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QI/TQM 2000 Index

December 1, 2000

QI/TQM 2000 Index

Ambulatory Care

Group clinics for elders, FEB:16

Improved through hospital-community networks, SEP:97

Nurse-driven care for elderly cardiac patients effects lifestyle changes, FEB:17

On-site collaboratives unify far-flung clinics, NOV:125

Phone triage proves there's a better way to treat a cold, DEC:138

Antibiotics

Evidence mounts for proper use, FEB:23

Phone triage proves there's a better way to treat a cold, DEC:138

Skin tests ensure safe penicillin use for 'allergic' patients, DEC:140

Asthma

Disease management reduces cost of care, JAN:1

Baldrige awards and criteria

No health care winner in first competition, FEB:22

Benchmarking

Apple-to-apple comparisons for surgical improvements, APR:46

Use of lowers restraint use, APR:48

Cardiac care

Assessed for cardiac procedures, JUN:69

Death rates fall 60% in 50 years, FEB:23

Disease management coordinates care of, JAN:1

Employer-based cardiac rehab cuts back-to-work time, MAY:54

High-volume hospitals have higher survival rates, OCT:109

Nurse-driven care for elderly cardiac patients effects lifestyle changes, FEB:17

Often similar among top-ranked and peer hospitals, AUG:88

Phone monitoring improves congestive heart failure outcomes, MAR:32

Chronic disease

Care models lag behind aging population, FEB:13

Demands multilevel care measures, FEB:18

Demographic highlights of approaching age wave, FEB:15

Disease management coordinates care of, JAN:1

Group clinics for elders, FEB:16

High-risk case management improves outcomes, OCT:114

Phone monitoring improves congestive heart failure outcomes, MAR:32

Clinical pathways

Hospital employs care pathways for QI and documentation, FEB:24

Complementary therapies

AHA to address growing interest in, MAY:59

Corporate influences on health care

Coalitions collaborate with providers on QI efforts, APR:40

Companies use value-based purchasing of benefits, APR:41

Employer coalitions deal directly with providers, APR:37

Employer-based cardiac rehab cuts back-to-work time, MAY:54

Employers want accountability for employee sick leave, MAY:49

Expert foresees growing implications for outcomes and accountability, MAR:34

Large purchasers consider evidence-based hospital referral, OCT:113

Purchasing group fosters marketplace cooperation, APR:42

Cost benefits

Conditions in monitored anesthesia, MAR:29

Costs for last inpatient day pale beside up-front costs, DEC:137

Disease management unlikely to reduce costs, JAN:1

Employers seek provider accountability in employee sick leave, MAY:49

High-risk case management improves outcomes, OCT:114

HMO collaborative simplifies data management, JUN:61

LOS is a dry well for further cost savings, DEC:133

Of computerized patient census sheets, MAY:60

Of provider-based phone monitoring for congestive heart failure patients, MAR:32

Of hospital-community networks, SEP:97

Of managers as patient advocates, SEP:104

Standard clinical forms reduce HMO administrative costs, JUN:65

Studied for monitored anesthesia, MAR:28

Vary in surgical fast-tracking, JAN:12

Data collection, reporting, analysis, application

Companies measure back-to-work strategies, MAY:53

Consumers want useful data from providers, AUG:92

Credibility of physician profiles questioned, AUG:90

Employer coalitions push for uniform health outcome measures, APR:37

Employers foster standard outcome measures in competing hospitals, APR:42

Episodes grouper features severity-stratified analyses, OCT:120

Gap between consumer data and consumer concerns, AUG:90

High-volume hospitals have higher survival rates, OCT:109

HMO collaborative simplifies data management, JUN:61

Hospital quality rankings may be weighted to administration and finance, AUG:85

LOS is a dry well for further cost savings, DEC:133

Noise-abatement effort starts with taking samples, NOV:124

Standard clinical forms could improve high-risk prenatal care, JUN:65

Data watch

AHRQ fact book available, Hospitalization in the United States, NOV:132

Web site serves consumer, professional users, MAR:36

Depression

Depression, anxiety could cause noncompliance, NOV:130

Diabetes care

Annual retinal screening cost-effectiveness questioned, OCT:120

Disease management coordinates care of, JAN:1

Disease management

Effective care model for asthma, diabetes, congestive heart failure, JAN:1

High-risk case management offers better outcomes, OCT:114

Prevalence of chronic conditions, FEB:15

Documentation of care

Standard clinical forms could improve high-risk prenatal care, JUN:65

Voice recognition software resolves delays, JAN:7

Emergency department

Barcode tracking speeds patient records retrieval, JAN:5

Hospital-community networks reduce unreimbursed visits, SEP:97

Reducing hospital noise pollution gives QI staff something to shout about, NOV:121

