Transformative Quality : The Emerging Revolution in Health Care Performance book cover
1st Edition

Transformative Quality
The Emerging Revolution in Health Care Performance

ISBN 9781420084924
Published October 6, 2008 by Productivity Press
174 Pages 9 B/W Illustrations

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Book Description

Always interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volume —

  • Puts the current journey towards industry-wide quality transformation into an understandable context for executive, board, and policymaking audiences
  • Explores how performance improvement methodologies borrowed from other industries, including Six Sigma, Lean management, and the Toyota Production System are transforming care delivery processes and administrative operations nationwide
  • Examines the strategic role that information technology will play in the transformation of clinical care quality and patient safety

The case studies contained in this book document the surprising strides being made by pioneering hospitals and health systems, advances that have the potential to transform the delivery of health care in the United States. Offered in a context that frames the current state of health care quality in this country, they are indispensable reading for anyone working in the trenches to improve that quality.

Table of Contents


The Quality Journey Ahead: As Pioneers Step Out, Transformative Quality Becomes Real

The Quality Revolution: First Steps on a Journey of 1,000 Miles

What Purchasers and Payers Want: Value (Reliability, Safety, Accountability, Transparency)—and Why They’re Not Getting It

Transformative Quality: Its Context, Imperatives, and Prospects

Case Studies 1 to 3: Putting Patient Safety and Quality Transformation at the Core of Clinical Operations

Case Study 1 Brigham and Women’s Hospital: Patient Safety and Quality Transformation at the Core of Clinical Operations

Case Study 2 Seven San Francisco Bay Area Hospitals Pierce the Fog around Medication Administration Errors

Case Study 3 Children’s Hospital of Wisconsin Exemplifies Pediatric Hospital Innovation

Case Studies 4 to 6: Breakthroughs in Evidence-Driven Quality and in Clinical Decision Support for Improved Care

Case Study 4 Geisinger Health System’s Industry Breakthrough on Quality and Transparency

Case Study 5 Groundbreaking Interoperability Gives UPMC Physicians a Unified View of the Patient Record

Case Study 6 Northwestern Memorial Hospital Clinicians Tackle an Array of Quality Challenges

Case Studies 7 to 9: Initiating Transformation on a Vast Scale

Case Study 7 Trinity Health Initiates Transformation on a Vast Scale

Case Study 8 Improving Stroke Outcomes in Rural Health Care Markets

Case Study 9 Tallahassee Memorial: Dramatic Improvements in Mortality Rates, Plus Transparency for the Community

Case Studies 10 to 11: Creating Clinical Cultures of Partnership

Case Study 10 The University of Rochester Medical Center’s ED Clinical Pharmacy Program Reduces Medication Errors

Case Study 11 Wheaton Franciscan Healthcare Creates a Culture of Partnership

Change Facilitator: Information Technology and the Pursuit of Quality Transformation

Working Conceptually: The Use of Performance Improvement Methodologies in Transformational Policy Considerations and the Future of Transformative Quality

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Mark Hagland provides the how-to details for health care executives who are ready to lead meaningful supply-side responses to the growing demand for safe and error-free medical services. Our previous book made the case for transformation and introduced structural approaches for getting started on the road to success. His new book provides detailed instructions for completing the journey. ... It shows how theory has been put into practice by some of the best delivery organizations in the world
   --Jeffrey C. Bauer, PhD, Partner, Futures Practice Affiliated Computer Services Healthcare Solutions, Chicago