Data Collection & Statistical Tools for Quality Improvement Essay

Data Collection & Statistical Tools for Quality Improvement Essay ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Data Collection & Statistical Tools for Quality Improvement Essay I’m studying for my Health & Medical class and need an explanation. Data Collection & Statistical Tools for Quality Improvement Essay -Question: Why is an expanded concept of “variation” necessary in statistical improvement? Is all variation necessarily numerical? How might this approach invalidate concepts and techniques taught in traditional basic statistics courses? ((Please support your answer with references from the academic and professional literature)) Requirements: 2-3 page written essay on the question (APA) Style. It should be supported with references from the academic and/or professional literature. Comprehensive coverage of topic. Critical analysis of topic. Assumptions explicit. “Digs deep” into topic. Considers alternatives References, ((Minimum of 5 references)) . Writing is focused. Clear and concise response to topic. Excellent word choice. Materials: 1-Chapter 4 & 5 (Textbook is attached) the_healthcare_quality_book_vision_strategy_and_tools_by_david_b._nash_maulik_s._joshi_elizabeth_r._ransom_scott_b._ransom__ziploma.com_.pdf David B. Nash • Maulik S. Joshi • Elizabeth R. Ransom • Scott B. Ransom • Editors 00_Nash (2382).indb 1 2/22/19 10:56 AM HAP/AUPHA Editorial Board for Graduate Studies Carla A. Stebbins, PhD, Chairman Rochester Institute of Technology Kevin Broom, PhD University of Pittsburgh Erik L. Carlton, DrPH University of Memphis Daniel Estrada, PhD University of Florida Edmond A. Hooker, MD, DrPH Xavier University LTC Alan Jones, PhD, FACHE US Army Christopher Louis, PhD Boston University Peggy J. Maddox, PhD George Mason University Donna Malvey, PhD University of Central Florida Brian J. Nickerson, PhD Icahn School of Medicine at Mount Sinai Stephen J. O’Connor, PhD, FACHE University of Alabama at Birmingham Maia Platt, PhD University of Detroit Mercy Debra Scammon, PhD University of Utah Tina Smith University of Toronto James Zoller, PhD Medical University of South Carolina 00_Nash (2382).indb 2 2/22/19 10:56 AM Health Administration Press, Chicago, Illinois Association of University Programs in Health Administration, Washington, DC 00_Nash (2382).indb 3 2/22/19 10:56 AM Your board, staff, or clients may also benefit from this book’s insight. For more information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9450. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the authors and do not represent the official positions of the American College of Healthcare Executives, the Foundation of the American College of Healthcare Executives, or the Association of University Programs in Health Administration. Copyright © 2019 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 23 22 21 20 19 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Names: Nash, David B., editor. | Joshi, Maulik, editor. | Ransom, Elizabeth R., editor. | Ransom, Scott B., editor. Title: The healthcare quality book : vision, strategy, and tools / David B. Nash, Maulik S. Joshi, Elizabeth R. Ransom, and Scott B. Ransom, editors. Description: Fourth edition. | Chicago, Illinois ; Association of University Programs in Health Administration : Washington, DC : Health Administration Press, [2019] | Includes bibliographical references and index. | Identifiers: LCCN 2018060062 (print) | LCCN 2019000071 (ebook) | ISBN 9781640550544 (eBook 13) | ISBN 9781640550551 (Xml) | ISBN 9781640550568 (Epub) | ISBN 9781640550575 (Mobi) | ISBN 9781640550537 (print) Subjects: LCSH: Medical care—United States—Quality control. | Health services administration— United States—Quality control. | Total quality management—United States. Classification: LCC RA399.A3 (ebook) | LCC RA399.A3 H433 2019 (print) | DDC 362.1068— dc23 LC record