Creating a Business Case for Quality Improvement Research PDF Download

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030911652X
Category : Medical
Languages : en
Pages : 70

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Book Description
Creating a Business Case for Quality Improvement Research focuses on issues related to improving the science supporting health care quality and eliminating communication barriers that prevent advances in the field. In 2007, the Institute of Medicine convened a workshop designed to identify the economic and business disciplines that encourage sustained efforts to improve the quality of health care. Workshop presenters and participants included representatives from academia, government and industry. A business case for quality improvement depends heavily on the progress made in the following areas: systems change and leadership, data transparency, funding, enhanced training programs and ongoing dialogue between industry officials, patients and their families. They identified a major barrier to these efforts as the nationwide institutional reluctance to invest in quality improvement and documentation of outcomes, due largely to limited resources and competing priorities as to how these resources are spent in the industry. Too often priorities are placed on creating highly-visible technology-driven programs, with less emphasis in meeting the needs and expectations of the patients. In Creating a Business Case for Quality Improvement Research, a diverse group of stakeholders identifies and assesses these and other challenges to attain a better understanding of how to create a high-value health care system for the general population.

Author: Lani Rice Marquez
Publisher: Springer Nature
ISBN: 3030431126
Category : Medical
Languages : en
Pages : 254

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Book Description
This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^

Author: James L. Harris
Publisher: Jones & Bartlett Learning
ISBN: 1284140946
Category : Medical
Languages : en
Pages : 412

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Book Description
Initiating and Sustaining the Clinical Nurse Leader Role, Third Edition illustrates the influence of clinical nurse leaders on care coordination, health promotion, and high-performance inter-professional care teams. The Third Edition will move beyond the 2007 American Association of Colleges of Nursing CNL White Paper and incorporate the CNL Competencies introduced in October 2013. This text presents a bold agenda for CNL practice, one that promotes value in the transformation of clinical care redesign. The Third Edition will cover the following: • Moving beyond the triple aim toward the quadruple aim • Increased emphasis on a new healthcare environment where CNLs practice • The clinical value compass for improving care • Care transitions and the CNL • Health policy engagement and advocacy • Population health and management • Inter-professional collaboration • Resource mindfulness • Project management tools, scope, design, and evaluation • Incorporating the 5Ps and models for improvement • Exemplars of CNL impacts across care settings • CNL certification, professional membership, and residency programs value • Vision for CNLs in 2020

Author: Stephanie Teleki
Publisher: Rand Corporation
ISBN: 083304009X
Category : Disability evaluation
Languages : en
Pages : 126

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Book Description
These proceedings are the product of a May 2003 colloquium on the workers' compensation medical benefit delivery system, with a focus on the access, cost, and quality issues facing the system and mechanisms to improve its quality and efficiency.

Author: John Ovretveit
Publisher: eBook Partnership
ISBN: 1904235891
Category : Business & Economics
Languages : en
Pages : 162

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Book Description
Improvement in healthcare has not delivered on its promise, outside of a few examples. This is because it has not sufficiently been linked to resources - thus argues this book. Value improvement focuses on changes which raise quality and lower costs. This is effective because it unites professions, patients, payers and purchasers in a common cause and uses tested solutions and methods. Value improvement works with the realities of resources and politics, and with knowledge of what is effective in different situations. The purpose of healthcare is to reduce avoidable suffering. This includes the suffering unknowingly caused by a service, when we do not use an effective treatment or make an error. These events are also waste, and they have a financial cost. The good news is that we now have more knowledge about these adverse or subA-optimal events, and about effective solutions. We now know these organisational events are not inevitable and we can prevent them. We are also beginning to discover that many, if prevented, will reduce the costs of healthcare. Improving diagnosis and prescribing reduces both avoidable sufferA- ing and higher costs, as do hygiene strategies and changes to ensure professionals pass on correct information about patients to the next caregiver. We are entering an exciting time in healthcare, equivalent to earA- lier periods of medical discoveries. The discoveries of improvement and implementation science in organisations are now being linked to the discoveries about the costs and savings of quality and safety changes. This knowledge is beginning to be used by clinicians, manA-agement and purchasers, and alliances are forming to bring in a new era of quality and safety improvement. The aim of this book is to show how ordinary leaders can comA-bine improvement knowledge with resource knowledge to reduce suffering and the costs of healthcare. It does not assume good inforA-mation technology or special resources to help improvement. It recA-ognises that our colleagues may not want to spend time on this work, and often do not do what they are asked to do. It recognises some improvements are not value improvements: they do not add value for patients and reduce costs. Where improvements do both, we may find that the financing system penalises the provider for making the change, or we cannot covert the saved resources into lower costs or higher income. Thus, it is also about both short A-term and long A-term value improvements. It is about how managers and other leaders find and awaken energy in themselves to make improvement, and bring this energy to life in the people they work with. How we channel this energy in effective ways and enable others to make improvement. It is about tomorrow, and next week and about where the real innovation, creativity and inspiration happens: in the routine but changing, short A-staffed, semiA- chaos of most health services. We are not powerless and can choose not to accept failings of the health system as being outside of our influence. A few others have shown what can be achieved when we join in a common cause and use these effective methods. The challenge is for us is to do this in our local service and to connect our services.

