Quality By Design

Quality By Design: A Clinical Microsystems Approach Paperback – February 21, 2007

Author: Eugene C. Nelson | Language: English | ISBN: 0787978981 | Format: PDF, EPUB

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Quality By Design: A Clinical Microsystems Approach – February 21, 2007
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From the Back Cover

Quality by Design offers a new and innovative approach to transforming our health care system to be safe, timely, effective, efficient, equitable, and patient-centered. The authors' microsystem concepts and proven approach achieve the best patient outcomes by developing reliable, efficient, and responsive systems that have the capability of meeting the individual needs of one patient, continually improving care for the next patient, and creating a great place to work for all staff.

Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Eugene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors

describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement;
explore the essence of leadership for clinical Microsystems;
show what mid-level leaders can do to enable peak performance at the front lines of care;
outline the design and redesign of services and planning care to match patient needs with services offered;
examine the issue of safety;
describe the vital role of data in creating a rich and useful information environment;
provide a core curriculum that can build microsystems' capability, provide excellent care, promote a positive work environment, and contribute to the larger organization.

Quality by Design offers powerful theoretical frameworks and principles, valuable tools and techniques, and an action-learning program.

About the Author

Eugene C. Nelson, D.Sc., M.P.H., is director of quality administration for the Dartmouth-Hitchcock Medical Center and professor of community and family medicine at Dartmouth Medical School.

Paul B. Batalden, M.D. is the director of health care improvement leadership development, Center for the Evaluative Clinical Sciences, and professor of pediatrics and of community and family medicine at Dartmouth Medical School.

Marjorie M. Godfrey, M.S., R.N., is instructor for community and family medicine at and director of the Clinical Microsystem Resource Group at Dartmouth Medical School .

Books with free ebook downloads available Quality By Design: A Clinical Microsystems Approach Paperback – February 21, 2007

Series: A Clinical Microsystems Approach
Paperback: 508 pages
Publisher: Jossey-Bass; 1 edition (February 21, 2007)
Language: English
ISBN-10: 0787978981
ISBN-13: 978-0787978983
Product Dimensions: 9.2 x 7.1 x 1.4 inches
Shipping Weight: 1.8 pounds (View shipping rates and policies)
Amazon Best Sellers Rank: #120,170 in Books (See Top 100 in Books)
- #62 in Books > Medical Books > Administration & Medicine Economics > Hospital Administration

List of Tables, Figures, and Exhibits.

Foreword by Donald M. Berwick.

Preface.

Acknowledgments.

Introduction.

The Editors.

The Contributors.

PART ONE: CASES AND PRINCIPLES.

1. Success Characteristics of High-Performing Microsystems: Learning from the Best (Eugene C. Nelson, Paul B. Batalden, Thomas P. Huber, Julie K. Johnson, Marjorie M. Godfrey, Linda A. Headrick,and John H. Wasson).

2. Developing High-Performing Microsystems (Eugene C. Nelson, Paul B. Batalden, William H. Edwards, Marjorie M. Godfrey, and Julie K. Johnson).

3. Leading Microsystems (Paul B. Batalden, Eugene C. Nelson, Julie K. Johnson, Marjorie M. Godfrey, Thomas P. Huber, Linda Kosnik, and Kerri Ashling).

4. Leading Macrosystems and Mesosystems for MicrosystemPeak Performance (Paul B. Batalden, Eugene C. Nelson, Paul B. Gardent, and Marjorie M. Godfrey).

5. Developing Professionals and Improving Worklife (Thomas P. Huber, Marjorie M. Godfrey, Eugene C. Nelson, Julie K. Johnson, Christine Campbell, and Paul B. Batalden).

6. Planning Patient-Centered Services (Marjorie M. Godfrey, Eugene C. Nelson, John H. Wasson, Julie K. Johnson, and Paul B. Batalden).

7. Planning Patient-Centered Care (John H. Wasson, Marjorie M. Godfrey, Eugene C. Nelson, Julie K. Johnson, and Paul B. Batalden).

8. Improving Patient Safety (Julie K. Johnson, Paul Barach, Joseph P. Cravero, George T. Blike, Marjorie M. Godfrey, Paul B. Batalden, and Eugene C. Nelson).

9. Creating a Rich Information Environment (Eugene C. Nelson, Paul B. Batalden, Karen Homa, Marjorie M. Godfrey, Christine Campbell, Linda A. Headrick, Thomas P. Huber, Julie K. Johnson, and John H. Wasson).

PART TWO: ACTIVATING THE ORGANIZATION AND THE DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM.

10. Overview of Path Forward and Introduction to Part Two.

11. Introduction to Microsystem Thinking.

12. Effective Meeting Skills I.

13. Assessing Your Microsystem with the 5 P’s.

14. The Model for Improvement: PDSA!!.

15. Selecting Themes for Improvement.

16. Improvement Global Aim.

17. Process Mapping.

18. Specific Aim.

19. Cause and Effect Diagrams.

20. Effective Meeting Skills II: Brainstorming and Multi-Voting.

21. Change Concepts.

22. Measurement and Monitoring.

23. Action Plans and Gantt Charts.

24. Follow Through on Improvement: Storyboards, Data Walls, and Playbooks.

25. Conclusion: Continuing on the Path to Excellence.

Appendix A: Primary Care Workbook.

Name Index.

Subject Index.

A Book Review
Quality by Design - A Clinical Microsystems Approach
Edited by Eugene C. Nelson, Paul B. Batalden and Marjorie M. Godfrey
First Edition, 459 pp., illustrated. Jossey-Bass 2007. ISBN: 978-0-7879-7898-3 (pbk)

Today most practicing clinicians know very little about quality improvement in health care and very few know how to do it the right way, partly because there are few publications serving as a "How-to Guide Book".

This Book "Quality By Design - A Clinical Microsystem Approach" published in 2007 by Jossey-Bass comes in handy for practicing physicians, academic or non academic. Now that the evidence of quality improvement work is a requirement for renewing the Specialty Board in Pediatrics, I believe that other specialties will follow suit soon.
The three authors are from the Center for the Evaluative Clinical Sciences at Dartmouth. They are the nation's leaders in developing and using measures of health care delivery system performance for the improvement of health care. They have written, published and taught extensively in the subject of quality improvement. Their series of 9 articles entitled "Microsystems in Health Care published in Joint Commission Journal on Quality and Safety" (2002-2003) was a landmark publication in health care literature.

What is different and unique in this book is its emphasis on quality improvement through the microsystem approach. To put it simply, the small system (microsystem like NICU) produced quality, safety and cost outcome at the front line of care. The outcome of a macrosystem (like hospital) can be no better than the outcomes of microsystems of which it is composed. Thus a microsytem is the most important building block of a health care system.