The Credentialing & Privileges Manual - 4th edition, 2013 update
- Language: English
- 426 Pages
- Published: January 2013
- Region: World
Healthcare Performance Improvement: Plans, Policies & Procedures 2013
Healthcare Performance Improvement: Plans, Policies & Procedures 2013
- Published: January 2013
- Region: World
- 166 Pages
- Apollo Managed Care, Inc.
Includes strategies, example plans, programs, readmission reduction strategies, forms, tools, and resources needed to develop an effective performance improvement program in a medical group, hospital or health plan.
Introduction
- Disease management
- Clinical Guidelines
- DM in behavioral healthcare
- Patient satisfaction
Performance improvement – quality in action
Definition
Principles for performance measures in healthcare
Competency assessment strategy and tools
Plans
- Quality Improvement Plan – generic example (New 9-07)
- Practitioner Evaluation Process
- Case reviews
- Corrective Action Matrix
- Quality Improvement Program
- Quality Improvement Outreach
- Confidentiality Statement
- Quality Committee Confidentiality Agreement
- Conflict of Interest Declaration
- Joint Commission Quality and Safety Reports
- University Performance Improvement Plan – examples
- Academic Medical Center Performance Improvement Plan – example
- Academic Medical Center Quality Improvement & Patient Safety Committee functions/programs
- Hospital (Community) Performance Improvement Plan, Policy & Procedure – example
Programs
- Annual Distinquished Quality Award
- Depression management – suicide prevention programs
- Stroke Centers
- Pay for Performance
-- Evaluating change
-- Family Practice model ( UK )
-- ‘Bridges to Excellence'
-- Commonwealth Fund Opinion Leader Survey
-- Supporting Pay for Performance Programs – example
-- Requirements for physician buy-in
-- Audit form resource
-- CPOE
-- Group visits
Quality fundamentals
- Competency Assessment – Primary Care; Resident care (unsupervised)
- CQI obstacle busting
- Electronic medical records (EMR)
- Online/e-mail ‘visits' for care
- Patient satisfaction – example questionnaire for medical group practice
- Quality measures
- Reminders
- Preventive health care interventions for high risk populations
- Clinical performance measures – CAD
- Nursing home acute myocardial infarction prevention programs
- Presurgical screening tools
- Followup tracking tools – pap smears, mammograms
- Breast and colon cancer care quality measures
- Prolonged LOS related to medical injuries
- Test results – communication
- Unplanned readmissions
Case or Care Management
Clinical performance measures for ambulatory care (table)
Hand-offs – SBAR, Checklists, Resources
Quality improvement tool kit – links
Sentinel event reports – P & P
Quality notes
Provider profiles – P & P
Case mix adjustment for provider profiles
Feedback
Steps to improve productivity, resource management, physician/patient satisfaction
Ambulatory visit data
Resources
Ethics manual – link
Medicare “Pay for Performance” Initiatives
Provider profiles: example indicators for tracking & trending data
QI/UM Clinical Indicators/Performance Goals
Crosby quotes
Hospital/SNF QA Screens
Surgical Quality Indicators
Prevention Quality Indicators, AHRQ
Staff quality certification – resource
Survey sampling error – statistical estimates (table)
Quality Indicators – hospital-related
Respiratory Care Services – QI Indicators
Readmissions
- Readmission rate – examples
- Readmission tracking tool
- Readmission notes
National Patient Safety Goals
Hospital Dashboard Report
Health System Performance Report
Staff Performance Evaluation (generic)
System Performance Evaluation Coordinator for Mental Health Services
Trauma Center Performance Improvement Medical Director
Regional Utilization Manager – Job description and performance evaluation
Performance Improvement Counseling – P & P (Vanderbilt University)
Case Mix Adjustment/Severity of Illness Measures
Addenda
Project priority ranking grid;
Performance Improvement Coordinator – job description
Glossary
Quality quotes
References – listed by topic
Thoughts for the unwary
Web links
| Format | Properties | |
|---|---|---|
| Electronic (PDF) | The report will be emailed to you. The report is sent in PDF format. | This is a single user license, allowing one specific user access to the product. |
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