Intro -- Foreword -- Book Abstract -- Preface -- About the Book -- Contents -- About the Editors -- Contributors -- Chapter 1: Introduction -- References -- Chapter 2: Basics of Quality Improvement -- Executive Summary -- Learning Objectives -- The History of the Healthcare Quality Management Movement: Past to Present -- The Purpose and Philosophy of Quality Management -- Implementing a Quality Improvement Project -- Tools for Quality Improvement -- Process Mapping -- Flow Charts -- Cause-and-Effect (Fishbone) Diagram -- Brainstorming and Affinity Diagrams -- Pareto Chart -- Histogram

Bar Chart -- Scatter Diagram -- Statistical Control Chart -- Methods for Quality Improvement -- Plan, Do, Study, Act Methodology -- Six Sigma -- Lean -- Commonly Used Quality Improvement Strategies -- Academic Detailing -- Opinion Leaders -- Audit and Feedback -- Reminder Systems -- Patient Education -- Case Management -- Reengineering -- Incentives -- Quality Improvement Research -- Challenges to Successful Quality Improvement -- Technology -- Structure -- Psychological Climate -- Leadership -- Culture -- Legal Issues -- Future Trends -- Alternative Payment Models

Accountable Care Organizations -- Final Thoughts -- References -- Additional Resources-Further Reading -- Chapter 3: Quality Measurement -- Executive Summary -- Learning Objectives -- Introduction -- Quality Measurement Framework -- Desirable Characteristics of Quality Measurement -- History -- Types of Quality Measures -- Structural Measures -- Process Measures -- Outcome Measures -- Bundled Measures -- Balancing Measures -- Benchmarking -- Constructing a Measurement -- Proportion -- Ratio -- Mean and Median -- Count -- Timing of Measurements -- Baseline Measurement -- Trending Measurements

Run Chart -- Control Chart -- Interpreting Quality Measures -- Appropriateness Model -- The 70% Standard Model -- Opportunity Model -- Program Evaluation -- Formative Evaluations -- Summative Evaluations -- Quality Measurement in the Digital Age -- Big Data -- Dark Data -- Deep Data -- Future Trends -- References -- Chapter 4: Patient Safety -- Executive Summary -- Learning Objectives -- History -- Error as a Systems Issue -- Latent Conditions -- Active Failures -- Skill-Based Activity -- Rule-Based Activity -- Knowledge-Based Activity -- Human Factors as a Cause of Errors -- Fatigue -- Alarms

Medication Errors -- Specific High-Profile Medication Errors -- Strategies to Prevent Medication Errors -- Common Risks to Patient Safety -- Invasive Procedures -- Perioperative Complications and Iatrogenic Injuries -- Infections -- Site-Specific Infection Prevention -- Ventilator-Associated Events -- Patient Falls -- Pressure (Decubitus) Ulcers -- Patient Safety Tools -- Tools for Data Acquisition -- Safety Surveys -- Error Reporting -- Self-Reporting Systems -- Record Review -- Situation Monitoring -- Analytic Tools -- Retrospective Event Analysis -- Prospective Event Analysis

This comprehensive medical textbook is a compendium of the latest information on healthcare quality. The text provides knowledge about the theory and practical applications for each of the core areas that comprise the field of medical quality management as well as insight and essential briefings on the impact of new healthcare technologies and innovations on medical quality and improvement. The third edition provides significant new content related to medical quality management and quality improvement, a user-friendly format, case studies, and updated learning objectives. This textbook also serves as source material for the American Board of Medical Quality in the development of its core curriculum and certification examinations. Each chapter is designed for a review of the essential background, precepts, and exemplary practices within the topical area: Basics of Quality Improvement Data Analytics for the Improvement of Healthcare Quality Utilization Management, Case Management, and Care Coordination Economics and Finance in Medical Quality Management External Quality Improvement -- Accreditation, Certification, and Education The Interface Between Quality Improvement and Law Ethics and Quality Improvement With the new edition of Medical Quality Management: Theory and Practice, the American College of Medical Quality presents the experience and expertise of its contributors to provide the background necessary for healthcare professionals to assume the responsibilities of medical quality management in healthcare institutions, provide physicians in all medical specialties with a core body of knowledge related to medical quality management, and serve as a necessary guide for healthcare administrators and executives, academics, directors, medical and nursing students and residents, and physicians and other health practitioners