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Healthcare Analytics for Quality and Performance Improvement
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Table of 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 Defining 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 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

About the Author

TREVOR L. STROME, MSc, PMP, is the Analytics and Process Improvement Lead for the Winnipeg Regional Health Authority Emergency Program. He is also Assistant Professor in the Department of Emergency Medicine, Faculty of Medicine, University of Manitoba, where he participates in clinical and operations research projects and teaches statistics, informatics, and quality improvement. Trevor has coauthored three book chapters and numerous articles on healthcare topics. He is an in-demand conference speaker and the founder and editor of a popular blog on the topic of healthcare analytics.

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