Yosef D. Dlugacz

Measuring Health Care (eBook, PDF)

Using Quality Data for Operational, Financial, and Clinical Improvement

• Format: PDF

Produktbeschreibung

This invaluable guide shows students and professionals how measurements and data can be used to balance quality services and financial viability and how measures can help to evaluate and improve organizational, clinical, and financial processes. The book explains the various performance measurement methods used in health care and shows their practical impact on clinical patient outcomes.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 240
• Erscheinungstermin: 11. Oktober 2006
• Englisch
• ISBN-13: 9780787987077
• Artikelnr.: 37341717

Autorenporträt

Yosef D. Dlugacz, Ph.D., is senior vice president, Quality Management, North Shore--Long Island Jewish Health System, Great Neck, New York. He is the author of The Quality Handbook for Health Care Organizations: A Manager's Guide to Tools and Programs (Jossey-Bass). He has taught health care professionals both nationally and internationally, most recently in Italy, Brazil, and Sweden; he is a Visiting Professor at the University of Beijing. Dr. Dlugacz is also Dean of Quality for the Center for Learning and Innovation at the Health System and Director of the Julienne and Abraham Krasnoff Center for Advanced Studies in Quality.

Inhaltsangabe

Figures and Tables. Preface. The Author. Introduction. 1 Overview: What
Measures Measure. Measures and the Medical Staff. Measures and Patients.
Measures and Health Care Leaders. Measures and Money. Measures and
Evaluating Care. Summary. Things to Think About. 2 Fundamentals of Data.
Quality and Finance: A Perfect Fit. Quality and Accountability. Let the
Walls Come Tumbling Down. Finding Answers. Objectifying the Delivery of
Care. Case Example: Cardiac Mortality. Case Example: Intensive Care Units.
Defining Goals. Nothing New Under the Sun. Case Example: Falls.
Communicating Information from Quality Measures. Leadership Defines the
Level of Quality. Finding Questions. Summary. Things to Think About. 3
Using Data to Improve Organizational Processes. Satisfying the Demanding
Consumer. Offering Value. Showing the Numbers. Measures Are Good Business.
Managing with Measures. The Value of Measures. Measures and Organizational
Processes. Case Example: Nutrition. Case Example: Housekeeping. Monitoring
Performance. Measures Promote Knowledge. Lack of Measures Leads to Poor
Resource Management. Measures and Evaluating Services. Summary. Things to
Think About. 4 What to Measure--and Why. Leadership Determines What to
Measure. Measures Define Quality Care. Measures Inform Financial Decisions.
Measures and Purchasing Decisions. Measures and Patient Safety. Quality
Methodology for Performance Improvement. Developing a Performance
Improvement Plan. Case Example: Plan Do Check Act for Bariatric Surgery.
Monitoring Variation from the Standard. Case Example: Moving Between Levels
of Care. Understanding Patient Flow. Summary. Things to Think About. 5
Promoting Accountability Through Measurements. Measures and Organizational
Goals. Justifying Expenses. Case Example: Self-Extubations. Getting the
Doctors on Board. Case Example: Wrong-Site Surgery. Analyzing Errors.
Changing the Culture. Asking Questions. Evaluating Information and
Communicating Results. Summary. Things to Think About. 6 The Rationale for
External Drivers of Quality. The Government Takes the Lead. Monitoring
Quality for Changed Practices. The Media Carry the Message. Public Pressure
Forces Change. Quality and Community Relations. Truth or Consequences.
Quality Data Force Change. Case Example: Coronary Artery Bypass Graft. Make
the Regulations Work for You. Summary. Things to Think About. 7 Integrating
Data for Operational Success. Different Data Tell Different Stories About
Care. Working with Administrative Data. Working with Primary Data. Case
Example: Stroke. Operational Decisions and Quality Data. Quality and Risk.
Case Example: FMEA and Blood Transfusions. Communicating Quality Data. Case
Example: Decubiti. Measures Tell the Truth. Summary. Things to Think About.
8 Internal Drivers of Quality. Using Guidelines to Drive Quality. Ensuring
That the Standard of Care Is Met. CareMaps Promote Standardized Care.
Variance Data Help Drive Quality. Dealing with Resistance to CareMaps.
Implementing Guidelines to Drive Quality Care. Everyone Benefits from
CareMaps. Documenting the Delivery of Care. Case Example: Detoxification
Guidelines. Summary. Things to Think About. 9 Using Data for Performance
Improvement. Aggregated Data Offer a Different Perspective. Case Example:
Using Quality Methods to Ensure Consistency of Care. Case Example:
Increasing Access to Care. Case Example: Improving Sterilization Across the
System. Collaboration Works. Summary. Things to Think About. Conclusion.
Bibliography. Index.