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The Quality Solution: The Stakeholder's Guide to Improving Health Care

Author(s): David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Thomas Jefferson University
Neil I. Goldfarb, Program Director For Research, Department of Health Policy, Jefferson Medical College
Details:
  • ISBN-13: 9780763727482
  • ISBN-10:0763727482
  • Paperback    321 pages      © 2006
Price: International Sales $97.95 US List
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Overview

Poor healthcare quality is a public health emergency. Landmark reports by the Institute of Medicine and other leading groups exposed the continuing inadequacies that plague the United States healthcare system. Despite the "red flags" that these reports raised, there has been only marginal improvement in healthcare quality. Therefore, improving the quality of health care should be one of our highest public health priorities.

 

The Institute of Medicine called the substantial gulf between the vision of ideal care and the reality of what most individuals receive a “quality chasm”. The Quality Solution enlightens, informs, and challenges professionals in public health, medicine, health administration, and health law to bridge this chasm and to participate in the transformation of the healthcare system through the science of healthcare quality-measurement and improvement.

 

Through the contributions of a knowledgeable and experienced panel of authors, The Quality Solution profiles initiatives of the key healthcare stakeholders--consumers, payers, healthcare providers, and employers--and how they can work together to improve healthcare quality. 

ShowKey Features

Written by nationally recognized healthcare experts within the quality and safety community.

Offers a comprehensive, up-to-date overview of the quality measurement and improvement field in the United States.

Includes pragmatic solutions to the quality measurement and safety improvement challenge.

Contains case studies to help maximize understanding of the subject.

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ShowTable of Contents

Section 1: Introduction to Quality in Health Care

 

Chapter 1: An Overview of Quality in the Healthcare System

David B. Nash, Adam S. Evans, Kevin L. Bowman

 

Chapter 2: Duty versus Interest

The History of Quality in Health Care

Michael L. Millenson

 

Chapter 3: Public Health Implications in Quality Improvement

How to Implement National Quality Goals at the Local Level
Clair M. Callan, Erin T. O’Brien, Karen S. Kmetick, Margaret C. Toepp

 

Section 2: The Measures and Tools of Quality Improvement


Chapter 4: Conceptualizing and Improving Quality: An Overview

Scott B. Ransom, John R. Griffith, Darrell A. Campbell, Jr., Elizabeth R. Ransom

 

Chapter 5: Analyzing Quality Data

Jonathan E. Gottlieb

 

Chapter 6: Fundamentals of Outcomes Measurement

Donald E. Casey

 

Chapter 7: Basic Tools for Quality Improvement

Walter H. Ettinger

 

Section 3: Stakeholders in Quality Improvement

 

Chapter 8: The Provider’s Role in Quality Improvement

Physicians and Quality Improvement

Stephen T. Lawless, Roy Proujansky

 

Chapter 9: Employers Focus on Quality
Vittorio Maio, Christine W. Hartmann

 

Chapter 10: A Patient-Centered Approach to Care

Vincenza T. Snow

 

Chapter 11: The Health Plan’s Perspective

Payer, Provider, and Partner

Michael D. Parkinson, Gregg S. Meyer

 

Chapter 12: Governmental Perspective

Initiatives to Improve the Quality of Care for Medicare Beneficiaries

Stuart Guterman, Rachel Nelson, William C. Rollow, Sheila H. Roman

 

Section 4: Looking Toward the Future of Quality Improvement

 

Chapter 13: Role of Information Technology in Measuring and Improving Quality

Thomas N. Ricciardi, Kevin Tabb

 

Chapter 14: Future Research Agenda

Designing and Paying for Quality

Irene Fraser, Carolyn M. Clancy, Jan De La Mare

 

Chapter 15: Medical Education for Safety

Judith Owens, Alon Y. Avidan

 

Chapter 16: Visions of the Future

Stephen C. Schoenbaum, Karen Davis, Annie-Marie J. Audet

 


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ShowAbout the Author(s)

David B. Nash, MD, MBA-Dean, Jefferson School of Population Health, Thomas Jefferson University

Dr. Nash, a board-certified internist, founded the original Office of Health Policy in 1990. Thirteen years later, the Office evolved into one of the first Departments of Health Policy in an American medical college. In 2008, the Board of Thomas Jefferson University approved the creation of the new school. The Jefferson School of Population Health represents the first time a health-sciences university has placed four Masters Programs under one roof, namely a Masters in Public Health, Health Policy, Healthcare Quality, and Safety and Chronic Care Management. The goal of this innovative school is to produce a new type of healthcare leader for the future.

