Details

Value Based Health Care


Value Based Health Care

Linking Finance and Quality
1. Aufl.

von: Yosef D. Dlugacz

68,99 €

Verlag: Wiley
Format: EPUB
Veröffentl.: 01.10.2009
ISBN/EAN: 9780470498125
Sprache: englisch
Anzahl Seiten: 224

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Beschreibungen

<p>Value-Based Health Care</p> <p>Linking Finance and Quality</p> <p>Yosef D. Dlugacz</p> <p>Value-Based Health Care?</p> <p>Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike.</p> <p>Praise for Value-Based Health Care</p> <p>"Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment."<br /> —Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety</p> <p>"Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . .given the national debate over access, cost, and quality, the book could not be more timely."<br /> —Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research</p> <p>"Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform."<br /> —Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State</p>
<p>Figures and Tables ix</p> <p>Preface xi</p> <p>Acknowledgments xiii</p> <p>The Author xv</p> <p>Introduction xvii</p> <p><b>PART ONE BASIC PRINCIPLES OF QUALITY MANAGEMENT 1</b></p> <p><b>1 DRIVERS OF CHANGE 3</b></p> <p>Learning Objectives 3</p> <p>External Drivers 5</p> <p>Internal Drivers 11</p> <p>Summary 20</p> <p>Key Terms 20</p> <p>Things to Think About 20</p> <p><b>2 IMPROVING PATIENT SAFETY 21</b></p> <p>Learning Objectives 21</p> <p>Understanding Quality Measures 23</p> <p>Working with Quality Information 24</p> <p>Measuring Value 27</p> <p>Asking Questions Via Data 30</p> <p>Presenting Results 34</p> <p>Effective Communication Improves Patient Safety 37</p> <p>Summary 39</p> <p>Key Terms 39</p> <p>Things to Think About 39</p> <p><b>3 FOCUS ON THE PATIENT 41</b></p> <p>Learning Objectives 41</p> <p>Effective Communication and Patient-Focused Care 43</p> <p>Handoff Information Transfer 47</p> <p>SBAR 47</p> <p>Barriers to Effective Communication 48</p> <p>Strategies to Reduce Barriers 50</p> <p>Care and Communication Guidelines 51</p> <p>Patient Education 52</p> <p>Near-Miss Reporting 59</p> <p>Chronic Disease Management 61</p> <p>Task Forces 63</p> <p>Patient Rights and Responsibilities 65</p> <p>Compassionate Caring 65</p> <p>Summary 67</p> <p>Key Terms 68</p> <p>Things to Think About 68</p> <p><b>4 UNDERSTANDING PROCESSES, OUTCOMES, AND COSTS 69</b></p> <p>Learning Objectives 69</p> <p>Some Events Should Never Occur 70</p> <p>Leaders’ Role in Good Outcomes 72</p> <p>Physicians’ Role in Good Outcomes 74</p> <p>Financial Value of Good Outcomes 76</p> <p>Changing the Traditional Culture 77</p> <p>Summary 86</p> <p>Key Terms 86</p> <p>Things to Think About 86</p> <p><b>PART TWO GETTING DOWN TO BUSINESS 87</b></p> <p><b>5 THE VALUE OF PREVENTION 89</b></p> <p>Learning Objectives 89</p> <p>The Promotion of Prevention 90</p> <p>The Problems with Prevention 91</p> <p>The Patient’s Role 92</p> <p>Prevention Measures 93</p> <p>Regulatory Groups’ Role in Prevention 94</p> <p>Data’s Role in Promoting Prevention 95</p> <p>Management of Chronic Conditions 99</p> <p>Prevention in Ambulatory Care 101</p> <p>Proactive Prevention in the Hospital 106</p> <p>National Patient Safety Goals 107</p> <p>Technology and Prevention 108</p> <p>Summary 110</p> <p>Key Terms 111</p> <p>Things to Think About 111</p> <p><b>6 THE COST OF SENTINEL EVENTS 113</b></p> <p>Learning Objectives 113</p> <p>Changing the Incident Analysis Framework 115</p> <p>The Value of Root Cause Analysis 117</p> <p>Monitoring Behavioral Health 121</p> <p>Eliminating Never Events 124</p> <p>Improving Error Reports 125</p> <p>Quality Management’s Role in Controlling Adverse Events 126</p> <p>The Traditional Hierarchy Leads to Errors 128</p> <p>The Economics of Malpractice 129</p> <p>Summary 130</p> <p>Key Terms 131</p> <p>Things to Think About 131</p> <p><b>7 MANAGING EXPENSES IN A HIGH-RISK E NVIRONMENT 133</b></p> <p>Learning Objectives 133</p> <p>Improving Cost in the ICU 134</p> <p>Match the Resources to the Patient 136</p> <p>End-of-Life Care 137</p> <p>Sustaining Change 138</p> <p>Improving Operating Room Efficiency 141</p> <p>Improving Oversight 142</p> <p>Managing Throughput 143</p> <p>Summary 146</p> <p>Key Terms 147</p> <p>Things to Think About 147</p> <p><b>8 IMPROVING COMMUNICATION AND ESTABLISHING TRUST 149</b></p> <p>Learning Objectives 149</p> <p>Developing Trust 150</p> <p>The Role of Quality Management in Increasing Trust 151</p> <p>Transparency, Tracers, and Trust 151</p> <p>Establishing a Common Language 157</p> <p>Sustaining Change 159</p> <p>Monitoring Care 160</p> <p>Assessing Competency 163</p> <p>The Role of Regulatory Requirements in Ensuring Competency 164</p> <p>Medical Staff Credentialing 165</p> <p>Objectifying Competency 165</p> <p>Staffi ng Effectiveness 168</p> <p>Promoting Competency 169</p> <p>Summary 169</p> <p>Key Terms 170</p> <p>Things to Think About 170</p> <p><b>9 PROMOTING A SAFE ENVIRONMENT OF CARE 171</b></p> <p>Learning Objectives 171</p> <p>Communication Across Disciplines 172</p> <p>Working Together to Identify and Solve Problems 174</p> <p>Improving Processes 175</p> <p>Monitoring Safety 176</p> <p>Ensuring Accountability 178</p> <p>Maintaining a Safe Environment 180</p> <p>Establishing Oversight 180</p> <p>Communicating About Safety 181</p> <p>Assessing and Improving the Environment 182</p> <p>Summary 183</p> <p>Key Terms 184</p> <p>Things to Think About 184</p> <p><b>10 CONCLUSION 185</b></p> <p>REFERENCES 191</p> <p>USEFUL WEB SITES 195</p> <p>INDEX 197</p>
<p>The Author</p> <p>Yosef D. Dlugacz, PhD, is senior vice president and chief of Clinical Quality, Education, and Research, Krasnoff Quality Management Institute, a division of the North Shore–Long Island Jewish Health System.</p>
<p>Value-Based Health Care</p> <p>Linking Finance and Quality</p> <p>Yosef D. Dlugacz</p> <p>Value-Based Health Care?</p> <p>Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike.</p> <p>Praise for Value-Based Health Care</p> <p>"Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment."<br /> —Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety</p> <p>"Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . .given the national debate over access, cost, and quality, the book could not be more timely."<br /> —Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research</p> <p>"Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform."<br /> —Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State</p>

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