Measuring Health Care
Using Quality Data for Operational, Financial, and Clinical Improvement
(Sprache: Englisch)
Yosef Dlugacz orients the reader with a historical perspective on the transition from a physician-centered, volume-based reimbursement system to a quality-driven, data-centered culture and then moves into the primary roles of performance assessment and...
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Yosef Dlugacz orients the reader with a historical perspective on the transition from a physician-centered, volume-based reimbursement system to a quality-driven, data-centered culture and then moves into the primary roles of performance assessment and outcomes measure in the current health care environment.
Klappentext zu „Measuring Health Care “
Written by Yosef D. Dlugacz-an internationally recognized expert in the field of performance improvement and quality management-Measuring Health Care is a practical guide for the understanding and application of measurement methods in health care facilities.This invaluable text shows students and professionals how measurements and data can be used to balance quality services and financial viability and how measures can help to evaluate and improve organizational, clinical, and financial processes. The book explains the various performance measurement methods used in health care and shows their practical impact on clinical patient outcomes.
The volume is grounded in the transition from a physician-centered, volume-based reimbursement system to a quality-driven, data-centered culture. The book explores the primary roles of performance assessment and outcomes measure in the current health care environment. Measuring Health Care combines extensive theoretical understanding with experience and offers examples from the author's pioneering quality management leadership.
Inhaltsverzeichnis zu „Measuring Health Care “
Figures and TablesPreface
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
... mehr
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
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
... weniger
Autoren-Porträt von Yosef Dlugacz
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.
Bibliographische Angaben
- Autor: Yosef Dlugacz
- 2006, 1. Auflage, 240 Seiten, Maße: 23 cm, Kartoniert (TB), Englisch
- Verlag: Wiley & Sons
- ISBN-10: 0787983837
- ISBN-13: 9780787983833
Sprache:
Englisch
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