The new edition of the bestselling text on quality improvement in health care, providing powerful theoretical frameworks and principles, valuable tools and techniques, and a proven action-learning program
Clinical microsystems such as nursing units and primary care clinics are the essential building blocks of larger organizations and the wider health care system. Developing reliable, efficient, and responsive frontline units that meet the individual needs of one patient, continually improve care for the next patient, and create an exceptional working environment for all staff is critical for achieving the best patient outcomes. Quality By Design: A Clinical Microsystems Approach presents an evidence-based strategy for teaching the fundamentals of quality improvement across all levels of health care leadership.
Written by a team of international experts in health care improvement, this innovative volume provides research results on high-performing clinical microsystems, real-world case studies of individual clinical programs, effective tools and techniques that can be adapted by diverse clinical practices and teams, and much more. The fully revised second edition further advances clinical microsystem theory and practice by providing new material on leadership development, discussing the vital role of data and information technology in clinical environments, and addressing the organizational levels of macrosystems and mesosystems in greater depth. Expanded coverage of designing, implementing, and measuring improvement strategies is complimented by additional illustrative case studies and value-based care models. Reflecting the research and applied training conducted at Dartmouth Medical School, the new edition of Quality By Design:
Quality By Design: A Clinical Microsystems Approach, Second Edition is an indispensable resource for all leaders working in health care, and the ideal textbook for students in health care administration, nursing, and medicine.
Foreward
Dedication
Preface
Acknowledgements
The Editors
The Contributors
Introduction
Chapter 1: Clinical Microsystem- Success Characteristics of High-Performing Microsystems
Chapter 2: Developing High-Performing Microsystems
Chapter 3: Leading Microsystems, Mesosystems and Macrosystems of Healthcare Service
Chapter 4: Developing Professionals and Improving Work Life
Chapter 5: Transforming a primary care clinic to an NCQA-certified patient-centered medical home
Chapter 6: Partnership within the Clinical Microsystems Framework: Coproducing Good Outcomes with Patients and Families
Chapter 7: Improving Patient Safety- Why is it so Hard to Improve the Care of Patients?
Chapter 8: Creating an Actionable Healthcare Information Environment to Inform Intelligent Action
Chapter 9: Interprofessional Education and the Clinical Microsystem
Chapter 10: Leading from the Middle: Microsystem, Mesosystems, and Macrosystems
Afterword
Part Two: Activating the Organization and the Dartmouth Microsystem Improvement Curriculum
Part Three: Mesosystem Workbook
Glossary
Index
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