The recently updated Healthcare Performance Improvement: Plans, Policies & Procedures contains strategies, example plans, programs, forms, tools, and resources needed for an effective quality and performance improvement program in a medical group, hospital or health plan.

List of Contents

• Introduction

  • Disease management
  • Clinical Guidelines
  • DM in behavioral healthcare
  • Patient satisfaction

• Performance improvement, quality in action
• Definition
• Principles for performance measures in healthcare
• Competency assessment strategy and tools
• Plans
  • Quality Improvement Plan generic example
    • Practitioner Evaluation Process
    • Case reviews
    • Corrective Action Matrix
    • Quality Improvement Program
    • Quality Improvement Outreach
    • Confidentiality Statement
    • Quality Committee Confidentiality Agreement
    • Conflict of Interest Declaration
    • Joint Commission Quality and Safety Reports
  • University Performance Improvement Plan – examples
  • Academic Medical Center Performance Improvement Plan – example
  • Academic Medical Center Quality Improvement & Patient Safety Committee functions/programs
  • Hospital (Community) Performance Improvement Plan, Policy & Procedure – example

• Programs

  • Annual Distinquished Quality Award
  • Depression management – suicide prevention programs
  • Stroke Centers
  • Pay for Performance
    • Evaluating change
    • Family Practice model (UK)
    • Bridges to Excellence
    • Commonwealth Fund Opinion Leader Survey
    • Supporting Pay for Performance Programs – example
    • Requirements for physician buy-in
    • Audit form resource
    • CPOE
    • Group visits
• Quality fundamentals
  • Competency Assessment – Primary Care; Resident care (unsupervised)
  • CQI obstacle busting
  • Electronic medical records (EMR)
  • Online/e-mail ‘visits’ for care
  • Patient satisfaction example questionnaire for medical group practice
  • Quality measures
  • Reminders
  • Preventive health care interventions for high risk populations
  • Clinical performance measures – CAD
  • Nursing home acute myocardial infarction prevention programs
  • Presurgical screening tools
  • Follow-up tracking tools pap smears, mammograms
  • Breast and colon cancer care quality measures
  • Prolonged LOS related to medical injuries
  • Test results – communication
  • Unplanned readmissions
• Case or Care Management
• Clinical performance measures for ambulatory care (table)
• Hand-offs – SBAR, Checklists, Resources
• Quality improvement tool kit – links
• Sentinel event reports P & P
• Quality notes
• Provider profiles P & P
• Case mix adjustment for provider profiles
• Feedback
• Steps to improve productivity, resource management, physician/patient satisfaction
• Ambulatory visit data

Resources

• Ethics manual – link
• Medicare Pay for Performance Initiatives
• Provider profiles: example indicators for tracking & trending data
• QI/UM Clinical Indicators/Performance Goals
• Crosby quotes
• Hospital/SNF QA Screens
• Surgical Quality Indicators
• Prevention Quality Indicators, AHRQ
• Staff quality certification – resource
• Survey sampling error statistical estimates (table)
• Quality Indicators hospital-related
• Respiratory Care Services QI Indicators
• Readmissions
  • Readmission rate – examples
  • Readmission tracking tool
  • Readmission notes
• National Patient Safety Goals
• Hospital Dashboard Report
• Health System Performance Report
• Staff Performance Evaluation (generic)
• System Performance Evaluation Coordinator for Mental Health Services
• Trauma Center Performance Improvement Medical Director
• Regional Utilization Manager Job description and performance evaluation
• Performance Improvement Counseling P & P (Vanderbilt University)
• Case Mix Adjustment/Severity of Illness Measures

Addenda

• Project priority ranking grid
• Performance Improvement Coordinator & job description
• Glossary
• Quality quotes
• References listed by topic
• Thoughts for the unwary
• Web links