$3-Assignment

Readings

· Course Text: Medical Quality Management: Theory and Practice

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. Chapter 5, "Medical Informatics" This chapter discusses the use of technology for health informatics, especially as it relates to quality and patient safety.

. Chapter 6, "Economics and Finance in Medical Quality Management" This chapter addresses the business case for quality, and examines fundamental economic and financial concepts as they relate to health care quality.

· Article: Wachter, R. M. (2006). Expected and unanticipated consequences of the quality and information technology revolutions. Journal of the American Medical Association, 295(23), 2780–2783. Retrieved from the Walden Library databases. The author examines issues related to quality and safety efforts, including unanticipated consequences of computerization.

· Article: Leatherman, S., Berwick, D., Iles, D., Lewin, L. S., et al. (2003). The business case for quality: Case studies and an analysis. Health Affairs, 22(2), 17–30. Retrieved from the Walden Library databases. This article poses the question: "Does improving quality yield a return on investment?" It presents four cases, and includes consideration of the costs and benefits to four stakeholders: providers, purchasers and employers, individual patients, and society.

· Article: Zhan, C., Friedman, B., Mosso, A., & Pronovost, P. (2006). MARKET WATCH: Medicare payment for selected adverse events: Building the business case for investing in patient safety. Health Affairs, 25(5), 1386–1 393. Retrieved from the Walden Library databases. This article examines potential benefits of improving patient safety for hospitals that serve patients on Medicare and Medicaid.

· Article: Ward, W. J. Jr., Spragens, L., & Smithson, K. (2006, December). Building the business case for clinical quality. Healthcare Financial Management, 60(12), 92–8. Retrieved from the Walden Library databases. This article presents a useful analysis of various factors that should be taken into account when building a business case for a clinical quality improvement initiative.

· Article: Conway, P., & Clancy, C. (2009). Transformation of health care at the front line. Journal of the American Medical Association, 301(7), 763–7 65. Retrieved from the Walden Library databases. This article addresses the intersections of quality measurement, payment, and health information technology.

· Article: Kaushal, R., Jha, A., Franz, C., Glaser, J., Shetty, K., Jaggi, T., et al. (2006). Return on investment for a Computerized Physician Order Entry System. Journal of the American Medical Informatics Association, 13(3), 261–266. Retrieved from the Walden Library databases. This article examines the implementation of a hospital CPOE at Brigham and Women's Hospital.

· Article: Simpson, R. (2005). Error reporting as a preventive force. Nursing Management, 36(6), 21–56. Retrieved from the Walden Library databases. This article looks at the use of technology for error reporting and the cultural change needed to improve patient safety.

· Web Article: Burton, T. M. (2009, October 8). News in Depth: U.S. hospitals find way to make care cheaper—Make it better—P ublishing outcomes can boost results, one state discovers. Wall Street Journal(Europe), p. 14. Retrieved from the Walden Library databases. This article discusses efforts in Pennsylvania to improve quality of care while reducing costs.

· Web Article: Devine, E. B., Hansen, R. N., & Wilson-Norton, J. L., et al. (2010, January). The impact of Computerized Provider Order Entry on medication errors in a multispecialty group practice. JAMIA, 17, 78–84. http://jamia.bmj.com/content/17/1/78.full.pdf?sid=e595667a-3af1-4475-af8d-7800ab08b1a6   This study illustrates a reduction in medication errors with the use of CPOE.

Optional Resources

· Article: Damberg, C., Ridgely, M., Shaw, R., Meili, R., Sorbero, M., Bradley, L., et al. (2009). Adopting information technology to drive improvements in patient safety: Lessons from the Agency for Healthcare Research and Quality Health Information Technology Grantees. Health Services Research, 44(2p2), 684-700. Retrieved from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2677035/

· Article: Davis, K., Doty, M., Shea, K., & Stremikis, K. (2009). Health information technology and physician perceptions of quality of care and satisfaction.Health Policy (Amsterdam, Netherlands), 90(2–3), 239–246. Retrieved from  http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=19038472&site=ehost-live&scope=site

· Article: Adams, L. (2009). The role of health information technology in improving quality and safety in RI: Can new money solve old problems?Medicine and Health, Rhode Island, 92(8), 267-268. Retrieved from  http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=19736727&site=ehost-live&scope=site

· Article: Anderson, J., Ramanujam, R., Hensel, D., Anderson, M., & Sirio, C. (2006). The need for organizational change in patient safety initiatives.International Journal of Medical Informatics, 75(12), 809-817. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=16870501&site=ehost-live&scope=site