HEAL 222
QUALITY IN HEALTH CARE
Topical Outline
 

Week

Recommended Readings

August 31:

Class topic:

Introduction and Course Requirements
Overview of the Quality Movement in Health Care

Meisenheimer, Chap.1

Garvin, D.A. (1988). Managing Quality: The strategic and competitive edge. New York: The Free Press. pp.21-48.

Kemper, R.E. (1997). Quality, TQC, TQM: A meta literature study. Lanham, MD: The Scarecrow Press, Inc. pp. 1-40.

Week of September 7:

Web assignment topic:
Definitions of Quality

Carpenter, C.E., Bender, A.D., Nash, D.B., & Cornman, J.M. (1996). Must we choose between quality and cost containment? Quality in Health Care, 5, 223-229.

Cleary, P.D. & Edgman-Levitan, S. (1997). Health care quality: Incorporating consumer perspectives. Journal of the American Medical Association, 278(19), 1608-1612.

Hogston, R. Quality nursing care: A qualitative enquiry. Journal of Advanced Nursing, 21, 116-124.

Lynn, M. & Moore, K. (1997). Relationship between traditional quality indicators and perceptions of care. Seminars for Nurse Managers, 5(4), 187-193.

Phillips, P., Carson, K.D., Carson, C., & Roe, W. (1998). Toward understanding the patient's perception of quality. The Health Care Supervisor, 16(3), 36-42.

September 14:

Class topic:

The Gurus of Quality: Crosby, Deming, Juran, Donabedian

Meisenheimer, Chap 2

Deming, W.E. (1986). Out of crisis. Cambridge, MA: Massachusetts Institute of Technology.

Donabedian, A. (1988). The quality of care: How can it be assessed? Journal of the American Medical Association, 260(12), 1743-1748.

Juran: look at www.juran.com

Week of September 21:

Web assignment topic:

Legal and ethical issues in quality

Meisenheimer, Chap 10, 11

September 28:

Class topics:

Organizing for Quality
TQM, Quality circles
Strategic Planning for quality

 

 

Editorial Paper Due

Meisenheimer, Chap 4, 9, 26

Brown, L.D. (1995). Lessons learned in institutionalization of quality assurance programs: An international perspective. International Journal of Quality in Health Care, 7(4), 419-425.

Iannuccillo, K.H., Butler, G.A., & McGuirl, J.E. (1998). Developing a service line approach to quality improvement. Journal of Perinatal and Neonatal Nursing, 12(1): 31-41.

Marker, C.G.S. (1987). The Marker umbrella model for quality assurance: Monitoring and evaluating professional practice. Journal of Nursing Quality Assurance, 1(3), 52-63.

Week of October 5:

Web assignment topic:

Quality problems in health care

Meisenheimer, Chap 3

Chassin, M.R. (1997). Assessing strategies for quality improvement. Health Affairs, 16(3), 151-161.

October 12:

Class topics:

Assessing Quality The Data Mandate
Quality indicators, indicator development
Population health indicators
Accreditation Assessment of Organizational Performance

 

 

Coimments on Editorial Paper due in Chat Room.

Meisenheimer, Chap 3, 5

Look at jcaho.org, ncqa.org, faact.org, hcfa.org, nursingworld.org

Garbo, J.J. & Goedken, J.M. (1992). Integrating external clinical information with the ten-step monitoring and evaluation process: From theory to practice. QRB, September, 301-307.

Idvall, E., Rooke, L., & Hamrin, E. (1997). Quality indicators in clinical nursing: A review of the literature. Journal of Advanced Nursing, 25, 6-17.

Kindig, D.A. (1999). Purchasing population health: Aligning financial incentives to improve health outcomes. Nursing Outlook, 47, 15-22.

Muri, J.H. (1998). The Joint Commission's ORYX Initiative: Implications for perinatal nursing and care. Journal of Perinatal and Neonatal Nursing, 12(1), 1-10.

Week of October 19:

Web assignment topic:

Benchmarking

Chen, J., Radford, M.J., Wang, Y., Marciniak, T.A., & Krumholz. (1999). Performamce of the 100 top hospitals: What does the report care report?. Health Affairs, July-August, (You can find this on the web at http://www.projhope.org/HA/julaug99/100top.htm

October 26:

Class topics:

Improving Quality The Outcome Mandate
Outcomes management / Disease management
Clinical improvement tools (Clinical pathways, guidelines, case management

Meisenheimer, Chap 14, 28

Nelson, E.C., Mohr, J.J., Batalden, P.B., & Plume, S.K. (1996). Improving Health Care, Part 1: The clinical value compass. Joint Commission Journal on Quality Improvement, 22(4), 243-256.

Ayesta, A.L.S., Diaz, E, & Kirtland, S. (1995). Clinical pathways: Improving patient education and influencing readmission rates. Journal of Healthcare Quality, 17(6), 17-25.

Coffey, R.J., Richards, J.S., Remmert, C.S., LeRoy, S.S., Schoville, R.R. & Baldwin, P.J. (1992). An introduction to clinical paths. Quality Management in Health Care, 1(1), 45-54.

Eisenberg, J.M. & Foster, N.E. (1993). Bridging the gap between theory and practice: Exploring clinical practice guidelines. Joint Commission Journal on Quality Improvement, 19(9), 384-400.

Gottlieb, L.K., Sokol, H.N., Murrey, K.O., & Schoenbaum, S. Algoruthm-based clinical quality improvement. HMO Practice, 6(1), 5-12.

Hofmann, P.A. (1993). Critical path method: An important tool for coordinating clinical care. Joint Commission Journal of Quality Improvement, 19(7), 235-246.

Week of November 2:

Web assignment topic:

Barriers to quality improvement

NOTE: Joint class with HEAL 246 will be held on November 2. Topic: Clinical data systems for management and quality

Juran, J. (1984).The QC Circle phenomenon. In A.M. Goldberg & C.C. Pegels. Quality circles in health care facilities. Gaithersburg, MD: Aspen Publishers. pp. 55-71.

Wakefield, D.S. and Wakefield, B.J. (1995) Overcoming the barriers to implementation of TQM/CQI in hospitals: Myths and realities. In N.O.Graham. Quality in health care: Theory, application, and evolution. Gaithersburg, MD: Aspen Publishers. pp. 282-295.

November 9:

Class topics:

Improving Quality
Quality improvement process/CQI
Teams and Tools

Meisenheimer, Chap 15, 16, 25

Hanan, K.B. (1993). Achieving performance breakthroughs in an HMO business process through quality planning. Quality Management in Health Care, 1(2), 35-45.

Mosel, D. & Shamp, M.J. (1993). Enhancing quality improvement team effectiveness. Quality Management in Health Care, 1(2), 47-57.

Plsek, P.E. (1993). Tutorial: Quality improvement project models. Quality Management in Health Care, 1(2), 69-81.

Ziegenfuss, J.T. & McKenna, C.K. (1995). Ten tools of continuous quality improvement: A review and case example of hospital quality. American Journal of Medical Quality, 10(4), 213-220

Week of November 16:

Web assignment topic:

Communicating Quality Data to internal and external customers

Meisenheimer, Chap. 6, 8

November 23:

Class topics:

Improving Quality, cont'd

Fields W & Siroky, K. (1994). Converting data into information. Journal of Nursing Care Quality, 8(3), 1-11.

November 30:

Student presentations

 

NOTE: Paper due Dec. 7, 1999

 

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