Return on Investment for Healthcare Quality Improvement

Return on Investment for Healthcare Quality Improvement PDF Author: Craig A. Solid
Publisher: Springer Nature
ISBN: 3030464784
Category : Medical
Languages : en
Pages : 271

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Book Description
This book offers a comprehensive overview of performing return-on-investment (ROI) analyses for healthcare quality improvement (QI). In the United States, healthcare policy regarding physician and facility payment/reimbursement is steadily trending towards the use of “value-based” systems and away from the traditional “fee-for-service” (FFS) payment mechanisms. Healthcare professionals and organizations who have previously focused on quality metrics are now finding themselves burdened with having to define and assess value metrics, without much guidance or assistance. This volume aims to be a guide and a reference for healthcare professionals tasked with estimating and establishing ROI for QI. Chapters describe the general framework for how to perform QI; establish standard definitions of important terms, concepts, and calculations; and provide specific instructions for how to complete each step of an ROI analysis. These include: selecting a QI initiative and identifying the associated metrics, establishing measurable, monetizable, and attributable costs and benefits, determining the appropriate scope and perspective, calculating ROI and related metrics (payback period, benefit-to-cost ratio, etc.), comparing with established benchmarks or previously published results, and interpreting the results for the intended audience. In addition, chapters offer examples of real studies (or hypothetical studies of real situations), as well as templates for several of the necessary activities that readers can leverage for their own use. Return on Investment for Healthcare Quality Improvement is a must-have resource for healthcare providers, administrators, and other professionals who work in healthcare organizations, hospitals and other healthcare settings, health systems, and residency programs seeking to obtain outside funding, as well as policy makers and administrators of federal programs.

Return on Investment for Healthcare Quality Improvement

Return on Investment for Healthcare Quality Improvement PDF Author: Craig A. Solid
Publisher: Springer Nature
ISBN: 3030464784
Category : Medical
Languages : en
Pages : 271

Get Book Here

Book Description
This book offers a comprehensive overview of performing return-on-investment (ROI) analyses for healthcare quality improvement (QI). In the United States, healthcare policy regarding physician and facility payment/reimbursement is steadily trending towards the use of “value-based” systems and away from the traditional “fee-for-service” (FFS) payment mechanisms. Healthcare professionals and organizations who have previously focused on quality metrics are now finding themselves burdened with having to define and assess value metrics, without much guidance or assistance. This volume aims to be a guide and a reference for healthcare professionals tasked with estimating and establishing ROI for QI. Chapters describe the general framework for how to perform QI; establish standard definitions of important terms, concepts, and calculations; and provide specific instructions for how to complete each step of an ROI analysis. These include: selecting a QI initiative and identifying the associated metrics, establishing measurable, monetizable, and attributable costs and benefits, determining the appropriate scope and perspective, calculating ROI and related metrics (payback period, benefit-to-cost ratio, etc.), comparing with established benchmarks or previously published results, and interpreting the results for the intended audience. In addition, chapters offer examples of real studies (or hypothetical studies of real situations), as well as templates for several of the necessary activities that readers can leverage for their own use. Return on Investment for Healthcare Quality Improvement is a must-have resource for healthcare providers, administrators, and other professionals who work in healthcare organizations, hospitals and other healthcare settings, health systems, and residency programs seeking to obtain outside funding, as well as policy makers and administrators of federal programs.

Practical Strategies to Assess Value in Health Care

Practical Strategies to Assess Value in Health Care PDF Author: Craig A. Solid
Publisher: Springer Nature
ISBN: 3030951499
Category : Medical
Languages : en
Pages : 168

