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Quality Improvement:
Practical Applications for Medical Group Practice (January 31, 2002)
By: Davis Balestracci Jeanine L. Barlow
This book was a labor of
love. I tried to take a realistic, honest, straightforward, conversational
approach (with "Italian passion") to quality (Demingslant) with the
emphasis on statistical THINKING (not techniques) as the "anchor" for
a healthy quality effort (Not only special "projects," but hidden
opportunities in EVERYDAY work)--for use in the REAL WORLD.
The
key emphasis is looking at ALL work as a process and understanding variation.
This also includes the process of how data in general are used in organizations
and the resulting rampant unintended damage (and "crazy-making")
caused by inappropriate reactions to variation. Eight common statistical
"traps" are exposed to help you transition to a philosophy of
"Data 'Sanity.'" Sorry, folks, but did you know that whether
or not you understand statistics, you are already using statistics? The good
news: You can forget practically everything you've learned in the required
"Statistics from Hell 101" course (and you probably already have!).
Oh,and by all means, please hand a copy of this book to your managers. It's
for them, too!
No sanitized examples or platitudes here!
I've included many varieties of examples and exercises (excruciatingly
detailed solutions provided) with real data that have routinely come across my
desk. There is thorough discussion, IN ENGLISH, of data plotting & charts
(including some critical control charts) appropriate to service industries and
medicine. For those of you who have to communicate results to
mathematically-impaired audiences, I also discuss an intuitively simple,
less-threatening alternative to control charts--a run chart.
I
tried to put together an extensive reference list and have also included a
chapter on dealing with "those darn humans."
No
statistical "overload"--I PROMISE!...
Just a dose of
counter-intuitive common sense.
My background: BS Chemical
Engineering, MS in Statistics. 20 years as a statistical consultant, including
7 years at 3M. Transitioned to healthcare /service industries in 1992. In
1995 I was part of a team that consulted with 80 healthcare leaders from Egypt,
Palestine, Morocco, Israel, and Jordan and did individual follow-up work with
the Palestinian Health Improvement Project in 1997. I now work as an
independent consultant.
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