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Foreword | |
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Preface | |
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Contributors to Chapter 10 | |
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Acknowledgments | |
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Introduction | |
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Understanding the U.S. Healthcare System | |
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Introduction | |
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The U.S. Healthcare System Structure | |
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The U.S. Healthcare System Performance | |
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Performance Challenges in the U.S. Healthcare System | |
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Healthcare Reform and Its History | |
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References | |
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Understanding the Healthcare Organization | |
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Introduction | |
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The Typical Strategic Plan for a Healthcare Organization | |
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Organizational Performance: The Two Bottom Lines | |
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Mission, Performance, Strategy, and Structure | |
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Quality Within the Organizational Infrastructure | |
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Control Systems | |
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References | |
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General Concepts in Quality | |
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Introduction | |
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Historical Perspective | |
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Quality and Hospital Care Through the Years | |
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Current Definition of Quality in Health Care | |
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References | |
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Current State of Quality Measurement: External Dynamics | |
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Introduction | |
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Government Organizations | |
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Nonprofit Organizations | |
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For-profit Organizations | |
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Changing the Quality Conversation | |
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References | |
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Current State of Quality Measurement: Internal Dynamics | |
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Introduction | |
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Healthcare Quality Priorities: Patient Safety and Patient Experience | |
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Governance, Management, and Staff | |
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Approach to Quality Priorities | |
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Performance Dashboards | |
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References | |
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Measuring Quality of Inpatient Care | |
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Introduction | |
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Before the Measurement Process Begins | |
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Definition of Healthcare Quality | |
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Terminology | |
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Measurement Framework | |
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Quality Measures | |
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Operationalizing the Measurement Framework | |
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The Appropriate Level of Quality | |
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References | |
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Understanding Quality and Performance | |
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Introduction | |
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Performance, Strategy, Finance, and Quality | |
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Value in Health Care | |
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Internal and External Influences on Quality | |
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Integration of Quality and Finance | |
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References | |
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Quantifying the Quality Performance Gaps | |
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Introduction | |
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Performance Measurement | |
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Assessment of Current Quality Performance Status | |
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Establishing Quality Performance Targets | |
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References | |
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Closing the Gaps | |
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Introduction | |
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Performance-Driven Planning | |
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Integration of Finance and Quality | |
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Feedback Control of Performance | |
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References | |
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Case Studies in Healthcare Quality | |
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Introduction | |
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Cleveland Clinic Health System (CCHS) | |
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Memorial Hermann Healthcare System (MHHS) | |
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University of Southern California (USC) | |
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Conclusions | |
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Quality Measurement Framework | |
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Framework for Performance-Driven Planning: Integration of Quality and Finance | |
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Implications and Limitations of the Frameworks | |
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Areas for Future Research | |
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References | |
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Index | |