Applying Quality Management in Healthcare: A Systems Approach, Fifth Edition

  • 6h 2m
  • Patrice L. Spath
  • Health Administration Press
  • 2022

The COVID-19 pandemic exposed the flaws in patient care delivery in many healthcare organizations. Hospitals scrambled to deal with inadequate supplies of ventilators and personal protective equipment while simultaneously combating the inefficiencies inherent in their existing systems. Outpatient areas struggled to deliver care in an environment that was safe for both workers and patients. The pandemic was a reminder that a focus on comprehensive quality management is vital to the daily work of healthcare providers and those they treat.

Applying Quality Management in Healthcare: A Systems Approach examines the real-world tools and techniques necessary for improving systems that affect patient care outcomes. Author Patrice L. Spath explains how to explore and modify interconnected systems to make lasting changes that benefit the entire organization.

This updated edition features a new chapter on three organizational characteristics that advance success in quality management: continuous improvement, high reliability, and accountability. Throughout, the book emphasizes the role of leadership in all aspects of quality. Management concepts are supported by real-life examples from different settings to further readers’ understanding.

Other new content in this edition includes:

  • sStrategies for creating an organizational culture that supports ongoing improvement
  • Data measurement techniques for analyzing inpatient and outpatient performance
  • Regulations affecting quality activities in hospitals and other healthcare facilities
  • External forces, such as a pandemic, that require a greater focus on systems

Each chapter concludes with challenging exercises that give readers a chance to apply what they have learned. A practice lab at the end of the book offers 11 rigorous assignments for a deeper exploration of the concepts presented.

Improving quality management processes is the first step toward providing better healthcare. Everyone—from senior leaders and department managers to supervisors and frontline workers—can benefit from these enhancements, leading to greater job performance and, ultimately, safer patient care.

About the Author

Patrice L. Spath, MA, RHIT, is a health information management professional with broad experience in healthcare quality and safety improvement. She is president of Brown-Spath & Associates, a healthcare publishing and training company in Forest Grove, Oregon. Over the past 40 years, she has written numerous books and journal articles and presented more than 350 educational programs on healthcare quality management and patient safety topics. She is currently an adjunct assistant professor in the Department of Health Services Administration at the University of Alabama at Birmingham, an adjunct professor in the College of Health Professions at Pacific University in Forest Grove, Oregon, and a guest lecturer in the Master of Science in Medical and Healthcare Simulation program at Drexel University College of Medicine in Philadelphia.

Spath earned an MA in management from American Public University and a BS in management and health information from Marylhurst University. She is a certified registered health information technician, healthcare technology specialist in implementation management, and Lean project leader and serves as consulting editor for the monthly publication Hospital Peer Review. In 2020 she received the Distinguished Member Award from the American Health Information Management Association.

In this Book

  • Preface
  • Quality Management Fundamentals
  • Role of Policy in Advancing Quality
  • Recognizing System Complexity and Relationships
  • Understanding System Behavior
  • Creating a Supportive Environment
  • Fostering Collaboration and Teamwork
  • Establishing System Direction
  • Setting Improvement Goals in Complex Systems
  • Measuring Process and System Performance
  • Using Data Analytics Techniques to Evaluate Performance
  • Designing and Implementing Improvements
  • Using Improvement Teams and Tools
  • Making Healthcare Safer for Patients
  • Reflective Journal
  • The Manager’s Role
  • Dynamic Complexity
  • System Relationships
  • Meeting Customer Expectations
  • Organizational Self-Assessment
  • Improving a Performance Gap in Your Organization
  • Teamwork and Patient Safety
  • Improvement Case Study
  • Systems Error Case Study and Analysis
  • Failure Mode and Effects Analysis
  • Glossary