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ag12
Intermediate-Advanced

Practice-Based Learning and Improvement: A Clinical Improvement Action Guide, Third Edition

Empower health professionals to realize a vision of quality health care culture.

December 2012. 196 pages.

  • An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use. 
  • site license allows this ebook to be shared among unlimited users but only within one facility or site, either by posting to a secure intranet site or by providing other means of secure access. 
  • 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

Edited by Mark E. Splaine, MD, MS; Mary A. Dolansky, PhD, RN; Carlos A. Estrada, MD, MS; and Patricia A. Patrician, PhD, RN, FAAN
 
Help make quality improvement an increasingly visible aspect of clinical practice and “business as usual” by incorporating training on the essential improvement skills described in this book into every level of health professional preparation and development. Leading experts in the field explain proven methods for integrating the core competency of practice-based learning and improvement (PBLI) into daily clinical work in this third edition of Practice-Based Learning and Improvement: A Clinical Improvement Action Guide. 
 
Key Topics: 
  • Conceptual framework (the Clinical Value Compass) and practical tools for practice-based learning and improvement 
  • Workplace learning through continuous quality improvement
  • Performance measurement and benchmarking
  • Implementing and sustaining change
Key Features:
  • Dozens of contributors representing the cutting edge of thought and research in PBLI
  • Exercises and case studies designed to challenge the reader to identify local resources and opportunities 
  • Tools to define improvement tasks more precisely 
  • Suggestions for ways to act so that positive and meaningful change become synonymous with clinical work itself
  • Expert advice from multiple perspectives, including medical and nursing 
  • Brainstorming exercises for organization improvement 
  • Worksheets for improving care, observation and interviewing, and more
Standards: Performance Improvement (PI), Leadership (LD)
Settings: Hospitals and health systems; graduate studies
 
Key Audience: 
  • Clinicians
  • Mentors 
  • Graduate studies programs
  • Interdisciplinary work groups
  • Leaders
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Table of Contents

Table of Contents

Contributors
 
Foreword: Workplace Learning
Shirley M. Moore
 
Introduction: The Content in Which We Live and Practice
Mark E. Splaine, Eugene C. Nelson, Paul B. Batalden, Mary A. Dolansky, Carlos A. Estrada, Patricia A. Patrician
 
Chapter 1: Understanding Clinical Improvement: Foundations of Knowledge for Change in Health Care Systems
Danielle M. Olds, Caitlin W. Brennan, Anita D. Misra-Hebert, Kimberly D. Johnson, Robert M. Patrick, Joel S. Lazar, Eugene C. Nelson, Paul B. Batalden
 
Chapter 2: Getting Started and Identifying Targets for Change
David E. Willens, Lorraine C. Mion, Eugene C. Nelson, Paul B. Batalden, Robert S. Dittus
 
Chapter 3: Improving Clinical Care: A Clinical Improvement Worksheet
Jennifer D. Thull-Freedman, Rory F. McQuillan, Alene A. Toulany, Kieran P. McIntyre, Eugene C. Nelson, Paul B. Batalden, Julie K. Johnson, Joel S. Lazar, Chaim M. Bell
 
Chapter 4: Measuring Outcomes and Costs: The Clinical Value Compass
Mark E. Splaine, Anne C. Jones, Eugene C. Nelson, Julie K. Johnson, Paul B. Batalden
 
Chapter 5: Learning from the Best: Clinical Benchmarking for Best Patient Care
Justin Glasgow, Carlos A. Estrada, Tracy Shamburger, Mark E. Splaine, Julie K. Johnson, Eugene C. Nelson, Paul B. Batalden, Peter Kaboli
 
Chapter 6: Building on Change: Concepts for Improving Any Clinical Process
Rebecca S. Miltner, Jeremiah H. Newsom, Paul B. Batalden, Julie K. Johnson, Eugene C. Nelson, Patricia A. Patrician
 
Chapter 7: Implementing, Spreading, and Sustaining Organizational Change
Patricia A. Patrician, Grant T. Savage, Rebecca S. Miltner, Velinda Block, Robert Weech-Maldonado
 
Chapter 8: Health Professionals Engaged in Practice-Based Learning and Improvement
Maryjoan D. Ladden, Deborah Gardner, Connie Lopez, Michael A. Tijerina, Benjamin B. Taylor, Carlos A. Estrada
 
Chapter 9: Applying Practice-Based Learning and Improvement
Mary A. Dolansky, Mamta K. Singh, Brook Watts, Renée H. Lawrence, Eugene C. Nelson, Paul B. Batalden, William H. Edwards, Carlos A. Estrada, Mark E. Splaine
 
Afterword: Reflecting and Improving in Times Like These
Paul B. Batalden
 
Appendix A: Improving Care: Improvement Worksheets
Eugene C. Nelson, Mary A. Dolansky
 
Appendix B: Observational and Interviewing Worksheets
Eugene C. Nelson, Marjorie M. Godfrey
 
