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Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care, Third Edition

Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care, Third Edition

Release Date: March 2018. 195 pages.

Co-published with Institute for Healthcare Improvement for use in the classroom or the exam room!

Do you need access for your classroom or health care organization? Contact JCR Customer Service at or 877-223-6866 for pricing for an online site or system license.

4 stars from Doody’s Review Service

$35.00 - $45.00
Product Description

Product Description

By Gregory S. Ogrinc, MD, MS; Linda A. Headrick, MD, MS, FACP; Amy J. Barton, PhD, RN, FAAN, ANEF; Mary A. Dolansky, PhD, RN, FAAN; Wendy S. Madigosky, MD, MSPH; Rebecca S. (Suzie) Miltner, PhD, RN, CNL, NEA-BC
Foreword by Don Goldmann, MD, Chief Scientific Officer and Emeritus and Senior Fellow, Institute for Healthcare Improvement

“In an era when clinicians tend to spend more time at the computer than at the bedside or talking to patients in the clinic, the book’s emphasis on careful observation and rapid-cycle testing in partnership with patients is important and refreshing. The authors’ blended, practical approach to teaching makes for an entertaining, engaging book.”—Don Goldmann, MD, Chief Scientific Officer, Emeritus, and Senior Fellow, Institute for Healthcare Improvement, from the Foreword to the third edition

Fundamentals of Health Care Improvement: A Guide to Improving Your Patients’ Care, Third Edition, provides a critical resource to explore systems improvements and to advance high reliability and quality patient care. Copublished by Joint Commission Resources and the Institute for Healthcare Improvement, the third edition is packed with resources—from examples of teams implementing systems improvements, to study questions for practical application, to diagrams, figures, tables, and other tools intended to identify improvement opportunities and to make concrete changes. New to this edition is an emphasis on interprofessional teamwork and patient engagement, information about the value equation, and tools and worksheets for achieving quality improvement.

Key Topics

  • Identifying and closing the quality gap in patient care
  • Understanding interprofessional teamwork
  • Finding scientific evidence for clinical improvement
  • Identifying a focus for improvement
  • Developing process literacy
  • Analyzing and interpreting data
  • Making and managing systems changes
  • Integrating various process improvement models
  • Spreading and sustaining improvement
  • Publishing, presenting, and teaching quality improvement

Key Features

  • Clinical problem-solving and teamwork vignettes
  • Chapter objectives and study questions to assess comprehension
  • Comparisons between types of measurement tools and ideas for practical applications
  • Updated educator chapter with SQUIRE publishing guidelines and presentation strategies
  • New appendix with numerous tools, worksheets, and resources

Standards: No direct standards correlations, but related to Performance Improvement (PI) and Leadership (LD)

Settings: Applicable to all settings, but might be most applicable in the hospital setting
Key Audience

  • Nursing and medical students
  • Resident physicians
  • Health professional educators
  • Nursing and medical leadership
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Table of Contents

Table of Contents

Foreword to the third edition by Don Goldmann, MD
Foreword to the second edition by Maureen Bisognano, President Emerita and Senior Fellow
Foreword to the first edition by Paul Batalden, MD


Chapter 1: Creating Teams to Close the Quality Gap
Diagnosing a Health System That Is Ill
Finding the Quality Gap
Evidence-Based Improvement
The Model for Improvement
Study Questions
Chapter 2: Finding Scientific Evidence for Clinical Improvement
The Importance of Evidence-Based Practice
Formulating the Right Question
Evaluating the Strength of Evidence
Choosing the Right Resource Based on the Question
Working with a Reference Librarian
Study Questions
Chapter 3: Identifying a Focus for Improvement
Step 1: Identifying an Improvement Area
Step 2: Narrowing the Focus of the Improvement Work
Step 3: Creating a Global Aim Statement
Study Questions
Chapter 4: Process Literacy and Systems in Health Care
Process Analysis
Process Analysis Methods
Culture, Context, and Systems
Study Questions
Chapter 5: Measurement Part 1: Data Analysis for Decision-Making in Health Care Objectives
Contributing Author: Robert C. Lloyd, PhD
Importance of Data for the Improvement of Health Care
Identifying a Balanced Set of Measures for Improvement
Displaying Measures for Analysis
Study Questions
Chapter 6: Measurement Part 2: Using Run Charts and Statistical Process Control Charts to Gain Insight into Systems
Contributing Author: Robert C. Lloyd, PhD
QI Measurement—Evaluating Systems over Time
Run Chart and Statistical Process Control (SPC) Charts: The Basics
Common and Special Cause Variation
Study Questions
Chapter 7: Understanding and Making Changes in a System
The Complexity of Systems Changes
Managing Changes in a System
Chapter 8: Spreading Improvements
Contributing Author: Marie W. Schall, MA
Spread: Overview and Definition
Step 1: Setting a Foundation for Spread
Step 2: Developing an Initial Plan for Spread
Step 3: Carrying Out and Refining the Spread Plan
Chapter 9: Publishing, Presenting, and Teaching Quality Improvement
Using a Structured Framework to Design and Disseminate Improvement Work
Differentiating between Improvement and Research
General Principles for Educational Experiences in Health Care Improvement
Health Professional Development in the Improvement of Health Care Quality
Appendix: Tools to Help Your Improvement
Improvement Project Worksheet
Seven-Step Meeting Process
Team Roles
Team Charter
Readiness for Change
Stakeholder Assessment
Complex Adaptive System
Communication Plan
Flowchart or Process Map
Cause-and-Effect Diagram
Tips for Developing a Survey and Collecting Real-Time Data
Change Concepts Worksheet
Plan-Do-Study-Act (PDSA) Worksheet
Team Evaluation
Creating a Storyboard