Eugene C Nelson, Paul B Batalden, Marjorie M Godfrey, Joel S Lazar

Value by Design

Developing Clinical Microsystems to Achieve Organizational Excellence

• Broschiertes Buch

Produktbeschreibung

Value by Design is a practical guide for real-world improvement in clinical microsystems. Clinical microsystem theory, as implemented by the Institute for Healthcare Improvement and health care organizations nationally and internationally, is the foundation of high-performing front line health care teams who achieve exceptional quality and value. These authors combine theory and principles to create a strategic framework and field-tested tools to assess and improve systems of care. Their approach links patients, families, health care professionals and strategic organizational goals at all levels of the organization: micro, meso and macrosystem levels to achieve the ultimate quality and value a health care system is capable of offering.

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Produktdetails

• Verlag: John Wiley & Sons / Wiley
• Seitenzahl: 384
• Erscheinungstermin: 8. März 2011
• Englisch
• Abmessung: 255mm x 205mm x 22mm
• Gewicht: 915g
• ISBN-13: 9780470385340
• ISBN-10: 0470385340
• Artikelnr.: 32205100

Autorenporträt

Eugene C. Nelson, DSc, MPH, is director of Population Health and Measurement for the Dartmouth-Hitchcock Medical Center and professor of Community and Family Medicine at Dartmouth Medical School and the Dartmouth Institute for Health Policy and Clinical Practice. He is the recipient of the Joint Commission on Accreditation of Healthcare Organizations' Ernest A. Codman award for his work on outcomes measurement in health care. Paul B. Batalden, MD, is professor of Pediatrics and of Community and Family Medicine at Dartmouth Medical School. He is the associate director of the Dartmouth-Hitchcock Leadership Preventive Medicine Residency, and teaches at the Dartmouth Institute for Health Policy and Clinical Practice, the Institute for Healthcare Improvement and in the Jönköping Academy for the Improvement of Health and Welfare in Sweden. Marjorie M. Godfrey, MS, RN, is codirector of the Microsystem Academy, instructor for the Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, and a recognized national and international leader in health care improvement with interdisciplinary professionals. Joel S. Lazar, MD, MPH, is assistant professor of Community and Family Medicine at the Dartmouth Institute for Health Policy and Clinical Practice and section chief and medical director of Family Medicine at Dartmouth-Hitchcock Medical Center, where he also serves as director of quality improvement.

Inhaltsangabe

Figures and Tables. Foreword (Elliott Fisher). Preface: Improvement at the
Front Line of Care. Acknowledgments. The Editors. The Contributors. 1:
Introducing Clinical Microsystems. Learning Objectives. Microsystems in
Health Care. A Broader View of Systems and Microsystems. Research on
Microsystems in Health Care. Three Conceptual Imperatives in the Work of
Value Improvement. Conclusion. Summary. Key Terms. Review Questions.
Discussion Questions. References. Set the following H1 in second color.
Chapter One Action Guide. Introduction to the 5Ps. The Clinical Microsystem
Process and Structure of the 5Ps Model. External Mapping Tool. Microsystem
Assessment Tool (MAT). 2: Partnering with Patients to Design and Improve
Care. Learning Objectives. The Aim of Health Care and the Need to Partner
with Patients. Conceptual Frameworks for Partnering with Patients. Tactics
for Partnering with Patients. Patients as informants and Advisors.
Conclusion. Summary. Key Terms. Review Questions. Discussion Questions.
References. Set the following H1 in second color. Chapter Two Action Guide.
Institute for Family-Centered Care Matrix. Value Stream Mapping.
Definitions of Selected Value Stream Mapping Terms. 3: Improving Safety and
Anticipating Hazards in Clinical Microsystems. Learning Objectives.
Organizational Factors to Promote A Culture of Safety (WHO). Discussion.
Definitions. Identification of Medical Errors and Adverse Events. Frequency
of Adverse Events and Medical Errors. Conclusion. Summary. Key Terms.
Review Questions. Discussion Topics. References. Set the following H1 in
second color. Chapter Three Action Guide. 5s Method. Checklists. Failure
Mode and Effects Analysis. Rehearsals or Simulations. Mindfulness. The Link
Between Safety and the Microsystem. Conclusion. References. 4: Using
Measurement to Improve Health Care Value. Learning Objectives. Measuring
What Matters at All Levels of the System. Tips and Principles to Foster a
Rich information Environment. Designing information Flow to Support
High-Value Care. Conclusion. Summary. Key Terms. Review Questions.
Discussion Questions. References. Set the following H1 in second color.
Chapter Four Action Guide. Patient Value Compass. Balanced Scorecard.
Measure What Matters Worksheet. Examples of Data Walls. 5: Starting the
Patient's Care in Clinical Microsystems. Learning Objectives. The Entry
Functions of Clinical Microsystems. Conclusion. Summary. Key Terms. Review
Questions. Discussion Questions. References. Set the following H1 in second
color. Chapter Five Action Guide. Process Mapping with Flowcharts. Access
Measures and Tools. C.A.R.E. Vital Signs. Reference. 6: Designing
Preventive Care to Improve Health. Learning Objectives. The Work of
Preventive Health Care. An Action-Based Taxonomy of Preventive Health
Services. Conclusion. Summary. Key Terms. Review Questions. Discussion
Questions. References. Set the following H1 in second color. Chapter Six
Action Guide. Radiology Microsystem Preventive Activity of Mammography. 7:
Planning for Responsive and Reliable Acute Care. Learning Objectives.
Anticipating the Needs of Acutely Ill Patients. Defining Acute Care Needs
of Patients and Families. An Overview of Design Requirements for Acute
Care. Advanced Access and Effective Care Transitions Conclusion. Summary.
Key Terms. Review Questions. Discussion Questions. References. Set the
following H1 in second color. Chapter Seven Action Guide. 8: Engaging
Complexity in Chronic Illness Care. Learning Objectives. An Invitation to
Complexity. The Experience of Chronic Illness. The Burden of Chronic
Illness. The Goals of Chronic Illness Care. Clinical Complexity in Chronic
Illness Care. Designing for Complexity Through Alignment of Problems and
Practice Solutions. The Nature of Complex Adaptive Systems. The Chronic
Care Model. Care Coordinaton and Transitions. Patient Self-Management.
Conclusion. Summary. Key Terms. Review Questions. Discussion Questions.
References. Set the following H1 in second color. Chapter Eight Action
Guide. Star Generative Relationships. Reference. 9: Supporting Patients and
Families Through Palliative Care. Learning Objectives. The Need for
Palliative Care in Modern America. End-of-Life Experience Yesterday and
Today. Principles of Palliative Care. Reducing Variation in End-of-Life
Care. Core Processes in Palliative Care. Care Coordination Near the End of
Life. Formal Palliative Care and Hospice Programs. Planning for Both Life
and Death with Advance Directives. Conclusion. Summary. Key Terms. Review
Questions. Discussion Questions. References. Set the following H1 in second
color. Chapter Nine Action Guide. Mental Models. Using the Ladder of
Inference to Explore Mental Models. Reference. 10: Designing Health Systems
to Improve Value. Learning Objectives. From Parts to Whole. New Vision of
Integrated Systems to Produce High Value. The Execution Triangle. Leading
Change at All Levels. Changing Local Culture. The Path Forward for Making
High-Value Health Systems. Summary. Key Terms. Review Questions. Discussion
Questions. References. Set the following H1 in second color. Chapter Ten
Action Guide. Micro-, Meso-, and Macrosystem Matrix. Name Index. Subject
Index.