The Textbook of Total Quality in Healthcare

Abstract

PART I: HISTORY and OVERVIEW 1. Introduction and Historical Background The Early Days of Quality Assurance History of TQ in Manufacturing The Influence of Government on Quality in Healthcare Quality Assurance Departments Transitions 2. The United States Healthcare System and Quality of Care The First Two Hundred Fifty Years (1600-1850) The Next Hundred Years (1850-1950) 1950 to the 1990s PART II: PRINCIPLES, TOOLS, and TECHNIQUES of TOTAL QUALITY 3. Principles of Total Quality in Healthcare Organizations Selected Articles: Sounding Board: Continuous Improvement as an Ideal in Health Care The Case for Using Industrial Quality Management Science in Health Care Organizations Total Quality Management for Physicians: Translating the New Paradigm Organizationwide Quality Improvement in Health Care Articles Misconstrue Joint Commission's Position on Quality Improvement A New Look for Quality in Home Care 4. The Implementation of Total Quality Executive Level Commitment Transformation of the Culture Planning Quality Organizing Quality Evaluating Quality Selected Article: How to Start a Direct Patient Care Team 5. Data Management for Total Quality Transformation of Data to Information Data versus Information Data Reliability Data Validity Sensitivity and Specificity Data Collection, Display, and Analysis Tools for Identifying, Collecting, and Displaying Data Tools for Improving and Monitoring Quality PART III: TOTAL QUALITY ENVIRONMENT 6. Cost and Healthcare Quality Selected Article: Accounting for the Cost of Quality 7. The Law, Ethics, and Total Quality The Role of Laws and the Legal System The Role of Ethics The Interplay between Laws and Ethics Legislative Impetus Judicial Involvement in Determining Quality Ethics and the Elevation of Quality 8. Total Quality and Management Philosophies Organizational Cultures The Use of Power in Organizations TQ and Corporate Culture: Finding a Fit Transforming Organizations to a TQ Philosophy and Culture Managing the Process through Change PART IV: STRATEGIC DIRECTIONS 9. Integration of Total Quality and Quality Assurance Quality Assurance Activities in Healthcare Total Quality Transition to Total Quality: Manufacturing and Health Service Sectors Comparison of QA and TQ Integration of QA and TQ 10. Outcome Management and TQ Background of Quality Outcome What is Outcome and What is Outcome Management? Measurement of Outcomes Questions about Outcome Measurements Research on Outcome and Its Management Outcomes Management and Total Quality 11. Research and Total Quality Quality Management Terminology Background and Definitions Research-Based Practice Social Science Research Guidelines and Databases Research on TQ Instrumentation Research Epidemiological Studies Cost Studies Demonstration Projects Research Utilization Research Agenda PART V: CASE STUDY 12. Total Quality within the VA Healthcare System: A Case Study Annotated Bibliography Index