Measuring Outcomes: Bringing Six Sigma Excellence to Health Care
The Institute of Medicine’s (IOM) report on medical errors, To Err is Human: Building a Safer Care System, published in 2000, sent shock waves across the United States and across the healthcare industry . As concern intensified, business coalitions, the insurance industry, state legislatures, health policy groups, and Congress have engaged to drive fundamental change in healthcare quality management in the U.S., focusing particularly on the measurement and analysis of care delivery practices and processes. Industry leaders acknowledge that this profound change will not come from within the industry but will be imposed upon the healthcare provider segment of the industry by external forces . As they prepare to make this inevitable transformation, administrators and clinical leaders are looking for guidance as to the appropriate direction to take.
KeywordsNational Health Service Healthcare Organization Quality Report National Surgical Quality Improvement Program Clinical Information System
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- 1.Business Round Table. BRT-Sponsored inititiative focuses on patient safety. Press Release; 2000 Jan. 26. http://www.brtable.org/press.cfm/375.
- 2.Boodman SG. No end to errors. The Washington Post 2002 Dec 3; HE:01.Google Scholar
- 3.American Hospital Association. AHA White Paper: the state of hospitals’ financial health 2002. AHA: Chicago; 2002.Google Scholar
- 4.Millenson ML. Demanding medical excellence, second ed. Chicago: University of Chicago Press; 1999.Google Scholar
- 5.Kohn LT, Corrigan JM, Donaldson MS, editors. Committee on Health Care Quality in America, Institute of Medicine. To err is human: building a safer health system. Washington, DC: National Academy Press; 2000.Google Scholar
- 6.Shine KI. Health care quality and how to achieve it. Robert H. Ebert Memorial Lecture. The Milbank Memorial Fund: 2001; p. 1–13. http://www.milbank.org/reports/020120Ebert/020130Ebert.html.
- 8.Committee on Quality of Health Care in America, Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
- 9.Hurtado MP, Swift EK, Corrigan JM, editors. Envisioning the National Health Care Quality Report. Washington, DC: National Academy Press; 2001.Google Scholar
- 11.Factiva Internet Search. 2002 Jan. to 2002 Dec. 31.Google Scholar
- 14.Berwick DM. As good as it should get: making health care better in the new millennium. Boston, MA: Institute for Healthcare Improvement; 1998.Google Scholar
- 15.Goldsmith J, Blumenthal D, Rishel W. Federal health information policy: a case of arrested development. In process, April 2003. firstname.lastname@example.org.Google Scholar
- 17.Leapfrog Group. 2003; April. http://www.leapfroggroup.org/about.htm.
- 18.Leapfrog Group FactSheets, 2003; April. http://www.leapfroggroup.org/FactSheets/ CPOE_FactSheet.pdf; http://www.leapfroggroup.org/FactSheets/EHR_FactSheet.pdf; http://www.leapfroggroup.org/FactSheets/ICU_FactSheet.pdf.
- 19.State of Wisconsin. Press Release, 2002; December 6. http://www.wha.org/mo/wha/leapfrog.htm.
- 22.Hewitt M, Simone JV, editors. Ensuring quality cancer care. Washington, DC: National Academy Press; 1999.Google Scholar
- 31.Pande PS, Neuman RP, Cavanagh RR. The Six Sigma way. New York: McGraw-Hill; 2000.Google Scholar
- 32.Harry MJ. Six Sigma: a breakthrough strategy for profitability. Quality Progress 1998; 31 (5): 60–64.Google Scholar
- 33.Hurtado MP, Swift EK, Corrigan JM, editors. Designing the national health care quality report. In: Envisioning the National Health Care Quality Report. Washington, DC: National Academy Press; 2001. p. 139–158.Google Scholar
- 37.JCAHO’s Patient Safety Goals 2002 Apr. Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg/npsg_03.htm.
- 38.National Quality Forum. Hospital care national performance measures. Washington, DC: National Quality Forum; 2000.Google Scholar
- 39.National Quality Forum. A national framework for healthcare quality measurement and reporting. Washington, DC: National Quality Forum; 2003.Google Scholar
- 40.National Quality Forum. A comprehensive framework for hospital care performance evaluation; 2003 Apr. http://www.qualityforum.org/membersonly.
- 41.Arndt M. Where precision is life or death: the nuts and bolts of Six Sigma. Business Week 2002; July 22: 72–73.Google Scholar
- 42.Pember M. Quality transformation: the journey. Conference Proceedings. Kansas City, MO: Cerner Healthcare Conference; October 12, 2002.Google Scholar
- 44.Berwick DM. Institute for Healthcare Improvement, Boston MA. Available at: http://www.ihi.org and DBerwick@IHI.org (April 2003).
- 45.Tallahassee Memorial Pursing Perfection Project Description. Available at: http://www.ihi.org/pursuingperfection/projectparticipants/tmh/TMHCReportAcuteApril03.pdf (April 2003).
- 46.Wysocki B Jr. Treatments—Medication Makeover: Tallahassee Memorial hospital is upending the way it prescribes and delivers drugs. Wall Street Journal 2002; Nov. 11.Google Scholar
- 47.Daley J. About the National VA Surgical Quality Improvement Program. Forum. VA Health Serv Res Dev 1998; Nov.:1–3.Google Scholar
- 48.Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg 1998; 228(4):491–507. PMID: 9790339 [PubMed-indexed for MEDLINE].Google Scholar
- 49.Best WR, Khuri SF, Phelan M, et al. Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program. J Am Coll Surg 2002; 194(3):257–266. PMID: 11893128 [PubMed-indexed for MEDLINE].Google Scholar
- 50.Neumayer L, Mastin M, Vanderhoof L, Hinson D. Using the Veterans Administration National Surgical Quality Improvement Program to improve patient outcomes. J Surg Res 2000; 88(1):58–61. PMID: 10644468 [PubMed-indexed for MEDLINE].Google Scholar
- 51.Khuri SF, Daley J, Henderson WG. The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs. Arch Surg 2002; 137(1):20–27. PMID: 1177–2210 [PubMed-indexed for MEDLINE].Google Scholar