Dr. Nash is internationally recognized for his work in outcomes management, medical staff development, and quality-of-care improvement; his publications have appeared in more than 100 articles in major journals. He has edited nineteen books, including A Systems Approach to Disease Management published by Jossey-Bass, Connecting with the New Healthcare Consumer published by Aspen, The Quality Solution published by Jones & Bartlett Learning, Practicing Medicine in the 21st Century published by the American College of Physician Executives (ACPE), and most recently, Governance for Healthcare Providers published by Productivity Press. In 1995, he was awarded the Latiolais (“Lay-shee-o-lay”) Prize by the Academy of Managed Care Pharmacy for his leadership in disease management and pharmacoeconomics. He also received the Philadelphia Business Journal Healthcare
Heroes Award in October 1997 and was named an honorary distinguished fellow of the American College of Physician Executives in 1998. In 2006, he received the Elliot M. Stone Award for leadership in public accountability for health data from NAHDO. Dr. Nash received the Wharton Healthcare Alumni Achievement Award in 2009.
Repeatedly named by Modern Healthcare as one of the top 100 most powerful persons in healthcare, his national activities include membership on the board of directors of DMAA: The Care Continuum Alliance, Chair of an NQF Technical Advisory Panel, membership in the American College of Surgeons Health Policy Research Institute, three key national groups focusing on quality measurement and improvement. He continues as one of the principal faculty members for quality of care issues of the ACPE in Tampa, Florida, and is the developer of the ACPE Capstone Course on Quality. For the last decade, he was a member of the board of trustees of Catholic Healthcare Partners in Cincinnati, Ohio—one of the nation’s largest integrated delivery systems—and he chaired the Board Committee on Quality and Safety. He was recently appointed to the board of Main Line Health—a four hospital system in suburban Philadelphia, Pennsylvania. He also serves on the board of directors of Humana, a Fortune 200 company headquartered in Louisville, Kentucky.
Dr. Nash is a consultant to organizations in both the public and private sectors including the Technical Advisory Group of the Pennsylvania Health Care Cost Containment Council (a group he has chaired for the last decade), and numerous corporations within the pharmaceutical industry. From 1984 to 1989, he was deputy editor of Annals of Internal Medicine at the American College of Physicians. Currently, he is editor-in-chief of four major national journals including P&T, Population Health Management, Biotechnology Healthcare, and the American Journal of Medical Quality. Through his writings, public appearances, and his digital presence, his message reaches more than 100,000 persons every month.
Dr. Nash received his BA in economics (Phi Beta Kappa) from Vassar College, Poughkeepsie, New York; his MD from the University of Rochester School of Medicine and Dentistry, where he was recently named to the Alumni Council, and his MBA in Health Administration (with honors) from the Wharton School at the University of Pennsylvania. While at the University of Pennsylvania, he was a Robert Wood Johnson Foundation Clinical Scholar and Medical Director of a nine-physician faculty group practice in general internal medicine.
Dr. Nash lives in Lafayette Hill, Pennsylvania, with his wife, Esther J. Nash, MD, fraternal twin twenty-three-year-old daughters, and nineteen-year-old son. He is an avid tennis player. Please visit: http://jefferson.edu/population_health/ and his new blog at: http://www.nashhealthpolicy.blogspot.com. Dr. Nash can be contacted at david.nash@jefferson.edu.
Additional Titles by this Author

Neil I. Goldfarb-Program Director For Research, Department of Health Policy, Jefferson Medical College

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ShowReviews

  • "This is an excellent resource for provider organizations and health services researchers to use in understanding the landscape for quality improvement."


    —Paul H. Keckley, PhD
    Vanderbilt University Medical Center
    Doody's Book Review Service
    April 2006

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ShowAppropriate Courses

The intended audience of this text is students in schools of public health, medicine, health administration, and health law. Professionals, practitioners, organizational leaders and policy makers will also all appreciate the insights from many of the prominent contributors, benefiting from the succinct nature of many of the key chapters.

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