Measuring Health Care (PDF)

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

Yosef D. Dlugacz, Ph.D., is senior vice president, Quality Management, North Shore--Long Island Jewish Health System, Great Neck, New York. He is the author of The Quality Handbook for Health Care Organizations: A Manager's Guide to Tools and Programs (Jossey-Bass). He has taught health care professionals both nationally and internationally, most recently in Italy, Brazil, and Sweden; he is a Visiting Professor at the University of Beijing. Dr. Dlugacz is also Dean of Quality for the Center for Learning and Innovation at the Health System and Director of the Julienne and Abraham Krasnoff Center for Advanced Studies in Quality.

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