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Quality Health Care: A Guide to Developing and Using Indicators

Author(s): Robert Lloyd, PhD, Executive Director Of Performance Improvement, Institute for Healthcare Improvement
Details:
  • ISBN-13: 9780763748050
  • ISBN-10:0763748056
  • Hardcover    343 pages      © 2004
Price: International Sales $183.95 US List
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Overview

Written by an internationally-recognized expert in the field of quality management, this book will serve as your guide for planning and implementing a successful quality measurement program in your healthcare facility. It begins by presenting an overview of the context for quality measurement, the forces influencing the demand for quality reform, how to listen to the voice of the customer, and the characteristics of quality that customers value most. You’ll also learn how to select and define indicators to collect data and how to organize data into a dashboard that can provide feedback on your progress toward quality measurement. Finally, this book shows you how to analyze your data by detailing how variation lives in your data, and whether this variation is acceptable. Case studies are provided to demonstrate how quality measurement can be applied to clinical as well as operational aspects of healthcare delivery.

ShowTable of Contents

Chapter 1. Setting the Context
A Brief Review of Healthcare Reform
The Growing Concern over Service
Defining Continuous Quality Improvement

Chapter 2. Measuring the Voice of the Customer
It All Starts with Listening
Creating a Service Excellence Culture
Who Are Your Customers?
Defining Key Quality Characteristics
Listening Three Times
Understanding the Tools
Combining VOC Data with the VOP

Chapter 3. Indicator Selection and Development
Measurement Roadblocks
The Quality Measurement Roadmap
Types of Indicators
Selecting a Specific Indicator
Developing Operational Definitions
Developing Data Collection Plans
Case Study: Transcription Turnaround Time
The Indicator Development Form

Chapter 4. Organizing Indicators into Strategic Dashboards
Evolution of the Strategic Dashboard
Focusing on the Vital Few
The Role of Benchmarking
A Comment on the "New" Business Management Strategies

Chapter 5. Tapping the Knowledge that Hides in Data
Data Versus Information
Research for Efficacy
Research for Effectiveness and Efficiency
The Debate is Silly
Static Versus Dynamic Approaches to Data Analysis
Case Study: The Monday Morning Dilemma

Chapter 6. Overcoming Numerical Illiteracy
Understanding Variation
Common and Special Causes of Variation
What Is a Run Chart?
What Is a Control Chart?
Deciding which Control Chart to Use
Variables Charts
Attributes Charts
Deciding if a Special Cause is Present
Making Appropriate Management Decisions

Chapter 7. Applying Quality Measurement Principles
Case Study #1: Predicting a Cardiovascular Event
Case Study #2: Sampling Central Line Infections
Case Study #3: Sampling Medicare Insurance Audits
Case Study #4: Tracking Patient Falls
Case Study #5: Pressure Ulcer Prevention
Case Study #6: Evaluating Staffing Effectiveness
Case Study #7: To Flash or Not to Flash--That Is the Question?
Case Study #8: Clarifying the Operational Definition of Readmission
Case Study #9: Managing a Breast Cancer Patient's Coumadin Levels
Case Study #10: Group B Streptococcus in Pregnant Women
Case Study #11: Emergency Department Fast Track
Case Study #12: Tracking Patient Complaints
Case Study #13: Reducing Ventilator Associated Pneumonia
Case Study #14: Pain Management for Hip and Knee Replacement Patients

Chapter 8. Connecting the Dots
Understanding the Dots
Personal Transformation
Organizational Transformation
Societal Transformation


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ShowAbout the Author(s)

Robert Lloyd, PhD-Executive Director Of Performance Improvement, Institute for Healthcare Improvement

Dr. Robert Lloyd, Ph.D., is Executive Director of Performance for the Institute for Healthcare Improvement (IHI).  Dr. Lloyd provides leadership in the areas of performance improvement strategies, statistical process control methods, performance improvement indicators, strategic dashboard development and performance improvement training.  He also serves as faculty for various IHI initiatives.  Before joining the IHI, Dr. Lloyd served as the Corporate Director of Quality Resource Services for Advocate Health Care (Oak Brook, IL).  He also served as director of Quality Measurement for Lutheran General Hospital and directed the American Hospital Association's Quality Measurement and Management (QMMP) project. 

The Pennsylvania State University awarded all three of Dr. Lloyd’s degrees.  His undergraduate degree is in sociology, his master’s degree is in regional planning and his doctorate is in rural sociology.  Dr. Lloyd has addressed over 370 national meetings of professional groups and associations, and has had over 22,000 participants from this country and abroad attend his classes and presentations on CQI.  He has served as faculty for the American College of Healthcare Executives, the American Society for Quality (ASQ), the University of Wisconsin's graduate program in Administrative Medicine, the Healthcare Forum, the International Quality and Productivity Center, the American Health Information Management Association, the JCAHO, the Group Practice Improvement Network, the Ontario Hospital Association, the Vancouver BC Quality Forum, the Medical Group Management Association and numerous QIOs around the country.  Dr. Lloyd has also presented his two-day seminar on statistical thinking to physicians and administrators from the Federation of County Councils in Stockholm, Sweden.

He has published articles and reports on a wide range of topics including CQI theory and implementation, clinical outcomes, customer satisfaction, information systems and parish nursing.  He also serves as a Regional Councilor for the Health Care Division of ASQ. 

Dr. Lloyd is co-author of the internationally acclaimed book, Measuring Quality Improvement in Healthcare: A Guide to Statistical Process Control Applications (American Society for Quality Press, 2001, 5th printing).  His most recent book, Quality Health Care: A Guide to Developing and Using Indicators was published in March of 2004 by Jones and Bartlett Publishers (Sudbury, MA).

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ShowReviews

  • “This book is intended as a how-to on the collection of statistics concerning quality of health care. This means that the author, a well-known expert in the field of quality measurement, does not simply discuss the techniques involved, but also guides the reader through their implementation step-by-step. The first six chapters cover the historical background of quality management in health care, measuring the voice of the customer, indicator selection and development, the organization of indicators into strategic dashboards, efficient use of collected data, and some discussion of statistical techniques. The seventh chapter is devoted to 14 extensive case studies, and the eighth and final chapter gives a broader perspective of health care quality management in society.”

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