Visits down in high-risk case management initiative, OCT:116

Employee morale

Reducing hospital noise pollution gives QI staff something to shout about, NOV:121

Employee training

How to stage a successful in-house collaborative, NOV:126

Turn your file cabinets into 'finding systems', NOV:127

End-of-life care

Inadequate for dying children, SEP:107

Evidence-based medicine

Large purchasers consider hospital referral based on practice of, OCT:113

Rural hospital applies t-PA stroke care findings, MAR:29

Good Ideas!

How to engage doctors in QI projects, FEB:19

Grass Roots QI

Brockton Hospital's managers greet patients during peak hours, SEP:108

Brockton Hospital maintenance staff conduct patient rounds, AUG:96

Bronson Methodist Hospital employs care pathways for QI and documentation, FEB:24

St. Francis Hospital computerizes patient census sheets, MAY:60

University of Medicine & Dentistry lowers restraint use, APR:48

Guest Column

Harold Taylor and Mary Jo Strobel report cardiac procedure outcomes, JUN:69

Health care quality measures

Consumers want useful data from providers, AUG:92

Employers measure value by quality, outcomes, cost, APR:41

Hospital rankings heavier on administrative, financial than patient data, AUG:85

Large purchasers consider evidence-based hospital referral, OCT:113

Multilevel care measures critical to chronic care services, FEB:18

Solid metrics more reliable than volume-related outcomes, OCT:109

Timothy Hofer, MD, MSc challenges popular quality metrics, DEC:141

Web site provides performance data for consumer, professional audiences, MAR:36

Inserts

2000 Salary Survey results, NOV:Sup

Intensive Care Unit

Informal interventions improve utilization, SEP:105

Length of stay

Costs for last inpatient day pale beside up-front costs, DEC:137

LOS is a dry well for further cost savings, DEC:133

Managed care

HMO designs group clinics for eldercare, FEB:16

Payment mechanisms out of sync with innovative care models, FEB:17

Web site offers advice, Rx refills, information, OCT:117

Management/supervision

Asking 'why' simplifies procedures, APR:44

Managers as patient advocates, SEP:104

Managers make weekend rounds, SEP:102

Staff-level physicians make effective QI project leaders, JUN:68

Medication errors

Barcode scan reduces, JUN:72

Multidisciplinary system improves error reports, FEB:22

NCQA

Men's group faults new HMO criteria, APR:47

Timothy Hofer, MD, MSc challenges popular quality metrics, DEC:141

News Briefs

AHA to address interest in complementary therapies, MAY:59

Annual eye exams for diabetics questioned, OCT:120

Cardiac death rates fall 60% in 50 years, FEB:23

Depression, anxiety could cause noncompliance, NOV:130

Evidence mounts for proper antibiotic use, FEB:23

Glove offers safety in surgical procedures, MAY:59

Men's group faults new HMO criteria, APR:47

Multidisciplinary system improves error reports, FEB:22

No winner in first Baldrige health care competition, FEB:22

Patients want truth about tough choices, MAY:58

Physicians worry about need to treat sicker patients, OCT:119

Surgical fast-tracking cost benefits vary, JAN:12

Vitamins E and C reduce preeclampsia risk 76%, NOV:130

Pain management

Inadequate for dying children, SEP:107

Partnerships

Between clinicians and patients make healing relationships, JAN:9

Community health issues succeed through hospital networks, MAY:56

Patient education

Integration into clinical pathways, FEB:24

Patients want truth about tough choices, MAY:58

Phone triage proves there's a better way to treat a cold, DEC:138

Patient outcomes

Assessed for cardiac procedures, JUN:69

Critical component in chronic care measures, FEB:18

Early cervical and breast cancer detection improves survival rates, SEP:101

Equal one-third of quality equation, JUN:66

Extra oxygen aids post-op infection control, NOV:129

HMO collaborative seeks improved high-risk maternity outcomes, JUN:61

Improve when clinicians listen more, talk less, JAN:9

Often similar among top-ranked and peer hospitals, AUG:88

Standard clinical forms could improve high-risk prenatal care, JUN:65

Patient records

Barcoding systems for patient records, JAN:6