available at https://lccn.loc.gov/2018060062 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ? ™ Acquisitions editor: Jennette McClain; Project manager: Michael Noren; Cover designer: James Slate; Layout: Cepheus Edmondson Found an error or a typo? We want to know! Please email it to [email protected], mentioning the book’s title and putting “Book Error” in the subject line. For photocopying and copyright information, please contact Copyright Clearance Center at www.copyright.com or at (978) 750-8400. Health Administration Press Association of University Programs A division of the Foundation of the American ? in Health Administration College of Healthcare Executives 1730 M Street, NW 300 S. Riverside Plaza, Suite 1900 Suite 407 Chicago, IL 60606-6698 Washington, DC 20036 (312) 424-2800 (202) 763-7283 00_Nash (2382).indb 4 2/22/19 10:56 AM BRIEF CONTENTS Foreword……………………………………………………………………………………..xvii Brent C. James Preface…………………………………………………………………………………………Data Collection & Statistical Tools for Quality Improvement Essay xix David B. Nash, Maulik S. Joshi, Elizabeth R. Ransom, and Scott B. Ransom Part I The Foundation of Healthcare Quality Maulik S. Joshi Chapter 1. Overview of Healthcare Quality …………………………………..5 Rebecca C. Jaffe, Alexis Wickersham, and Bracken Babula Chapter 2. History and the Quality Landscape……………………………..49 Norbert Goldfield Chapter 3. Variation in Medical Practice and Implications for Quality…………………………………………………………..75 David J. Ballard, Briget da Graca, David Nicewander, and Brett D. Stauffer Part II Tools, Measures, and Their Applications Elizabeth R. Ransom Chapter 4. Data Collection……………………………………………………..107 John Byrnes Chapter 5. Statistical Tools for Quality Improvement…………………..127 Davis Balestracci Chapter 6. Physician Profiling and Provider Registries………………….171 Bettina Berman and Richard Jacoby Chapter 7. Health Information Technology in Healthcare Quality and Safety: Prevention, Identification, and Action……..189 Sue S. Feldman, Scott E. Buchalter, and Leslie W. Hayes v 00_Nash (2382).indb 5 2/22/19 10:56 AM vi B rief Co nte n ts Chapter 8. Simulation in Healthcare Quality and Safety……………….213 Hyunjoo Lee and Dimitrios Papanagnou Part III Culture and Leadership David B. Nash Chapter 9. The Patient Experience……………………………………………233 Deirdre E. Mylod and Thomas H. Lee Chapter 10. Safety Science and High Reliability Organizing……………253 Craig Clapper Chapter 11. Education for Healthcare Quality and Safety……………….279 David Mayer and Anne J. Gunderson Chapter 12. Creating Alignment: Quality Measures and Leadership……………………………………………………301 Michael D. Pugh Chapter 13. Governance for Quality…………………………………………..329 Kathryn C. Peisert Part IV Emerging Trends Scott B. Ransom Chapter 14. Ambulatory Quality and Safety…………………………………363 Lawrence Ward and Rhea E. Powell Chapter 15. The Role of the National Committee for Quality Assurance………………………………………………..389 Michael S. Barr and Frank Micciche Chapter 16. Value-Based Insurance Design………………………………….415 A. Mark Fendrick and Susan Lynne Oesterle Chapter 17. Value-Based Purchasing: The Increasing Importance of Quality Considerations in Funding the Healthcare System………………………………………………………………439 Neil Goldfarb Chapter 18. Medication Use Quality…………………………………………..457 Mel L. Nelson, Matthew K. Pickering, Hannah M. Fish, and Laura Cranston 00_Nash (2382).indb 6 2/22/19 10:56 AM Br ief C ontents vii Chapter 19. Population Health Safety and Quality………………………..475 Keith Kosel Index…………………………………………………………………………………………501 About the Editors………………………………………………………………………….547 About the Contributors………………………………………………………………….551 00_Nash (2382).indb 7 2/22/19 10:56 AM 00_Nash (2382).indb 8 2/22/19 10:56 AM DETAILED CONTENTS Foreword……………………………………………………………………………………..xvii Brent C. James Preface…………………………………………………………………………………………xix David B. Nash, Maulik S. Joshi, Elizabeth R. Ransom, and Scott B. Ransom Part I The Foundation of Healthcare Quality