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Book Description
These days, the idea of “value” is at the center of many activities and decisions in health care in the United States. While there exist books that detail the technical steps for how to carry out a specific type of value assessment, such as cost-effectiveness or return on investment, there are few that attempt to teach healthcare professionals how to think about value. This book provides a deeper understanding of value as a concept as well as an endeavor (as in, to determine or uncover the value of care) within the healthcare industry by illustrating the different components of value that should guide decision-making processes for policy, infrastructure, and quality improvement. Through an exploration of theories of economics and implementation science, as well as practical suggestions for real-world applications, this text provides a foundation for the long and complicated “value” journey the US has bet its entire healthcare system on. In the US, policy to promote what is referred to as “value-based care” is here to stay. As we move forward within this construct, we need to move beyond the over-simplified definition of value as “quality per dollar spent” to a more functional framework for how to think about value that can adapt to different circumstances and points of view. Only then will it be possible to compare value across settings, conditions, and activities. The book consists of 9 chapters organized in four sections: Part I: Understanding the Challenges of Assessing the Value of Health Care Part II: A Primer on Fundamental Concepts and Current Techniques Used to Measure Value in Health Care Part III: A Discussion of the Real-world Motivations and Requirements that Should be Contemplated when Exploring Value Part IV: How to Design and Perform a Value Assessment Practical Strategies to Assess Value in Health Care is an essential resource for healthcare professionals at all levels and points of care who are interested in understanding how best to assess and interpret value for a particular situation including providers, administrators, payers, insurers, health plans, and policy-makers.

Agile Implementation

Agile Implementation PDF Author: Malaz Boustani
Publisher: Morgan James Publishing
ISBN: 164279659X
Category : Medical
Languages : en
Pages : 113

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Book Description
Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model founded by Malaz Boustani, MD, MPH and Jose Azar, MD. In today’s complex healthcare environment, implementing evidence-based care into real-world practices is difficult and time consuming. Even methods that are known to be effective allow for limited flexibility and therefore fail as often as they succeed. Through much study and experimentation, Malaz Boustani, MD, MPH, Jose Azar, MD, and Craig A. Solid, PhD have come to understand how individuals’ interactions within the complex social systems of hospitals, clinics, and other care delivery organizations shape the decisions and behaviors of those involved. Upon this foundation and through leveraging theories of behavioral economics, we have developed the Agile Implementation Model, a process for selecting, adapting, implementing, evaluating, sustaining, and scaling evidence-based healthcare interventions. This model acknowledges the uniqueness of each individual facility and considers individuals within the system to be semiautonomous but interconnected. In tandem with illustrative examples, Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model. Upon completing Agile Implementation, readers have a better understanding of why certain quality initiatives succeed while others fail and have tangible, actionable tools for implementing effective and sustainable change in the healthcare setting.

Shaping High Quality, Affordable and Equitable Healthcare

Shaping High Quality, Affordable and Equitable Healthcare PDF Author: Nicola Burgess
Publisher: Springer Nature
ISBN: 3031242122
Category : Business & Economics
Languages : en
Pages : 399

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Book Description
Healthcare systems around the world are struggling under intense pressure. Ageing populations, declining workforce, funding restraints and spending cuts have combined to produce a challenging environment to deliver a service that is fundamental to the lives of many. This book defines sustainable healthcare as an integrated system, where stakeholders work together to deliver high quality, safe patient care at the lowest possible cost and with a focus on outcomes that patients value. Using this definition as a guide, this book brings together an extensive body of knowledge from an elite group of academics to consider how we can shape healthcare service delivery in a way that delivers sustainable value to society as a whole. This edited collection will be of interest to academics working in healthcare management, healthcare innovation, the role of technology in healthcare, sustainable healthcare management, and healthcare in public policy. It will also be vital reading for managers and professionals working in health and social care that are interested in research -based solutions to the challenges they face.

