{"product_id":"value-by-design-developing-clinical-microsystems-to-achieve-organizational-excellence-paperback-softback-9780470385340","title":"Value by Design; Developing Clinical Microsystems to Achieve Organizational Excellence (Paperback \/ softback) 9780470385340","description":"\u003cfont face=\"Georgia\"\u003e\r\n\u003cp\u003e\u003cfont size=\"6\"\u003eValue by Design\u003c\/font\u003e\u003cbr\u003e\r\n\u003cfont size=\"5\"\u003eDeveloping Clinical Microsystems to Achieve Organizational Excellence\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\r\n\r\n\u003cp\u003e\u003cfont size=\"4\"\u003eEugene C. Nelson (Author), Paul B. Batalden (Author), Marjorie M. Godfrey (Author), Joel S. Lazar (Author)\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e9780470385340, Wiley\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003ePaperback \/ softback, published 5 April 2011\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e384 pages\u003cbr\u003e25 x 19.8 x 2.2 cm, 0.726 kg\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\r\n\r\n\r\n\u003cp align=\"justify\"\u003e\u003cstrong\u003e\u003cfont size=\"3\"\u003eValue by Design is a practical guide for real-world improvement in clinical microsystems. Clinical microsystem theory, as implemented by the Institute for Healthcare Improvement and health care organizations nationally and internationally, is the foundation of high-performing front line health care teams who achieve exceptional quality and value. These authors combine theory and principles to create a strategic framework and field-tested tools to assess and improve systems of care. Their approach links patients, families, health care professionals and strategic organizational goals at all levels of the organization: micro, meso and macrosystem levels to achieve the ultimate quality and value a health care system is capable of offering.\u003c\/font\u003e\u003c\/strong\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e\u003cp\u003eFigures and Tables xi\u003c\/p\u003e \u003cp\u003eForeword Elliott S. Fisher xvii\u003c\/p\u003e \u003cp\u003ePreface: Improvement at the Front Line of Care xxi\u003c\/p\u003e \u003cp\u003eAcknowledgments xxix\u003c\/p\u003e \u003cp\u003eThe Editors xxxiii\u003c\/p\u003e \u003cp\u003eThe Contributors xxxv\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 Introducing Clinical Microsystems 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 1\u003c\/p\u003e \u003cp\u003eMicrosystems in Health Care 1\u003c\/p\u003e \u003cp\u003eA Broader View of Systems and Microsystems 6\u003c\/p\u003e \u003cp\u003eResearch on Microsystems in Health Care 11\u003c\/p\u003e \u003cp\u003eThree Conceptual Imperatives in the Work of Value Improvement 20\u003c\/p\u003e \u003cp\u003eConclusion 24\u003c\/p\u003e \u003cp\u003eSummary 25\u003c\/p\u003e \u003cp\u003eKey Terms 25\u003c\/p\u003e \u003cp\u003eReview Questions 26\u003c\/p\u003e \u003cp\u003eDiscussion Questions 26\u003c\/p\u003e \u003cp\u003eReferences 26\u003c\/p\u003e \u003cp\u003eChapter One Action Guide 29\u003c\/p\u003e \u003cp\u003eIntroduction to the 5PS 29\u003c\/p\u003e \u003cp\u003eThe Clinical Microsystem Process and Structure of the 5Ps Model 29\u003c\/p\u003e \u003cp\u003eExternal Mapping Tool 35\u003c\/p\u003e \u003cp\u003eMicrosystem Assessment Tool (MAT) 40\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Partnering