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Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

by: McLaughlin, Curtis P.

Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

by: McLaughlin, Curtis P.

ISBN 13:
9780834216556
ISBN 10:
0834216558
Edition: 2nd
Format: Hardcover
Copyright: 07/01/1999
Publisher: Wolters Kluwer
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Summary

Univ. of North Carolina, Chapel Hill. Provides a systemic approach to implementing total quality management and continuous quality improvement in primary care clinics, hospital laboratories, public health departments, and academic health centers. For graduate students. Previous edition: c1994.

Contributors

xiii

(4)

Preface

xvii

(4)

Acknowledgments

xxi

PART I--INTRODUCTION

(56)

Chapter 1 -- Defining Quality Improvement: Past, Present, and Future

(31)

Curtis P. McLaughlin

Arnold D. Kaluzny

Rationale and Distinguishing Characteristics

(3)

Elements of CQI

(3)

The Past and Future of Health Care Quality Management

(10)

Emergence of TQM

(7)

Application to Health Care Organizations

(2)

Comparing Industrial and Health Care Quality

(1)

Problems, Challenges, and Issues in Health Care

(4)

Chapter 2 -- Does TQM/CQI Work in Health Care?

(23)

Curtis P. McLaughlin

Kit N. Simpson

Lessons from the National Demonstration Project

(1)

Empirical Evidence

(11)

Advantages of CQI Application in Health Care

(3)

Quality and Organizational Survival

(6)

Conclusion

(2)

PART II--BASICS

(112)

Chapter 3 -- The Outcome Model of Quality

(34)

Susan I. DesHarnais

Curtis P. McLaughlin

Clinical Quality

(1)

The Politics of Quality Assessment

(6)

Framework for Quality Management

(18)

Institutional Responses

(8)

Conclusion

(1)

Chapter 4 -- Measurement and Statistical Analysis in CQI

(36)

Susan Paul Johnson

Curtis P. McLaughlin

Variation: What Is It and Why Eliminate It?

(1)

Process Capability

(1)

How Does CQI Differ from QA?

(1)

Tools for Quality Improvement

(32)

Conclusion

128

(1)

Chapter 5 -- Measuring Consumer Satisfaction

129

(18)

Lucy A. Savitz

Defining Consumer Satisfaction

129

(4)

Why Measure Consumer Satisfaction?

133

(1)

Measuring Satisfaction

134

(2)

Data Capture

136

(6)

Using Patient Satisfaction Measures

142

(4)

Conclusion

146

(1)

Chapter 6 -- Teams at the Core of Continuous Learning

147

(22)

Peter J. Dean

Rebecca La Vallee

Curtis P. McLaughlin

An Experience of the Stages of Team Building

148

(2)

Diversity of Team Membership

150

(3)

Team Characteristics

153

(2)

Group Roles

155

(5)

Task

160

(1)

Team Management

160

(2)

Organizing the Environment for Teams

162

(3)

Organizational Learning Skills

165

(2)

Conclusion

167

(2)

PART III--IMPLEMENTATION

169

(110)

Chapter 7 -- CQI, Transformation, and the "Learning" Organization

171

(20)

Vaughn Upshaw

Arnold D. Kaluzny

Curtis P. McLaughlin

Transforming Health Care

172

(2)

Continuous Quality Improvement and Managed Care

174

(4)

Managing Transformation and Learning

178

(3)

Physician Leaders and Transformation

181

(8)

Conclusion

189

(2)

Chapter 8 -- The Process of Implementation

191

(17)

Lucy R. Fischer

Leif I. Solberg

Thomas E. Kottke

Project IMPROVE

191

(4)

How Does Change in the Health Care Environment Affect a CQI Process?

195

(6)

How Does Clinic Organization Influence a QI Process?

201

(2)

What Is the Impact of a QI Process on Clinic Organization?

203

(3)

Conclusion

206

(2)

Chapter 9 -- Information Management and Technology for CQI

208

(41)

David C. Kibbe

A Framework for CQI Information Management: The Data-to-Decision Cycle

210

(8)

Data Quality Concepts, Issues, and Technologies

218

(10)

Information Management Issues, Concepts, and Technologies

228

(6)

Knowledge Management as the New Frontier for CQI Information Technology

234

(8)

Information Technology to Improve Decisions Made by Caregivers and Patients

242

(5)

Conclusion

247

(2)

Chapter 10 -- Collaborating for Improvement in Health Professions Education

249

(17)

G. Ross Baker

Sherril Gelmon

Linda Headrick

Marian L. Knapp

Linda Norman

Doris Quinn

Duncan Neuhauser

Integrating Continual Improvement Methods into Higher Education

250

(5)

Creating an Interdisciplinary Professional Education Collaborative

255

(1)

A Lesson from the Local Improvement Team Case Studies

256

(3)

Key Issues in Institutionalizing the Initiative

259

(2)

Future Challenges

261

(5)

Chapter 11 -- Why Focus on Health Professional Development?

