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| Contributors | |
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| Foreword to the First Edition | |
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| Foreword to the Second Edition | |
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| Preface | |
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| Acknowledgments | |
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| The Rationale for Quality Improvement in Health Care | |
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| Introduction | |
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| Changing Health Care Environment | |
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| Growth of QI in Health Care | |
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| Transition to Integrated Health Care Delivery Systems | |
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| Delicate Balance Between Quality and Access | |
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| Next Level: Systemwide | |
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| Discussion Points | |
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| Group Processes in Health Care Quality Improvement | |
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| Introduction | |
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| Teamwork Concepts | |
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| Use of Teams in Organizations | |
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| Group Process Techniques | |
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| Special Situations: Team-Building Approaches | |
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| Teamwork: The Key to Higher Quality | |
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| Discussion Points | |
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| Process Orientation in Health Care | |
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| Introduction | |
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| Process-Analysis Tools | |
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| Failure Mode and Effects Analysis--Prospective Process Review | |
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| Root Cause Analysis--Retropective Process Review | |
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| Continuous QI--Concurrent Process Review | |
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| Relationship of Quality Assurance Approaches | |
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| Data Requirements in Quality | |
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| Discussion Points | |
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| Statistical Process Control: Basic Principles | |
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| Introduction | |
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| Data Analysis Models | |
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| Process Problems and Statistical Process Control | |
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| Statistical Basis of SPC | |
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| Conclusion | |
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| Discussion Points | |
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| Appendix 4.A | |
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| Statistical Process Control Approaches: Basic Theory and Use of Control Charts | |
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| Introduction | |
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| Overview of Data Types | |
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| Charts for Categorical Attributes | |
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| Charts for Counts Attributes | |
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| Analysis of Variables Data | |
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| Runs Testing in Control Charts | |
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| The Power of Control Charts | |
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| Discussion Points | |
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| Appendix 5.A | |
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| Advanced Statistical Process Control | |
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| Introduction | |
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| Using the Control Chart Selection Diagram | |
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| Discussion Points | |
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| Advanced Statistical Applications in Continuous Quality Improvement | |
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| Introduction | |
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| Discrete Contributions | |
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| Continuous Distributions | |
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| Statistical Inference | |
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| ANOVA | |
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| Regression Analysis | |
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| Analysis of Means | |
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| Design of Experiments | |
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| Sources of Data for QI | |
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| Discussion Points | |
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| Clinical Processes: Clinical Practice Guidelines | |
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| Introduction | |
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| History of Clinical Practice Guidelines in Health Care | |
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| Use of CPGs in Health Care | |
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| Creation of CPGs | |
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| Discussion Points | |
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| Strategies for Implementing Quality Improvement | |
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| Introduction | |
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| Deming's 14 Principles Applied to Health Care | |
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| Approaches to Implementation | |
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| Phases of Organizational Change | |
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| Institutionalization of Change | |
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| Balanced Scorecard Approach to QI | |
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| QI Implementation in Complex Organizations | |
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| Discussion Points | |
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| Making Continuous Quality Improvement Work: Care Management | |
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| Introduction | |
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| Care Management: A Contemporary Approach | |
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| Care Management: Theoretical Framework | |
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| Key Elements of a Care Management Program | |
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| Development of a Care Management Program | |
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| Financial Analysis of Care Management Programs | |
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| Provider Involvement in Care Management | |
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| Partnerships Within the Industry | |
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| Future of Care Management | |
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| Discussion Points | |
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| Quality Improvement and Health Statistics Data Sources | |
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| Legal and Regulatory Issues in Quality Improvement | |
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| Introduction | |
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| Federal Legislation and Regulation | |
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| The NCQA | |
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| Utilization Review Accreditation Commission | |
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| Joint Commission on Accreditation of Healthcare Organizations | |
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| Foundation for Accountability | |
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| Malcolm Baldrige National Quality Award | |
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| International Organization for Standardization 9000 | |
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| QI and Reducing Risk | |
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| Regulatory Agencies and the Growth of QI in Health Care | |
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| Discussion Points | |
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| QISMC Domain 1 | |
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| QISMC Domain 2 | |
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| QISMC Domain 3 | |
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| QISMC Domain 4 | |
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| The Future of Continuous Quality Improvement in Health Care | |
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| Introduction | |
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| Improved Information Management | |
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| Health Care System Integration | |
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| Consumerism | |
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| Education | |
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| Federal and State Government Programs Emphasis on Quality | |
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| Adoption of the Quality Philosophy | |
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| QI Is the Answer | |
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| Discussion Points | |
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| Glossary | |
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| Index | |