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| Preface | p. xii |
| Contributing Authors | p. xv |
| About the Authors | p. xx |
| Frequently Used Acronyms | p. xxii |
| Continuous Quality Improvement Using Plan, Do, Study/Check, Act (PDSA/PDCA) and Quality-Improvement Tools | p. 1 |
| West Florida Regional Medical Center | p. 3 |
| Introduction | p. 3 |
| The HCA CQI Process | p. 4 |
| Four Examples of Teams | p. 10 | ... MORE
| Looking Ahead | p. 28 |
| Case Analysis | p. 29 |
| Assignment Questions | p. 29 |
| Class Exercise | p. 30 |
| Holtz Children's Hospital: Reducing Central Line Infections | p. 31 |
| Introduction | p. 31 |
| Case Analysis | p. 39 |
| Assignment Questions | p. 40 |
| Class Exercise | p. 40 |
| Acknowledgments | p. 41 |
| Clemson's Nursing Home: Working with the State Quality Improvement Organization's Restraint Reduction Initiative | p. 43 |
| Introduction | p. 43 |
| Case Analysis | p. 55 |
| Assignment Questions | p. 56 |
| Class Exercise | p. 56 |
| CQI for Malaria Control in Ghana | p. 57 |
| Introduction | p. 57 |
| Background | p. 58 |
| Concern about Malaria | p. 60 |
| An Early Experiment with CQI in Ghana | p. 62 |
| Describing, Assessing, and Comparing Management Systems | p. 71 |
| Results | p. 78 |
| Design, Implementation, and Management of Processes for Malaria Control | p. 79 |
| Limitations of the Study | p. 92 |
| Is CQI a Viable Approach in Malaria Control? | p. 94 |
| Conclusions and Recommendations of the Initial Study | p. 97 |
| CQI Elsewhere in Ghana | p. 100 |
| Case Analysis | p. 101 |
| Assignment Questions | p. 101 |
| Class Exercise | p. 102 |
| Acknowledgments | p. 102 |
| Organizing for Continuous Quality Improvement | p. 103 |
| The Intermountain Way to Positively Impact Costs and Quality | p. 105 |
| Introduction | p. 105 |
| Case Analysis | p. 126 |
| Assignment Questions | p. 131 |
| Class Exercise | p. 131 |
| Acknowledgments | p. 132 |
| Planning a Transition | p. 133 |
| Introduction | p. 133 |
| Case Analysis | p. 137 |
| Assignment Questions | p. 138 |
| Class Exercise | p. 138 |
| Dawn Valley Hospital: Selecting Quality Measures for the Hospital Board | p. 139 |
| Introduction | p. 139 |
| Case Analysis | p. 152 |
| Assignment Questions | p. 152 |
| Class Exercise | p. 153 |
| Dr. Charles Bethe, DO, Network Medical Director | p. 155 |
| Introduction | p. 155 |
| Case Analysis | p. 174 |
| Assignment Questions | p. 174 |
| Class Exercise | p. 175 |
| Educational and Social-Marketing Applications in Continuous Quality Improvement | p. 177 |
| Forthright Medical Center: Social Marketing and the Surgical Checklist | p. 179 |
| Introduction | p. 179 |
| Case Analysis | p. 186 |
| Assignment Questions | p. 186 |
| Class Exercise | p. 187 |
| Prince Court Medical Centre: A Private Malaysian Healthcare Institution Prepares for a Pandemic of Influenza A (H1N1) | p. 189 |
| Introduction | p. 189 |
| Case Analysis | p. 207 |
| Assignment Questions | p. 208 |
| Class Exercise | p. 208 |
| Financial Analysis and Quality Management in Patriot County, Ohio | p. 209 |
| Introduction | p. 209 |
| Case Analysis | p. 226 |
| Assignment Questions | p. 227 |
| Class Exercise | p. 227 |
| Quality in Pediatric Subspecialty Care | p. 229 |
| Introduction | p. 229 |
| Background | p. 231 |
| Components | p. 231 |
| Organizational Structure | p. 233 |
| An Incremental Approach | p. 237 |
| Case Analysis | p. 240 |
| Assignment Questions | p. 241 |
| Class Exercise | p. 241 |
| Assessment, Incentives, and Regulation | p. 243 |
| The Folic Acid Fortification Decision Bounces Around the World vCurtis P. McLaughlin | p. 245 |
| Introduction | p. 245 |
| Technical Background | p. 246 |
| Alternatives | p. 248 |
| Support Builds | p. 249 |
| Public Recommendation Changes | p. 249 |
| Cost-Benefit Analysis | p. 250 |
| The Results Come In | p. 251 |
| The Results Come In | p. 251 |
| The New U.S. Economic Study | p. 253 |
| Case Analysis | p. 256 |
| Assignment Questions | p. 257 |
| Class Exercise | p. 258 |
| Continuing Improvement for the National Health Service Quality and Outcomes Framework | p. 259 |
| Introduction | p. 259 |
| The Indicators | p. 260 |
| Case Analysis | p. 271 |
| Assignment Questions | p. 272 |
| Class Exercise | p. 272 |
| North Carolina Local Health Department Accreditation Program | p. 273 |
| Introduction | p. 273 |
| Background | p. 274 |
| Why Accreditation in North Carolina? | p. 276 |
| Program Structure and Design | p. 278 |
| Accreditation Program Status | p. 290 |
| Link between Quality Improvement and Accreditation | p. 296 |
| National Voluntary Accreditation | p. 298 |
| Program Sustainability | p. 300 |
| Case Analysis | p. 300 |
| Assignment Questions | p. 301 |
| Class Exercise | p. 302 |
| The Lewis Blackman Hospital Patient Safety Act: It's Hard to Kill a Healthy 15-Year-Old | p. 303 |
| Introduction | p. 303 |
| Case Analysis | p. 312 |
| Assignment Questions | p. 312 |
| Class Exercise | p. 312 |
| Elk Hills Community Medical Center: Revisiting the Baldrige Award | p. 313 |
| Introduction | p. 313 |
| Baldrige Revisited | p. 314 |
| Successful Applications | p. 319 |
| Case Analysis | p. 321 |
| Assignment Questions | p. 321 |
| Class Exercise | p. 322 |
| Process Improvement Research | p. 323 |
| Stents vs. Bypass: Expanding the Evidence Base | p. 325 |
| Introduction | p. 325 |
| Holding Off on Stents | p. 327 |
| Case Analysis | p. 330 |
| Assignment Questions | p. 330 |
| Class Exercise | p. 331 |
| Cal Mason, COO, Metro Children's Hospital: Planned Experimentation in CQI | p. 333 |
| Introduction | p. 333 |
| The Improvement Project | p. 334 |
| Designing the Study | p. 338 |
| Conducting the Factorial Experiment | p. 341 |
| Case Analysis | p. 347 |
| Assignment Questions | p. 347 |
| Class Exercise | p. 348 |
| Acknowledgments | p. 348 |
| The Houston Medical Center Bed Tower: Quality and the Built Environment | p. 349 |
| Introduction | p. 349 |
| The Role of the Built Environment in Quality and Safety | p. 350 |
| The Effect of Design on the Care Process | p. 352 |
| Potential Solutions through Design | p. 353 |
| Case Analysis | p. 361 |
| Assignment Questions | p. 361 |
| Class Exercise | p. 362 |
| Acknowledgments | p. 362 |
| References | p. 363 |
| Index | p. 371 |
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