Overview
- A collaborative approach to optimizing publicly reported quality measures from the Ochsner Health System
- Utilizes real-life examples, experience and engaging vignettes from a successful, collaborative QI team
- An excellent resource for hospital and health system quality and performance improvement personnel
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Table of contents (43 chapters)
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Front Matter
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General Concepts
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Front Matter
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External Ratings and Complications
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Front Matter
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Keywords
About this book
This practical, engaging book provides concise, real life-tested guidance to healthcare teams concerned with widely reported and incentivized hospital quality and safety metrics, offering both a conceptual approach and specific advice and frameworks for reviewing quality and safety numerator events, from the perspective and experience of clinicians and administrators working within the Ochsner Health System.
The text opens with the rationale for closely managing widely (including publicly) reported hospital patient quality and safety measures. Attention is given to the financial implications of quality performance, with respect to both penalties and payment incentives used by payer organizations. It then reviews the major public ratings and their relevant methodologies, including CMS, AHRQ and NSHN. In addition, it addresses ratings by proprietary organizations that have a large member clientele, such as Vizient, USNews, Leapfrog, Healthgrades, CareChex and others. Each metric - for example, the AHRQ Patient Safety Indicators (PSIs), and other metrics such as readmission rate, risk adjusted complications, hospital-acquired conditions and mortality - is addressed in a stand-alone chapter. For each, the importance, approach to review, opportunity for optimization, and engagement of healthcare staff are reviewed and discussed.
Overall, this book forefronts the benefits of a collaborative approach within a health system. The concurrent review process, multidisciplinary collaboration among quality improvement, clinical documentation, coding and medical staff personnel are all emphasized. Also described in detail is the approach to and specific opportunities for medical staff education and engagement. Additional key topics include Engagement of the Medical Staff and House Staff (i.e., residents and other trainees), Futile Care, Surgical Quality Improvement (NSQIP), Nursing Provider Partnership, and Translation of Data Review to Successful Performance Improvement. Specialty chapters on pediatric, neurologic and transplant quality metrics are also included.
Editors and Affiliations
About the editors
Armin Schubert, MD, MBA, CPE, Vice President of Medical Affairs, Quality and Patient Safety, Ochsner Medical Center, New Orleans, LA, USA
Sandra A. Kemmerly, MD, MACP, FIDSA, System Medical Director of Hospital Quality, Ochsner Health, New Orleans, LA, USA
Bibliographic Information
Book Title: Optimizing Widely Reported Hospital Quality and Safety Grades
Book Subtitle: An Ochsner Quality and Value Playbook
Editors: Armin Schubert, Sandra A. Kemmerly
DOI: https://doi.org/10.1007/978-3-031-04141-9
Publisher: Springer Cham
eBook Packages: Medicine, Medicine (R0)
Copyright Information: Ochsner Clinic Foundation 2022
Softcover ISBN: 978-3-031-04140-2Published: 27 July 2022
eBook ISBN: 978-3-031-04141-9Published: 26 July 2022
Edition Number: 1
Number of Pages: XX, 418
Number of Illustrations: 3 b/w illustrations, 99 illustrations in colour
Topics: Internal Medicine, Surgery