The Quality Handbook for Health Care Organizations
A Manager's Guide to Tools and Programs
J-B AHA Press
1. Edition March 2004
288 Pages, Softcover
Wiley & Sons Ltd
ISBN:
978-0-7879-6921-9
John Wiley & Sons
This important book is a practical, theory-based resource on the topic of health care quality management written for health care administrators and practitioners. It offers the tools needed to help managers make decisions, prioritize resources (financial and human), and analyze and improve the care they deliver. The Handbook offers a hands-on approach to specific topics such as the implementation of managerial goals, instructions for developing accurate measurements for evaluating care, the utilization of data as a basis for process improvement, exploration of quality management tools and techniques, guidelines for the complex integration of collaborative services in health care, and methods for effective communication and improving accountability.
Chapter 1: Foundations of Quality Management -- A brief historical
overview of QM -- from Nightingale to JCAHO -- Unique
characteristics of healthcare QM (as opposed to industrial models)
Chapter 2: Quality Management Imperatives -- Focus on Patient
Safety (IOM, Leapfrog, JCAHO) -- Educated consumer -- A buyer's
market -- Evaluating care - increased pressures and expectations --
Improved processes and organizations -- Relating process to
regulation and outcomes -- Developing a cost-effective Quality
model -- Improving care at the bedside -- Defining "excellence"
Chapter 3: Leading Quality Projects -- The role of leadership --
Professional staff buy-in -- Balancing quality/finance/HR --
Understanding appropriateness of care/services -- Prioritizing
resources -- Evaluating care-learning to ask the right questions --
Communication and accountability -- Strategic planning
Chapter 4: Measuring and Evaluating Quality Projects --
Evaluating interaction between caregiver and patient -- Defining
scope of care -- Identifying variables -- Building blocks of
quality information -- Prioritization tools -- Working with Quality
data (using case studies) -- Criteria for establishing indicators
-- issues with definitions -- sources of data --
subjective/objective -- retrospective/concurrent -- -- how and when
to use different types of data -- -- collection methodologies --
establishing databases
Chapter 5: Interpreting Quality data -- Aggregating over time --
Across departments, within services, hospital units -- Determining
sample size -- Analytic tools -- Control charts, histogram, Pareto
diagram -- Measurements as Report Card -- Clinical
guidelines/disease management -- How to create guidelines --
Interpreting variance data -- Evaluation and decision-making --
Implementation and application
Chapter 6: From Interpretation to Action -- Performance
improvement (case studies) -- PDCA methodology -- establishing best
practices
Chapter 7: Accountability and Communication -- Quality
management structure -- Committees -- Teams -- Developing
partnerships -- Coordinating care -- Balancing multiple points of
view -- Responsibilities, information -- From hospital to system to
hospital - standardizing and integrating care
Chapter 8: Incident Analysis: When Bad Things Happen To Good
Hospitals -- Analytic tools(case studies) -- Cause/effect fishbone
-- Timeline -- Flow chart -- Root cause analysis -- Lessons learned
-- Outcomes -- Benchmarking -- Communicating improvements
Chapter 9: Using QM to Promote Patient Safety (case studies) --
Specific initiative examples: -- latex, detox, pressure ulcers,
ems, medication error reduction -- Working together -- environment
of care, risk management, engineering, infection control, employee
injury, etc.
