The health care data guide
Subtitle: learning from data for improvement
By: Lloyd P. Provost, Sandra K. Murray
Contributors: Murray, Sandra K.
Edition: 1st ed.
Publisher: Jossey-Bass
Published: 2011
Place of publication: San Francisco, CA
Language: eng
Number of pages: 445
ISBN-13: 9780470902585
Subjects: Statistical methods; Health Care Quality Assurance; Methods; Statistical Data Interpretation; Quality control; Process Assessment (Health Care); Data processing; Medical care; Total Quality Management
Description: "Step by step this comprehensive resource explores the statistical process control (SPC), a philosophy, a strategy, and a set of methods for ongoing improvement of processes and systems to yield better outcomes in health care organizations. It includes information on processes, stratification, rational subgrouping and stability and capability analysis, measurement, data collection methods, planned experimentation, and graphical methods. This book shows how to apply SPC to evaluate current process performance, search for ideas for improvement, tell if changes have resulted in evidence of improvement, and track implementation efforts to document sustainability of the improvement"--Provided by publisher.
Notes: Includes bibliographical references and index.
Table of contents: title: Machine generated contents note: List of Figures, Tables, and Exhibits.Preface.Who Is This Book For?Why Are We Writing This Book?What Is the Book About?How Is the Book Organized?Acknowledgments.Part I Using Data for Improvement.1 Improvement Methodology.Fundamental Questions for Improvement: The Model for Improvement.What Are We Trying to Accomplish?How Will We Know That a Change Is an Improvement?What Changes Can We Make That Will Result in Improvement?The PDSA Cycle for Improvement.Tools and Methods to Support the Model for Improvement.Designing PDSA Test Cycles.Analysis of Data from PDSA Cycles.Case Study: Improving Care of Diabetic Patients.2 Obtaining Data for Improvement.What does the Concept of Data Mean?How Are Data Used?Types of Data.The Importance of Operational Definitions.Form for Developing Improvement Project Measures.Data for Different Types of Studies.Use of Sampling.What About Sample Size?Appropriate Scope for a PDSA Cycle.Stratification of Data.What About Risk or Case-Mix Adjustment?Transforming Data.Analysis and Presentation of Data.Using a Family of Measures.3 Understanding Variation Using Run Charts.What Is a Run Chart?Use of a Run Chart.Constructing a Run Chart.Examples of Run Charts for Improvement Projects.Probability-Based Tests to Aid in Interpreting Run Charts.Special Issues in Using Run Charts.Stratification with Run Charts.The Multi-Vari Run Chart.Using the Cumulative Sum Statistic with Run Charts.4 Learning From Variation in Data.The Concept of Variation.Depicting Variation.Introduction to Shewhart Charts.Interpretation of a Shewhart Chart.Establishing and Revising Limits for Shewhart Charts.When Do We Revise Limits?Stratification with Shewhart Charts.Rational Subgrouping.Shewhart Charts with Targets, Goals, or Other Specifications.Special Cause: Is It Good or Bad?Other Tools for Learning from Variation.Frequency Plots.Pareto Charts.Scatter Plot.5 Understanding Variation Using Shewhart Charts.Selecting the Type of Shewhart Chart.Chart Selection Guide.Shewhart Charts for Continuous Data.I Charts.Examples of Shewhart Charts for Individual Measurements.Rational Ordering with an Individual Chart.Effect of the Distribution of the Measurements Example of Individual Chart for Deviations from a Target.X-Bar and S Chart.Shewhart Charts for Attribute Data.Subgroup Size For Attribute Charts.The P Chart for Classification Data.Examples of P Charts.Creation of Funnel Limits for P chart.C and U Charts for Counts of Nonconformities.C Charts.U Charts.Creation of Funnel Limits for a U chart.Process Capability.Process Capability from an I Chart.Capability of a Process from X-bar and S Chart (or R chart).Capability of a Process from Attribute Control Charts.Capability from a P Chart.Capability from a C or U Chart.Appendix 5.1: Calculating Shewhart Limits.Part II Advanced Theory and Methods with Data.6 Shewhart Chart Savvy: Dealing with Some Issues.Designing Effective Shewhart Charts.Typical Problems with Software for Calculating Shewhart Charts.Some Cautions when Using I Charts.7 More Shewhart-Type Charts.Other Shewhart-Type Charts.NP Chart.X-Bar and Range Chart.Median Chart.Shewhart Charts for Rare Events.G Chart for Opportunities Between Rare Events.T Chart for Time Between Rare Events.Some Alternatives to Shewhart-Type Charts.Moving Average Chart.Cumulative Sum (CUSUM) Chart.Exponentially Weighted Moving Average (EWMA) Chart.Standardized Shewhart Charts.Multivariate Shewhart-Type Charts.8 Special Uses for Shewhart Charts.Shewhart Charts with a Changing Center Line.Shewhart Charts with Sloping Center Line.Shewhart Charts with Seasonal Effects.Transformation of Data with Shewhart Charts.Shewhart Charts for Autocorrelated Data.Shewhart Charts for Attribute Data with Large Subgroup Sizes (Over-Dispersion).Prime Charts (P&' and U').Comparison Charts.Confidence Intervals and Confidence Limits.Shewhart Charts for Case-Mix Adjustment.9 Drilling Down into Aggregate Data for Improvement.What are Aggregate Data?What is the Challenge Presented by Aggregate Data?Introduction to the Drill Down Pathway.An Illustration.Part III Applications of Shewhart Charts in Health Care.10 Using Shewhart Charts for Individual Patient Care.Examples of Shewhart Charts for Individual Patients.Example 1: Temperature Readings for a Hospitalized Patient.Example 2: Bone Density for a Patient Diagnosed with Osteoporosis.Example 3: PSA Screening for Prostate Cancer.Example 4: Shewhart Charts for Continuous Monitoring of Patients.Example 5: Asthma Patient Use of Shewhart Charts.Example 6: Monitoring Weight.Example 7: Monitoring Blood Sugar Control for Patients with Diabetes.Example 8: Monitoring Patient Measures in the Hospital.Example 9: Using Shewhart Charts in Pain Management.11 Learning from Patient Feedback to Improve CarePatient Surveys.Summarizing Patient Feedback Data.Presentation of Patient Satisfaction Data.Using Patient Feedback for Improvement.Using Patient Satisfaction Data in Planning for Improvement.Special Issues with Patient Feedback Data.12 Using Shewhart Charts in Health Care Leadership.A Health Care Organization's Vector of Measures.Developing a Vector of Measures.Displaying and Learning from a Vector of Measures.Administrative Issues with a Vector of Measures.Some Examples of Other Vectors of Measures.Summary.Part IV Case Studies.13 Case Studies Using Shewhart Charts.Case Study A Improving Access to a Specialty Care Clinic.Case Study B Radiology Improvement Projects.Case Study C Reducing Post CABG Infections.Case Study D Drilling Down Into Percent of C-Sections.Case Study E Accidental Puncture/Laceration Rate.Case Study F Reducing Readmission Rates.Case Study G Variation in Financial Data.Shewhart Chart Selection Guide.Notes.Index.