1st Edition

Leading Health Care Transformation
A Primer for Clinical Leaders




ISBN 9781498700184
Published July 6, 2015 by CRC Press
232 Pages 24 B/W Illustrations

USD $56.95

Prices & shipping based on shipping country


Preview

Book Description

A succinct and practical primer on healthcare transformation, Leading Healthcare Transformation is a key resource for all clinicians in leadership positions. It summarizes high-profile healthcare topics and includes a synopsis of the evidence, examples, lessons learned, and key action steps for each topic covered.

Providing cutting-edge insights from the quality and physician perspectives, the book focuses on the most critical topics in the field today, including the issues of quality, cost, value, and new models of care.

The book includes discussions on various quality improvement processes including Lean and Six Sigma. Detailing specific strategies and tools to help you achieve and sustain improvement, it explains how to build a culture of safety and identifies proven principles and practices for creating a high reliability organization.

Blending the perspectives of administrators, nurses, and physicians, this insightful and practical resource provides the understanding you need to leverage health information technology for clinical improvement and to improve care coordination to reduce readmissions.

The book includes a Foreword by Jonathan B. Perlin, MD, PhD, MSHA, FACP, FACMI.

Table of Contents

The Health Care Landscape
Introduction
     First Curve to Second Curve
     Leading Transformation
Key Factors Driving Transformation
     High Cost of Care
     Shifting Demographics: Patients and Workforce
     Transition to Value-Based Reimbursement
     Variable Quality Outcomes
     Expansion of Coverage under the Affordable Care Act
     Advances in Health Information Technology
     Shift from Defined Benefit to Defined Contribution Health Plans
The Role of a Clinical Leader
Conclusion
References

Effectively Implementing Quality and Safety Improvement

The Evidence
     The Model for Improvement
     Lean
     Six Sigma
     International Standards Organization 9001
Lessons Learned
Case Studies
     NCH Healthcare System: Improving Medication Communication with Patients
     Memorial Health System: Hourly Nurse Rounds Reduce Patient Harm and Improve Patient Satisfaction
Action Steps to Lead
References

Spreading Improvement

Evidence
     Preparing for Spread
     Establishing an Aim for Spread
     Developing a Spread Plan
Effective Strategies for Executing and Monitoring Spread
     Case Study: On the CUSP
Lessons Learned
Action Steps
References

Physician Champions

The Evidence
Case Study
Lessons Learned
Action Steps and Strategies to Lead
References

Building a Culture of Safety

The Evidence
     Transparency around Safety Events
     AHRQ Surveys on Patient Safety Culture
     Safety Attitudes Questionnaire
Case Study
Lessons Learned
Action Steps and Strategies to Lead
References

Principles and Practices of High Reliability Organizations

The Evidence
     Preoccupation with Failure
     Reluctance to Simplify
     Sensitivity to Operations
     Commitment to Resilience
     Deference to Expertise
Case Study
     Preoccupation with Failure: Investigating Near Misses and Good Saves
     Reluctance to Simplify: Thorough Root Cause Analysis and Event Investigation
     Sensitivity to Operations: Daily Organization Huddle
     Commitment to Resilience: Simulation
     Deference to Expertise: Executive Rounding
Lessons Learned
Action Steps and Strategies to Lead
References

Key Quality and Safety Measures

The Evidence
     Data for Performance Measurement: The Basics
          Types and Dimensions of Measures
     Criteria and Standards
     Data Sources
     Metrics of the Future
Effective Strategies: Using Data to Drive Performance Improvement
     Selecting Measures
Lessons Learned
Case Study: Tracking Total Harm
Action Steps to Lead
References

Using Data for Feedback and Improvement

Evidence
Step 1: Data Collection: Objectives, Sources, and Methods
Step 2: Displaying the Data
     Physician Profiling
     Dashboards
     Run Charts
Step 3: Analyzing the Data
Step 4: Implementing Improvement Cycles
Lessons Learned
Interview: Tina Esposito, Vice President, Center for Health Information Services at Advocate Health Care
Action Steps and Strategies to Lead
References

