Improving Quality in Outpatient Services

Content: Defining Outpatient Healthcare Outpatient Quality  National Health Statistics Reports  Outpatient Quality Initiatives (HOP QDRP) Clinical Performance Measures for Ambulatory Care ASC Quality Collaboration American Medical Association (AMA) Safe Injection Practices Coalition Safe Practices for Better Healthcare  Creating a Structure for Quality and Safety  Simplicity Is Best Tie Your Quality Strategy to Your Mission, Vision, and Values Appoint a Governing Body Leader Selection The Medical Staff, Nurses, and Allied Health Professionals Meetings, Minutes, and Keeping a Calendar Quality Program Topics         Engineering the Customer Connection Quality Function Deployment Kaizen Plan, Do, Check, and Act (PDCA), and Six Sigma Three Types of Waste CSP Number 1: Keep Wait Times to a Minimum CSP Number 2: Make a Good Impression  CSP Number 3: Be Open and Honest CSP Number 4: Don\'t Blame the Customer CSP Number 5: Ask Questions CSP Number 6: It\'s Not a Meat Market  CSP Number 7: Follow Through CSP Number 8: No Medical Mumbo Jumbo CSP Number 9: Work as a Team CSP Number 10: Relate to the Person            Policies, Procedures, and Plans Staying True to Your Mission, Vision, and Value Creating Lean and Useful Documents Regulatory Requirements for Documents The Users of Policies, Procedures, and Plans Use Reference Manuals and Association Books Document Format  Documents to Create and Have on Hand Reviewing and Revising Your Documents  The Human Resource Factor Overview Quality and the HR Factor Creating Complete HR Files Health Care Quality Improvement Act (HCQIA) of 1986 Vendor and Contract Files  Clinical Contract Employee Requirement and Files Monitoring, Collecting, and Analyzing Data HR Training to Promote Safety and Quality Audits and Auditors  Measuring Quality and SafetyMeasurement Induction, Deduction, and the Scientific Method Case Study Scorecards for Outpatient Services  Rewarding Based on Performance   Medication Safety Safety Overview Formulary, Consulting Pharmacist, and Tools High-Alert Medications Look-Alike Sound-Alike Medications (LASAs) Contrast Media Anticoagulants Insulin Chemotherapy Injection Safety and Multiuse Medication Vials Labeling Medications and Containers  Medication Reconciliation Sample Medications Storing and Securing Medications Medication Safety Reporting Adverse Drug Reaction Reporting  Infection Prevention in the Ambulatory Setting Infection Prevention and Control Infection Control and Prevention Structure Disaster Planning and Outbreak Investigation Infection Control and Prevention Committee Infection Control and Prevention Plan Surveillance Bloodborne Pathogens Sharps: Engineering Safety Mechanisms Multiuse Vials and Single-Use Vials Environmental Cleaning and Disinfection  Sterilization, Disinfection, and Cleaning Recommended Sterilization Resources Measurement  Mandatory Staff Training in Infection Prevention Infection Prevention Resources  Clinical Documentation History Meaningful Use Electronic Health Records (EHRs) Meaningful Use Quality Implications The Purpose of Clinical Documentation Authentication and Completion of Medical Records Problem Lists Allergy and Sensitivity Documentation Ambulatory Surgery Center Documentation Communication Security and Retention of Medical Records Regulatory Requirements  Risk Management and Safety Introduction  Challenges and Opportunity in the Ambulatory Setting Common Causes of Errors in the Ambulatory Setting Building Your Safety Program Patient Safety Culture National Patient Safety Goals Universal Protocol  Surgical and Anesthesia Safety  Airway Maintenance Malignant Hyperthermia Postanesthesia Monitoring Environmental Safety MRI Safety Radiation Safety Surgical Fires Work Flow Analysis and Redesign Safety Program Training What to Do If You Experience a Safety Event Use of RCA and FMEA Tools  Licensing, Deemed Status, Accreditation, and Certification Defining Licensing, Deemed Status, Accreditation, and Certification Why Become Accredited? Certification of Programs Ambulatory Accreditation and Certification Programs Survey Preparation Accreditation Listing  Practice Makes Perfect Why Practice? PDPC and FMEA 5 Whys Using Checklists to Improve Safety and Quality Codes and Drills Scenario Training Scenario Example for Endoscopy  Appendices: Checklist on Policies, Procedures, and Plans for an Outpatient Setting Quality Glossary Quality Reporting Measures Infection Prevention Plan Example Risk Assessment Medical Record Review Criteria Audit Safety Management Program Root Cause Analysis and Corrective Action Plan State Contacts for Ambulatory Licensing and Standards Patient Education Pathway Example            Index    Each chapter concludes with a Summary, Key Points, and Sources