{"product_id":"value-by-design-isbn-9780470385340","title":"Value by Design","description":"Value 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. \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   \u003cp\u003e\u003cb\u003eThe Editors\u003c\/b\u003e  \u003c\/p\u003e\u003cp\u003e\u003cb\u003eEugene C. Nelson, DS\u003csmall\u003eC\u003c\/small\u003e, MPH,\u003c\/b\u003e is director of Population Health and Measurement for the Dartmouth-Hitchcock Medical Center and professor of Community and Family Medicine at Dartmouth Medical School and the Dartmouth Institute for Health Policy and Clinical Practice. He is the recipient of the Joint Commission on Accreditation of Healthcare Organizations' Ernest A. Codman award for his work on outcomes measurement in health care.  \u003c\/p\u003e\u003cp\u003e\u003cb\u003ePaul B. Batalden, MD,\u003c\/b\u003e is professor of Pediatrics and of Community and Family Medicine at Dartmouth Medical School. He is the associate director of the Dartmouth-Hitchcock Leadership Preventive Medicine Residency, and teaches at the Dartmouth Institute for Health Policy and Clinical Practice, the Institute for Healthcare Improvement and in the Jönköping Academy for the Improvement of Health and Welfare in Sweden.  \u003c\/p\u003e\u003cp\u003e\u003cb\u003eMarjorie M. Godfrey, MS, RN,\u003c\/b\u003e is codirector of the Microsystem Academy, instructor for the Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, and a recognized national and international leader in health care improvement with interdisciplinary professionals.  \u003c\/p\u003e\u003cp\u003e\u003cb\u003eJoel S. Lazar, MD, MPH,\u003c\/b\u003e is assistant professor of Community and Family Medicine at the Dartmouth Institute for Health Policy and Clinical Practice and section chief and medical director of Family Medicine at Dartmouth-Hitchcock Medical Center, where he also serves as director of quality improvement.  \u003c\/p\u003e\u003cp\u003e\u003cb\u003eCompanion Web site: www.josseybass.com\/go\/nelson\u003c\/b\u003e    \u003c\/p\u003e\u003cp\u003e\u003cb\u003eVALUE BY DESIGN\u003c\/b\u003e  \u003c\/p\u003e\u003cp\u003e\u003ci\u003eValue by Design\u003c\/i\u003e 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 editors 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\/p\u003e\u003cp\u003eBased on research and classes conducted at the Center for Health Care Improvement Leadership at The Dartmouth Institute for Health Policy and Clinical Practice, \u003ci\u003eValue by Design:\u003c\/i\u003e  \u003c\/p\u003e\u003cul\u003e \u003cli\u003eCovers the foundations of quality, safety, cost improvement, assessment of system performance, and measurement of quality and value\u003c\/li\u003e \u003cli\u003eShows how to apply the proven clinical microsystems approach\u003c\/li\u003e \u003cli\u003eExplains how to apply microsystem concepts and methods in a variety of care settings\u003c\/li\u003e \u003cli\u003eOffers specific statistical tools for quality and process improvement, such as star diagrams and lean methods.\u003c\/li\u003e \u003c\/ul\u003e  \u003cp\u003eIn addition, the book includes a summary of take-home points and study questions for discussion in small groups as well as illustrative examples of completed working assignments.\u003c\/p\u003e","brand":"Jossey-Bass","offers":[{"title":"Default Title","offer_id":47990445048037,"sku":"NP9780470385340","price":82.5,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470385340.jpg?v=1761787857","url":"https:\/\/k12savings.com\/es\/products\/value-by-design-isbn-9780470385340","provider":"K12savings","version":"1.0","type":"link"}