The Quality Improvement Challenge. Richard J. Banchs

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the reader with an integrated and systematic approach to quality improvement projects and a roadmap to address the unique, change‐resistant features associated with the healthcare environment. It is our hope that physicians everywhere will embark on an improvement journey, for the benefit of their patients, organizations, and themselves.

      Richard J. Banchs, MD

      Michael R. Pop, SSMBB, MBA

      Richard J. Banchs, MD is a board‐certified pediatric anesthesiologist. He is a Lean Six Sigma Black Belt and Change Management Experienced Practitioner. Since 2007 he has been combining his clinical responsibilities with improvement work. He has successfully used the improvement framework described in this book in the deployment of a broad variety of large‐ and small‐scale projects in the US and abroad. These improvement initiatives have included QI projects in operating rooms, emergency departments, outpatient clinics, and inpatient units both in small hospitals and large academic centers with the goals of improving quality, performance, and patient and provider’s satisfaction.

      Dr. Banchs compiles his improvement knowledge and years of clinical experience in the front lines into a road map for healthcare practitioners to achieve success in their quality improvement projects. By being on both sides of the equation, he can offer a global perspective on the nature of improvement work and the best strategies to overcome the barriers to improvement in healthcare. In this book, he shares his knowledge and expertise with any physician wishing to successfully improve the practice of medicine.

      Since 2013, Dr. Banchs has been teaching improvement methodology to staff, residents, and faculty at the University of Illinois Hospital in Chicago. He has served as the senior director of the Organizational Process Improvement (OPI) office, and is currently the Associate Head for Quality and Safety for the Department of Anesthesiology.

      Michael R. Pop, SSMBB, MBA is a Lean Six Sigma Master Black Belt. He is an accomplished Quality Professional with 30 years of experience enhancing operations and leading teams through the implementation of effective solutions to permanently resolve quality issues. He is currently the director of Business Process Improvement for the Omron Automation Americas group. Prior to his current role, he was a senior consultant with Illinois Business Innovation Services spending the majority of his career providing Quality Systems Management, Lean, Six‐Sigma, Quality Management, and Quality Engineering support to various industries, including diversified manufacturers, education, healthcare, government and not‐for‐profits.

      Michael R. Pop has a Master of Business Administration and a bachelor’s degree in Mechanical Engineering Technology, both from Purdue University, and is a Certified Six Sigma Master Black Belt, Certified Quality Engineer, and a Certified Quality Auditor. He is currently a senior member of the American Society for Quality (ASQ).

       Martha Sanchez, the Head of Housekeeping (Chapter 4)

       Turn‐Around Time for X‐rays in the ED (Chapter 5)

       Andrea, the QI Project Manager (Chapter 10)

       Wait Time in the Orthopedic Outpatient Clinic (Chapter 18)

       The Early Discharge QI Project at Memorial Hospital (Chapter 23)

       The NICU Team at St. Agnes Hospital (Chapter 25)

       Brandon, the Ambulatory Clinic manager (Chapter 26)

       “Make It Happen” (Chapter 29)

       Examples

       First‐Case On‐Time‐Start Accuracy at Fond‐du‐Lac Medical Center (Chapter 4)

       Patient Arrival‐to‐Departure Time at the PCP Clinic (Chapter 4)

       A SIPOC diagram for St. Barnabas Preoperative Evaluation Clinic (Chapter 7)

       The “Customer” of a STAT Arterial Blood Gas (ABG) (Chapter 8)

       Supply Chain Management for Patient Care Units (Chapter 8)

       Patient Satisfaction with UI Health Outpatient Care Center (Chapter 8)

       Improving the Organization of Medical Supplies in the EDRR (Chapter 8)

       Improving MRI Patient Throughput (Chapter 9)

       Improving STAT Chest X‐Rays in the ICU (Chapter 12)

       Temperature Management on Arrival to the ED (Chapter 13)

       Stratification Factors for “Time from Order to Arrival of TPN Bag” (Chapter 13)

       Order‐to‐Result Time at Mercy Hospital (Chapter 15)

       Narcotic Discrepancies at Chicago Med (Chapter 15)

       C‐section Rate at London Memorial (Chapter 15)

       The Individuals and Moving Range (I‐mR) Chart of a Patient’s SBP (Chapter

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