Appendix C: Measures of Quality and Value
Mary A. Dolansky, Carlos A. Estrada
 
Appendix D: Collecting Data: Principles and Guidelines for Success
Eugene C. Nelson
 
Appendix E: Web-Based Quality and Safety Resources
Mary A. Dolansky
 
Appendix F: Supplements to Chapter 8
Programs Used by Kaiser Permanente to Enhance Quality and Team-Based Care
Connie Lopez, Michael A. Tijerina
Teamwork and Quality Improvement Resources for Frontline Staff and Staff/Faculty
Development
Maryjoan D. Ladden, Carlos A. Estrada
Tools to Assess Teamwork and Collaboration
Carlos A. Estrada, Maryjoan D. Ladden
 
Appendix G: Web-Based Quality and Safety Education
Mary A. Dolansky
 
Appendix H: Publishing and Presenting Quality Improvement Work
Standards for Quality Improvement Reporting Excellence (SQUIRE) Guidelines
Greg S. Ogrinc

Index

 

Contributors

Contributors

About the Editors

Mark E. Splaine, MD, MS, is director of Educational Programs at The Dartmouth Institute for Health Policy and Clinical Practice and director of the Veterans Affairs National Quality Scholars Fellowship Program. He is an associate professor at The Dartmouth Institute as well as Community and Family Medicine at the Geisel School of Medicine at Dartmouth. For more than 20 years he has been an innovator in the teaching of health care professionals. Splaine earned his bachelor’s in biomedical sciences from Harvard and doctor of medicine from the Geisel School of Medicine at Dartmouth.

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.

Carlos A. Estrada, MD, MS, is senior quality scholar of the Veterans Affairs National Quality Scholars Fellowship Program at the Birmingham Veterans Affairs Medical Center and professor of Medicine and director of the Division of General Internal Medicine at the University of Alabama at Birmingham. Estrada earned his medical degree from Cayetano Heredia University in Lima, Peru, and master of science from the University of Michigan.

Patricia A. Patrician, PhD, RN, FAAN, is associate professor and Donna Brown Banton Endowed Professor at the University of Alabama at Birmingham School of Nursing and senior quality scholar of the Veterans Affairs National Quality Scholars Fellowship Program, Birmingham Veterans Affairs Medical Center. Patrician earned her doctor or philosophy from the University of Pennsylvania and her master of nursing from the University of Texas Health Sciences Center at San Antonio. She has authored and contributed to numerous publications revolving around improving quality of care.

About the Foreword Writer

 
Shirley M. Moore, PhD, RN, FAAN, is the Edward J. and Louise Mellen Professor of Nursing and associate dean for Research at the Frances Payne Bolton School of Nursing at Case Western Reserve University, and nursing leader of the Veterans Affairs National Quality Scholars Fellowship Program. She received her bachelor of nursing from Kent State University and her master of nursing and her doctor of philosophy from Case Western Reserve University. Moore has been a leader in health professions education addressing quality improvement for the past 20 years, having designed the first quality improvement course for health care professionals in training in 1994 at Case Western Reserve University. She has edited and contributed to several books addressing quality improvement education for health professionals and has provided leadership on six national projects addressing the design and test of interdisciplinary curricula on continuous quality improvement.

About the Authors

The following authors contributed to Practice-Based Learning and Improvement:

  • Paul B. Batalden, MD, professor Emeritus of Pediatrics, Community and Family Medicine and The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
  • Chaim M. Bell, MD, PhD, senior quality scholar at the University of Toronto site of the Veterans Affairs National Quality Scholars Fellowship Program and associate professor of medicine and health policy, management and evaluation at the University of Toronto
  • Velinda Block, DNP, RN, NEA-BC, senior associate vice president and chief nursing officer at the University of Alabama at Birmingham (UAB) University Hospital and assistant professor at the UAB School of Nursing
  • Caitlin W. Brennan, RN, MSN, PhD, palliative care nurse practitioner at the Veterans Affairs Boston Healthcare System, and postdoctoral fellow at the Veterans Affairs National Quality Scholars Program at the Louis Stokes Cleveland Veterans Affairs Medical.
  • Robert S. Dittus, MD, MPH, the Albert and Bernard Werthan professor of medicine, associate vice chancellor for Public Health and Health Care, senior associate dean for Population Health Sciences, and director, Institute for Medicine and Public Health, Vanderbilt University
  • William H. Edwards, MD, professor and vice chair of pediatrics, neonatology division chief, and section chief, Neonatal Intensive Care Unit, Children’s Hospital at Dartmouth-Hitchcock Medical Center
  • Gardner, PhD, RN, FNAP, FAAN, former senior advisor at the Bureau of Health Professions, Health Resources and Services Administration, and executive director for the Hawaii State Center for Nursing
  • Justin Glasgow, MS, affiliate researcher at the Comprehensive Access and Delivery Research and Evaluation Center at the Iowa City Veterans Affairs Health Care System and an MD/PhD candidate at the University of Iowa Carver College of Medicine
  • Marjorie M. Godfrey, MS, RN, codirector of The Dartmouth Institute Microsystem Academy in the Center for Leadership and Improvement, and instructor in The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth
  • Julie K. Johnson, PhD, MSPH, deputy director, Centre for Clinical Governance Research, and associate professor in the Faculty of Medicine at the University of New South Wales
  • Kimberly D. Johnson, RN, PhD, CEN, postdoctoral fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center and Case Western Reserve University
  • Anne C. Jones, DO, a family physician and fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the White River Junction Veterans Affairs Medical Center
  • Peter Kaboli, MD, MS, senior quality scholar at the Iowa City Veterans Affairs National Quality Scholars Fellowship Program and investigator with the Center for Comprehensive Access and Delivery Research and Evaluation at the Iowa City Veterans Affairs Health Care System
  • Maryjoan D. Ladden, PhD, RN, FAAN, senior program officer at the Robert Wood Johnson Foundation, Princeton, New Jersey
  • Renée H. Lawrence, PhD, research scientist at the Louis Stokes Cleveland Veterans Affairs Medical Center
  • Joel S. Lazar, MD, MPH, medical director of Dartmouth Health Connect, and assistant professor, Community and Family Medicine and The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth
  • Connie Lopez, MSN, CNS, RNC-OB, CPHRM, national leader, Simulation-Based Education and Training, National Risk Management and Patient Safety, Kaiser Permanente Program Offices
  • Kieran P. McIntyre, MD, respirologist in the Department of Medicine at St. Michael’s Hospital and is affiliated with the Toronto Adult Cystic Fibrosis Program
  • Rory F. McQuillan, MB BCh BAO, MRCPI, nephrologist at the University Health Network and fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the University of Toronto
  • Lorraine C. Mion, PhD, RN, FAAN, the Independence Foundation professor of nursing at Vanderbilt University and senior quality scholar of the Veterans Affairs National Quality Scholars Fellowship Program at the Veterans Affairs Tennessee Valley Health System
  • Anita D. Misra-Hebert, MD, FACP, assistant professor of medicine at Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, and fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center
  • Eugene C. Nelson, DSc, MPH, associate director of the Center for Population Health at The Dartmouth Institute for Health Policy and Clinical Practice and professor at the Geisel School of Medicine at Dartmouth
  • Jeremiah H. Newsom, MD, MSPH, hospitalist at Ochsner Medical Center, New Orleans, Louisiana
  • Greg Ogrinc, MD, MS, senior scholar at the Veterans Affairs National Quality Scholars Fellowship Program in White River Junction; director of the Health Systems and Clinical Improvement Program; and associate professor of Community and Family Medicine and of Medicine at the Geisel School of Medicine at Dartmouth
  • Danielle M. Olds, RN, MPH, PhD, fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center, and postdoctoral fellow at the Frances Payne Bolton School of Nursing, Case Western Reserve University
  • Robert M. Patrick, MD, MBA, hospitalist and fellow, Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center
  • Grant T. Savage, PhD, codirector of the Healthcare Leadership Academy and professor of management in the School of Business, University of Alabama at Birmingham
  • Tracy Shamburger, PhD, RN, fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the Birmingham Veterans Affairs Medical Center and the University of Alabama at Birmingham
  • Mamta K. Singh, MD, MS, codirector for the Center for Excellence in Primary Care Education at the Louis Stokes Cleveland Veterans Affairs Medical Center, and director of patient based programs, and associate professor of medicine at Case Western Reserve University School of Medicine.
  • Benjamin B. Taylor, MD, MPH, chief quality officer, University of Alabama at Birmingham (UAB) University Hospital, and assistant professor of medicine at UAB, and associate fellowship director at the Birmingham Veterans Affairs National Quality Scholars Fellowship Program
  • Jennifer D. Thull-Freedman, MD, MSc, director of quality and patient safety in the Division of Pediatric Emergency Medicine at Alberta Children’s Hospital, and clinical associate professor at the University of Calgary
  • Michael A. Tijerina, RN-BC, BSN, professional development consultant, National Patient Care Services, Kaiser Permanente, and adjunct faculty for the California Simulation Alliance instructor training program
  • Alene A. Toulany, MD, FRCPC, fellow in the Division of Adolescent Medicine at the Hospital for Sick Children and University of Toronto, and fellow at the Veterans Affairs National Quality Scholars Fellowship Program at the University of Toronto
  • Brook Watts, MD, MS, chief quality officer at the Louis Stokes Cleveland Veterans Affairs Medical Center and associate professor of Medicine at Case Western Reserve University.
  • Robert Weech-Maldonado, PhD, MBA, professor and L.R. Jordan Endowed Chair, Department of Health Services Administration at the University of Alabama at Birmingham
  • David E. Willens, MD, MPH, associate program director for Internal Medicine Residency and a quality improvement specialist for the Division of General Internal Medicine at Henry Ford Health System

 

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