Chapter 10: Quality Research and Beyond -- Lessons learned --
New tools, analytic models -- CareMaps -- Empowering the patient --
Ethics -- Policy decisions
overview of QM -- from Nightingale to JCAHO -- Unique
characteristics of healthcare QM (as opposed to industrial models)
Chapter 2: Quality Management Imperatives -- Focus on Patient
Safety (IOM, Leapfrog, JCAHO) -- Educated consumer -- A buyer's
market -- Evaluating care - increased pressures and expectations --
Improved processes and organizations -- Relating process to
regulation and outcomes -- Developing a cost-effective Quality
model -- Improving care at the bedside -- Defining "excellence"
Chapter 3: Leading Quality Projects -- The role of leadership --
Professional staff buy-in -- Balancing quality/finance/HR --
Understanding appropriateness of care/services -- Prioritizing
resources -- Evaluating care-learning to ask the right questions --
Communication and accountability -- Strategic planning
Chapter 4: Measuring and Evaluating Quality Projects --
Evaluating interaction between caregiver and patient -- Defining
scope of care -- Identifying variables -- Building blocks of
quality information -- Prioritization tools -- Working with Quality
data (using case studies) -- Criteria for establishing indicators
-- issues with definitions -- sources of data --
subjective/objective -- retrospective/concurrent -- -- how and when
to use different types of data -- -- collection methodologies --
establishing databases
Chapter 5: Interpreting Quality data -- Aggregating over time --
Across departments, within services, hospital units -- Determining
sample size -- Analytic tools -- Control charts, histogram, Pareto
diagram -- Measurements as Report Card -- Clinical
guidelines/disease management -- How to create guidelines --
Interpreting variance data -- Evaluation and decision-making --
Implementation and application
Chapter 6: From Interpretation to Action -- Performance
improvement (case studies) -- PDCA methodology -- establishing best
practices
Chapter 7: Accountability and Communication -- Quality
management structure -- Committees -- Teams -- Developing
partnerships -- Coordinating care -- Balancing multiple points of
view -- Responsibilities, information -- From hospital to system to
hospital - standardizing and integrating care
Chapter 8: Incident Analysis: When Bad Things Happen To Good
Hospitals -- Analytic tools(case studies) -- Cause/effect fishbone
-- Timeline -- Flow chart -- Root cause analysis -- Lessons learned
-- Outcomes -- Benchmarking -- Communicating improvements
Chapter 9: Using QM to Promote Patient Safety (case studies) --
Specific initiative examples: -- latex, detox, pressure ulcers,
ems, medication error reduction -- Working together -- environment
of care, risk management, engineering, infection control, employee
injury, etc.
Chapter 10: Quality Research and Beyond -- Lessons learned --
New tools, analytic models -- CareMaps -- Empowering the patient --
Ethics -- Policy decisions
"The Quality Handbook for Health Care
Organizations offers students of health care policy and
management a unique opportunity to learn firsthand from one of the
nation's leading experts in health care quality. Dr.
Dlugacz's passion for promoting the highest ideals of quality
in health care should inspire future generations of health care
professionals."
--Alan M. Leiken, chair, Department of Health Care Policy and
Management, School of Health Care Policy and Management, School of
Health Technology and Management, Health Sciences Center, State
University of New York at Stony Brook
"This outstanding book combines both the quantitative
aspects of data collection and analysis with the critical human
behaviors that make up a health care institution's culture.
Only when these two factors combine do true 'quality'
decisions and patient care result."
--Stuart R. Levine, author, The Six Fundamentals of
Success
"The Quality Handbook reflects the authors'
combination of technical know-how, years of experience, and the
enthusiasm for the complex challenge of their work."
--Margaret E. O'Kane, president, National Committee of
Quality Assurance
Organizations offers students of health care policy and
management a unique opportunity to learn firsthand from one of the
nation's leading experts in health care quality. Dr.
Dlugacz's passion for promoting the highest ideals of quality
in health care should inspire future generations of health care
professionals."
--Alan M. Leiken, chair, Department of Health Care Policy and
Management, School of Health Care Policy and Management, School of
Health Technology and Management, Health Sciences Center, State
University of New York at Stony Brook
"This outstanding book combines both the quantitative
aspects of data collection and analysis with the critical human
behaviors that make up a health care institution's culture.
Only when these two factors combine do true 'quality'
decisions and patient care result."
--Stuart R. Levine, author, The Six Fundamentals of
Success
"The Quality Handbook reflects the authors'
combination of technical know-how, years of experience, and the
enthusiasm for the complex challenge of their work."
--Margaret E. O'Kane, president, National Committee of
Quality Assurance
Yosef D. Dlugacz, Ph.D., is senior vice president Quality
Management for the North Shore--Long Island Jewish Health
System.
Andrea Restifo, R.N., M.P.A., is vice president Quality Management
for the North Shore--Long Island Jewish Health System.
Alice Greenwood, Ph.D., is information and research specialist
Quality Management for the North Shore--Long Island Jewish
Health System.
Management for the North Shore--Long Island Jewish Health
System.
Andrea Restifo, R.N., M.P.A., is vice president Quality Management
for the North Shore--Long Island Jewish Health System.
Alice Greenwood, Ph.D., is information and research specialist
Quality Management for the North Shore--Long Island Jewish
Health System.
