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Measuring Health Care Using Quality Data for Operational, Financial, and Clinical Improvement

ISBN-10: 0787983837
ISBN-13: 9780787983833
Edition: 2006
Authors: Yosef D. Dlugacz
List price: $85.00 Buy it from $23.11
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Description: This book explains different performance measurement methods in health care and connects them with their practical impact on clinical patient outcomes. The objective for the reader is to form a complete understanding of how data is used to reveal  More...

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Book details

List price: $85.00
Copyright year: 2006
Publisher: John Wiley & Sons, Incorporated
Publication date: 9/1/2006
Binding: Paperback
Pages: 240
Size: 6.00" wide x 9.00" long x 0.50" tall
Weight: 0.924

This book explains different performance measurement methods in health care and connects them with their practical impact on clinical patient outcomes. The objective for the reader is to form a complete understanding of how data is used to reveal the empirical experience of actual bedside care. Using measurements, it becomes possible to translate individual aspects of care into discrete, objective and analyzable phenomena.

Figures and Tables
Preface
The Author
Introduction
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
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
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
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
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
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
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
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
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

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