Healthcare Performance Improvement: Plans, Procedures & Policies includes 141 pages of strategies, example programs, forms, tools, and resources needed for an effective performance improvement program in a medical group, hospital or health plan.

Contents List

• Introduction
  • Disease management
  • Clinical Guidelines
  • DM in behavioral healthcare
  • Patient satisfaction
• Performance improvement – quality in action
• Definition
• Principles for performance measures in healthcare
• Plans
  • 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
  • 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
  • CQI obstacle busting
  • Electronic medical records (EMR)
  • Patient satisfaction – example questionnaire for medical group practice
  • Quality measures
  • Reminders
  • Preventive health care interventions for high risk populations
  • Clinical performance measures - CAD
  • Presurgical screening tools
  • Followup tracking tools – pap smears, mammograms
  • 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)
• Regional Utilization Manager – Job description and performance evaluation
• Performance Improvement Counseling – P & P ( Vanderbilt University )
• Case Mix Adjustment/Severity of Illness Measures

  Addenda

• Glossary
• Quality quotes
• References – listed by topic
• Thoughts for the unwary
• Web links