Solutions to the Healthcare Quality Crisis

Solutions to the Healthcare Quality Crisis PDF Author: Søren Bisgaard
Publisher: Quality Press
ISBN: 0873894588
Category : Medical
Languages : en
Pages : 209

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Book Description
Healthcare around the world is in crisis as a result of complex structural and strategic problems that will require solutions at a very high level. This book demonstrates that effective solutions based on modern quality management principles can be applied to alleviate many problems locally within healthcare institutions. It is designed to support doctors, nurses, technicians, and administrators who are interested in applying quality management principles and the tools of Lean Six Sigma to improve healthcare within their own institutions. The book should also be of interest to politicians, policy makers and government officials wrestling with healthcare issues. The book presents a wide selection of examples of the applications of Lean Six Sigma originally published in two of ASQ’s journals, Quality Progress and Six Sigma Forum Magazine over the past few years. Each case illustrates some aspect of how to improve quality and reduce waste in healthcare institutions, whether in the direct delivery of healthcare or on the equally important administrative side. Some of the cases are from large metropolitan hospitals and others are from smaller institutions. Most of the cases show what has worked, while a few show pitfalls or obstacles to be avoided. Chapter 1 presents some of the basic notions of Lean Six Sigma quality management, explains key concepts and terminology, and makes the reading of the cases easier. The introduction is followed by Chapter 2 presenting six articles of a general nature written by healthcare professionals from a variety of healthcare institutions engaged in quality improvement: how they achieved their results and what they learned. Chapter 3 provides eight detailed cases that describe specific applications of Lean Six Sigma to healthcare. Finally, Chapter 4 provides a discussion of lessons learned and where we go from here. This book is specifically intended for healthcare professionals with no previous background, knowledge, or experience with Lean Six Sigma. More broadly, it should be of interest to anyone interested in healthcare quality: doctors, nurses, pharmacists, technicians, healthcare administrators, consultants, concerned citizens, politicians, policy analysts, government officials, etc. These cases from American and European healthcare organizations of the use of Lean Six Sigma are documented by pioneering front line healthcare professionals ─ doctors, nurses and healthcare administrators ─ willing to take personal responsibility and show leadership to improve quality and reduce the escalating costs of healthcare. This book is not about theory. It is a book for doers, showing healthcare providers how to do it. It shows how they can take their destiny in their hands and do something about healthcare quality and costs.

Evaluation of Quality in Health Care for DNPs, Third Edition

Evaluation of Quality in Health Care for DNPs, Third Edition PDF Author: Joanne V. Hickey, PhD, RN, FAAN, FCCM
Publisher: Springer Publishing Company
ISBN: 0826175236
Category : Medical
Languages : en
Pages : 421

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Book Description
Now in its third edition, this award-winning text work is the only advanced practice nursing text to present effective, systematic, and in-depth evaluations of all aspects of health care quality. Comprehensive in scope, it distills best practice information from numerous sources to facilitate utmost competency for APN and DNP graduates. The third edition keeps pace with the rapidly evolving healthcare market by presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value in healthcare practice and programs. It provides a completely new chapter on evaluation of simulation programs to improve clinician competency and patient care technology. An increased focus on the application of quality improvement is woven throughout, including the quality improvement-research continuum and an emphasis on interdisciplinary collaboration and teamwork. New case studies, specific examples from a variety of QI projects, and content specifically geared to improve teamwork also add to the book’s outstanding value. The text also delves into the theoretical basis of evaluation and its application as an integral part of contemporary practice. It includes evaluation models that enable nurses to address economic and financial viability, and guides readers through the translation of outcomes from evaluation into health care policy. Additionally, the text now includes PowerPoints for instructors. New to the Third Edition: New chapter: Evaluation of Simulation to Support Ongoing Competency in the HC Workforce Additional case studies and specific examples from QI projects Increased focus on teamwork and collaboration Enhanced discussion of theoretical foundations of evaluation approaches New focus on program evaluation and dissemination of findings Key Features: Addresses AACN competencies and scope of practice Helps students integrate best and evidence-based practices into care Provides guidance on practical methods and tools for Quality Improvement Project Presents evaluation models enabling nurses to address economic and financial viability Includes evaluations of organizations, systems, standards for practice, health care redesign, and the challenges of electronic medical records

Crossing the Quality Chasm

Crossing the Quality Chasm PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359

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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Clarity in Healthcare Quality

Clarity in Healthcare Quality PDF Author: Dr Mazen M Salama
Publisher: Mazenz.com
ISBN:
Category : Business & Economics
Languages : en
Pages : 178

