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Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care, Third Edition
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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, this guide provides a critical resource to explore systems improvements. Written by noted authors and clinicians Gregory S. Ogrinc, Linda A. Headrick, Amy J. Barton, Mary A. Dolansky, Wendy S. Madigosky, and Rebecca S. Miltner.

4 stars from Doody’s Review Service

  • An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use. 
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  • system license allows this ebook to be shared among unlimited users within all facilities or sites within a health care system, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a system license.

 

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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, 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
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

Introduction

 
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
Summary
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
Summary
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
Summary
Study Questions
 
Chapter 4: Process Literacy and Systems in Health Care
Process Analysis
Process Analysis Methods
Culture, Context, and Systems
Summary
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
Summary
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
Summary
Study Questions
 
Chapter 7: Understanding and Making Changes in a System
The Complexity of Systems Changes
Managing Changes in a System
Summary
 
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
Summary
 
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
Summary
 
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
Timeline
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

Index

 

Contributors

Contributors

About the Authors

Gregory S. Ogrinc, MD, MS, is the Senior Associate Dean for Medical Education and Professor of Medicine at the Geisel School of Medicine at Dartmouth in Hanover, New Hampshire. He is also a hospitalist physician at the White River Junction VA Medical Center in Vermont. After graduating from John Carroll University, he earned his doctorate of medicine from Case Western Reserve University School of Medicine and his master of science from Dartmouth.

Wendy S. Madigosky, MD, MSPH, is an associate professor of Family Medicine and the Interprofessional Education and Development course director at the University of Colorado Anschutz Medical Campus. She graduated from Trinity Washington University and then earned her doctor of medicine from The George Washington University School of Medicine and Health Sciences as well as a master of science in public health from the University of Missouri–Columbia.

Amy J. Barton, PhD, RN, FAAN, ANEF, is an associate dean for Clinical and Community Affairs at the University of Colorado College of Nursing, Denver. Additionally, Barton is the Daniel and Janet Mordecai Endowed Chair in Rural Health Nursing. She received her bachelor’s degree in nursing from the University of Toledo and her master’s degree in nursing from the Medical College of Ohio. She received her doctor of philosophy from the University of Florida.

Linda A Headrick, MD, MS, FACP is Professor Emerita of Medicine at the School of Medicine, University of Missouri–Columbia. Headrick’s initial faculty appointment was at Case Western Reserve University and MetroHealth Medical Center, where she was one of the first to introduce continuous quality improvement into medical education. In 2013, the Association of American Medical Colleges (AAMC) recognized Headrick’s efforts at the University of Missouri–Columbia with a Learning Health System Challenge Award.  In addition to numerous peer-reviewed publications, Headrick has co-authored three books, including Enhancing the Professional Culture of Academic Health Science Centers: Educators’ Stories of Creating Enduring Change (2013) and Fundamentals of Health Care Improvement: A Guide to Improving Your Patients’ Care, Third Edition (2018).

Mary A. Dolansky, PhD, RN, is associate professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University. She is also a senior quality scholar of the Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center. Dolansky earned her nursing degree as well as her doctor of philosophy from Case Western Reserve University. She has contributed to many books and journal articles within the medical field specifically in quality improvement. Additionally, Dolanksy co-authored the massive open online course, Take the Lead on Healthcare Improvement.

Rebecca S. (“Suzie”) Miltner, PhD, RN, CNL, NEA-BC, is an associate professor at the School of Nursing, University of Alabama at Birmingham, and a nurse scientist at the Birmingham VA Medical Center. After graduating from the University of Georgia, she earned her bachelors of nursing from the Medical College of Georgia, her master of science degree at the University of Wisconsin, and doctor of philosophy from the University of Maryland at Baltimore.

About the Foreword Writer

Donald Goldmann, MD, is chief medical and science officer, emeritus, and senior fellow and faculty at the Institute for Healthcare Improvement in Boston. Goldmann's career in clinical infectious diseases and epidemiology (with a focus on hospital-acquired infections) spans more than three decades. Goldman has also been a professor of pediatrics at Harvard Medical School, a professor of immunology and infectious diseases at Harvard School of Public Health, as well as on staff at Children’s Hospital Boston. He earned his doctor of medicine from Harvard Medical School.

 

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