266

(13)

Paul B. Batalden

Organization-Centered Strategy

268

(4)

Issue-Centered Programming

272

(2)

Professional Development-Based Strategy

274

(5)

PART IV--APPLICATION

279

(152)

Chapter 12 -- CQI in Primary Care

281

(17)

Linda S. Kinsinger

Russell P. Harris

Arnold D. Kaluzny

The Challenge of Change in Primary Care

281

(2)

Practice Characteristics Affecting CQI

283

(1)

One Model of CQI in Primary Care: The North Carolina Prescribe for Health Project

284

(10)

Summary

294

(2)

The Future of CQI in Primary Care

296

(2)

Chapter 13 -- CQI IN MANAGED CARE

298

(25)

Leif I. Solberg

Thomas E. Kottke

Milo L. Brekke

From Cost to Quality: A Managed Care Evolution

299

(2)

Barriers to Managed Care Use of CQI to Improve Value/Health

301

(3)

IMPROVE: A Test of Managed Care CQI for Improving the Quality of Primary Care Preventive Services

304

(9)

Lessons from IMPROVE

313

(6)

Conclusions and Recommendations

319

(4)

Chapter 14 -- CQI in Contract Research Organizations

323

(37)

William A. Sollecito

Growth of CROs

323

(6)

How CROs Work

329

(2)

CQI Customer Focus

331

(15)

Training and Empowerment

346

(3)

Leadership

349

(3)

Statistical Process Control/Statistical Thinking

352

(7)

Conclusion

359

(1)

Chapter 15 -- CQI in Public Health Organizations

360

(44)

Glen P. Mays

Theresa Hatzell

Arnold D. Kaluzny

Paul K. Halverson

Critical Dimensions of Public Health Quality Improvement Initiatives

361

(12)

Implementation of Quality Improvement Initiatives in Public Health

373

(28)

Quality Improvement and Public Health: Key Implementation Issues

401

(3)

Chapter 16 -- Applying and Supporting CQI in Academic Health Centers

404

(16)

Susan I. DesHarnais

Curtis P. McLaughlin

Teaching

404

(8)

Research

412

(3)

Patient Care

415

(2)

Outreach/Access/Population Base

417

(2)

Conclusion

419

(1)

Chapter 17 -- CQI and Patient-Centered Care

420

(11)

David Levy

William Thar

Curtis P. McLaughlin

A Patient-Centered Approach

423

(3)

Patient-Centered Care for Noncatastrophic Cases

426

(2)

Conclusion

428

(3)

PART V--ILLUSTRATION

431

(156)

Case 1 -- CQI Principles for a Personnel Problem

433

(10)

Michael McDade

Background

433

(8)

Case Analysis

441

(2)

Case 2 -- The Family Practice Center

443

(21)

David C. Kibbe

Curtis P. McLaughlin

Forming a Team

444

(1)

Continuity of Care

445

(16)

Case Analysis

461

(3)

Case 3 -- Holston Valley Hospital and Medical Center

464

(30)

Curtis P. McLaughlin

Kit N. Simpson

Quality First

464

(24)

Case Analysis

488

(6)

Case 4 -- West Florida Regional Medical Center

494

(26)

Curtis P. McLaughlin

The HCA CQI Process

495

(22)

Case Analysis

517

(3)

Case 5 -- Rex Healthcare and Service Line Teams

520

(13)

Curtis P. McLaughlin

Linda C. Jordan

Quality at Rex

521

(1)

Competition in the Research Triangle

522

(1)

History of Quality and Performance Improvement Efforts at Rex

523

(7)

Case Analysis

530

(3)

Case 6 -- Dr. Johnson, Network Medical Director

533

(18)

William Q. Judge

Curtis P. McLaughlin

Background

534

(14)

Case Analysis

548

(3)

Case 7 -- The Patient Transportation Project at University Hospitals

551

(36)

Sandra K. Evans

Ronald T. Pannesi

University Hospitals

552

(27)

Case Analysis

579

(8)

Appendix A -- Malcolm Baldrige Award 1999 Health Care Criteria for Performance Excellence

587

(8)

Bibliography

595

(36)

List of Sources

631

(8)

Index

639

(18)

About the Editors

657

Amazon no longer offers textbook rentals. We do!

Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

9780834216556

0834216558

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

Continuous Quality Improvement in Health Care: Theory, Implementation, and Applications

9780834216556

0834216558

Summary

Table of Contents

Supplemental Materials

Write a Review

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