Author: James L. Harris
Publisher: Jones & Bartlett Learning
ISBN: 1284227278
Category : Medical
Languages : en
Pages : 461

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Book Description
Clinical Nurse Leaders Beyond the Microsystem: A Practical Guide, Fourth Edition is a core resource for CNLs which imparts the competencies necessary to lead improvement teams, analyze data, and ensure delivery of quality, safety, and value-based care in any healthcare setting.

Author: William O'Donohue
Publisher: Springer
ISBN: 3319262092
Category : Psychology
Languages : en
Pages : 333

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Book Description
This innovative volume presents a cogent case for quality improvement (QI) in behavioral healthcare as ethical practice, solid science, and good business. Divided between foundational concepts, key QI tools and methods, and emerging applications, it offers guidelines for raising care standards while addressing ongoing issues of treatment validity, staffing and training, costs and funding, and integration with medical systems. Expert contributors review the implications and potential of QI in diverse areas such as treatment of entrenched mental disorders, in correctional facilities, and within the professional context of the American Psychological Association. The insights, examples, and strategies featured will increase in value as behavioral health becomes more prominent in integrated care and vital to large-scale health goals. Included in the coverage: Behavioral health conditions: direct treatment costs and indirect social costs. /liliQuality improvement and clinical psychological science. · Process mapping to improve quality in behavioral health service delivery. · Checklists for quality improvement and evaluation in behavioral health. · Creating a quality improvement system for an integrated care program: the why, what, and how to measure. · Feedback Informed Treatment (FIT): improving the outcome of psychotherapy one person at a time. Quality Improvement i n Behavioral Healthcare gives health psychologists, public health professionals, and health administrators a real-world framework for maintaining quality services in a rapidly evolving health landscape.

Author: Patricia Kelly
Publisher: Springer Publishing Company
ISBN: 0826121837
Category : Medical
Languages : en
Pages : 497

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Book Description
This is the first textbook designed to introduce the six areas of nursing competencies, as developed by the Quality and Safety Education for Nurses (QSEN) initiative, which are required content in undergraduate nursing programs.

Author: Diann Cameron Kelly, PhD, LMSW
Publisher: Springer Publishing Company
ISBN: 0826121845
Category : Medical
Languages : en
Pages : 496

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Book Description
This is the first undergraduate textbook to provide a comprehensive overview of essential knowledge, skill, and attitudes about safety in nursing practice. It reflects the six areas of nursing competencies as developed by the Quality and Safety Education Program for Nurses (QSEN) initiative, which are currently required content in undergraduate nursing programs. Using an inter-professional focus, the book addresses the fundamental knowledge required of entry-level nurses in each of the six QSEN areas: quality improvement, patient safety, teamwork and collaboration, evidence-based practice, informatics, and patient-centered care. The book includes all of the content required for nursing programs to be accredited by AACN or NLN. Contributors include nurse educators, faculty, researchers, administrators, case managers, quality improvement practitioners, and entrepreneurs of nursing as well as physicians and librarians from throughout the U.S. Readers will be privy to the unique perspectives of different health care partners who provide real life examples from an inter-professional team perspective. These include pharmacists, lawyers, physicians, librarians, quality improvement nurses, radiology technologists, nurse practitioners, hospital board members, patients, and others. Each chapter includes objectives, opening scenarios, case studies, critical thinking exercises, key terms, NCLEX-style questions, photos, tables, figures, web resources, recommendations for additional reading, and PowerPoint slides. An important feature of the book is the listing of QSEN competencies and the associated knowledge, skills, and attitudes (KSA) in the Appendix. Key Features: Comprises the only undergraduate text to address the six areas of requisite nursing competencies as developed by the QSEN initiative Provides a strong foundation for safe, evidence-based care Presents an inter-professional approach that reflects health care today Supports teaching with PowerPoint slides, critical thinking exercises, case studies, and rationales for review questions Includes objectives, critical thinking exercises, case studies, real world interviews, tables, figures, visuals, and suggested readings in each chapter

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309260736
Category : Medical
Languages : en
Pages : 437

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Book Description
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.