Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA
Editorial Office
111 River Street, Hoboken, NJ 07030, USA
For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.
Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some content that appears in standard print versions of this book may not be available in other formats.
Limit of Liability/Disclaimer of Warranty
While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
Library of Congress Cataloging‐in‐Publication Data
Names: Shifflet, Mary Ann, 1956- author. | Martinez, Cecilia, 1979- author.
| Oppenlander, Jane, author. | Shmerling, Shirley, 1961- author.
Title: Improving health care quality : case studies with JMP / Mary Ann
Shifflet, Cecilia Martinez, Jane Oppenlander, Shirley Shmerling.
Description: Hoboken, NJ : Wiley, [2020] | Includes bibliographical
references and index.
Identifiers: LCCN 2019057873 (print) | LCCN 2019057874 (ebook) | ISBN
9781119604617 (hardback) | ISBN 9781119604648 (adobe pdf) | ISBN
9781119604679 (epub)
Subjects: MESH: Quality Improvement | Quality Assurance, Health
Care--methods | Models, Statistical | Data Analysis | Outcome and
Process Assessment, Health Care--methods | United States | Case Reports
Classification: LCC RA418 (print) | LCC RA418 (ebook) | NLM W 84.4 AA1 |
DDC 362.1--dc23
LC record available at https://lccn.loc.gov/2019057873
LC ebook record available at https://lccn.loc.gov/2019057874
Cover Design: Wiley
Cover Image: © Baac3nes/Getty Images
| To my husband, Mark, and sons David, Michael and Robert | Mary Ann Shifflet |
| To my daughter, Anna Victoria | Cecilia Martinez |
| To my family and my teachers | Jane Oppenlander |
| To my husband, Dror, and sons Matan and Adi | Shirley Shmerling |
Foreword
If you cannot be one of the authors, being invited to write the Foreword is perhaps the next best thing!
I say this because, when the idea for this project first came about, I had agreed to be one of the co‐authors. I was really excited about being a part of it, and to have the opportunity to contribute to the literature of the use of statistical analysis in improving the quality of healthcare delivery. The energy that Mary Ann, Cecilia, Jane, and Shirley each brought to the early discussions about the book was infectious, and I was eager to get started. Unfortunately, due to life circumstances at the time, I had to make the difficult decision to step away. It is so rewarding to see that the book has now come to fruition, and I believe it will become a great addition to the bookshelves of current and future healthcare leaders alike.
With the increasing focus on value, it is now incumbent on all healthcare professionals – not just those in the Quality department – to find ways of improving the quality of the services we and our organizations deliver. Numerous frameworks and programs such as Lean Six Sigma, High Reliability Organization, and the Institute of Medicine's six domains of health care quality (among others) exist to help identify opportunities and implement meaningful change. These evidence‐based approaches provide the necessary structure and process for successfully driving quality improvement results throughout a provider organization and help focus the attention of everyone involved toward the critical work required to attain them.
However, while each of these frameworks can be extremely useful as a guide, it is only through the review and analysis of relevant data that the most impactful opportunities for improvement can be appropriately recognized and addressed, and the success of improvement efforts ultimately measured – which is exactly what this book is designed to help you accomplish. Data literacy is now every healthcare leader's responsibility, and this text will help you learn how to apply the concepts, processes, techniques, and tools required for extracting meaningful and actionable information from your data. And do not worry if you have never before studied statistical analysis (or have but are still intimidated by it!), as everything here is presented in a very easy‐to‐follow, easy‐to‐understand manner. The use of JMP® software, which itself is quite easy to use, also facilitates the learning process.
I welcome and encourage every reader to use the information in this book to help make the quality of the care your (or your future) organization delivers the absolute best it can be, and I congratulate each of the authors on creating a fantastic resource for all of us in healthcare who strive every day to achieve this important goal. And who knows… maybe I'll get to join in for the Second Edition!
Eric Stephens, MBA, CAP
Chief Analytics Officer
Nashville General Hospital
Nashville, TN
January 11, 2020
Preface
Electronic health records, medical imaging, cell phones/wearable devices, and all‐payer claims databases are a few of the technological advances that supply vast amounts of data to the healthcare industry. This data supports
