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 Quality By Design: A Clinical Microsystems Approach eBook

Quality By Design: A Clinical Microsystems Approach


eBook Publisher: John Wiley & Sons
Imprint: Jossey-Bass

Format: Adobe Encrypted (DRM)


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Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement; explore the essence of leadership for clinical Microsystems; show what mid-level leaders can do to enable peak performance at the front lines of care; outline the design and redesign of services and planning care to match patient needs with services offered; examine the issue of safety; describe the vital role of data in creating a rich and useful information environment; provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization.

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Title of eBook: Quality By Design: A Clinical Microsystems Approach
Release Date: 03-22-2007
Publisher: Jossey-Bass

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Parent title Quality By Design: A Clinical...
Encrypted (DRM) Yes
SKU 9780787994839
File size 3424
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Quality By Design: A Clinical Microsystems Approach


Chapter One

SUCCESS CHARACTERISTICS OF HIGH-PERFORMING MICROSYSTEMS Learning from the Best Eugene C. Nelson, Paul B. Batalden, Thomas P. Huber, Julie K. Johnson, Marjorie M. Godfrey, Linda A. Headrick, John H. Wasson

Chapter Summary

Background. Clinical microsystems are the small, functional frontline units that provide most health care to most people. They are the essential building blocks of larger organizations and of the health system. They are the place where patients, families, and careteams meet. The quality and value of care produced by a large health system can be no better than the services generated by the small systems of which it is composed.

Methods. A wide net was cast to identify and study a sampling of the best-quality, best-value small clinical units in North America. Twenty micro-systems, representing a variety of the component parts of a health system, were examined from December 2000 through June 2001, using qualitative methods supplemented by medical record and finance reviews.

Results. The study of these twenty high-performing sites generated many best-practice ideas (processes and methods) that microsystems use to accomplish their goals. Their success characteristics were related to high performance and include leadership, macrosystem support of microsystems, patient focus, community and market focus, staff focus, education and training, interdependence of care team, information and information technology, process improvement, and performance results. These ten success factors were interrelated and together contributed to

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