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• Cover
• Title
• Copyright
• FIGURES AND TABLES
• PREFACE
• THE AUTHOR
• PART 1: THE STATE OF QUALITY MANAGEMENT IN HEALTH CARE
• CHAPTER 1: QUALITY IN HEALTH CARE
• Introduction
• The Goal of Quality Management
• Quality Pioneers in Health Care
• Requisite Skills for Improving Health Care
• Quality Control in Industry
• System Thinking
• Summary
• References
• CHAPTER 2: ERROR AND VARIATION
• Introduction
• The Medical Decision-Making Process
• Human Error and James Reason
• Small Area Variations and John Wennberg
• Practice Guidelines and Brent James
• The Structure-Process-Outcome Paradigm
• The Three Faces of Quality
• Underuse, Overuse, and Misuse
• Controlling Variation and Improving Outcomes
• Summary
• References
• CHAPTER 3: REGULATING THE QUALITY AND QUANTITY OF HEALTH CARE
• Introduction
• Licensure, Accreditation, and Credentialing
• Malpractice
• The Economics of Health Care Markets
• A Brief History of Health Care Financing in the United States
• Pay for Performance and the CMS Quality Initiative
• Summary
• References
• PART 2: QUALITY MANAGEMENT TOOLS
• CHAPTER 4: PROCESS ANALYSIS TOOLS
• Introduction
• Tools to Identify Problems
• Tools to Identify Causes
• Tools to Identify Solutions
• Tool to Monitor Progress
• Summary
• References
• CHAPTER 5: ROOT CAUSE ANALYSIS
• Introduction
• Root Cause Analysis
• Single-Event Analysis
• Multiple-Event Analysis
• Prevention and Recovery
• Cases and Applications
• Summary
• References
• CHAPTER 6: STATISTICAL PROCESS CONTROL FOR MONITORING SYSTEM PERFORMANCE
• Introduction
• Statistics Review
• Types of Variation
• Setting Performance Targets
• Statistical Process Control for Continuous Data: and R Charts
• Tinkering
• Cases and Applications
• Summary
• References
• CHAPTER 7: STATISTICAL PROCESS CONTROL FOR MONITORING FAILURE RATES
• Introduction
• Statistical Process Control for Binomial Data: p and np Charts
• Establishing Valid Control Limits
• Constant and Variable Control Limits
• Rebasing Control Limits and Monitoring Changes over Time
• Cases and Applications
• Improving Performance Using SPC
• Summary
• References
• CHAPTER 8: STATISTICAL PROCESS CONTROL FOR MONITORING NONCONFORMITIES
• Introduction
• Statistical Process Control for Counts: c and u Charts
• Medicare Hospital Quality Initiative Example
• Cases and Applications
• Selecting a Control Chart
• Benefits of SPC
• Inhibitors of the Use of SPC
• Summary
• References
• CHAPTER 9: EXPLORING QUALITY ISSUES WITH STATISTICAL TOOLS
• Introduction
• Chi-Square Analysis
• Analysis of Variance
• Analysis of Means
• Regression Analysis
• Quality Improvement and Research
• Summary
• References
• CHAPTER 10: FAILURE MODE AND EFFECTS ANALYSIS
• Introduction
• General System Theory
• The Value Chain
• Failure Mode and Effects Analysis
• Designing Better Systems
• Summary
• References
• PART 3: MEDICAL PRACTICE MANAGEMENT
• CHAPTER 11: PRACTICE POLICIES
• Introduction
• Practice Policies
• Computer Decision Support
• Cases and Applications
• Summary
• References
• CHAPTER 12: CASE, DISEASE, AND OUTCOMES MANAGEMENT
• Introduction
• Case Management
• Disease Management
• Outcomes Management
• Summary
• References
• CHAPTER 13: PROFILING, ECONOMIC CREDENTIALING, AND RISK ADJUSTMENT
• Introduction
• Physician Profiling and Report Cards
• Academic Detailing
• Economic Credentialing
• Risk Adjustment
• Summary
• References
• CHAPTER 14: BENCHMARKING AND IMPLEMENTATION
• Introduction
• Benchmarking and Best Practice
• Balanced Scorecards
• Dashboards
• Implementation Strategies
• Summary
• References
• CHAPTER 15: THE FUTURE OF QUALITY MANAGEMENT IN HEALTH CARE
• Introduction
• Bringing It All Together
• Value and What an Employee (or Manager) Should Do
• The Future of Health Care and Quality Management
• Summary
• References
• INDEX