You are previewing Value Based Health Care: Linking Finance and Quality.
O'Reilly logo
Value Based Health Care: Linking Finance and Quality

Book Description

Value-Based Health Care

Linking Finance and Quality

Yosef D. Dlugacz

Value-Based Health Care?

Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike.

Praise for Value-Based Health Care

"Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment."

—Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety

"Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . .given the national debate over access, cost, and quality, the book could not be more timely."

—Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research

"Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform."

—Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State

Table of Contents

  1. Title Page
  2. Copyright Page
  3. Table of Figures
  4. List of Tables
  5. PREFACE
  6. Acknowledgements
  7. THE AUTHOR
  8. Dedication
  9. Introduction
  10. PART 1 - BASIC PRINCIPLES OF QUALITY MANAGEMENT
    1. CHAPTER 1 - DRIVERS OF CHANGE
      1. LEARNING OBJECTIVES
      2. EXTERNAL DRIVERS
      3. INTERNAL DRIVERS
    2. CHAPTER 2 - IMPROVING PATIENT SAFETY
      1. LEARNING OBJECTIVES
      2. UNDERSTANDING QUALITY MEASURES
      3. WORKING WITH QUALITY INFORMATION
      4. MEASURING VALUE
      5. ASKING QUESTIONS VIA DATA
      6. PRESENTING RESULTS
      7. EFFECTIVE COMMUNICATION IMPROVES PATIENT SAFETY
    3. CHAPTER 3 - FOCUS ON THE PATIENT
      1. LEARNING OBJECTIVES
      2. EFFECTIVE COMMUNICATION AND PATIENT FOCUSED CARE
      3. HANDOFF INFORMATION TRANSFER
      4. SBAR
      5. BARRIERS TO EFFECTIVE COMMUNICATION
      6. STRATEGIES TO REDUCE BARRIERS
      7. CARE AND COMMUNICATION GUIDELINES
      8. PATIENT EDUCATION
      9. NEAR MISS REPORTING
      10. CHRONIC DISEASE MANAGEMENT
      11. TASK FORCES
      12. PATIENT RIGHTS AND RESPONSIBILITIES
      13. COMPASSIONATE CARING
    4. CHAPTER 4 - UNDERSTANDING PROCESSES, OUTCOMES, AND COSTS
      1. LEARNING OBJECTIVES
      2. SOME EVENTS SHOULD NEVER OCCUR
      3. LEADERS’ ROLE IN GOOD OUTCOMES
      4. PHYSICIANS’ ROLE IN GOOD OUTCOMES
      5. FINANCIAL VALUE OF GOOD OUTCOMES
      6. CHANGING THE TRADITIONAL CULTURE
  11. PART 2 - GETTING DOWN TO BUSINESS
    1. CHAPTER 5 - THE VALUE OF PREVENTION
      1. LEARNING OBJECTIVES
      2. THE PROMOTION OF PREVENTION
      3. THE PROBLEMS WITH PREVENTION
      4. THE PATIENT’S ROLE
      5. PREVENTION MEASURES
      6. REGULATORY GROUPS’ ROLE IN PREVENTION
      7. DATA’S ROLE IN PROMOTING PREVENTION
      8. MANAGEMENT OF CHRONIC CONDITIONS
      9. PREVENTION IN AMBULATORY CARE
      10. PROACTIVE PREVENTION IN THE HOSPITAL
      11. NATIONAL PATIENT SAFETY GOALS
      12. TECHNOLOGY AND PREVENTION
    2. CHAPTER 6 - THE COST OF SENTINEL EVENTS
      1. LEARNING OBJECTIVES
      2. CHANGING THE INCIDENT ANALYSIS FRAMEWORK
      3. THE VALUE OF ROOT CAUSE ANALYSIS
      4. MONITORING BEHAVIORAL HEALTH
      5. ELIMINATING NEVER EVENTS
      6. IMPROVING ERROR REPORTS
      7. QUALITY MANAGEMENT’S ROLE IN CONTROLLING ADVERSE EVENTS
      8. THE TRADITIONAL HIERARCHY LEADS TO ERRORS
      9. THE ECONOMICS OF MALPRACTICE
    3. CHAPTER 7 - MANAGING EXPENSES IN A HIGH RISK ENVIRONMENT
      1. LEARNING OBJECTIVES
      2. IMPROVING COST IN THE ICU
      3. MATCH THE RESOURCES TO THE PATIENT
      4. END OF LIFE CARE
      5. SUSTAINING CHANGE
      6. IMPROVING OPERATING ROOM EFFICIENCY
      7. IMPROVING OVERSIGHT
      8. MANAGING THROUGHPUT
    4. CHAPTER 8 - IMPROVING COMMUNICATION AND ESTABLISHING TRUST
      1. LEARNING OBJECTIVES
      2. DEVELOPING TRUST
      3. THE ROLE OF QUALITY MANAGEMENT IN INCREASING TRUST
      4. TRANSPARENCY, TRACERS, AND TRUST
      5. ESTABLISHING A COMMON LANGUAGE
      6. SUSTAINING CHANGE
      7. MONITORING CARE
      8. ASSESSING COMPETENCY
      9. THE ROLE OF REGULATORY REQUIREMENTS IN ENSURING COMPETENCY
      10. MEDICAL STAFF CREDENTIALING
      11. OBJECTIFYING COMPETENCY
      12. STAFFING EFFECTIVENESS
      13. PROMOTING COMPETENCY
    5. CHAPTER 9 - PROMOTING A SAFE ENVIRONMENT OF CARE
      1. LEARNING OBJECTIVES
      2. COMMUNICATION ACROSS DISCIPLINES
      3. WORKING TOGETHER TO IDENTIFY AND SOLVE PROBLEMS
      4. IMPROVING PROCESSES
      5. MONITORING SAFETY
      6. ENSURING ACCOUNTABILITY
      7. MAINTAINING A SAFE ENVIRONMENT
      8. ESTABLISHING OVERSIGHT
      9. COMMUNICATING ABOUT SAFETY
      10. ASSESSING AND IMPROVING THE ENVIRONMENT
    6. CHAPTER 10 - CONCLUSION
  12. REFERENCES
  13. USEFUL WEB SITES
  14. INDEX