with Patients to Design and Improve Care 47\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 47\u003c\/p\u003e \u003cp\u003eThe Aim of Health Care and the Need to Partner with Patients 48\u003c\/p\u003e \u003cp\u003eConceptual Frameworks for Partnering with Patients 51\u003c\/p\u003e \u003cp\u003eTactics for Partnering with Patients 61\u003c\/p\u003e \u003cp\u003ePatients as Informants and Advisors 65\u003c\/p\u003e \u003cp\u003eConclusion 67\u003c\/p\u003e \u003cp\u003eSummary 67\u003c\/p\u003e \u003cp\u003eKey Terms 67\u003c\/p\u003e \u003cp\u003eReview Questions 68\u003c\/p\u003e \u003cp\u003eDiscussion Questions 68\u003c\/p\u003e \u003cp\u003eReferences 68\u003c\/p\u003e \u003cp\u003eChapter Two Action Guide 71\u003c\/p\u003e \u003cp\u003eGaining Customer Knowledge 71\u003c\/p\u003e \u003cp\u003eInstitute for Patient and Family-Centered Care Matrix 82\u003c\/p\u003e \u003cp\u003eValue Stream Mapping 83\u003c\/p\u003e \u003cp\u003eDefinitions of Selected Value Stream Mapping Terms 84\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Improving Safety and Anticipating Hazards in Clinical Microsystems 87\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 87\u003c\/p\u003e \u003cp\u003eCase Study of Organizational Factors to Promote a Culture of Safety 88\u003c\/p\u003e \u003cp\u003eDiscussion 92\u003c\/p\u003e \u003cp\u003eDefinitions 93\u003c\/p\u003e \u003cp\u003eIdentification of Medical Errors and Adverse Events 94\u003c\/p\u003e \u003cp\u003eFrequency of Adverse Events and Medical Errors 95\u003c\/p\u003e \u003cp\u003eConclusion 107\u003c\/p\u003e \u003cp\u003eSummary 107\u003c\/p\u003e \u003cp\u003eKey Terms 108\u003c\/p\u003e \u003cp\u003eReview Questions 108\u003c\/p\u003e \u003cp\u003eDiscussion Questions 109\u003c\/p\u003e \u003cp\u003eReferences 109\u003c\/p\u003e \u003cp\u003eChapter Three Action Guide 113\u003c\/p\u003e \u003cp\u003e5S Method 113\u003c\/p\u003e \u003cp\u003eChecklists 116\u003c\/p\u003e \u003cp\u003eFailure Mode and Effects Analysis 118\u003c\/p\u003e \u003cp\u003eRehearsals or Simulations 120\u003c\/p\u003e \u003cp\u003eDesigning Patient Safety into the Microsystem 122\u003c\/p\u003e \u003cp\u003eThe Link Between Safety, the Microsystem, and Mindfulness 123\u003c\/p\u003e \u003cp\u003eConclusion 129\u003c\/p\u003e \u003cp\u003eReferences 130\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Using Measurement to Improve Health Care Value 131\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 131\u003c\/p\u003e \u003cp\u003eMeasuring What Matters at All Levels of the System 132\u003c\/p\u003e \u003cp\u003eTips and Principles to Foster a Rich Information Environment 138\u003c\/p\u003e \u003cp\u003eDesigning Information Flow to Support High-Value Care 140\u003c\/p\u003e \u003cp\u003eConclusion 150\u003c\/p\u003e \u003cp\u003eSummary 151\u003c\/p\u003e \u003cp\u003eKey Terms 152\u003c\/p\u003e \u003cp\u003eReview Questions 152\u003c\/p\u003e \u003cp\u003eDiscussion Questions 152\u003c\/p\u003e \u003cp\u003eReferences 153\u003c\/p\u003e \u003cp\u003eChapter Four Action Guide 155\u003c\/p\u003e \u003cp\u003ePatient Value Compass 155\u003c\/p\u003e \u003cp\u003eBalanced Scorecard 156\u003c\/p\u003e \u003cp\u003eMeasure What Matters Worksheet 157\u003c\/p\u003e \u003cp\u003eExamples of Data Walls 159\u003c\/p\u003e \u003cp\u003eReferences 