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Book Description
Section One: Healthcare Quality The healthcare industry is constantly evolving, and with it comes the need for quality professionals to ensure that patients receive the best possible care. This section will introduce the concept of healthcare quality and the various aspects that contribute to it. We will discuss the importance of value in healthcare and the shift towards a value-based system. We will also introduce the principles of total quality management and how they can be applied in the healthcare setting to improve the quality of care. Section Two: Organizational Leadership Effective leadership is essential in the healthcare industry, as it plays a crucial role in the overall quality of care provided to patients. This section will delve into the importance of leadership in the healthcare system and how it affects the quality of care. We will discuss different leadership styles and the role of strategic planning and change management in healthcare organizations. We will also cover the concept of a learning organization and the importance of effective communication in the quality improvement process. Section Three: Performance and Process Improvement Continuous improvement is key to ensuring that patients receive the highest quality of care. This section will introduce the essential components of the performance and process improvement process, including the role of quality councils, initiatives, and performance improvement approaches. We will discuss the use of quality/performance improvement plans, risk management, and occurrence reporting systems to identify and address potential issues. We will also cover the importance of infection prevention and control, utilization management, and patient safety in the quality improvement process. Section Four: Data Analysis Data plays a crucial role in the healthcare industry, as it allows quality professionals to identify trends and patterns and to measure the effectiveness of interventions. This section will introduce the basics of data analysis in healthcare, including different types of data, basic statistics, and the use of statistical tests to measure the significance of findings. We will also discuss the importance of data definition and sources, as well as the various methods used to collect data in the healthcare setting. Section Five: Patient Safety Ensuring patient safety is a top priority in the healthcare industry, and this section will delve into the various strategies and approaches used to improve patient safety. We will discuss the role of risk management and occurrence reporting systems in identifying and addressing potential issues, as well as the importance of infection prevention and control and medication management in ensuring patient safety. We will also cover the use of adverse patient occurrence reporting and the global trigger tool to identify and address potential safety concerns. Section Six: Accreditation and Legislation Compliance with regulatory standards is essential in the healthcare industry, and this section will introduce the various accreditation and legislation bodies that oversee the quality of healthcare services. We will discuss the role of organizations such as the Joint Commission and the Centers for Medicare and Medicaid Services in ensuring compliance with standards, as well as the importance of adhering to laws and regulations such as HIPAA and the Affordable Care Act. We will also cover the appeal process for addressing patient concerns and the importance of maintaining confidentiality, privacy, and security in the healthcare setting.

Why Hospitals Fail

Why Hospitals Fail PDF Author: Prasad Godbole
Publisher: Springer
ISBN: 331956224X
Category : Medical
Languages : en
Pages : 175

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Book Description
This book explores the current wider political, social and economic context of hospitals in the public and private sector globally and identifies the push and pull tension between the demands of the quality regulator and the requirements of health care commissioning processes. This book draws on the evidence of what works to improve the quality of hospital services in the development of medical and clinical leadership models. The book seeks to develop a specific paradigm shift in understanding the development of medical leaders by promoting a culture of engagement through participation and one that is defined by the experiences of medical leaders. The editors examine new and emergent models of leadership and their contribution to explain effective and sustainable change and suggest that theoretical models of leadership are often unable to explain many of the practice led challenges presented in hospitals. It will be useful reading for specialists seeking to develop their own learning as a leader and who identify their learning needs.

Methods for the Economic Evaluation of Health Care Programmes

Methods for the Economic Evaluation of Health Care Programmes PDF Author: M. F. Drummond
Publisher: Oxford [Oxfordshire] ; Toronto : Oxford University Press
ISBN: 9780192616012
Category : Medical
Languages : en
Pages : 182

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Book Description
As concern over costs grows in the health care sector, those involved in health economics require a clear understanding of methods used in cost-effectiveness, cost benefit, and cost-utility studies. This book provides the reader with the necessary methodological tools for undertaking the task of economic evaluation and includes discussions of many case studies, helpful illustrations, and simple exercises.