Maulik S. Joshi Chapter 1. Overview of Healthcare Quality …………………………………..5 Rebecca C. Jaffe, Alexis Wickersham, and Bracken Babula The Growing Focus on Quality……………………………………5 Frameworks and Stakeholders………………………………………9 Measurement………………………………………………………….14 Quality Improvement Models…………………………………….17 Quality Improvement Tools………………………………………22 Conclusion……………………………………………………………..33 Case Study: Mr. Roberts and the US Healthcare System…33 Case Study: Stopping Catheter-Related Bloodstream Line Infections at the Johns Hopkins University Medical Center and Hospitals Across the United States………….38 Study Questions………………………………………………………43 References………………………………………………………………44 Chapter 2. History and the Quality Landscape……………………………..49 Norbert Goldfield Introduction…………………………………………………………..49 Quality Measurement and Management Prior to 1965……50 Medicare, Medicaid, and Subsequent Developments………53 New Outcomes Metrics and the Future of Quality Measurement and Management……………………………..63 Conclusion……………………………………………………………..65 Notes…………………………………………………………………….66 ix 00_Nash (2382).indb 9 2/22/19 10:56 AM x Det a iled C o n te n ts Study Questions………………………………………………………66 References………………………………………………………………67 Chapter 3. Variation in Medical Practice and Implications for Quality…………………………………………………………..75 David J. Ballard, Briget da Graca, David Nicewander, and Brett D. Stauffer Variation in Medical Practice……………………………………..Data Collection & Statistical Tools for Quality Improvement Essay 75 Analyzing Variation …………………………………………………82 Using Variation Data to Drive Healthcare Quality Initiatives……………………………………………………………87 Conclusion……………………………………………………………..94 Study Questions………………………………………………………95 References………………………………………………………………95 Part II Tools, Measures, and Their Applications Elizabeth R. Ransom Chapter 4. Data Collection……………………………………………………..107 John Byrnes Considerations in Data Collection…………………………….107 Sources of Data …………………………………………………….113 Conclusion: Returning to the Case Example ………………123 Notes…………………………………………………………………..124 Study Questions…………………………………………………….125 Acknowledgments …………………………………………………125 Additional Resources………………………………………………125 References ……………………………………………………………126 Chapter 5. Statistical Tools for Quality Improvement…………………..127 Davis Balestracci Introduction…………………………………………………………127 Process-Oriented Thinking: The Context for Improvement Statistics………………………………………..128 Variation: The Framework of This Chapter…………………130 Plotting Data over Time: The Run Chart…………………..132 Common Causes Versus Special Causes of Variation……..134 The Control Chart: A Very Powerful Tool………………….139 Analysis: The I-Chart Is Your “Swiss Army Knife”……….147 An Important Expansion of the Concepts of “Perfectly Designed,” Common Cause, and Special Cause………150 00_Nash (2382).indb 10 2/22/19 10:56 AM D etailed C ontents xi Summary……………………………………………………………..162 Study Questions…………………………………………………….164 Additional Resources………………………………………………164 References…………………………………………………………….169 Chapter 6. Physician Profiling and Provider Registries………………….171 Bettina Berman and Richard Jacoby Background and Terminology………………………………….171 The Physician’s Role in Improving Quality…………………174 Use of Physician Profiling and Provider Registries in Healthcare Organizations……………………………………176 Examples of Profiles and Scorecards…………………………..177 Benchmarking……………………………………………………….180 The Measurement and Implementation Process…………..181 Keys to Success………………………………………………………183 Challenges …………………………………………………………..183 Physician Profiling and Provider Registries in a Changing Healthcare Landscape…………………………..185 Study Questions…………………………………………………….186 References ……………………………………………………………186 Chapter 7. Health Information Technology in Healthcare Quality and Safety: Prevention, Identification, and Action……..189 Sue S. Feldman, Scott E. Buchalter, and Leslie W. Hayes Introduction…………………………………………………………189 Health IT in Healthcare Quality and Safety………………..190 What Does the Literature Say About Health IT Use in Healthcare Quality and Safety?