Barcode tracking speeds retrieval time, JAN:5

Episodes grouper features severity-stratified analyses, OCT:120

Patient satisfaction

Consumers want 'soft data', AUG:91

Employers collect employee feedback on health services, APR:40

Fast-track anesthesia pleases patients, saves resources, MAR:25

Greeters reduce visitor confusion, SEP:108

High-volume hospitals have higher survival rates, OCT:109

Improves in high-risk case management initiative, OCT:116

Improves as maintenance staff conduct rounds, AUG:95

Increased consumer power to make service a quality criteria, MAR:34

Managers make weekend rounds, SEP:102

Phone triage proves there's a better way to treat a cold, DEC:138

Reducing hospital noise pollution gives QI staff something to shout about, NOV:121

Web site offers advice, Rx refills, information, OCT:117

Pharmaceutical care

Web site offers pharmacist's advice, Rx refills, OCT:117

Physicians

Credibility of profiles in question, AUG:90

How to engage in QI projects, FEB:19

Peer group pressure effective in cost containment, FEB:20

Staff-level make effective QI project leaders, JUN:68

Underpaid, ill trained for employee rehab care, MAY:49

Worry about need to treat sicker patients, OCT:119

Policies and procedures

Improve ICU utilization, SEP:105

Simplify by asking 'why,' APR:44

Practice guidelines

Critical to t-PA stroke treatment, MAR:29

Improve ICU utilization, SEP:105

Prevention programs

Critical to effective chronic disease management, FEB:13

Early cervical and breast cancer detection improves outcomes, SEP:101

Professional savvy

2000 Salary Survey results, NOV:Sup

Crafting persuasive print messages, JAN:11

Staff-level physicians make effective QI project leaders, JUN:68

Turn your file cabinets into 'finding systems', NOV:127

Quality talk

Carolyn Boone Lewis challenges hospitals to cooperate, MAY:56

Timothy Hofer, MD, MSc challenges popular quality metrics, DEC:141

Keith Moore predicts results of increased consumer power, MAR:34

Ralph Pollock attributes rising costs partly to patient expectations, FEB:20

Rapid cycle change

Listservs expedite knowledge exchange, APR:45

Teams revamp perioperative services, AUG:93

Research

AHRQ fact book available, Hospitalization in the United States, NOV:132

Brain-wave monitor for anesthesia studied for cost savings, MAR:25

Cardiac death rates fall 60% in 50 years, FEB:23

Costs for last inpatient day pale beside up-front costs, DEC:137

Depression, anxiety could cause noncompliance, NOV:130

Evidence mounts for proper antibiotics use, FEB:23

Phone triage proves there's a better way to treat a cold, DEC:138

Scientists pronounce chicken soup a bona fide cold remedy, DEC:141

Surgical fast-tracking cost benefits vary, JAN:12

Vitamins E and C reduce preeclampsia risk 76%, NOV:130

Stroke care

T-PA treatment project, MAR:29

Supplement

Tracking medical errors, APR:Sup

Surgery

Apple-to-apple benchmarking for surgical improvements, APR:46

Brain-wave monitor fine-tunes anesthesia doses, MAR:28

Cost benefits of monitored anesthesia, MAR:29

Extra oxygen aids post-op infection control, NOV:129

Fast-track anesthesia saves resources, pleases patients, MAR:25

Four teams improve perioperative services, AUG:93

LOS is a dry well for further cost savings, DEC:133

On-time starts steady at 80%, AUG:95

Puncture-resistant glove provides safety, sensitivity, MAY:59

Teams

Revamp perioperative services, AUG:93

Technology

Barcode tracking speeds retrieval time, JAN:5

Barcode scan for inpatient medications, JUN:72

Barcoding systems for patient records, JAN:6

Brain-wave monitor fine-tunes anesthesia doses, MAR:28

Listservs expedite knowledge exchange, APR:45

Monitored anesthesia saves resources, pleases patients, MAR:25

Phone monitoring improves congestive heart failure outcomes, MAR:32

Rural hospital applies in stroke care, MAR:29

Thumbprint ID eliminates password in network access, JAN:12

Voice recognition software cuts radiology report cycle, JAN:7

Tech Watch

Barcode scan for medications, JUN:72

Episodes grouper features severity-stratified analyses, OCT:120

Thumbprint ID offers secure network access, JAN:12

Wait times

Slashed in perioperative initiative, AUG:95