Improvement at the front line of care -- Introducing clinical microsystems -- Microsystems in health care -- A broader view of systems and microsystems -- Research on microsystems in health care -- Three conceptual imperatives in the work of value improvement -- Introduction to the 5Ps -- The clinical microsystem process and structure of the 5Ps model -- External mapping tool -- Microsystem assessment tool (MAT) -- Partnering with patients to design and improve care -- The aim of health care and the need to partner with patients -- Conceptual frameworks for partnering with patients -- Tactics for partnering with patients -- Patients as informants and advisors -- Institute for family-centered care matrix -- Value stream mapping -- Definitions of selected value stream mapping terms -- Improving safety and anticipating hazards in clinical microsystems -- Organizational factors to promote a culture of safety (who) -- Identification of medical errors and adverse events -- Frequency of adverse events and medical errors -- 5s method -- Checklists -- Failure mode and effects analysis -- Rehearsals or simulations -- Mindfulness -- The link between safety and the microsystem -- Using measurement to improve health care value -- Measuring what matters at all levels of the system -- Tips and principles to foster a rich information environment -- Designing information flow to support high-value care -- Patient value compass -- Balanced scorecard -- Measure what matters worksheet -- Examples of data walls -- Starting the patient's care in clinical microsystems -- The entry functions of clinical microsystems -- Process mapping with flowcharts -- Access measures and tools -- C.A.R.E. vital signs -- Designing preventive care to improve health -- The work of preventive health care -- An action-based taxonomy of preventive health services -- Radiology microsystem preventive activity of mammography -- Planning for responsive and reliable acute care -- Anticipating the needs of acutely ill patients -- Defining acute care needs of patients and families -- An overview of design requirements for acute care -- Advanced access and effective care transitions -- Engaging complexity in chronic illness care -- An invitation to complexity -- The experience of chronic illness -- The burden of chronic illness -- The goals of chronic illness care -- Clinical complexity in chronic illness care -- Designing for complexity through alignment of problems and practice solutions -- The nature of complex adaptive systems -- The chronic care model -- Care coordinaton and transitions -- Patient self-management -- Star generative relationships -- Reference -- Supporting patients and families through palliative care -- The need for palliative care in modern america -- End-of-life experience yesterday and today -- Principles of palliative care -- Reducing variation in end-of-life care -- Core processes in palliative care -- Care coordination near the end of life -- Formal palliative care and hospice programs -- Planning for both life and death with advance directives -- Mental models -- Using the ladder of inference to explore mental models -- Designing health systems to improve value -- From parts to whole -- New vision of integrated systems to produce high value -- The execution triangle -- Leading change at all levels -- Changing local culture -- The path forward for making high-value health systems -- Micro-, meso-, and macrosystem matrix.
Summary:
"The clinical microsystems model is the approach for quality improvement in health care, endorsed by the American Hospital Association and the Joint Commission on Accreditation of Healthcare Organizations. Written by three leading experts in clinical quality improvement--authors of the bestselling Quality by Design--The Clinical Improvement Guide combines theory and principles for assessing and improving front-line clinical units with field-tested and refined practical tools to form a comprehensive approach to clinical improvement, assessment, and measurement of processes, outcomes, and performance for all the settings in which health services are delivered."--Provided by publisher.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.