……………………………..191 Improving Care Delivery Through Health IT: Case Studies …………………………………………………….195 Case Study 1: Prevention…………………………………………195 Case Study 2: Identification……………………………………..198 Case Study 3: Action………………………………………………202 Conclusion……………………………………………………………205 References…………………………………………………………….210 Chapter 8. Simulation in Healthcare Quality and Safety……………….Data Collection & Statistical Tools for Quality Improvement Essay 213 Hyunjoo Lee and Dimitrios Papanagnou Introduction to Simulation………………………………………213 Applying Educational Frameworks to Patient Safety Simulations ………………………………………………………218 00_Nash (2382).indb 11 2/22/19 10:56 AM xii Det a iled C o n te n ts Simulation in the Patient Safety Landscape…………………221 Conclusion……………………………………………………………226 Study Questions…………………………………………………….226 References…………………………………………………………….227 Part III Culture and Leadership David B. Nash Chapter 9. The Patient Experience……………………………………………233 Deirdre E. Mylod and Thomas H. Lee The Patient Experience Emerges………………………………233 Concerns About Patient Experience Data…………………..236 Improving Patient Experience Measurement and Reporting…………………………………………………………241 Using Patient Experience Data to Improve…………………245 Study Questions…………………………………………………….249 References…………………………………………………………….250 Chapter 10. Safety Science and High Reliability Organizing……………253 Craig Clapper Safety and Reliability………………………………………………253 History of the Modern Safety Movement…………………..256 Reliability as an Emergent Property…………………………..260 Descriptive Theories of High Reliability Organizations…262 Why Should We Care?…………………………………………….265 Creating Safety and High Reliability in Practice…………..266 Important Topics in Safety and High Reliability…………..271 Sustaining Cultures of Safety and High Reliability……….276 Study Questions…………………………………………………….276 References…………………………………………………………….277 Chapter 11. Education for Healthcare Quality and Safety……………….279 David Mayer and Anne J. Gunderson Introduction…………………………………………………………279 Early Curricular Work in Clinical Quality and Patient Safety………………………………………………281 Current Curricular Work in Clinical Quality and Patient Safety………………………………………………286 Conclusion……………………………………………………………298 Study Questions ……………………………………………………298 References…………………………………………………………….299 00_Nash (2382).indb 12 2/22/19 10:56 AM D etailed C ontents xiii Chapter 12. Creating Alignment: Quality Measures and Leadership……………………………………………………301 Michael D. Pugh Introduction…………………………………………………………301 Quality Measures and Metrics…………………………………..301 Quality Assurance, Quality Control, and Quality Improvement…………………………………………………….305 Leadership, Measurement, and Improvement……………..308 Case Study: Board-Adopted Quality Aims………………….318 Conclusion……………………………………………………………324 Notes…………………………………………………………………..325 Study Questions…………………………………………………….326 References…………………………………………………………….326 Chapter 13. Governance for Quality…………………………………………..329 Kathryn C. Peisert Background: Why Is Quality the Board’s Responsibility?…………………………………………………..329 What Are the Board’s Quality Oversight Duties?………….340 The Board-Level Quality Committee…………………………350 Building a Culture of Quality and Safety…………………….352 Conclusion……………………………………………………………356 Notes…………………………………………………………………..356 Study Questions…………………………………………………….357 References…………………………………………………………….357 Part IV Emerging Trends Scott B. Ransom Chapter 14. Ambulatory Quality and Safety…………………………………363 Lawrence Ward and Rhea E. Powell The Ambulatory Care Setting ………………………………….363 Ambulatory Quality Improvement ……………………………364 Ambulatory Safety………………………………………………….371 Future Challenges and Keys to Success………………………374 Conclusion……………………………………………………………376 Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative……………………………………….377 Case Study: Comprehensive Primar … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10