Transformative Quality: The Emerging

Transformative Quality: The Emerging Revolution in Health Care Performance shows readers the way forward in the gargantuan task of transforming health care quality in America. Always interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volume: Puts the current journey toward industry wide quality transformation into an understandable context for executive, board, and policymaking audiences, Explores how performance improvement methodologies borrowed from other industries, including Six Sigma, Lean Management, and the Toyota Production System are transforming care delivery processes and administrative operations nationwide, Examines the strategic role that information technology will play in the transformation of clinical care quality and patient safety.

Acknowledgments	p. xi
Foreword	p. xiii
Introduction: The Quality Journey Ahead: As Pioneers Step Out, Transformative Quality Becomes Real	p. xv
The Quality Revolution: First Steps on a Journey of 1,000 Miles	p. 1
What Purchasers and Payers Want: Value (Reliability, Safety, Accountability, Transparency)-and Why They're Not Getting It	p. 15
Transformative Quality: Its Context, Imperatives, and Prospects	p. 31
Case Studies 1 to 3: Putting Patient Safety and Quality Transformation at the Core of Clinical Operations	p. 45
Brigham and Women's Hospital: Patient Safety and Quality Transformation at the Core of Clinical Operations	p. 46
Seven San Francisco Bay Area Hospitals Pierce the Fog around Medication Administration Errors	p. 54
Children's Hospital of Wisconsin Exemplifies Pediatric Hospital Innovation	p. 60
Case Studies 4 to 6: Breakthroughs in Evidence-Driven Quality and in Clinical Decision Support for Improved Care	p. 65
Geisinger Health System's Industry Breakthrough on Quality and Transparency	p. 66
Groundbreaking Interoperability Gives UPMC Physicians a Unified View of the Patient Record	p. 73
Northwestern Memorial Hospital Clinicians Tackle an Array of Quality Challenges	p. 77
Case Studies 7 to 9: Initiating Transformation on a Vast Scale	p. 87
Trinity Health Initiates Transformation on a Vast Scale	p. 88
Improving Stroke Outcomes in Rural Health Care Markets	p. 98
Tallahassee Memorial: Dramatic Improvements in Mortality Rates, Plus Transparency for the Community	p. 102
Case Studies 10 to 11: Creating Clinical Cultures of Partnership	p. 109
The University of Rochester Medical Center's ED Clinical Pharmacy Program Reduces Medication Errors	p. 109
Wheaton Franciscan Healthcare Creates a Culture of Partnership	p. 113
Change Facilitator: Information Technology and the Pursuit of Quality Transformation	p. 121
Working Conceptually: The Use of Performance Improvement Methodologies in Transformational Work	p. 139
Policy Considerations and the Future of Transformative Quality	p. 153
About the Author	p. 159
Index	p. 161
Table of Contents provided by Ingram. All Rights Reserved.

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Transformative Quality: The Emerging Revolution in Health Care Performance

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