Basics of Health Care Performance Improvement A Lean Six Sigma Approach

ISBN-10: 0763772143
ISBN-13: 9780763772147
Edition: 2013 (Revised)
Author(s): Donald Lighter
Description: While quality improvement methods and approaches have become well accepted in American Industry, they have been slower to catch on in the largest American industry ;and arguably the most important: the health care services.A clear understanding of  More...
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List Price: $128.95
Copyright Year: 2013
Publisher: Jones & Bartlett Learning, LLC
Publication Date: 11/15/2011
Binding: Paperback
Pages: 342
Size: 6.00" wide x 8.75" long x 0.75" tall
Weight: 2.090

While quality improvement methods and approaches have become well accepted in American Industry, they have been slower to catch on in the largest American industry ;and arguably the most important: the health care services.A clear understanding of basic quality improvement methods, applications, and approaches is critical foundation for a successful career in health care administration. Building on the success of his previous text, Quality Management in Health Care: Principles and Methods, Dr. Lighter's new book, Basics of Performance Improvement; A Six Sigma Approach, is an ideal first course for students learning the basics of the Six Sigma, and its application in improving health care quality and patient outcomes. Ideal for both undergraduate and graduate level courses, the book also serves as an excellent reference for basic quality improvement approaches for QI professionals. Topic areas include:? Creating the business case for improving healthcare performance ? Group Processes in healthcare PI? Process tools in QI? Medical informatics and data resources? Process control? Advanced statistical applications? Approaches to improvement - standardization? Integration of care systems? Alignment and integration of performance improvement systems ; the Malcolm Baldrige National Quality Award? Accreditation and certification programs

Preface
Why Is Performance Improvement the "Big New Thing"?
Background
Improving the Quality of Care
Patient Safety-A Specific Quality Goal
Reducing Cost
Quality Frameworks
When will Quality Become "Job 1"?
Discussion Questions
References
Define Phase Tools
Background
Project Charter
Voice of the Customer
CAHPS Surveys and the Voice of the Customer
National CAHPS Benchmarking Database
Other Methods of Listening to the Voice of the Customer
Kano Model
Procedure for Kano Model process
Tips and tricks
Stakeholder Analysis
Procedure for stakeholder analysis and diagram
Tips and tricks
Process Mapping
Procedure for creating a process flowchart
Tips and tricks
SIPOC Process Map
Procedure for SIPOC process map
Tips and tricks
Brainstorming, Brainwriting, and Nominal Group Technique
Procedure for brainstorming
Variants-brainwriting and nominal group technique (NGT)
Multivoting
Affinity diagrams
Critical-To-Quality (CTQ) Analysis
Procedure for creating a CTQ tree
Completion of the Define Phase
Discussion Questions
References
Measure Phase Tools
The Essence of the Measure Phase
Measure Phase Tools
Process Maps
Performance Evaluation and Review Technique (PERT) Chart
Deployment Flowchart
Prioritization Matrix
Process Cycle Efficiency (Value Added Ratio)
Time Value Analysis (TVA)
Pareto Charts
Run Charts
Control Charts
Failure Mode and Effects Criticality Analysis (FMECA)
Deliverables in the Measure Phase
Data Collection and Analysis Plan
Measurement System Analysis
Baseline Performance-Calculating Process Sigma
Finishing the Measure Phase
Further Reading
Discussion Questions
Analyze Phase Tools
The Essence of the Analyze Phase
Elements of the Analyze Phase
Root Cause Analysis (RCA)
Cause and Effect (C & E) Diagram
Statistical Methods of Establishing Relationships
Pearson Correlation Coefficient
Hypothesis Testing
Confidence Interval
Analysis of Variance (ANOVA)
Regression Analysis
Brainstorming in the Analyze Phase
Deliverables of the Analyze Phase
Discussion Questions
References
Improve Phase Tools
The Essence of the Improve Phase
Elements of the Improve Phase
Framework for the Improve Phase
Traditional Improvement Tools
Change Management
Project Plan
Failure Mode and Effects Analysis (FMEA)
Kaizen
6S
Prioritization Matrix
Deployment Flowchart
Pilot Testing
Six Sigma Tools
Completing the Improve Phase
Discussion Questions
References
Control Phase Tools
The Essence of the Control Phase
Elements of the Control Phase
Framework for the Control Phase
Control Phase Tools
Flowcharts
Standardization and Institutionalization of Process Changes
Training Plans and Programs
Monitoring Plans
Poka Yoke
Audit Plans
Control Charts
Process Sigma Level
Control Phase Deliverables
Discussion Questions
Other Resources
Risk Adjustment
References
LSS Case Studies in Health Care
Miami Baptist Hospital
Pocono Medical Center (PMC), East Stroudsburg, PA
Nebraska Medical Center Peggy D. Cowdery Patient Care Center
Radia, Inc
Providence St. Joseph Medical Center (PSJMC), Burbank, CA
North Shore-Long Island Jewish Health System, New York City
Discussion Questions
References
DMAIC in an Era of Reform
Trends in Healthcare Reform
New Financial and Quality Realities
Financial Models
Quality Reporting and Improvement
Health Information Technology (HIT)
Role of DMAIC as a Quality Improvement Strategy
Discussion Questions
References
Appendix: Quality Measures for Accountable Care Organizations
Glossary: DMAIC Terms and Definitions
Index

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