A succinct and practical primer on healthcare transformation, Leading Healthcare Transformation is a key resource for all clinicians in leadership positions. It summarizes high-profile healthcare topics and includes a synopsis of the evidence, examples, lessons learned, and key action steps for each topic covered. Providing cutting-edge insights from the quality and physician perspectives, the book focuses on the most critical topics in the field today, including the issues of quality, cost, value, and new models of care. The book includes discussions on various quality improvement processes including Lean and Six Sigma. Detailing specific strategies and tools to help you achieve and sustain improvement, it explains how to build a culture of safety and identifies proven principles and practices for creating a high reliability organization. Blending the perspectives of administrators, nurses, and physicians, this insightful and practical resource provides the understanding you need to leverage health information technology for clinical improvement and to improve care coordination to reduce readmissions. The book includes a Foreword by Jonathan B.
Perlin, MD, PhD, MSHA, FACP, FACMI.
The Health Care Landscape Introduction First Curve to Second Curve Leading Transformation Key Factors Driving Transformation High Cost of Care Shifting Demographics: Patients and Workforce Transition to Value-Based Reimbursement Variable Quality Outcomes Expansion of Coverage under the Affordable Care Act Advances in Health Information Technology Shift from Defined Benefit to Defined Contribution Health Plans The Role of a Clinical Leader Conclusion References Effectively Implementing Quality and Safety Improvement The Evidence The Model for Improvement Lean Six Sigma International Standards Organization 9001 Lessons Learned Case Studies NCH Healthcare System: Improving Medication Communication with Patients Memorial Health System: Hourly Nurse Rounds Reduce Patient Harm and Improve Patient Satisfaction Action Steps to Lead References Spreading Improvement Evidence Preparing for Spread Establishing an Aim for Spread Developing a Spread Plan Effective Strategies for Executing and Monitoring Spread Case Study: On the CUSP Lessons Learned Action Steps References Physician Champions The Evidence Case Study Lessons Learned Action Steps and Strategies to Lead References Building a Culture of Safety The Evidence Transparency around Safety Events AHRQ Surveys on Patient Safety Culture Safety Attitudes Questionnaire Case Study Lessons Learned Action Steps and Strategies to Lead References Principles and Practices of High Reliability Organizations The Evidence Preoccupation with Failure Reluctance to Simplify Sensitivity to Operations Commitment to Resilience Deference to Expertise Case Study Preoccupation with Failure: Investigating Near Misses and Good Saves Reluctance to Simplify: Thorough Root Cause Analysis and Event Investigation Sensitivity to Operations: Daily Organization Huddle Commitment to Resilience: Simulation Deference to Expertise: Executive Rounding Lessons Learned Action Steps and Strategies to Lead References Key Quality and Safety Measures The Evidence Data for Performance Measurement: The Basics Types and Dimensions of Measures Criteria and Standards Data Sources Metrics of the Future Effective Strategies: Using Data to Drive Performance Improvement Selecting Measures Lessons Learned Case Study: Tracking Total Harm Action Steps to Lead References Using Data for Feedback and Improvement Evidence Step 1: Data Collection: Objectives, Sources, and Methods Step 2: Displaying the Data Physician Profiling Dashboards Run Charts Step 3: Analyzing the Data Step 4: Implementing Improvement Cycles Lessons Learned Interview: Tina Esposito, Vice President, Center for Health Information Services at Advocate Health Care Action Steps and Strategies to Lead References Leading Effective Teams: For Clinical Care and for Performance Improvement Evidence Clinical Care Teams Performance Improvement Teams Strategies for Success Effective Strategy: TeamSTEPPS Effective Strategy: Patient and Family Engagement Case Study: Building an Improvement Team Voice from the Field: Ken Anderson, MD, Chief Operating Officer, Health Research & Educational Trust Lessons Learned Action Steps to Lead References Engaging Patients and Families The Evidence Prevalence of Patient and Family Engagement Practices Effective Strategies for Patient and Family Engagement Strategies at the Direct Care Level Strategies to Engage Patients in Organizational Design and Governance Working with Patients/FamilyAdvisor Case Studies Developing a Patient and Family Council Partnering with Patients and Families to Achieve High Reliability Lessons Learned Beyond the Bedside Engage Patients as Partners Provide Meaningful Opportunities for Patients and Families to Contribute Patient and Family Engagement as a Strategy to Eliminate Harm Barriers to Engagement Action Steps and Strategies to Lead References Improving Care Coordination and Reducing Readmissions Evidence Boston Medical Center Re-Engineered Discharge Care Transitions Program Evercare(TM) Care Model Transitional Care Model (TCM) Strategies for Success Identify Patients at High Risk for Readmission Build Self-Management Skills Discharge Planning Follow-Up and Community Resources Case Study-Collaborative Effort to Reduce Readmissions at Griffin Hospital Lessons Learned Action Steps to Lead References Addressing Variation in Utilization Evidence Understanding Warranted vs. Unwarranted Variation Choosing Wisely(R) American Hospital Association: Appropriate Use of Medical Resources Strategies for Success Interview: Dr. Debra O'Connor, Vice President of Clinical Effectiveness, Advocate Health Care Lessons Learned Action Steps and Strategies to Lead References Physician Alignment and Clinical Integration The Evidence Case Study Physician Hospital Organization Field Support Team Clinical Programs IT Solutions Lessons Learned Action Steps and Strategies to Lead New Payment Models The Evidence Pay-for-Performance Accountable Care Organizations and Shared Savings Identifying an Attributed Patient Population Structure of Risk Sharing Bundled Payments Capitation Case Study-Advocate Health Care Lessons Learned Information Technology Data and Analytics Care Management Action Steps and Strategies to Lead References The Clinical Leader Role in Emerging Models of Care Retail Medicine Population Health Mobile Health Case Study Lessons Learned Action Steps and Strategies to Lead References Compendium of Action Steps Chapter 1: The Health Care Landscape Chapter 2: Effectively Implementing Quality and Safety Improvement Chapter 3: Spreading Improvement Chapter 4: Physician Champions Chapter 5: Building a Culture of Safety Chapter 6: Principles and Practices of High Reliability Organizations Chapter 7: Key Quality and Safety Measures Chapter 8: Using Data for Feedback and Improvement Chapter 9: Leading Effective Teams: For Clinical Care and for Performance Improvement Chapter 10: Engaging Patients and Families Chapter 11: Improving Care Coordination and Reducing Readmissions Chapter 12: Addressing Variation in Utilization Chapter 13: Physician Alignment and Clinical Integration Chapter 14: New Payment Models Chapter 15: The Clinical Leader Role in Emerging Models of Care Index