Healthcare Analytics for Quality and Performance Improvement

242 Pages·2013·6.45 MB·English

by  Trevor L. Strome(auth.)

Healthcare Analytics for Quality
and Performance Improvement

Healthcare Analytics for
Quality and Performance
Improvement
TREVOR L. STROME
Cover image: © iStockphoto.com/pictafolio
Cover design: Andrew Liefer
Copyright © 2013 by Trevor L. Strome. All rights reserved.
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Library of Congress Cataloging-in-Publication Data:
Strome, Trevor L., 1972–
Healthcare analytics for quality and performance improvement / Trevor L. Strome.
pages cm
ISBN 978-1-118-51969-1 (cloth) — ISBN 978-1-118-76017-8 (ePDF) —
ISBN 978-1-118-76015-4 (ePub) — ISBN 978-1-118-761946-1 (oBook). 1. Health
services administration—Data processing. 2. Information storage and retrieval
systems—Medical care. 3. Organizational effectiveness. I. Title.
RA971.6.S77 2014
362.1068—dc23
2013023363
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1
Dedicated to
Karen, Isabella, and Hudson—for all your support,
understanding, and love

Contents
Preface ix
Acknolwedgments xiii
CHAPTER 1 Toward Healthcare Improvement Using Analytics 1
Healthcare Transformation—Challenges
and Opportunities 1
The Current State of Healthcare Costs and Quality 3
CHAPTER 2 Fundamentals of Healthcare Analytics 15
How Analytics Can Improve Decision Making 15
Analytics, Quality, and Performance 17
Applications of Healthcare Analytics 19
Components of Healthcare Analytics 21
CHAPTER 3 Developing an Analytics Strategy to Drive Change 29
Purpose of an Analytics Strategy 29
Analytics Strategy Framework, with a Focus on
Quality/Performance Improvement 32
Developing an Analytics Strategy 47
CHAPTER 4 Defi ning Healthcare Quality and Value 51
What Is Quality? 51
Overview of Healthcare QI 59
Common QI Frameworks in Healthcare 61
Working with QI Methodologies 73
CHAPTER 5 Data Quality and Governance 75
The Need for Effective Data Management 76
Data Quality 78
Data Governance and Management 84
Enterprise-wide Visiblilty and Opportunity 88
vii
viii Contents
CHAPTER 6 Working with Data 91
Data: The Raw Material of Analytics 92
Preparing Data for Analytics 92
Getting Started with Analyzing Data 100
Summary 112
CHAPTER 7 Developing and Using Effective Indicators 115
Measures, Metrics, and Indicators 115
Using Indicators to Guide Healthcare
Improvement Activities 123
CHAPTER 8 Leveraging Analytics in Quality Improvement Activities 129
Moving from Analytics Insight to
Healthcare Improvement 129
CHAPTER 9 Basic Statistical Methods and Control Chart Principles 145
Statistical Methods for Detecting Changes
in Quality or Performance 145
Graphical Methods for Detecting Changes in
Quality or Performance 153
Putting It Together 160
CHAPTER 10 Usability and Presentation of Information 165
Presentation and Visualization of Information 165
Dashboards for Quality and Performance
Improvement 173
Providing Accessibility to and Ensuring Usability
of Analytics Systems 180
CHAPTER 11 Advanced Analytics in Healthcare 183
Overview of Advanced Analytics 183
Applications of Advanced Analytics 186
Developing and Testing Advanced Analytics 190
Overview of Predictive Algorithms 197
CHAPTER 12 Becoming an Analytical Healthcare Organization 205
Requirements to Become an Analytical Organization 207
Building Effective Analytical Teams 213
Summary 215
About the Author 217
About the Companion Web Site 219
Index 221