Healthcare Transformation A Guide for the Hospital Board Member ...

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Index A Accountability, 32, 64, 90 Adopters, 23 Advancement, 30, 32. See also Incentives Advocates, 49 Agency for Healthcare Research and Quality (AHRQ), 46, 80 American Board of Internal Medicine Foundation, 35 American Health Lawyers Association, 3 Antibiotics, 12 Apologies, 41 Appointments, 2 Ascension Health, 80 Assessment, 88 culture of safety, 82 patient-centeredness, 39, 40 quality improvement, 31, 33–34 B Baldrige National Quality Program, 9, 85 Baptist Health Systems, 57 Barcode medication administration, 57 Baylor Health System, 33–34 Bedsores, 13 Best practices, 4, 11–20, 21–28 Blane, Gilbert, 22 Board members, 3, 31–32, 88–89, 93–102. See also Leadership Book clubs, 33 Brainstorming, 33 Briefings, 7, 26–27, 81. See also Care coordination; Meetings Bundled payments, 74–75 Bundles of care, 14 C Capability, 29–34 Cape Coral Hospital/Lee Memorial Health System, 15, 17, 18 Capitation, 70 Care bundles, 14, 15 Care coordination, 7, 35, 45–52 Care coordinators, 47 Care, rates of, 2 Case management, 49 Case rate, 70 Catholic Health East, 33 Catholic Health Partners, 49 Centers for Medicare and Medicaid Services/Premier Hospital Quality Incentive Demonstration, 73 Challenges, in healthcare quality, 1–10 Change, model for, 24–25. See also Transformation Check-out list, 17 Checklist, 14, 15 governance engagement, 93–102 quality improvement, 30, 31–34 Chief executive officer (CEO), 88 Clinical advocates, 49 Clinical guidelines, 15 Clinical information technology. See Technology Collaboration, 9, 16, 26–27, 47–48, 78, 79 quality improvement, 32 patients, 35 Communication, 17, 37 care coordination, 46–47 culture, 78 mechanisms, 81 patient-centeredness, 37 Community involvement, 64–65 Competency, 29–34 Comprehensive development program, 31, 33, 81 Comprehensive Unit-Based Safety Program (CUSP), 81 Computerized prescriber order entry (CPOE), 7, 53, 55, 57 Conferences, 31, 32, 94 103
104 • Index Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey, 36 Consumers, 35–44, 61–62, 65 Cook, Captain James, 22 Coordination, 78, 79 Coordination of care. See Care coordination Crew Resource Management (CRM) training, 48, 81 Culture, 8–9, 37, 77–84, 96 D Daily rounds, 39 Dana Farber Cancer Institute (DFCI), 80 Data collection, 27 Death rates, 1, 86 Decision making, as a board member, 3 Development program, 31, 33, 81 Diagnosis-related groups, 70 Diffusion of innovations theory, 23 Discharge instructions, 12 Discharge planning, 49 Disseminating best practices, 6, 21–28 Drugs, 26, 53-55, 57. See also Medication errors E Education, 14, 79, 82, 86 board members, 94 crew resource management training, 48 medical team, 80–81 patient safety, 30 quality improvement, 30, 32–33 Electronic health records (EHRs), 7, 53, 55–56 Electronic medical records, 2 Electronic patient records (EPR), 58 Emergency rooms, 12 Employee satisfaction, 63, 78 Episode of care payment, 75 Error disclosure, 41 Executives. See also Leadership quality improvement, 31–32 F Failure Modes Effects Analysis (FMEA), 26 Fair and Just culture, 80–81 Falls, 47 Family, 17, 35–44. See also Patient-centeredness Fee-for-service, 70 Feedback, 79 patients, 36 staff, 27 Ferrari Formula One, 50 Financial impact, 70–72. See also Payment reform Follow-ups, 7, 55. See also Care coordination discharge planning, 49 Framework for innovation, 25 G Geography and healthcare, 2 Goals, 15, 16 Governance engagement checklist, 93–102 Great Ormond Street Hospital (GOSH), 50 Gross national product (GNP), 1 H Hand washing, 17 Hand-offs, 7, 46, 50, 79. See also Care coordination Health information technology, 7, 53–60 Health insurance, 70. See also Payment reform Health records, 2, 7, 38, 40, 53-58 High-reliability concepts, 14 Hospital Quality Alliance (HQA), 63 Hospital scores, 37 Huddles, 90 I Implementing best practices, 4, 11–20 Improvement project plan, 39 Incentives, 14, 32, 64, 87, 90 payment reform, 74
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Healthcare Transformation A Guide f
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CRC Press Taylor & Francis Group 60
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Table of Contents Foreword.........
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Table of Contents • ix Board Ques
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Foreword It is becoming clearer tha
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Foreword • xiii to make our organ
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xvi • Preface • The problem: A
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3 Healthcare Transformer 9: Dissemi
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Disseminate Best Practices • 23 r
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Disseminate Best Practices • 25 L
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Disseminate Best Practices • 27 S
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4 Healthcare Transformer 8: Build O
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Build Organizational Quality Improv
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Build Organizational Quality Improv
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5 Healthcare Transformer 7: Patient
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Patient-Centeredness • 37 care th
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Patient-Centeredness • 39 1. Perf
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Patient-Centeredness • 41 • Pat
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Patient-Centeredness • 43 Cunning
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Page 80 and 81: Transparency • 63 sure focuses he
Page 82 and 83: Transparency • 65 4. Acknowledge
Page 84 and 85: Transparency • 67 Figure 8.2 INTE
Page 86 and 87: 9 Healthcare Transformer 3: Payment
Page 88 and 89: Payment Reform • 71 a b $7,000 $6
Page 90 and 91: Payment Reform • 73 Transformer R
Page 92 and 93: Payment Reform • 75 A true episod
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Page 96 and 97: Culture • 79 • A major factor i
Page 98 and 99: Culture • 81 • Medical team tra
Page 100: Culture • 83 5. What are the top
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Page 110 and 111: 12 Conclusion: The Governance Engag
Page 112 and 113: Conclusion: ἀ e Governance Engage
Page 114 and 115: Appendix This appendix compiles all
Page 116 and 117: Appendix • 99 2. How valid is our
Page 118 and 119: Appendix • 101 6. Are we transpar
Page 122 and 123: Index • 105 quality improvement,
Page 124: Index • 107 medical team, 80-81 p
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