Wiley.com
Print this page Share
Textbook

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

ISBN: 978-0-7879-8383-3
Paperback
240 pages
September 2006, ©2006, Jossey-Bass
List Price: US $84.95
Government Price: US $58.84
Enter Quantity:   Buy
Measuring Health Care: Using Quality Data for Operational, Financial, and Clinical Improvement (0787983837) cover image
This is a Print-on-Demand title. It will be printed specifically to fill your order. Please allow an additional 10-15 days delivery time. The book is not returnable.

Figures and Tables.

Preface.

The Author.

Introduction.

1 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.

2 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.

3 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.

4 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.

5 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.

6 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.

7 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.

8 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.

9 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.

Related Titles

More By This Author

Services & Policy

by Kenneth E. Warner (Editor), Stephen L. Isaacs (Series Editor), James R. Knickman (Series Editor), Risa Lavizzo-Mourey (Foreword by)
by Julianne M. Morath, RN, MS, Joanne E. Turnbull, PHD, Lucian L. Leape (Foreword by)
by Louise L. Liang (Editor), Donald M. Berwick (Foreword by)
by Scott Reeves, Simon Lewin, Sherry Espin, Merrick Zwarenstein
Back to Top