160\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Starting the Patient’s Care in Clinical Microsystems 161\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 161\u003c\/p\u003e \u003cp\u003eThe Entry Functions of Clinical Microsystems 162\u003c\/p\u003e \u003cp\u003eConclusion 182\u003c\/p\u003e \u003cp\u003eSummary 183\u003c\/p\u003e \u003cp\u003eKey Terms 183\u003c\/p\u003e \u003cp\u003eReview Questions 183\u003c\/p\u003e \u003cp\u003eDiscussion Questions 184\u003c\/p\u003e \u003cp\u003eReferences 184\u003c\/p\u003e \u003cp\u003eChapter Five Action Guide 187\u003c\/p\u003e \u003cp\u003eProcess Mapping with Flowcharts 187\u003c\/p\u003e \u003cp\u003eAccess Measures and Tools 190\u003c\/p\u003e \u003cp\u003eCARE Vital Signs 192\u003c\/p\u003e \u003cp\u003eReference 195\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Designing Preventive Care to Improve Health 197\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 197\u003c\/p\u003e \u003cp\u003eThe Work of Preventive Health Care 198\u003c\/p\u003e \u003cp\u003eAn Action-Based Taxonomy of Preventive Health Services 202\u003c\/p\u003e \u003cp\u003eConclusion 213\u003c\/p\u003e \u003cp\u003eSummary 213\u003c\/p\u003e \u003cp\u003eKey Terms 213\u003c\/p\u003e \u003cp\u003eReview Questions 214\u003c\/p\u003e \u003cp\u003eDiscussion Questions 214\u003c\/p\u003e \u003cp\u003eReferences 214\u003c\/p\u003e \u003cp\u003eChapter Six Action Guide 217\u003c\/p\u003e \u003cp\u003eRadiology Microsystem Preventive Activity of Mammography and VAP Bundles in Critical Care 217\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Planning for Responsive and Reliable Acute Care 221\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 221\u003c\/p\u003e \u003cp\u003eAnticipating the Needs of Acutely Ill Patients 222\u003c\/p\u003e \u003cp\u003eDefining Acute Care Needs of Patients and Families 222\u003c\/p\u003e \u003cp\u003eAn Overview of Design Requirements for Acute Care 225\u003c\/p\u003e \u003cp\u003eAdvanced Access and Effective Care Transitions 233\u003c\/p\u003e \u003cp\u003eConclusion 235\u003c\/p\u003e \u003cp\u003eSummary 236\u003c\/p\u003e \u003cp\u003eKey Terms 236\u003c\/p\u003e \u003cp\u003eReview Questions 236\u003c\/p\u003e \u003cp\u003eDiscussion Questions 237\u003c\/p\u003e \u003cp\u003eReferences 237\u003c\/p\u003e \u003cp\u003eChapter Seven Action Guide 239\u003c\/p\u003e \u003cp\u003eMicrosystem Transitions and Handoffs 240\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Engaging Complexity in Chronic Illness Care 241\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 241\u003c\/p\u003e \u003cp\u003eAn Invitation to Complexity 242\u003c\/p\u003e \u003cp\u003eThe Experience of Chronic Illness 244\u003c\/p\u003e \u003cp\u003eThe Burden of Chronic Illness 245\u003c\/p\u003e \u003cp\u003eThe Goals of Chronic Illness Care 248\u003c\/p\u003e \u003cp\u003eClinical Complexity in Chronic Illness Care 250\u003c\/p\u003e \u003cp\u003eDesigning for Complexity Through Alignment of Problems and Practice Solutions 252\u003c\/p\u003e \u003cp\u003eThe Nature of Complex Adaptive Systems 254\u003c\/p\u003e \u003cp\u003eThe Chronic Care Model 255\u003c\/p\u003e \u003cp\u003eCare Coordinaton and Transitions 260\u003c\/p\u003e \u003cp\u003ePatient Self-Management 262\u003c\/p\u003e \u003cp\u003eConclusion 265\u003c\/p\u003e \u003cp\u003eSummary 266\u003c\/p\u003e \u003cp\u003eKey Terms 