Leading Effective Teams: For Clinical Care and for Performance Improvement

Evidence
     Clinical Care Teams
     Performance Improvement Teams
Strategies for Success
     Effective Strategy: TeamSTEPPS
     Effective Strategy: Patient and Family Engagement
Case Study: Building an Improvement Team
Voice from the Field: Ken Anderson, MD, Chief Operating Officer, Health Research & Educational Trust
Lessons Learned
Action Steps to Lead
References

Engaging Patients and Families

The Evidence 
     Prevalence of Patient and Family Engagement Practices
Effective Strategies for Patient and Family Engagement 
     Strategies at the Direct Care Level 
     Strategies to Engage Patients in Organizational Design and Governance 
     Working with Patients/FamilyAdvisor
Case Studies 
     Developing a Patient and Family Council 
     Partnering with Patients and Families to Achieve High Reliability
Lessons Learned 
     Beyond the Bedside 
     Engage Patients as Partners 
     Provide Meaningful Opportunities for Patients and Families to Contribute 
     Patient and Family Engagement as a Strategy to Eliminate Harm
Barriers to Engagement
Action Steps and Strategies to Lead
References

Improving Care Coordination and Reducing Readmissions

Evidence
Boston Medical Center Re-Engineered Discharge
Care Transitions Program
Evercare™ Care Model
Transitional Care Model (TCM)
Strategies for Success
Identify Patients at High Risk for Readmission
Build Self-Management Skills
Discharge Planning
Follow-Up and Community Resources
Case Study—Collaborative Effort to Reduce Readmissions at Griffin Hospital
Lessons Learned
Action Steps to Lead
References

Addressing Variation in Utilization
Evidence
     Understanding Warranted vs. Unwarranted Variation
     Choosing Wisely®
     American Hospital Association: Appropriate Use of Medical Resources
Strategies for Success
Interview: Dr. Debra O’Connor, Vice President of Clinical Effectiveness, Advocate Health Care
Lessons Learned
Action Steps and Strategies to Lead
References

Physician Alignment and Clinical Integration

The Evidence
Case Study
     Physician Hospital Organization Field Support Team
     Clinical Programs
     IT Solutions
Lessons Learned
Action Steps and Strategies to Lead

New Payment Models
The Evidence
     Pay-for-Performance
     Accountable Care Organizations and Shared Savings
     Identifying an Attributed Patient Population
     Structure of Risk Sharing
     Bundled Payments
     Capitation
Case Study—Advocate Health Care
Lessons Learned
     Information Technology
     Data and Analytics
     Care Management
Action Steps and Strategies to Lead
References

The Clinical Leader Role in Emerging Models of Care

     Retail Medicine
     Population Health
     Mobile Health
Case Study
Lessons Learned
Action Steps and Strategies to Lead
References

Compendium of Action Steps

Chapter 1: The Health Care Landscape
Chapter 2: Effectively Implementing Quality and Safety Improvement
Chapter 3: Spreading Improvement
Chapter 4: Physician Champions
Chapter 5: Building a Culture of Safety
Chapter 6: Principles and Practices of High Reliability Organizations
Chapter 7: Key Quality and Safety Measures
Chapter 8: Using Data for Feedback and Improvement
Chapter 9: Leading Effective Teams: For Clinical Care and for Performance Improvement
Chapter 10: Engaging Patients and Families
Chapter 11: Improving Care Coordination and Reducing Readmissions
Chapter 12: Addressing Variation in Utilization
Chapter 13: Physician Alignment and Clinical Integration
Chapter 14: New Payment Models
Chapter 15: The Clinical Leader Role in Emerging Models of Care

Index

...
View More

Reviews

Leading Healthcare Transformation provides a handbook of essential tools for defining transformational opportunities, leading high-functioning teams, being a good team player, and using evidence, measurement, and narrative for effectively communicating and fostering a change agenda. The book is punctuated by salient case studies that offer valuable insight into deploying change tools in real-world situations, illustrating not only technique, but the context of their application. In that regard, this is really much more than a ‘primer;’ it offers both expert knowledge, as well as the wisdom borne of colleagues’ experience and lessons learned.
—Jonathan B. Perlin, MD, PhD, MSHA, FACP, FACMI, President, Clinical Services and Chief Medical Officer, Hospital Corporation of America