Health Systems Improvement

Introduction

Table of Contents  

UNIT I     Understanding the State of Healthcare in the United States (Why the Need to Improve) 

CHAPTER 1   Economic Realities of Healthcare   in the United States 

A.   Summary

B.   The U.S. Healthcare System and its Expenditures 

C.   What about Health Insurance Coverage? 

D.   What are we Spending our Money on? 

E.   What about Value? 

F.   Conclusion 

CHAPTER 2   Healthcare Delivery Models of Care 

A.   Summary

B.   Models of Care 

C.   Siloed Systems of Care 

D.   Fee for Service 

E.   Managed Care 

F.   Affordable/Accountable Care 

G.   Conclusion 

CHAPTER 3   Patient Experiences, Patient Outcomes   and Patient Safety 

A.   Summary

B.   Patient Experiences 

C.   Patient Outcomes 

D.   Patient Safety 

E.   Conclusion 

CHAPTER 4 Role of Information Systems and Data Use  in the 21st Century

A. Summary

B. Computers and Information Systems in Healthcare

C. Electronic Medical/Health Records

D. Interoperability Across the Continuum of Care

E. Data, Information, Knowledge, and Wisdom

F. Ecosystems for Plug and Play

G. Deployment of Knowledge at the Point of Care

H. Conclusion

UNIT II Quality Assurance, Management, and Measurement (What we Need to Improve)

CHAPTER 5 Quality Assurance

A. Summary

B. What is Healthcare Quality Assurance?

C. Accreditation Bodies

D. Federal, State, and Regulatory Bodies

E. The Business Community

F. Conclusion

CHAPTER 6 Historical Contributions to Quality and the Implications for Healthcare

A. Summary

B. Early Pioneers

C. Conclusion

CHAPTER 7 Quality Management

A. Summary

B. Adopting the Juran Trilogy of Quality

C. ISO 9000

D. Patient Safety and the Learning Organization

E. High Reliability Organizations

F. Safety Science I and Safety Science II

G. Joint Cognitive Engineering

H. Resilience Engineering

I. Conclusion

CHAPTER 8 Quality Measurement

A. Summary

B. Six Dimensions of Healthcare Quality

C. Quality Indicators

D. Key Process Indicators (KPIs)

E. Dashboards

F. Data Warehouses and Data Marts

G. Data Mining and Machine Learning

H. Natural Language Programming (NLP)

I. Statistical Analysis

J. Conclusion

CHAPTER 9 Quality Improvement Tools and Techniques

A. Summary

B. Case Example

C. CQI and Charter setting

D. Project Frameworks

E. Data Collection

F. Fishbone Diagrams

G. Process Mapping/Flow Charting/Swim Lanes

H. Failure Mode Modeling in Healthcare

I. Conclusion

CHAPTER 10 Role of Decision Support for Improving Care

A. Summary

B. Data Terminologies in Healthcare Information Systems

C. Role of Clinical Practice Guidelines in Decision Support

D. Use of Standards in Decision Support

E. Modeling for Decision Support

F. The Next Frontier

G. Conclusion

Epilog 

Resources and References