266\u003c\/p\u003e \u003cp\u003eReview Questions 267\u003c\/p\u003e \u003cp\u003eDiscussion Questions 267\u003c\/p\u003e \u003cp\u003eReferences 267\u003c\/p\u003e \u003cp\u003eChapter Eight Action Guide 271\u003c\/p\u003e \u003cp\u003eSTAR Generative Relationships 271\u003c\/p\u003e \u003cp\u003eReference 273\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Supporting Patients and Families Through Palliative Care 277\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 277\u003c\/p\u003e \u003cp\u003eThe Need for Palliative Care in Modern America 278\u003c\/p\u003e \u003cp\u003eEnd-of-Life Experience Yesterday and Today 279\u003c\/p\u003e \u003cp\u003ePrinciples of Palliative Care 281\u003c\/p\u003e \u003cp\u003eReducing Variation in End-of-Life Care 283\u003c\/p\u003e \u003cp\u003eCore Processes in Palliative Care 285\u003c\/p\u003e \u003cp\u003eCare Coordination Near the End of Life 287\u003c\/p\u003e \u003cp\u003eFormal Palliative Care and Hospice Programs 289\u003c\/p\u003e \u003cp\u003ePlanning for Both Life and Death with Advance Directives 291\u003c\/p\u003e \u003cp\u003eConclusion 293\u003c\/p\u003e \u003cp\u003eSummary 295\u003c\/p\u003e \u003cp\u003eKey Terms 295\u003c\/p\u003e \u003cp\u003eReview Questions 295\u003c\/p\u003e \u003cp\u003eDiscussion Questions 296\u003c\/p\u003e \u003cp\u003eReferences 296\u003c\/p\u003e \u003cp\u003eChapter Nine Action Guide 297\u003c\/p\u003e \u003cp\u003eMental Models 297\u003c\/p\u003e \u003cp\u003eUsing the Ladder of Inference to Explore Mental Models 297\u003c\/p\u003e \u003cp\u003eReference 301\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Designing Health Systems to Improve Value 303\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eLearning Objectives 303\u003c\/p\u003e \u003cp\u003eFrom Parts to Whole 304\u003c\/p\u003e \u003cp\u003eNew Vision of Integrated Systems to Produce High Value 305\u003c\/p\u003e \u003cp\u003eThe Execution Triangle 313\u003c\/p\u003e \u003cp\u003eLeading Change at All Levels 315\u003c\/p\u003e \u003cp\u003eChanging Local Culture 318\u003c\/p\u003e \u003cp\u003eThe Path Forward for Making High-Value Health Systems 323\u003c\/p\u003e \u003cp\u003eSummary 326\u003c\/p\u003e \u003cp\u003eKey Terms 326\u003c\/p\u003e \u003cp\u003eReview Questions 326\u003c\/p\u003e \u003cp\u003eDiscussion Questions 327\u003c\/p\u003e \u003cp\u003eReferences 327\u003c\/p\u003e \u003cp\u003eChapter Ten Action Guide 331\u003c\/p\u003e \u003cp\u003eMicro-, Meso-, and Macrosystem Matrix 331\u003c\/p\u003e \u003cp\u003eIndex 335\u003c\/p\u003e\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003eSubject Areas: Medicine: general issues [\u003ca title=\"See our other books on Medicine: general issues\" href=\"https:\/\/freshlyprintedbooks.co.uk\/search?q=%22Medicine:%20general%20issues%20%5BMB%5D%22\"\u003eMB\u003c\/a\u003e]\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\u003c\/font\u003e","brand":"Jossey-Bass","offers":[{"title":"Brand New","offer_id":52503019520280,"sku":"9780470385340","price":75.89,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0730\/2037\/5320\/files\/9780470385340.jpg?v=1786324272","url":"https:\/\/freshlyprintedbooks.co.uk\/products\/value-by-design-developing-clinical-microsystems-to-achieve-organizational-excellence-paperback-softback-9780470385340","provider":"Freshly Printed Books","version":"1.0","type":"link"}