engineering, widely used in manufacturing and aviation, is an interdisciplinary approach to analyze, design, manage, and measure a complex system in order to improve its efficiency, reliability, productivity, quality, and safety. It has often produced dramatically positive results in the small number of health-care organizations that have incorporated it into their processes. The book proposes a strategy that involves reforming payment systems; building the Nation's health-data infrastructure; providing technical assistance to providers; increasing community collaboration; sharing best practices; and training health professionals in systems engineering approaches.
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